An agriculture-nutrition intervention improved children's diet and growth in a randomized trial in Ghana.
Grace S. Marquis,Esi K Colecraft,Roland Kanlisi,Bridget Aidam,Afua Atuobi-Yeboah,Comfort Pinto,Richmond Aryeetey +6 more
TLDR
Integrated interventions that increase access to high-quality foods and nutrition education improve child nutrition and Sensitivity analyses with random-effects and mixed-effects models and as-treated analysis were consistent with the findings.Abstract:
Stunting in Ghana is associated with rural communities, poverty, and low education; integrated agricultural interventions can address the problem. This cluster randomized controlled trial tested the effect of a 12-month intervention (inputs and training for poultry farming and home gardening, and nutrition and health education) on child diet and nutritional status. Sixteen clusters were identified and randomly assigned to intervention or control; communities within clusters were randomly chosen, and all interested, eligible mother-child pairs were enrolled (intervention: 8 clusters, 19 communities, and 287 households; control: 8 clusters, 20 communities, and 213 households). Intention-to-treat analyses were used to estimate the effect of the intervention on endline minimum diet diversity (≥4 food groups), consumption of eggs, and length-for-age (LAZ)/height-for-age (HAZ), weight-for-age (WAZ), and weight-for-length (WLZ)/weight-for-height (WHZ) z-scores; standard errors were corrected for clustering. Children were 10.5 ± 5.2 months (range: 0-32) at baseline and 29.8 ± 5.4 months (range: 13-48) at endline. Compared with children in the control group, children in the intervention group met minimum diet diversity (adjusted odds ratio = 1.65, 95% CI [1.02, 2.69]) and a higher LAZ/HAZ (β = 0.22, 95% CI [0.09, 0.34]) and WAZ (β = 0.15, 95% CI [0.00, 0.30]). Sensitivity analyses with random-effects and mixed-effects models and as-treated analysis were consistent with the findings. There was no group difference in WLZ/WHZ. Integrated interventions that increase access to high-quality foods and nutrition education improve child nutrition.read more
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Nutrition-Sensitive Agriculture: A Systematic Review of Impact Pathways to Nutrition Outcomes.
TL;DR: The findings reveal that NSA interventions can significantly improve dietary practices, and have the potential to enhance care practices and reduce occurrence of diseases, indicating their effectiveness in simultaneously addressing multiple determinants of undernutrition.
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Behavior Change Interventions Delivered through Interpersonal Communication, Agricultural Activities, Community Mobilization, and Mass Media Increase Complementary Feeding Practices and Reduce Child Stunting in Ethiopia
Sunny S. Kim,Phuong H. Nguyen,Yisehac Yohannes,Yewelsew Abebe,Manisha Tharaney,Elizabeth Drummond,Edward Frongillo,Marie T. Ruel,Purnima Menon +8 more
TL;DR: Delivery of social and behavior change interventions using multiple platforms was feasible and effective, resulting in improvements in CF practices and child stunting within a 2-y period, and a strong relation between AG and egg consumption led to increased child dietary diversity and HAZ.
Journal ArticleDOI
An egg for everyone: Pathways to universal access to one of nature's most nutritious foods
TL;DR: It is found that children's consumption of eggs is highly correlated with national availability, and both are a function of egg prices.
Journal ArticleDOI
Effect of nutrition-sensitive agriculture interventions with participatory videos and women's group meetings on maternal and child nutritional outcomes in rural Odisha, India (UPAVAN trial): a four-arm, observer-blind, cluster-randomised controlled trial
Suneetha Kadiyala,Helen Harris-Fry,Ronali Pradhan,Satyanarayan Mohanty,Shibanath Padhan,Suchitra Rath,Philip James,Emily Fivian,Peggy Koniz-Booher,Nirmala Nair,Hassan Haghparast-Bidgoli,Naba Kishor Mishra,Shibanand Rath,Emma Beaumont,Heather Danton,Sneha Krishnan,Manoj Parida,Meghan O’Hearn,Abhinav Kumar,Avinash Upadhyay,Prasanta Tripathy,Jolene Skordis,Joanna Sturgess,Diana Elbourne,Audrey Prost,Elizabeth Allen +25 more
TL;DR: In this article, the effects of three nutrition-sensitive agriculture interventions on maternal and child nutrition in India were evaluated using a parallel, four-arm, observer-blind, cluster-randomised trial in Keonjhar district, Odisha, India.
Journal ArticleDOI
Impacts of an egg complementary feeding trial on energy intake and dietary diversity in Malawi.
Chessa K. Lutter,Bess Caswell,Charles D Arnold,Lora Iannotti,Kenneth Maleta,Raphael Chipatala,Elizabeth L. Prado,Christine P. Stewart +7 more
TL;DR: This study illustrates that mothers in the egg group fed eggs to young children on a regular basis without substantial displacement of other complementary foods.
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