Three Months of Positive Deviance Approach Integrated with PosyanduTKA Increased Development Performance and Decreased Morbidity ofUnderweight Children (6–59 Months)

Positive Deviance Approach integrated with Posyandu TKA (Centre for Growth and Development) offered an excellent opportunity to alleviate the health and malnutrition problem. The study aimed to measure the effectiveness of 3-month Positive Deviance Approach (PDA)integrated with posyandu TKA on growth, development and morbidity of underweight children under five in Pandeglang Assessment of growth used anthropometrics measurement; KPSP test for development, feeding practice used 24-hour food recall, and morbidity record on diarrheaand ARI (Acute Respiratory Infection). Results showed that after 3 months of intervention there were no significant changes on growth of the children in term of WAZ, HAZ and WHZ, but prevalence of underweight among intervention children reduced up to 27.5%, whereas among control children 18.2%. No significant changes in energy and protein intake of the children. However feeding frequency, food diversity and goodfeeding practices of intervention children were significantly improved. The morbidity was significantly reduced in the intervention group by10–25%. The development score of the intervention group was about 1.9 better than control group. The posyandu TKA was an alternative modelin educating mothers for a better feeding practices, and stimulating the children for improving development and prevention from nutritionalstatus deterioration. This should make an ideal model for posyandu in Indonesia.