2021
DOI: 10.1371/journal.pmed.1003260
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Effects on childhood infections of promoting safe and hygienic complementary-food handling practices through a community-based programme: A cluster randomised controlled trial in a rural area of The Gambia

Abstract: Background The Gambia has high rates of under-5 mortality from diarrhoea and pneumonia, peaking during complementary-feeding age. Community-based interventions may reduce complementary-food contamination and disease rates. Methods and findings A public health intervention using critical control points and motivational drivers, delivered February–April 2015 in The Gambia, was evaluated in a cluster randomised controlled trial at 6- and 32-month follow-up in September–October 2015 and October–December 2017, re… Show more

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Cited by 21 publications
(32 citation statements)
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References 30 publications
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“…Two articles ( 270 , 271 ) evaluated the effects of improved hygiene practices on reduction of microorganisms in foods and found a significant reduction in fecal contamination of the food samples 3 weeks after training of mothers. Only one RCT measured not only the intermediate outcome (adoption rate of improved behavior) but also a health-related outcome ( 272 ); children's diarrhea was significantly reduced by 60 and 30% at 6 months and 32 months post-intervention, respectively, suggesting noteworthy short and long-term effects of the community-level intervention.…”
Section: Resultsmentioning
confidence: 99%
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“…Two articles ( 270 , 271 ) evaluated the effects of improved hygiene practices on reduction of microorganisms in foods and found a significant reduction in fecal contamination of the food samples 3 weeks after training of mothers. Only one RCT measured not only the intermediate outcome (adoption rate of improved behavior) but also a health-related outcome ( 272 ); children's diarrhea was significantly reduced by 60 and 30% at 6 months and 32 months post-intervention, respectively, suggesting noteworthy short and long-term effects of the community-level intervention.…”
Section: Resultsmentioning
confidence: 99%
“…The remaining 10 records included 3 cluster randomized controlled trials (cRCTs) (263,264,272), 1 cluster-randomized before-after study (265), 1 experimental study (270), and 5 observational studies (266)(267)(268)(269)271). These studies primarily evaluated the uptake of improved complementary food hygiene behaviors among mothers and caregivers in LMIC.…”
Section: Complementary Food Hygienementioning
confidence: 99%
“…Full details of the intervention are published elsewhere [22]. In brief, we developed a low-intensity, communitybased behaviour change intervention for weaning food safety and hygiene [17].…”
Section: Interventionmentioning
confidence: 99%
“…For each stratum, 15 villages were randomly chosen, and within the villages, 20 households were randomly chosen to conduct interviews and observations. The 15 villages from one of the strata were treated with the intervention while the other stratum was the control group [22].…”
Section: Data On Effectivenessmentioning
confidence: 99%
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