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Journal of Tropical Pediatrics 1984 30(6):324-329; doi:10.1093/tropej/30.6.324
© 1984 by Oxford University Press
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The Bulacan Nutrition and Health Study: A Summary Report of a Longitudinal Study in Infants

F. S. Solon, Executive Director1, R. F. Florentino, Deputy Executive Director2, J. C. Arnold, Professor of Statistics3, R. W. Engel, Professor Emeritus4, D. B. Aguillon, Acting Executive Director5, A. Tandez, Professor and Head6 and P. P. Zamora, Project Director7

1Nutrition Center of the Philippines (NCP) Makati, Metro Manila, Philippines
2 NCP, Makati, Metro Manila, Philippines(Present position: Director, Food and Nutrition Research Institute (FNRI)–NSTA, Pedro Gil Street, Ermita, Manila, Philippines
3Virginia Polytechnic Institute and State University (VPI&SU) Blacksburg, Virginia 24060, USA
4Biochemistry and Nutrition, VPI&SU Blacksburg, Virginia 24060, USA
5National Nutrition Council Makati, Metro Manila, Philippines
6Department of Preventive and Social Medicine University of Santo Tomas, Manila, Philippines
7Community Medicine Program, University of Santo Tomas Manila, Philippines

A longitudinal study on 544 infants to measure impact of health and nutrition interventions revealed that the choice of a nutritional index is important in evaluating the effectiveness of interventions, which were education, and education with immunization, food, or sanitation. When per cent of standard weight for age alone was the index, food with education was most effective during weaning (5–1l months), followed by immunization with education. Education alone was effective throughout the intervention period (5–17 months) and follow-up (18–26 months) but education with sanitation was no more effective than education alone. When both height and weight were used in a nutritional index which best describes their relationship during normal growth in infants, food as an intervention proved highly effective as did also immunization. The impact of education alone was less than noted when weight alone served as the index. In terms of cost-effectiveness, the index describing proper height and weight relationship during infancy revealed food to be the most consistently cost-effective, although education was the most cost-effective in early life (up to 11 months).


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