Abstract
Tsunami Earthquake American Relief Services (TEARS) International, a US-based nongovernment organization, developed a children's feeding program for South Nias, Indonesia. The objective of this study was to assess the efficacy of the TEARS feeding program, in which malnourished children ≤5 years of age (N = 83) were enrolled. Anthropometric measurements and biochemical assays (hemoglobin and urinalysis) were assessed. Weight for age (P < .01), weight for height (P < .01) and body mass index (BMI) for age (P < .001) increased significantly during the program. The prevalence rates of low hemoglobin and ketonuria were significant. The program was efficacious due to increases in anthropometric indicators, but a high incidence of anemia and lack of food availability was evident. Multiple problems with nutrition assessment existed.
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