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
| Autor: | Avinash Upadhyay, Manoj Parida, Philip James, Satyanarayan Mohanty, Peggy Koniz-Booher, Prasanta Tripathy, Helen Harris-Fry, Jolene Skordis, Ronali Pradhan, Shibanand Rath, Meghan O’Hearn, Hassan Haghparast-Bidgoli, Shibanath Padhan, Sneha Krishnan, Diana Elbourne, Abhinav Kumar, Emma Beaumont, Heather Danton, Naba Kishor Mishra, Audrey Prost, Nirmala Nair, Emily Fivian, Elizabeth Allen, Joanna Sturgess, Suneetha Kadiyala, Suchitra Rath |
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| Rok vydání: | 2021 |
| Předmět: |
Health (social science)
Nutrition sensitive agriculture Population Psychological intervention India Medicine (miscellaneous) 010501 environmental sciences Standard score 01 natural sciences Food group 03 medical and health sciences 0302 clinical medicine Humans Medicine Women GE1-350 030212 general & internal medicine Cluster randomised controlled trial Child education Wasting 0105 earth and related environmental sciences education.field_of_study business.industry Health Policy Public Health Environmental and Occupational Health Agriculture Articles Group Processes Environmental sciences Cross-Sectional Studies Relative risk Female medicine.symptom business Demography |
| Zdroj: | The Lancet Planetary Health, Vol 5, Iss 5, Pp e263-e276 (2021) The Lancet. Planetary Health |
| ISSN: | 2542-5196 |
| DOI: | 10.1016/s2542-5196(21)00001-2 |
| Popis: | Summary: Background: Almost a quarter of the world's undernourished people live in India. We tested the effects of three nutrition-sensitive agriculture (NSA) interventions on maternal and child nutrition in India. Methods: We did a parallel, four-arm, observer-blind, cluster-randomised trial in Keonjhar district, Odisha, India. A cluster was one or more villages with a combined minimum population of 800 residents. The clusters were allocated 1:1:1:1 to a control group or an intervention group of fortnightly women's groups meetings and household visits over 32 months using: NSA videos (AGRI group); NSA and nutrition-specific videos (AGRI-NUT group); or NSA videos and a nutrition-specific participatory learning and action (PLA) cycle meetings and videos (AGRI-NUT+PLA group). Primary outcomes were the proportion of children aged 6–23 months consuming at least four of seven food groups the previous day and mean maternal body-mass index (BMI). Secondary outcomes were proportion of mothers consuming at least five of ten food groups and child wasting (proportion of children with weight-for-height Z score SD |
| Databáze: | OpenAIRE |
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