The impact of training for day-care educators on childhood anaemia in nurseries: an institutional randomised clinical trial

Autor: Mariana de Novaes Oliveira, José Augusto Ac Taddei, F. A. B. Colugnati, Domingos Palma, Tulio Konstantyner
Rok vydání: 2010
Předmět:
Zdroj: Public Health Nutrition. 14:1450-1457
ISSN: 1475-2727
1368-9800
DOI: 10.1017/s1368980010001977
Popis: ObjectiveTo test the impact of training for educators on the health of children enrolled in public and philanthropic day-care nurseries.DesignA randomised, institutional, non-blind clinical trial was conducted. An educational intervention was performed in four day-care centres and the control group consisted of four other day-care centres. Interviews with the mothers, collection of blood from the children by digital puncture and anthropometry were performed. The chosen indicator for the improvement of health was anaemia (Hb P ≤ 0·05 as statistically significant.SettingEight day-care centres in the city of Sao Paulo, Brazil.SubjectsTwo hundred and fifty-two children from day-care nurseries.ResultsThe children from the day-care centres that were not subject to intervention presented a 2·11 times greater risk (95% CI 1·04, 4·30; P = 0·40) of having anaemia at the end of the study independent of the control variables (sex, age, time in the day-care centre, anaemia at the beginning of the study, maternal age, use of oral iron supplements, number of siblings, per capita family income, use of antibiotics and the necessity of avoidable hospitalisations) used in the construction of the final logistical model.ConclusionsThe assessed educational intervention promoted significant changes in the health status of the children, reinforcing the importance of training for professionals who care for young children in day-care centres in developing countries in order to promote child health.
Databáze: OpenAIRE