Exploring trust in religious leaders and institutions as a mechanism for improving retention in child malnutrition interventions in the Philippines: a retrospective cohort study
| Autor: | Lincoln L. H. Lau, Han Lily Qu, Warren Dodd, Donald C. Cole |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Philippines Severe Acute Malnutrition Psychological intervention Context (language use) Trust Global Health Child Nutrition Disorders medicine Humans Socioeconomics Child Retrospective Studies Extreme poverty business.industry Public health Malnutrition public health Infant General Medicine medicine.disease Outreach nutrition Child Preschool Medicine business community child health Social capital |
| Zdroj: | BMJ Open BMJ Open, Vol 10, Iss 9 (2020) |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesIn the context of persistent child malnutrition in the Philippines, the objective of this study was to examine how different dimensions of trust affected programme retention and physiological outcomes when a faith-based organisation (FBO) addressed moderate and severe acute malnutrition among children from households experiencing extreme poverty.SettingWe retrospectively analysed survey data collected by International Care Ministries (ICM) in 2012–2013 across 150 communities in eight provinces (Negros Oriental, Negros Occidental, Bohol, Palawan, Sarangani, South Cotabato, Sultan Kudarat and Zamboanga del Norte) of the Philippines.Study participantsCaregivers of 1192 children experiencing moderate acute malnutrition and severe acute malnutrition between the ages of 6 and 60 months.InterventionA 16-week child malnutrition treatment programme called Malnourished Child Outreach offered by ICM in partnership with local religious leaders and institutions.Primary and secondary outcome measuresProgramme dropout and weight-for-height z-score (WHZ) at the end of the programme for enrolled children were the two outcomes of interest. A logistic mixed-effects model was built to assess factors associated with programme dropout and a linear mixed-effects model for factors associated with WHZ at the end of the programme.ResultsTrust in religious leaders or institutions (−0.87 (95% CI: −1.43,–0.26)) was negatively associated with programme dropout, suggesting that with increasing levels of trust, decreasing proportions of children dropped out of treatment. Retention in the programme led to improved WHZ among participating children (−0.38 (95% CI: −1.43, 0.26)). Various measures of social capital, including trust in religious and public institutions, were not associated with WHZ at the end of the programme.ConclusionsLeveraging pre-existing trust in religious leaders and institutions among households experiencing extreme poverty is one way that ICM, and potentially other FBOs, can promote retention in child nutrition interventions among vulnerable populations. |
| Databáze: | OpenAIRE |
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