<![CDATA[Child malnutrition remains a very important public health issue in Indonesia. Malnutrition is a condition of deficiency in energy and essential nutrients that can lead to impaired physical growth, mental development, and an increased risk of mortality in children. The prevalence of malnutrition among toddlers in Indonesia is still quite high and shows disparities between regions, especially in provinces with high poverty rates. One province of concern is North Sumatra, which, according to data from the Ministry of Health, has had a significant incidence of malnutrition in the last five years. This condition was exacerbated by the emergence of the COVID-19 pandemic at the end of 2019, which has had a major impact on various sectors of life, including family health and economy. The pandemic caused significant disruptions to primary healthcare systems, including a decrease in posyandu activities, immunizations, and monitoring of children's nutritional status. The decline in household income during the pandemic made it difficult for families to meet their balanced nutritional food needs. A UNICEF study showed an increased risk of acute malnutrition in children during the pandemic, especially in previously vulnerable areas. To measure the impact of the COVID-19 pandemic on the incidence of child malnutrition, a statistical approach that can compare data before and after the pandemic is needed. This study aims to analyze the difference in the incidence of child malnutrition before and after the COVID-19 pandemic in North Sumatra Province using the Wilcoxon test method. Using the Wilcoxon Signed-rank Test statistical method, a comparative analysis was performed between the medians of the data from 2018 and 2023. The results of the study showed that there was a difference between the medians of the two data sets.]]>
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