An integrated infant and young child feeding and small‐quantity lipid‐based nutrient supplementation programme in theDemocratic Republic of Congo is associated with improvements in breastfeeding and handwashing behaviours but not dietary diversity
| Autor: | O. Yaw Addo, Ambroise Nanema, Ralph D. Whitehead, Simeon Nanama, Lindsey M. Locks, Aashima Garg, Maria Elena Jefferds, Bope Albert, Roland Kupka, Fanny Sandalinas, Katie Tripp |
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| Rok vydání: | 2019 |
| Předmět: |
Counseling
Male 0301 basic medicine breastfeeding Breastfeeding UNICEF 0302 clinical medicine complementary foods Medicine 030212 general & internal medicine Infant Nutritional Physiological Phenomena Health Education Community Health Workers chemistry.chemical_classification Meal Nutrition and Dietetics Obstetrics and Gynecology Hygiene Micronutrient Lipids Breast Feeding Democratic Republic of the Congo Original Article Female Essential nutrient Hand Disinfection Adult Dietary diversity International Child Health Nutrition 03 medical and health sciences Environmental health Nutrient supplementation Humans 030109 nutrition & dietetics Young child business.industry Infant Newborn Public Health Environmental and Occupational Health Infant Original Articles Nutrients medicine.disease Diet undernutrition Malnutrition Cross-Sectional Studies chemistry community‐based Dietary Supplements Pediatrics Perinatology and Child Health business |
| Zdroj: | Maternal & Child Nutrition |
| ISSN: | 1740-8709 1740-8695 |
| DOI: | 10.1111/mcn.12784 |
| Popis: | Integrating small‐quantity lipid‐based nutrient supplements (SQ‐LNS) into infant and young child feeding (IYCF) programmes can increase consumption of essential nutrients among children in vulnerable populations; however, few studies have assessed the impact of integrated IYCF–SQ‐LNS programmes on IYCF practices. A 2‐year, enhanced IYCF intervention targeting pregnant women and infants (0–12 months) was implemented in a health zone in the Democratic Republic of Congo (DRC). The enhanced IYCF intervention included community‐ and facility‐based counselling for mothers on handwashing, SQ‐LNS, and IYCF practices, plus monthly SQ‐LNS distributions for children 6–12 months; a control zone received the national IYCF programme (facility‐based IYCF counselling with no SQ‐LNS distributions). Cross‐sectional preintervention and postintervention surveys (n = 650 and 638 in intervention and control areas at baseline; n = 654 and 653 in each area at endline, respectively) were conducted in mothers of children 6–18 months representative of both zones. Difference in differences (DiD) analyses used mixed linear regression models. There were significantly greater increases in the proportion of mothers in the intervention (vs. control) zone who reported: initiating breastfeeding within 1 hr of birth (Adj. DiD [95% CI]: +56.4% [49.3, 63.4], P |
| Databáze: | OpenAIRE |
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