Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone
To compare the impact on child diet and growth of a multisectoral community intervention v. nutrition education and livestock management training alone.Longitudinal community-based randomized trial involving three groups of villages assigned to receive: (i) Full Package community development activit...
| Autores principales: | , , , , , |
|---|---|
| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Nutrition Society
2020
|
| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/142874 |
| _version_ | 1855528905716269056 |
|---|---|
| author | Miller, Laurie C. Neupane, Sumanta Joshi, Neena Lohani, Mahendra Rogers, Beatrice L. Neupane, Shailes |
| author_browse | Joshi, Neena Lohani, Mahendra Miller, Laurie C. Neupane, Shailes Neupane, Sumanta Rogers, Beatrice L. |
| author_facet | Miller, Laurie C. Neupane, Sumanta Joshi, Neena Lohani, Mahendra Rogers, Beatrice L. Neupane, Shailes |
| author_sort | Miller, Laurie C. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | To compare the impact on child diet and growth of a multisectoral community intervention v. nutrition education and livestock management training alone.Longitudinal community-based randomized trial involving three groups of villages assigned to receive: (i) Full Package community development activities, delivered via women’s groups; (ii) livestock training and nutrition education alone (Partial Package); or (iii) no intervention (Control). Household surveys, child growth monitoring, child and household diet quality measures (diet diversity (DD), animal-source food (ASF) consumption) were collected at five visits over 36 months. Mixed-effect linear regression and Poisson models used survey round, treatment group and group-by-round interaction to predict outcomes of interest, adjusted for household- and child-specific characteristics.Banke, Nepal.Households (n 974) with children aged 1–60 months (n 1333).Children in Full Package households had better endline anthropometry (weight-for-age, weight-for-height, mid-upper-arm-circumference Z-scores), DD, and more consumption of ASF, after adjusting for household- and child-specific characteristics. By endline, compared with Partial Package or Control groups, Full Package households demonstrated preferential child feeding practices and had significantly more improvement in household wealth and hygiene habits.In this longitudinal study, a comprehensive multisectoral intervention was more successful in improving key growth indicators as well as diet quality in young children. Provision of training in livestock management and nutrition education alone had limited effect on these outcomes. Although more time-consuming and costly to administer, incorporating nutrition training with community social capital development was associated with better child growth and nutrition outcomes than isolated training programmes alone. |
| format | Journal Article |
| id | CGSpace142874 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Nutrition Society |
| publisherStr | Nutrition Society |
| record_format | dspace |
| spelling | CGSpace1428742025-12-08T10:29:22Z Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone Miller, Laurie C. Neupane, Sumanta Joshi, Neena Lohani, Mahendra Rogers, Beatrice L. Neupane, Shailes child nutrition nutrition education nutrition women's organizations diet child growth To compare the impact on child diet and growth of a multisectoral community intervention v. nutrition education and livestock management training alone.Longitudinal community-based randomized trial involving three groups of villages assigned to receive: (i) Full Package community development activities, delivered via women’s groups; (ii) livestock training and nutrition education alone (Partial Package); or (iii) no intervention (Control). Household surveys, child growth monitoring, child and household diet quality measures (diet diversity (DD), animal-source food (ASF) consumption) were collected at five visits over 36 months. Mixed-effect linear regression and Poisson models used survey round, treatment group and group-by-round interaction to predict outcomes of interest, adjusted for household- and child-specific characteristics.Banke, Nepal.Households (n 974) with children aged 1–60 months (n 1333).Children in Full Package households had better endline anthropometry (weight-for-age, weight-for-height, mid-upper-arm-circumference Z-scores), DD, and more consumption of ASF, after adjusting for household- and child-specific characteristics. By endline, compared with Partial Package or Control groups, Full Package households demonstrated preferential child feeding practices and had significantly more improvement in household wealth and hygiene habits.In this longitudinal study, a comprehensive multisectoral intervention was more successful in improving key growth indicators as well as diet quality in young children. Provision of training in livestock management and nutrition education alone had limited effect on these outcomes. Although more time-consuming and costly to administer, incorporating nutrition training with community social capital development was associated with better child growth and nutrition outcomes than isolated training programmes alone. 2020-01-01 2024-05-22T12:11:13Z 2024-05-22T12:11:13Z Journal Article https://hdl.handle.net/10568/142874 en https://doi.org/10.1111/mcn.12964 Limited Access Nutrition Society Miller, Laurie C.; Neupane, Sumanta; Joshi, Neena; Lohani, Mahendra; Rogers, Beatrice L.; Neupane, Shailes; et al. 2020. Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone. Public Health Nutrition 23(1): 146-161. https://doi.org/10.1017/S136898001900260X |
| spellingShingle | child nutrition nutrition education nutrition women's organizations diet child growth Miller, Laurie C. Neupane, Sumanta Joshi, Neena Lohani, Mahendra Rogers, Beatrice L. Neupane, Shailes Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone |
| title | Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone |
| title_full | Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone |
| title_fullStr | Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone |
| title_full_unstemmed | Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone |
| title_short | Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone |
| title_sort | multisectoral community development in nepal has greater effects on child growth and diet than nutrition education alone |
| topic | child nutrition nutrition education nutrition women's organizations diet child growth |
| url | https://hdl.handle.net/10568/142874 |
| work_keys_str_mv | AT millerlauriec multisectoralcommunitydevelopmentinnepalhasgreatereffectsonchildgrowthanddietthannutritioneducationalone AT neupanesumanta multisectoralcommunitydevelopmentinnepalhasgreatereffectsonchildgrowthanddietthannutritioneducationalone AT joshineena multisectoralcommunitydevelopmentinnepalhasgreatereffectsonchildgrowthanddietthannutritioneducationalone AT lohanimahendra multisectoralcommunitydevelopmentinnepalhasgreatereffectsonchildgrowthanddietthannutritioneducationalone AT rogersbeatricel multisectoralcommunitydevelopmentinnepalhasgreatereffectsonchildgrowthanddietthannutritioneducationalone AT neupaneshailes multisectoralcommunitydevelopmentinnepalhasgreatereffectsonchildgrowthanddietthannutritioneducationalone |