Efficacy Study of Multiple Micro Nutrients Supplementation

• Apparently healthy Indonesian infants
• Age 8-10 month at baseline visit
• Willing to take 2 sachets of study product per day
• Planning to reside in the study area during the next 14-16 months
• Written informed consent by parent(s) or legally acceptable representative (in ICF there is statement that both are agree that child participate in the study)

Exclusion Criteria:

• Haemoglobin \< 8 g/dL at screening visit*.
• Significant congenital abnormality which according to investigator's clinical judgement will interfere the study conduct and assessment
• Any known conditions likely to affect nutrient absorption diagnosed by the child's physician
• Disorders requiring a special diet (such as food intolerance or food allergy or complaints such as reflux, constipation and cramps for which special formula is required).
• Any other current or previous illnesses/conditions or intervention which according to investigator's clinical judgement could interfere the study conduct and assessment (e.g. chronic illness or physical or mental handicaps)
• Regular use of MMN supplements syrup (every day in > 1 week) within two weeks prior to entry into the study.
• Not intending to use micronutrient supplements during the study
• Participation in any other studies involving similar investigational or marketed products concomitantly or within two weeks prior to entry into the study.
• Premature birth (gestational age \<37 weeks)
• Low birth weight (\< 2500 g)

• Severely under nutrition indicated by any of the following criteria: severely stunted: HAZ \< -3 SD; severely underweight WAZ \<-3 SD; wasted: WHZ \<-2 SD

  *Subject with haemoglobin level (finger prick blood sample) at screening visit between 8-10 g/dL will be given iron syrup supplementation for 1 month. Thereafter, haemoglobin level (whole blood sample) will be checked at baseline visit:

• If Hb > 10 g/dL, subject is eligible for randomisation
• If Hb \< 10 g/dL, subject is not eligible for randomisation and will be given iron syrup supplementation for 2 months