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Effectiveness of a community-based nutrition programme to improve child growth in rural Ethiopia: a cluster randomized trial.


ABSTRACT: Few trials have shown that promoting complementary feeding among young children is effective in improving child linear growth in resource-challenged settings. We designed a community-based participatory nutrition promotion (CPNP) programme adapting a Positive Deviance/Hearth approach that engaged mothers in 2-week nutrition sessions using the principles of 'learning by doing' around child feeding. We aimed to test the effectiveness of the CPNP for improving child growth in rural Ethiopia. A cluster randomized trial was implemented by adding the CPNP to the existing government nutrition programmes (six clusters) vs. government programmes only (six clusters). A total of 1790 children aged 6 to 12?months (876 in the intervention and 914 in the control areas) were enrolled and assessed on anthropometry every 3?months for a year. Multi-level mixed-effect regression analysis of longitudinal outcome data (n?=?1475) examined the programme impact on growth, adjusting for clustering and enrollment characteristics. Compared with children 6 to 24?months of age in the control area, those in the intervention area had a greater increase in z scores for length-for-age [difference (diff): 0.021 z score/month, 95% CI: 0.008, 0.034] and weight-for-length (diff: 0.042 z score/month, 95% CI: 0.024, 0.059). At the end of the 12-month follow-up, children in the intervention area showed an 8.1% (P?=?0.02) and 6.3% (P?=?0.046) lower prevalence of stunting and underweight, respectively, after controlling for differences in the prevalence at enrollment, compared with the control group. A novel CPNP programme was effective in improving child growth and reducing undernutrition in this setting. © 2016 John Wiley & Sons Ltd.

SUBMITTER: Kang Y 

PROVIDER: S-EPMC6866137 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature

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Effectiveness of a community-based nutrition programme to improve child growth in rural Ethiopia: a cluster randomized trial.

Kang Yunhee Y   Kim Sungtae S   Sinamo Sisay S   Christian Parul P  

Maternal & child nutrition 20160822 1


Few trials have shown that promoting complementary feeding among young children is effective in improving child linear growth in resource-challenged settings. We designed a community-based participatory nutrition promotion (CPNP) programme adapting a Positive Deviance/Hearth approach that engaged mothers in 2-week nutrition sessions using the principles of 'learning by doing' around child feeding. We aimed to test the effectiveness of the CPNP for improving child growth in rural Ethiopia. A clus  ...[more]

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