Age-based preventive targeting of food assistance and behaviour change and communication for reduction of childhood undernutrition in Haiti: a cluster randomised trial

Ruel, Marie T.; Menon, Purnima; Habicht, Jean‐Pierre; Loechl, Cornelia; Bergeron, Gilles; Pelto, Gretel H.; Arimond, Mary; Maluccio, John A.; Michaud, Lesly; Hankebo, Bekele

doi:10.1016/s0140-6736(08)60271-8

Cited by 136 publications

(135 citation statements)

References 12 publications

Supporting

Mentioning

132

Contrasting

Unclassified

Order By: Relevance

“…In Haiti, distribution of such food rations to all mothers and children within the fi rst 1000 days of life had a greater eff ect on child growth than did targeting of underweight children younger than 5 years. 101 In view of the severity of food insecurity in this popu lation, no unintended eff ects on overweight or obesity were identifi ed. Complementation of this programme with the distribution of iron-fortifi ed micronutrient powders reduced anaemia prevalence by half in as little as 2 months.…”

Section: In-kind Household Food Distributionsmentioning

confidence: 93%

“…Nutrition behaviour-change com muni cations, which are incor porated in several agriculture, social safety nets, early child development, and school health programmes are one example of such use. Other opportunities include addition of the distribution of micronutrientfortifi ed products to nutritionally vulnerable adolescent girls, mothers, and young children, 101,136 or of preventive health inputs to agriculture, social safety net, early child development, or school programmes.…”

Section: Panel 6: Research Prioritiesmentioning

confidence: 99%

See 1 more Smart Citation

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Ruel¹,

Alderman²

2013

The Lancet

Self Cite

1,367

1,387

View full text Add to dashboard Cite

Section: In-kind Household Food Distributionsmentioning

confidence: 93%

Section: Panel 6: Research Prioritiesmentioning

confidence: 99%

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Ruel¹,

Alderman²

2013

The Lancet

Self Cite

1,367

1,387

View full text Add to dashboard Cite

“…A nutrition program in Haiti showed that a preventative model for delivering food assistance was more effective at reducing childhood undernutrition than the traditional treatment model of targeting underweight children. 11 Preventative programs include education as well as development and support for community health workers. The CHOP Global Health program integrated these components to enhance the preventative strategy in conjunction with food supplementation.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status of Children after a Food-Supplementation Program Integrated with Routine Health Care through Mobile Clinics in Migrant Communities in the Dominican Republic

Parikh¹,

Marein-Efron²,

Huang³

et al. 2010

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. The objective of this study was to compare acute and chronic undernutrition rates before and after the introduction of a food-supplementation program as an adjunct to routine health care for children of migrant workers in the Dominican Republic. The cross-sectional study was conducted in five rural communities in the Dominican Republic. Children 18 years and younger were eligible if they received routine health care from local mobile clinics. Data were obtained before (2005) and after (2006) initiation of a food-supplementation program. χ 2 or Fisher exact tests were used for analysis. Among 175 children in 2005, 52% were female, and 59% were < 5 years of age (mean age = 5.3 years). Among 148 children in 2006, 48% were female, and 57% were < 5 years of age (mean age = 5.6 years). Acute undernutrition rates decreased from 40% to 23% ( P = 0.001) after initiation of the food-supplementation program. Rates of chronic undernutrition decreased from 33% to 18% after the initiation of the food-supplementation program ( P = 0.003). Food supplementation in the context of routine health-care visits improved the nutritional status of children, and it warrants further exploration as a way to reduce childhood undernutrition in resource-scarce areas.

show abstract

“…This is because other studies found multiple determinants to impact individual dietary choices, but factors that most directly influence fruit and vegetable consumption are gender, age, socioeconomic status, nutrition knowledge, personal and cultural food preferences, parental intake/role modeling, and availability [23]. Because various factors influence food choices, CIP recognized that designing and implementing multi-component nutrition education strategies guided by social and behavioral theory may be more successful in improving OFSP consumption [24,25,26]. In particular, Social Cognitive Theory (SCT) addresses both psychosocial dynamics influencing health behaviors and methods for promoting behavior change [23,27].…”

Section: Methodsmentioning

confidence: 99%

A food-based approach to reduce vitamin A deficiency in southern Ethiopia: A cross-sectional study of maternal nutrition and health indicators

Busse¹,

Kurabachew²,

Ptak³

et al. 2017

AJFAND

View full text Add to dashboard Cite

One micronutrient essential for proper growth and development is Vitamin A. Children and pregnant women are most susceptible to vitamin A deficiency (VAD) because of the higher intake requirements needed during critical growth periods. Vitamin A deficiency is a serious but preventable public health problem in Ethiopia. In 2012, the International Potato Center (CIP) partnered with the University of Wisconsin-Madison (UW) and local stakeholders in the Southern Nations, Nationalities, and Peoples Region (SNNPR), Ethiopia, to address the issue of VAD among rural SNNPR households by increasing production and consumption of orange fleshed sweet potatoes (OFSP). This paper presents a cross-sectional analysis of vitamin A knowledge, consumption practices, and OFSP agronomic practices from surveys conducted among households who participated in a food-based intervention. The study population consisted of 150 mothers from rural households in five districts in the Sidama and Wolayta zones in the SNNPR. Data were collected during April and May 2013 by trained enumerators in the local language using structured questionnaires. Surveys were adapted from validated instruments, and included questions about household socioeconomic characteristics, agricultural practices, dietary diversity, food security, and general health for women between 20-60 years and children between 6-59 months. Among respondents, 63% of mothers reported knowledge about vitamin A, with responses varying by geographic location. Among those who reported knowledge about vitamin A, 8% identified OFSP as a source, 1% had consumed OFSP in the past 7 days, and 0% reported that they ever prepared OFSP with an animal-or vegetable-based fat. Vitamin A-related health issues reported by mothers include night-blindness (32%), measles (32%) and malaria (72%). Given that existing knowledge, behaviors and production levels of vitamin A rich foods (including OFSP) are limited within the SNNPR study population and vary by geographic location, an integrated, food-based approach to address VAD may be relevant in this context to sustainably support improved health and livelihoods.

show abstract

Age-based preventive targeting of food assistance and behaviour change and communication for reduction of childhood undernutrition in Haiti: a cluster randomised trial

Cited by 136 publications

References 12 publications

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Nutritional Status of Children after a Food-Supplementation Program Integrated with Routine Health Care through Mobile Clinics in Migrant Communities in the Dominican Republic

A food-based approach to reduce vitamin A deficiency in southern Ethiopia: A cross-sectional study of maternal nutrition and health indicators

Contact Info

Product

Resources

About