Admissible Evidence in the Court of Development Evaluation? The Impact of CARE’s SHOUHARDO Project on Child Stunting in Bangladesh

Smith, Lisa C.; Kahn, Faheem; Frankenberger, Timothy R.; Wadud, Abdul

doi:10.1016/j.worlddev.2012.06.018

Cited by 23 publications

(10 citation statements)

References 25 publications

(25 reference statements)

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“…Population density and the density of open defecation are factors that were identified to be strongly associated with stunting in a comparative analysis of 130 Demographic & Health Surveys (DHS) cross-sectional surveys [19]. There are several studies that report stunting as significantly less prevalent in families with higher socioeconomic status and increases with poverty, environmental factors, a non-utilization of health services, and lack of parental education [20,21,22,23]. Levels of parental education, and in particular maternal education, inversely affect stunting, as demonstrated through a cross-sectional analysis of the Demographic and Health Surveys for low and middle-income countries [24].…”

Section: Introductionmentioning

confidence: 99%

Water, Sanitation, and Hygiene: Linkages with Stunting in Rural Ethiopia

Kwami

Godfrey²,

Gavilan

et al. 2019

IJERPH

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Stunting is a global burden affecting nearly 160 million children younger than five years of age. Whilst the linkages between nutrition and stunting are well recognized, there is a need to explore environmental factors such as water and sanitation, which may influence feeding practices and result in potential infection pathways. This paper explores the linkages between stunting and water, sanitation and hygiene (WASH) factors in Ethiopia, which is a relatively understudied context. The research draws upon baseline data for children under the age of five from 3200 households across four regions in Ethiopia as part of a wider study and integrated program led by the United Nations Children’s Fund (UNICEF). Using World Health Organization (WHO) z-scoring, the average stunting rate in the sample is 47.5%. This paper also takes into account demographic and social behavioural factors such as the age, gender of children, and gender of the primary caregiver, in addition to handwashing behaviour and drinking water facilities. The evidence recommends efforts to improve handwashing behaviour for mothers and children with a focus on access to clean water. Higher stunting rates with an increase in the age of children highlight the need for continued interventions, as efforts to improve nutrition and WASH behaviours are most effective early on in promoting long-term health outcomes for children.

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Section: Introductionmentioning

confidence: 99%

Water, Sanitation, and Hygiene: Linkages with Stunting in Rural Ethiopia

Kwami

Godfrey²,

Gavilan

et al. 2019

IJERPH

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“…These findings, when contrasted with the scientific evidence on health and nutrition interventions focused on reducing the delay in length in children under 5 years, are relevant because it has been described that those interventions of greater efficacy to reduce the prevalence of delay in length in children under 5 years are those that at least obtained a 3.0% change in the prevalence of length delay in the intervened population, with an exposure greater than or equal to 12 months [ 13 ] . In Bangladesh, CARE’s SHOUHARDO project, a nutrition intervention that links work with poverty and gender inequalities, achieved a 4.5 percentage point reduction in stunting in children aged 6–24 months [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Reduction of chronic malnutrition for infants in Bogotá, Colombia

et al. 2021

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Background According to the 2015 National Survey of the Nutritional Situation in Colombia the prevalence of stunting in children under 5 years of age was 10.8%. In terms of region, Bogotá, presented the highest prevalence rate (13%), a figure that exceeded national records. With the collaboration of local and national government, and nongovernmental it was decided to develop a pilot study involving a public health intervention with residents of Bogotá under 1 year of age with nutritional classification by anthropometry compatible with stunting risk or stunting. Methods Pre-experimental, before and after study that sought to determine the magnitude of the change in nutritional status through a 10 months public health nutrition intervention in children under one-year-old residing in 3 prioritized territories of Bogotá. Results The intervention comprised 1126 children living in the following territories in Bogotá: Kennedy, San Cristóbal, and Engativá. A total of 43.3% children presented delay in height for age, and 56.7% presented risk of short stature. In the final measurement, data were obtained from 686 children, identifying that 17% of the children progressed from stunting to a stunting risk and that 4.5% recovered their growth trajectory, achieving an adequate length for their age. Conclusion That children classified as at risk or stunting at the beginning of the intervention showed an increased probability of approaching or being in the appropriate growth trajectory according to the length-for-age indicator after the intervention.

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“…By triangulating among qualitative and quantitative analyses, we found mixed methods provided a fuller evaluation of impact than either approach could alone (Smith et al, 2012;Spilsbury and Nasi, 2006). Using the survey with a comparison group allowed us to estimate what we would have observed had the initiative not occurred.…”

Section: Resultsmentioning

confidence: 95%