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Malnutrition that occurs in an early period of life led to the vulnerable to diseases, cognitive disorder, and failed to thrive. Failed to thrive happened when the result of anthropometric measurement indicates a problem. If the problem showed in two or more indexes, it is called CIAF. In Indonesia, one of ten children had suffered from CIAF (9,3%). Cities or districts in Indonesia use only a single index, so the data of CIAF is not available. He objective of the study was to compare the incidence of CIAF in one city and district in Indonesia. A cross-sectional design applied in this study with the number of the sample was 196 children aged 2 – 5 years, every 98 children in Bukittinggi City and Dharmasraya District. There were 22,45% of children suffered from CIAF in Bukittinggi, slightly different in Dharmasraya, which is 21,40%. The cases mostly happen to the girls in both places in the form of wasted stunted. The number of normal children was higher in the city better than in the district region. There is no significant difference in the number of CIAF incidence in the city or the district region. The nutritional status of children is better in the city. The mother was to be expected to pay more attention to the girl's nutrition because they tended to suffer nutritional problems. Provide enough food and protection from the disease are essential to keep their nutritional status in the optimal condition.

A Comparison: Composite Index of Anthropometric Failure (CIAF) Incidence in Bukittinggi City and Dharmasraya District, Indonesia