Effectiveness of Nutrition and WASH/malaria educational community-based interventions in reducing anemia in children from Angola
| Autor: | Ânia Soares, Miguel Brito, Henrique Barros, João Lavinha, Cláudia Fançony |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Sanitation Anemia Science media_common.quotation_subject 030231 tropical medicine Psychological intervention Nutritional Status Article law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Patient Education as Topic law Hygiene Environmental health Intervention (counseling) Prevalence Medicine Humans 030212 general & internal medicine Malaria Falciparum media_common Multidisciplinary Nutritional intervention business.industry Behavior change Preschool children Water Infant medicine.disease Malaria Angola Risk factors Child Preschool Infectious diseases Female business |
| Zdroj: | Scientific Reports Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP Scientific Reports, Vol 11, Iss 1, Pp 1-12 (2021) |
| ISSN: | 2045-2322 |
| Popis: | We found no published data in Angola regarding the effect of combining nutrition-specific and nutrition-sensitive approaches in the reduction of anemia in preschool children. Thus, we implemented a cluster-randomized controlled trial to determine the effectiveness of two educational-plus-therapeutic interventions, in Nutrition and WASH/Malaria, in reducing anemia. We compared them to (1) a test-and-treat intervention and (2) with each other. A block randomization was performed to allocate 6 isolated hamlets to 3 study arms. A difference-in-difference technique, using Fit Generalized estimating models, was used to determine differences between the children successfully followed in all groups, between 2015 and 2016. We found no significant differences in anemia´s and hemoglobin variability between educational and the control group. However, the WASH/Malaria group had 22.8% higher prevalence of anemia when compared with the Nutrition group, having also higher prevalence of P. falciparum. Thus, our results suggest that adding a 12-month educational Nutrition or a WASH/Malaria component to a test-and-treat approach may have a limited effect in controlling anemia. Possibly, the intensity and duration of the educational interventions were not sufficient to observe the amount of behavior change needed to stop transmission and improve the general child feeding practices. |
| Databáze: | OpenAIRE |
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