Participating in a Food-Assisted Maternal and Child Nutrition and Health Program in Rural Guatemala Alters Household Dietary Choices

Jensen, Melissa; Frongillo, Edward A.; Leroy, Jef L.; Blake, Christine E.

doi:10.3945/jn.116.232157

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Twenty‐two interventions occurred in sub‐Saharan Africa (Aidam et al, n.d.; Aubel, Touré, & Diagne, ; Alive and Thrive Ethiopia, ; Berti, Mildon, Siekmans, Main, & Macdonald, ; Bruyeron, Denizeau, Berger, & Trèche, ; Chiutsi‐Phiri et al, ; Crossman et al, ; Fernald et al, ; Gelli et al, ; Gelli et al, ; Guyon et al, ; Harris et al, ; Kim et al, ; Kimani‐Murage et al, ; Kulwa et al, ; Leroy, Olney, & Ruel, ; Mukuria, Martin, Egondi, Bingham, & Thuita, ; Mulualem, Henry, Berhanu, & Whiting, ; Nikiema et al, ; Olney, Pedehombga, Ruel, & Dillon, ; Parvanta, Thomas, & Zaman, ; Sarrassat et al, ; Save the Children, ; Webb Girard et al, ; Alive and Thrive, 2016) and 11 in Bangladesh (Aboud & Akhter, ; Aboud, Moore, & Akhter, ; Aboud, Shafique, & Akhter, ; Frongillo et al, ; Hoddinott, Ahmed, Ahmed, & Roy, ; Kimmons et al, ; Owais et al, ; Parvanta et al, ; Roy et al, ; Roy et al, ; TANGO International, ). 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,…”

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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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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“…Using a taxonomy previously described to classify determinants of nutrition (online supplementary table 3), we found two studies that involved interventions on more than one nutrition determinant 25. Both included dietary supplementation with the addition of complementary feeding interventions 26–29. The first was a large, cluster-randomised trial evaluating combinations of family food rations, fortified cereal or micronutrient powder supplements, and behaviour change around complementary feeding practices.…”

Section: Resultsmentioning

confidence: 99%

“…The greatest improvements were seen among clusters that received both family food rations and infant supplements 29. In addition, the cluster which received the behaviour change intervention showed improvements in diet diversity, including for food groups not provided in the ration 26. The second study was a small individually randomised trial that provided a food ration and micronutrient supplement to both control and intervention groups and a complementary feeding behaviour change intervention to the intervention group.…”

Section: Resultsmentioning

confidence: 99%

Advancing child nutrition science in the scaling up nutrition era: a systematic scoping review of stunting research in Guatemala

Cordon¹,

Asturias²,

Vries

et al. 2019

bmjpo

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IntroductionEver since the 1960s, Guatemala has been a principle site for global academic research on child growth and nutrition. Nevertheless, Guatemala still has one of the highest rates of child stunting in the world. Since 2012, Guatemala has had a comprehensive national policy on stunting, calling for a renewed investment in innovative, multilevel nutrition interventions and implementation science. Our objective was to perform a systematic search and scoping review of the literature on stunting in Guatemala to identify gaps in research and opportunities for responding to this unique policy opportunity.MethodsWe conducted a systematic search and scoping review on stunting in Guatemala, searching the PubMed, Web of Science and PsycINFO databases. Eligible articles were of any design or format, published in English and Spanish from 2000 to 2018. Articles were thematically grouped by those published before (2000–2011) and after (2012–2018) the new national policy initiatives.ResultsWe identified a total of 1934 articles through database searches. After full-text review, 104 were included in the synthesis. The volume of published articles on stunting increased from a mean of 3.2 to 9.4 articles/year before and after 2012. There was a shift toward articles generating new data on priority populations, including rural indigenous Maya populations (34% vs 61%, χ2 test, p=0.01). However, the proportion of studies conducting implementation evaluations or testing new interventions was low and did not change significantly (34% vs 18%, χ2 test, p=0.07). Among 17 identified intervention studies, only 4 tested multilevel interventions, and there were no published interventions incorporating nutrition-sensitive interventions.ConclusionsA systematic search and scoping review of the literature on child stunting in Guatemala identified critical opportunities for new research in multilevel interventions, nutrition-sensitive interventions and implementation science.

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“…Child nutrition and growth are part of early childhood development; and scientists, practitioners, donors, planners, and policymakers should focus on early childhood development broadly rather than linear growth narrowly. Rather than investing time and energy in trying to detect growth faltering in individual children and to demonstrate catch-up in linear growth that can only possibly occur if conditions are improved, we should be focusing on how to best improve the conditions in which children grow and develop throughout childhood and adolescence because poor conditions in a population affect all children (55)(56)(57)(58).…”

Section: Discussionmentioning

confidence: 99%

Appropriate Use of Linear Growth Measures to Assess Impact of Interventions on Child Development and Catch-Up Growth

Frongillo

Leroy

Lapping

2019

Advances in Nutrition

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Linear growth is increasingly used as the sole or primary outcome for evaluating interventions, but impact is often not seen. Sometimes there is interest in whether children catch up to where they otherwise would have been had detrimental conditions not occurred, but the literature is confusing because of claims for evidence of catch-up growth based on inappropriate methods. This article examines the use of linear growth measures to evaluate intervention impact and catch-up. Focus on linear growth as a measure of impact has resulted in a lack of demonstrable intervention effects, evaluations that do not use measures responsive to nutrition-sensitive and integrated interventions, insufficient emphasis on adolescent girls and women before conception and children after the first 1000 d, and insufficient investment in developing other measures. Nutrition interventions may benefit children but may not discernibly affect linear growth deficits in immediate or intermediate periods. Interventions intended to affect one domain may have positive or negative impacts on others. Child nutrition and growth are part of early childhood development; the focus should be on improving conditions in which children grow and develop throughout childhood and adolescence because poor conditions in a population affect all children. To assess the impact of nutrition interventions, it is important to use a broad set of measures and indicators of outcomes and immediate and underlying determinants. The 4 criteria for demonstrating catch-up in growth, which are much more stringent than those for demonstrating intervention impact, require demonstration of the following: 1) an inhibiting condition and 2) reduced velocity during 1 period, 3) followed by alleviation of or compensation for the inhibiting condition, and 4) higher-than-normal velocity during a subsequent period. Partial catch-up growth is sometimes possible when constraints are removed, but whether it is beneficial to the child is not clear. Research is needed to develop, refine, and validate measures and indicators for the purposes intended.

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Participating in a Food-Assisted Maternal and Child Nutrition and Health Program in Rural Guatemala Alters Household Dietary Choices

Abstract: Our findings suggest that if a program provides food free of cost to rural indigenous families in the context of a maternal and child nutrition and health program, it may be important to include a well-designed behavioral change communication component to improve household food choices.

Cited by 9 publications

References 17 publications

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

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

Advancing child nutrition science in the scaling up nutrition era: a systematic scoping review of stunting research in Guatemala

Appropriate Use of Linear Growth Measures to Assess Impact of Interventions on Child Development and Catch-Up Growth

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