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© 1988 Oxford University Press

research-article

Nutritional Status of Poor Preschool Children in a Defined Area in Java—Can Weight Monitoring Influence Nutrition?

J GEEFHUYSEN* and R SOETRISNO{dagger}

*Community Oriented Medical Education Programme (COME)
{dagger}Department of Social Paediatrics, University Gadjah Mada Medical Faculty Sekip Utara, Yogyakarta, Indonesia

Geefhuysen C J (Hedera Project/COME, Medical Faculty, University Gadjah Mada, Sekip Utara, Yogyakarta, Indonesia) and Soetrisno R. Nutritional status of poor preschool children in a defined area in Java—can weight monitoring influence nutrition? International Journal of Epidemiology 1988, 17: 849–857.

Identification of undernutrition by routine Village Weighing Programmes (VWP) showed poor congruence with a nutrition survey in 193 preschool children from three defined areas of matched low economic status in Java. Measurements were similar to those of 50 years ago. Undernutrition varies from 3%–48% by different cutoff points. Twelve per cent are =< -2SD for weight-for-height. Surveys can indicate population nutritional status for programme evaluation and planning. VWP results are not suitable for statistics. With less attention to recording measurements and more attention to local knowledge and common sense, more treatment of disease and individualized advice, VWPs could be more effective. Poverty remains the main constraint for improvement of population nutrition.

Received 1 August 1987


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