DSpace About icddr,b  
 

DSpace at icddr,b >
Public Health Sciences >
Public health sciences research papers >

 

Title: Intensive nutrition education with or without supplementary feeding improves the nutritional status of moderately-malnourished children in Bangladesh
Authors: Roy, Swapan Kumar
Fuchs, G.J.
Mahmud, Zeba
Ara, Gulshan
Islam, Sumaya
Shafique, Sohana
Akter, Syeda Sharmin
Chakraborty, Barnali
Keywords: Food supplementation
Nutrition education
Interventions
Infant growth
Child growth
Infant nutrition disorders
Issue Date: 5-Sep-2007
Series/Report no.: J Health Popul Nutr
2005 Dec;23(4):320-330
Abstract: This prospective randomized trial was carried out to test the efficacy of a specific intervention for reducing the extent of their malnutrition and to change behaviour of mothers relating to child-feeding practices, care-giving, and health-seeking practices under the Bangladesh Integrated Nutrition Project (BINP). The study was conducted in rural Bangladesh among 282 moderately-malnourished (weight-for-age between 61% and 75% of median of the National Center for Health Statistics standard) children aged 6-24 months. Mothers of the first intervention group received intensive nutrition education (INE group) twice a week for three months. The second intervention group received the same nutrition education, and their children received additional supplementary feeding (INE+SF group). The comparison group received nutrition education from the community nutrition promoters twice a month according to the standard routine service of BINP. The children were observed for a further six months. After three months of interventions, a significantly higher proportion of children in the INE and INE+SF groups improved (37% and 47% respectively) from moderate to mild or normal nutrition compared to the comparison group (18%) (p<0.001).At the end of six months of observation, the nutritional status of children in the intervention groups improved further from moderate to mild or normal nutrition compared to the comparison group(59% and 86% vs 30%,p<0.0001). As the intensive nutrition education and supplementation given were highly effective, more children improved from moderate malnutrition to mild or normal nutritional status despite a higher incidence of morbidity. The frequency of child feeding andhome-based complementary feeding improved significantly (p<0.001) in both the intervention groups after three months of interventions and six months of observation. Body-weight gain was positively associated with age, length-for-age, weight-for-length, frequency of feedingof khichuri,egg,andpotato (p<0.05). Ability of mothers to identify malnutrition improved from 15% to 99% in the INE group and from 15% to 100% in the INE+SF group, but reduced from 24% to 21% in the comparison group. Use of separate feed pots, frequency of feeding, and cooking of additional complementary feeds improved significantly in the INE and INE+SF groups compared to the comparison group after three months of interventions and six months of observation. It can be concluded from the findings of the study that intensive nutrition education significantly improves the status of moderately-malnourished children with or without supplementary feeding.
URI: http://hdl.handle.net/123456789/150
Appears in Collections:Public health sciences research papers

Files in This Item:

File Description SizeFormat
2005-JHealthPoulNutr-320-Roy.pdf189KbAdobe PDFView/Open


This item is protected by original copyright

All items in DSpace are protected by copyright, with all rights reserved.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2006 MIT and Hewlett-Packard - Feedback