A holistic approach to promoting early child development: a cluster randomised trial of a group-based, multicomponent intervention in rural Bangladesh
| Autor: | Jenna E. Forsyth, Laura H. Kwong, Jyoti Bhushan Das, Kendra A. Byrd, Tarique Md. Nurul Huda, Farzana Yeasmin, Esther O. Chung, Lia C. H. Fernald, Fahmida Tofail, Mahbubur Rahman, Khobair Hossain, Peter J. Winch, Fahmida Akter, Malay K Mridha, Tania Jahir, Helen O. Pitchik, Jesmin Sultana, Stephen P. Luby, A. K.M. Shoab, Ruhul Amin |
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| Rok vydání: | 2021 |
| Předmět: |
Rural Population
and promotion of well-being Sanitation prevention strategies 010501 environmental sciences 01 natural sciences maternal health law.invention 0302 clinical medicine Child Development Randomized controlled trial law Hygiene Pregnancy 030212 general & internal medicine Cluster randomised controlled trial Child Original Research media_common Pediatric lcsh:R5-920 Bangladesh Health Policy child health cluster randomized trial Female lcsh:Medicine (General) Hand Disinfection medicine.medical_specialty Pediatric Research Initiative media_common.quotation_subject Clinical Trials and Supportive Activities lcsh:Infectious and parasitic diseases 03 medical and health sciences Clinical Research Intervention (counseling) medicine Humans lcsh:RC109-216 0105 earth and related environmental sciences business.industry Prevention Public Health Environmental and Occupational Health Prevention of disease and conditions Child development Mental health Good Health and Well Being Family medicine Latrine 3.1 Primary prevention interventions to modify behaviours or promote wellbeing business |
| Zdroj: | BMJ global health, vol 6, iss 3 BMJ Global Health, Vol 6, Iss 3 (2021) BMJ Global Health |
| Popis: | IntroductionIn low- and middle-income countries, children experience multiple risks for delayed development. We evaluated a multicomponent, group-based early child development intervention including behavioural recommendations on responsive stimulation, nutrition, water, sanitation, hygiene, mental health and lead exposure prevention.MethodsWe conducted a 9-month, parallel, multiarm, cluster-randomised controlled trial in 31 rural villages in Kishoreganj District, Bangladesh. Villages were randomly allocated to: group sessions (‘group’); alternating groups and home visits (‘combined’); or a passive control arm. Sessions were delivered fortnightly by trained community members. The primary outcome was child stimulation (Family Care Indicators); the secondary outcome was child development (Ages and Stages Questionnaire Inventory, ASQi). Other outcomes included dietary diversity, latrine status, use of a child potty, handwashing infrastructure, caregiver mental health and knowledge of lead. Analyses were intention to treat. Data collectors were independent from implementers.ResultsIn July–August 2017, 621 pregnant women and primary caregivers of childrenConclusionOur findings suggest that group-based, multicomponent interventions can be effective at improving child development outcomes in rural Bangladesh, and that they have the potential to be delivered at scale.Trial registration numberThe trial is registered in ISRCTN (ISRCTN16001234). |
| Databáze: | OpenAIRE |
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