An Integrated Infant and Young Child Feeding and Small-Quantity Lipid-based Nutrient Supplementation Program Is Associated with Improved Gross Motor and Communication Scores of Children 6–18 Months in the Democratic Republic of Congo
| Autor: | Maria Elena Jefferds, Ambroise Nanema, Aashima Garg, Simeon Nanama, Roland Kupka, Katie Tripp, Heather B. Clayton, Fanny Sandalinas, Lindsey M. Locks, Bope Albert, O. Yaw Addo, Ralph D. Whitehead |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Gross motor skill Article 03 medical and health sciences Child Development 0302 clinical medicine Standard care 030225 pediatrics Environmental health Nutrient supplementation Medicine Humans 030212 general & internal medicine Child Motor skill Young child business.industry Communication Malnutrition Infant Feeding Behavior Nutrients Child development Lipids Pediatrics Perinatology and Child Health Dietary Supplements Democratic Republic of the Congo Female business |
| Zdroj: | J Pediatr |
| Popis: | To evaluate the impact of an infant, young child feeding practices-small-quantity lipid nutrient supplements (SQ-LNS) intervention on child development scores in children aged 6-18 months in the Katanga Province, Democratic Republic of Congo (DRC).We analyzed data of 2595 children from 2 health zones in a quasi-experimental design with preimplementation and postimplementation surveys to evaluate program impact on child development scores. Standard care was received in the comparison health zone and the intervention health zone received standard care plus enhanced infant, young child feeding practices with a monthly supply of 28 SQ-LNS sachets for up to 1 year. Program exposure and communication and motor domains of the Ages and Stages questionnaire were collected to assess changes in child development scores. A quasi-intent-to-treat and adjusted difference-in-difference analyses were used to quantify impact of the enhanced compared with the standard package.In adjusted models contrasting endline with baseline, there was a greater relative increase in proportion of children with normal communication (difference-in-difference, +13.7% [95%CI, 7.9-19.6; P .001] and gross motor scores, +7.4% [95% CI: 1.3-13.5; P .001]) in the intervention vs comparison health zones. Further, in separate analyses among children of intervention health zone at endline, each additional SQ-LNS distribution was associated with +0.09 (95% CI, 0.03-0.16) z-score unit increase in gross motor scores (P .01).The integrated infant, young child feeding practice-SQ-LNS intervention was positively associated with larger relative improvements in measures of child communication and motor development in the Katanga province of DRC. |
| Databáze: | OpenAIRE |
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