Behavioural insights to support increased consumption of quality protein maize by young children: a cluster randomised trial in Ethiopia

Autor: Dan Han, Margaret McConnell, Jessica Cohen, Katherine Donato, Nilupa S Gunaratna, Masresha Tessema, Hugo De Groote
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMJ Global Health, Vol 5, Iss 12 (2020)
Druh dokumentu: article
ISSN: 2059-7908
DOI: 10.1136/bmjgh-2020-002705
Popis: Introduction Biofortified crops have tremendous potential to improve child nutrition. We tested whether complementing the distribution of quality protein maize (QPM) with a package of interventions informed by behavioural insights could support greater consumption of QPM by young children and translate into improved growth.Methods We conducted a cluster-randomised trial in Oromia, Ethiopia. Clusters of households with a child between 6 and 35 months were randomised into an arm receiving QPM seed only (320 households, 203 clusters) or an arm receiving QPM seed and a child consumption targeting intervention (290 households, 183 clusters). The intervention package included tools to help caregivers keep QPM separate from conventional maize and to earmark QPM specifically for child consumption, as well as encouragement regarding cooking QPM specifically for young children. We analysed the impact of the intervention on food storage, cooking and consumption behaviours and on anthropometric measures (weight-for-age, height-for-age z scores).Results The consumption targeting intervention increased the probability of child consumption of QPM in the past week by 17.3 percentage points (pp) (95% CI 9.4 pp to 25.1 pp; p
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