Akoto Osei1, Pooja Pandey2, Jennifer Nielsen3, Alissa Pries4, David Spiro5, Dale Davis2, Victoria Quinn3, Nancy Haselow4. 1. 1 Department of Social Affairs, African Union Commission, Addis Ababa, Ethiopia. 2. 2 Helen Keller International (HKI), Kathmandu, Nepal. 3. 3 Helen Keller International (HKI), Head Quarters, New York, NY, USA. 4. 4 Helen Keller International (HKI), Phnom Penh, Cambodia. 5. 5 RTI International, Jakarta, Indonesia.
Abstract
BACKGROUND: The impact of food-based interventions on child and maternal anthropometry and anemia has not been adequately studied. OBJECTIVE: This study tested the effect of an enhanced homestead food production (EHFP) program consisting of home garden, poultry raising, and nutrition education implemented over 2.5 years versus control (no intervention) on anthropometry and anemiaamong children (12-48 months) and their mothers. METHODS: An unblinded cluster-randomized controlled trial involving pre- and post-surveys with independent samples was conducted in rural areas of Baitadi District, Nepal. Data (including weight, height/length, and hemoglobin) were obtained from 2106 and 2614 mother-child pairs at baseline and follow-up, respectively. Changes in outcome variables (stunting, underweight, wasting, and anemia among children and underweight and anemia among mothers) were compared between the study groups using mixed-effects logistic regression models. RESULTS: At follow-up, anemia was significantly lower among children (odds ratio, OR [95% confidence interval, CI]: 0.76 [0.59-0.98]) and mothers (OR [95% CI]: 0.62 [0.48-0.82]) in the treatment group compared to the control. Underweight was lower among mothers in the treatment group compared to the control (OR [95% CI]: 0.61 [0.46-0.82]). There was no impact on child anthropometry. CONCLUSION: 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.
RCT Entities:
BACKGROUND: The impact of food-based interventions on child and maternal anthropometry and anemia has not been adequately studied. OBJECTIVE: This study tested the effect of an enhanced homestead food production (EHFP) program consisting of home garden, poultry raising, and nutrition education implemented over 2.5 years versus control (no intervention) on anthropometry and anemia among children (12-48 months) and their mothers. METHODS: An unblinded cluster-randomized controlled trial involving pre- and post-surveys with independent samples was conducted in rural areas of Baitadi District, Nepal. Data (including weight, height/length, and hemoglobin) were obtained from 2106 and 2614 mother-child pairs at baseline and follow-up, respectively. Changes in outcome variables (stunting, underweight, wasting, and anemia among children and underweight and anemia among mothers) were compared between the study groups using mixed-effects logistic regression models. RESULTS: At follow-up, anemia was significantly lower among children (odds ratio, OR [95% confidence interval, CI]: 0.76 [0.59-0.98]) and mothers (OR [95% CI]: 0.62 [0.48-0.82]) in the treatment group compared to the control. Underweight was lower among mothers in the treatment group compared to the control (OR [95% CI]: 0.61 [0.46-0.82]). There was no impact on child anthropometry. CONCLUSION: 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.
Entities:
Keywords:
anemia; growth; homestead food production; stunting; women; young children
Authors: Mia M Blakstad; Dominic Mosha; Lilia Bliznashka; Alexandra L Bellows; Chelsey R Canavan; Mashavu H Yussuf; Killian Mlalama; Isabel Madzorera; Jarvis T Chen; Ramadhani A Noor; Joyce Kinabo; Honorati Masanja; Wafaie W Fawzi Journal: Food Policy Date: 2022-03-21 Impact factor: 6.080
Authors: Nathalie J Lambrecht; Mark L Wilson; Ana Baylin; Gloria Folson; Samuel Naabah; Joseph N S Eisenberg; Bright Adu; Andrew D Jones Journal: Matern Child Nutr Date: 2021-03-01 Impact factor: 3.092
Authors: Prajula Mulmi; William A Masters; Shibani Ghosh; Grace Namirembe; Ruchita Rajbhandary; Swetha Manohar; Binod Shrestha; Keith P West; Patrick Webb Journal: PLoS One Date: 2017-11-16 Impact factor: 3.240
Authors: Andrew D Jones; Esi K Colecraft; Raphael B Awuah; Sandra Boatemaa; Nathalie J Lambrecht; Leonard Kofi Adjorlolo; Mark L Wilson Journal: Matern Child Nutr Date: 2018-04-02 Impact factor: 3.092
Authors: Hanson Nyantakyi-Frimpong; Esi K Colecraft; Raphael Baffour Awuah; Leonard Kofi Adjorlolo; Mark L Wilson; Andrew D Jones Journal: Soc Sci Med Date: 2018-07-19 Impact factor: 4.634