Combining Home Garden, Poultry, and Nutrition Education Program Targeted to Families With Young Children Improved Anemia Among Children and Anemia and Underweight Among Nonpregnant Women in Nepal

Osei, Akoto; Pandey, Pooja; Nielsen, Jennifer N.; Pries, Alissa M.; Spiro, David; Davis, Dale; Quinn, Victoria J.; Haselow, Nancy

doi:10.1177/0379572116676427

Cited by 82 publications

(95 citation statements)

References 26 publications

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“…Home garden interventions usually integrate training in gardening techniques (e.g., use of quality seed, planting bed preparation, crop rotation, compost making and pest and disease management) with nutrition education aimed at transferring nutrition knowledge (e.g., which crops contain which essential nutrients) and nutrition skills (e.g., how to prepare food to maintain nutrients) (World Vegetable Center 2016). Outside support is usually provided for one year and only in exceptional cases for a period up to three years (Osei et al 2017).…”

Section: Introductionmentioning

confidence: 99%

“…There is growing evidence that integrated home garden interventions are effective in increasing the consumption of nutritious food among poor rural households in developing countries (Olney et al 2009(Olney et al , 2013Schreinemachers et al 2016;Tesfamariam et al 2018;Osei et al 2017). Several recent reviews have identified that such interventions are one of few agricultural interventions with a proven impact on increased vegetable consumption, although the evidence basis for nutritional status remains weak (DFID 2014;Ruel et al 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, in the study of Olney et al (2015) for Burkina Faso there were two years between baseline and endline surveys while program support was also provided for two years. Osei et al (2017) studied the impact of home gardens in Nepal with three years in between baseline and endline while program support was given for an equally long period of time. Schreinemachers et al (2016) quantified the impact of home gardens in Bangladesh one year after the program had ended.…”

Section: Introductionmentioning

confidence: 99%

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Long-term behavioural impact of an integrated home garden intervention: evidence from Bangladesh

et al. 2019

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Integrated home garden interventions combine training in gardening practices with education about nutrition knowledge. Such interventions have been shown to improve nutrition behaviour in low income countries. However, to date rigorous evidence is lacking for their long-term impact. We test the impact of an integrated home garden intervention on vegetable production and consumption three years after the intervention ended. We analyse three rounds of survey data for 224 control and 395 intervention households in rural Bangladesh. Three years after the intervention, the average impact on vegetable production per household was 43 kg/year (+49% over baseline levels; p < 0.01), and the effect was not statistically different from the impact one year after the intervention, which demonstrates that impact was maintained in the long-term. The impact on the micronutrient supply for iron, zinc, folate and pro-vitamin A from home gardens was maintained in the longterm. These impacts may have been driven by the long-term improvements in women's nutrition knowledge and gardening practices, explaining the sustainability of the behavioural nutrition change. We also identify positive impacts on women's empowerment and women's output market participation, highlighting how integrated programs, even if modest in scope, can be drivers of social change.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-term behavioural impact of an integrated home garden intervention: evidence from Bangladesh

et al. 2019

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“…The few livestock rearing intervention studies that have assessed impacts on anaemia or haemoglobin (Hb) concentrations among women or children were implemented in combination with other interventions, thus obfuscating the independent role of livestock. These interventions, introducing small-scale, homestead poultry production in concert with promotion of vegetable gardens, field crop production, and/or provision of nutrition education, have shown mixed impacts on anaemia (Galal, Harrison, Abdou, & Zein el Abedin, 1987;Olney, Pedehombga, Ruel, & Dillon, 2015;Olney, Talukder, Iannotti, Ruel, & Quinn, 2009;Osei et al, 2016). The scant observational evidence for the association of livestock rearing with anaemia has similarly shown mixed results with studies reporting higher (Ahenkorah, Nsiah, & Baffoe, 2016;Iannotti et al, 2015) and lower (Flores-Martinez, Zanello, Shankar, & Poole, 2016;Miller, 2010) odds of anaemia associated with livestock rearing.…”

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confidence: 99%

Livestock ownership is associated with higher odds of anaemia among preschool‐aged children, but not women of reproductive age in Ghana

Jones

Colecraft

Awuah

et al. 2018

Maternal & Child Nutrition

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Livestock ownership may influence anaemia through complex and possibly contradictory mechanisms. In this study, we aimed to determine the association of household livestock ownership with anaemia among women aged 15–49 years and children aged 6–59 months in Ghana and to examine the contribution of animal source foods (ASFs) to consumption patterns as a potential mechanism mediating this association. We analysed data on 4,441 women and 2,735 children from the 2014 Ghana Demographic and Health Survey and 16,772 households from the Ghana Living Standards Survey Round 6. Haemoglobin measurements were used to define anaemia (non‐pregnant women: <120 g/L; children: <110 g/L). Child‐ and household‐level ASF consumption data were collected from 24‐hour food group intake and food consumption and expenditure surveys, respectively. In multiple logistic regression models, household livestock ownership was associated with anaemia among children (OR, 95% CI: 1.5 [1.1, 2.0]), but not women (1.0 [0.83, 1.2]). Household ownership of chickens was associated with higher odds of anaemia among children (1.6 [1.2, 2.2]), but ownership of other animal species was not associated with anaemia among women or children. In path analyses, we observed no evidence of mediation of the association of household livestock ownership with child anaemia by ASF consumption. Ownership of livestock likely has limited importance for consumption of ASFs among young children in Ghana and may in fact place children at an increased risk of anaemia. Further research is needed to elucidate if and how pathogen exposure associated with livestock rearing may underlie this increased risk of anaemia.

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“…Of the remaining, nine occurred in India (Alive & Thrive India, n.d.; Bhandari et al, ; Bhandari et al, ; Dongre, Deshmukh, & Garg, ; Kadiyala, Morgan, Cyriac, Margolies, & Roopnaraine, ; Kilaru, Griffiths, Ganapathy, & Ghosh, ; Palwala et al, ; Singh et al, ; Vazir et al, ) and eight Central/South American or Mexico (Bonvecchio, Pelto, Escalante, & Monterrubio, ; de Oliveira, Giugliani, Santo, & Nunes, ; Iannotti et al, ; Jensen, Frongillo, Leroy, & Blake, ; Leroy et al, ; Monterrosa et al, ; Penny et al, ; Santos et al, ). Five were implemented in China (Guldan et al, ; Li et al, ; Sun et al, ; J. Zhang, Shi, Chen, Wang, & Wang, ; Y. Zhang et al, ); three in Vietnam (Bruyeron et al, ; Dickey et al, ; Nguyen et al, ); two each in Cambodia (Olney, Talukder, Iannotti, Ruel, & Quinn, ; Reinbott et al, ) and Nepal (Cunningham et al, ; Osei et al, ); and one each in Indonesia (S. White et al, ), Pakistan (Zaman, Ashraf, & Martines, ), and Egypt (Brasington et al, ). Target reach ranged from less than 1,000 for smaller scale research and pilot programs to over one million targeted for large‐scale, government‐implemented programs (i.e., Madagascar and India).…”

Section: Resultsmentioning

confidence: 99%

A scoping review of social‐behaviour change techniques applied in complementary feeding interventions

Girard

Waugh

Sawyer

et al. 2019

Maternal & Child Nutrition

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Education and other strategies to promote optimal complementary feeding can significantly improve practices, but little is known about the specific techniques successful interventions use to achieve behaviour change. We reviewed the literature for complementary feeding interventions in low-/middle-income countries (LMIC) published since 2000. We systematically applied a validated taxonomy mapping process to code specific behaviour change techniques (BCTs) used in each intervention; effectiveness ratios for each BCT were estimated. Sixty-four interventions met inclusion criteria, were abstracted, BCTs identified, and coded. Dietary diversity was the most commonly assessed component of complementary feeding, and interpersonal communication, either individually or in groups, was the most commonly used delivery platform. Of the 93 BCTs available for mapping, the 64 interventions included in this review applied a total of 28 BCTs. Interventions used a median of six techniques (max = 13; min = 2). All interventions used "instruction on how to perform the behaviour." Other commonly applied BCTs included "use of a credible source" (n = 46), "demonstration of the behaviour" (n = 35), and "providing information about health consequences" (n = 30). Forty-three interventions reported strategies to shift the physical or social environment. Among BCTs used in >20 interventions, five had effectiveness ratios >0.8: "provision of/enabling social support"; "providing information about health consequences"; "demonstration of the behaviour"; and "adding objects to the environment" namely, food, supplements, or agricultural inputs. The limited reporting of theory-based BCTs in complementary feeding interventions may impede efforts to improve and scale effective programs and reduce the global burden of malnutrition.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Combining Home Garden, Poultry, and Nutrition Education Program Targeted to Families With Young Children Improved Anemia Among Children and Anemia and Underweight Among Nonpregnant Women in Nepal

Abstract: The EHFP intervention improved anemia among children aged 12 to 48 months and their mothers in Baitadi District of Nepal. The intervention also reduced underweight among these women, but had no impact on child growth, in this district.

Cited by 82 publications

References 26 publications

Long-term behavioural impact of an integrated home garden intervention: evidence from Bangladesh

Long-term behavioural impact of an integrated home garden intervention: evidence from Bangladesh

Livestock ownership is associated with higher odds of anaemia among preschool‐aged children, but not women of reproductive age in Ghana

A scoping review of social‐behaviour change techniques applied in complementary feeding interventions

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