A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial
Chicken production in the context of nutrition-sensitive agriculture may benefit child nutrition in low-income settings. This study evaluated effects of 1) a chicken production intervention [African Chicken Genetic Gains (ACGG)], and 2) the ACGG intervention with nutrition-sensitive behavior change...
| Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Elsevier
2020
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/109371 |
| _version_ | 1855522241657176064 |
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| author | Passarelli, S. Ambikapathi, R. Gunaratna, N.S. Madzorera, I. Canavan, C.R. Noor, A.R. Worku, A. Berhane, Y. Abdelmenan, S. Sibanda, S. Munthali, B. Madzivhandila, T. Sibanda, Lindiwe Majele Geremew, Kumlachew Dessie, Tadelle Abegaz, Solomon Assefa, G. Sudfeld, C. McConnell, M. Davison, K. Fawzi, W. |
| author_browse | Abdelmenan, S. Abegaz, Solomon Ambikapathi, R. Assefa, G. Berhane, Y. Canavan, C.R. Davison, K. Dessie, Tadelle Fawzi, W. Geremew, Kumlachew Gunaratna, N.S. Madzivhandila, T. Madzorera, I. McConnell, M. Munthali, B. Noor, A.R. Passarelli, S. Sibanda, Lindiwe Majele Sibanda, S. Sudfeld, C. Worku, A. |
| author_facet | Passarelli, S. Ambikapathi, R. Gunaratna, N.S. Madzorera, I. Canavan, C.R. Noor, A.R. Worku, A. Berhane, Y. Abdelmenan, S. Sibanda, S. Munthali, B. Madzivhandila, T. Sibanda, Lindiwe Majele Geremew, Kumlachew Dessie, Tadelle Abegaz, Solomon Assefa, G. Sudfeld, C. McConnell, M. Davison, K. Fawzi, W. |
| author_sort | Passarelli, S. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Chicken production in the context of nutrition-sensitive agriculture may benefit child nutrition in low-income settings. This study evaluated effects of 1) a chicken production intervention [African Chicken Genetic Gains (ACGG)], and 2) the ACGG intervention with nutrition-sensitive behavior change communication (BCC) [ACGG + Agriculture to Nutrition (ATONU)], on child nutrition and health outcomes and hypothesized intermediaries. Forty ACGG villages received 25 genetically improved chickens and basic husbandry guidance; of these, 20 ACGG + ATONU villages in addition received a nutrition-sensitive behavior change and homegardening intervention; 20 control clusters received no intervention. We assessed effects of the interventions on height-for-age z scores (HAZ), weight-for-age z scores (WAZ), and weight-for-height z scores (WHZ) at 9 (midline) and 18 mo (endline) through unadjusted and adjusted ordinary least squares (OLS) regressions. We examined the interventions' effects on hypothesized intermediaries including egg production and consumption, dietary diversity, women's empowerment, income, child morbidities, anemia, and chicken management practices through OLS and log binomial models. Data included 829 children aged 0–36 mo at baseline. ACGG + ATONU children had higher midline HAZ [mean difference (MD): 0.28; 95% CI: 0.02, 0.54] than controls. The ACGG group had higher HAZ (MD: 0.28; 95% CI: 0.05, 0.50) and higher WAZ (MD: 0.18; 95% CI: 0.01, 0.36) at endline than controls; after adjusting for potential baseline imbalance, effects were similar but not statistically significant. At endline, differences in ACGG + ATONU children's HAZ and WAZ compared with controls were similar in magnitude to those of ACGG, but not statistically significant. There were no differences in anthropometry between the intervention groups. ACGG + ATONU children had higher dietary diversity and egg consumption than ACGG children at endline. Both interventions showed improvements in chicken management practices. The interventions did not increase anemia, diarrhea, fever, or vomiting, and the ACGG + ATONU group at midline showed reduced risk of fever. A chicken production intervention with or without nutrition-sensitive BCC may have benefited child nutrition and did not increase morbidity. This trial was registered at clinicaltrials.gov as NCT03152227. |
| format | Journal Article |
| id | CGSpace109371 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Elsevier |
| publisherStr | Elsevier |
| record_format | dspace |
| spelling | CGSpace1093712024-10-03T07:40:51Z A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial Passarelli, S. Ambikapathi, R. Gunaratna, N.S. Madzorera, I. Canavan, C.R. Noor, A.R. Worku, A. Berhane, Y. Abdelmenan, S. Sibanda, S. Munthali, B. Madzivhandila, T. Sibanda, Lindiwe Majele Geremew, Kumlachew Dessie, Tadelle Abegaz, Solomon Assefa, G. Sudfeld, C. McConnell, M. Davison, K. Fawzi, W. chickens animal production agriculture nutrition poultry Chicken production in the context of nutrition-sensitive agriculture may benefit child nutrition in low-income settings. This study evaluated effects of 1) a chicken production intervention [African Chicken Genetic Gains (ACGG)], and 2) the ACGG intervention with nutrition-sensitive behavior change communication (BCC) [ACGG + Agriculture to Nutrition (ATONU)], on child nutrition and health outcomes and hypothesized intermediaries. Forty ACGG villages received 25 genetically improved chickens and basic husbandry guidance; of these, 20 ACGG + ATONU villages in addition received a nutrition-sensitive behavior change and homegardening intervention; 20 control clusters received no intervention. We assessed effects of the interventions on height-for-age z scores (HAZ), weight-for-age z scores (WAZ), and weight-for-height z scores (WHZ) at 9 (midline) and 18 mo (endline) through unadjusted and adjusted ordinary least squares (OLS) regressions. We examined the interventions' effects on hypothesized intermediaries including egg production and consumption, dietary diversity, women's empowerment, income, child morbidities, anemia, and chicken management practices through OLS and log binomial models. Data included 829 children aged 0–36 mo at baseline. ACGG + ATONU children had higher midline HAZ [mean difference (MD): 0.28; 95% CI: 0.02, 0.54] than controls. The ACGG group had higher HAZ (MD: 0.28; 95% CI: 0.05, 0.50) and higher WAZ (MD: 0.18; 95% CI: 0.01, 0.36) at endline than controls; after adjusting for potential baseline imbalance, effects were similar but not statistically significant. At endline, differences in ACGG + ATONU children's HAZ and WAZ compared with controls were similar in magnitude to those of ACGG, but not statistically significant. There were no differences in anthropometry between the intervention groups. ACGG + ATONU children had higher dietary diversity and egg consumption than ACGG children at endline. Both interventions showed improvements in chicken management practices. The interventions did not increase anemia, diarrhea, fever, or vomiting, and the ACGG + ATONU group at midline showed reduced risk of fever. A chicken production intervention with or without nutrition-sensitive BCC may have benefited child nutrition and did not increase morbidity. This trial was registered at clinicaltrials.gov as NCT03152227. 2020-10 2020-09-08T15:12:23Z 2020-09-08T15:12:23Z Journal Article https://hdl.handle.net/10568/109371 en Open Access Elsevier Passarelli, S., Ambikapathi, R., Gunaratna, N.S., Madzorera, I., Canavan, C.R., Noor, A.R., Worku, A., Berhane, Y., Abdelmenan, S., Sibanda, S., Munthali, B., Madzivhandila, T., Sibanda, L.M., Geremew, K., Dessie, T., Abegaz, S., Assefa, G., Sudfeld, C., McConnell, M., Davison, K. and Fawzi, W. 2020. A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial. Journal of Nutrition 150(10): 2806-2817 |
| spellingShingle | chickens animal production agriculture nutrition poultry Passarelli, S. Ambikapathi, R. Gunaratna, N.S. Madzorera, I. Canavan, C.R. Noor, A.R. Worku, A. Berhane, Y. Abdelmenan, S. Sibanda, S. Munthali, B. Madzivhandila, T. Sibanda, Lindiwe Majele Geremew, Kumlachew Dessie, Tadelle Abegaz, Solomon Assefa, G. Sudfeld, C. McConnell, M. Davison, K. Fawzi, W. A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial |
| title | A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial |
| title_full | A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial |
| title_fullStr | A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial |
| title_full_unstemmed | A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial |
| title_short | A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial |
| title_sort | chicken production intervention and additional nutrition behavior change component increased child growth in ethiopia a cluster randomized trial |
| topic | chickens animal production agriculture nutrition poultry |
| url | https://hdl.handle.net/10568/109371 |
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