A Peer-Led Integrated Nutrition Education Intervention through Care Groups Improved Complementary Feeding of Infants in Postemergency Settlements in the West-Nile Region in Uganda: A Cluster Randomized Trial

Komakech, Joel; Emerson, Sam R.; Cole, Ki; Walters, Christine N; Rakotomanana, Hasina; Kabahenda, Margaret; Hildebrand, Deana; Stoecker, Barbara J.

doi:10.1016/j.cdnut.2023.100042

Cited by 4 publications

(3 citation statements)

References 61 publications

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“…A study in Uganda reported that children who were cared for by a combination of mothers and fathers had a greater chance of achieving MAD 2.7 times than children who were only cared for by their mothers. 27) Children raised by both parents had better complementary feeding behaviors, demonstrating that fathers may help mothers by providing extra support and incentives.…”

Section: Discussionmentioning

confidence: 99%

Factors for Minimum Acceptable Diet Practice among 6–23-Month-Old Children in Rural and Urban Areas of Indonesia

Rachmawati,

Rachmalina,

Sari

et al. 2024

Korean J Fam Med

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Section: Discussionmentioning

confidence: 99%

Factors for Minimum Acceptable Diet Practice among 6–23-Month-Old Children in Rural and Urban Areas of Indonesia

Rachmawati,

Rachmalina,

Sari

et al. 2024

Korean J Fam Med

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“…The participants included in this study were part of the trial registered at Clinicaltrials.gov as NCT05584969 described and published elsewhere [30]. Briefly, the participants were pregnant women in their 3 rd…”

Section: Sample Sizementioning

confidence: 99%

“…Studies reviewing nutrition-sensitive interventions integrated with education and complementary feeding showed significant associations in reducing child stunting and underweight [23][24][25][26]. Furthermore, involvement of fathers and other adults within households in integrated social behavior communication change (SBCC) health interventions improved child care and nutrition [27][28][29][30][31]. However, there is limited information about the mechanisms of behavioral change in nutrition education interventions that impact child growth [32].…”

Section: Introductionmentioning

confidence: 99%

Care groups in an integrated nutrition education intervention improved infant growth among South Sudanese refugees in Uganda’s West Nile post-emergency settlements: A cluster randomized trial

Komakech,

Emerson,

Cole

et al. 2024

PLoS ONE

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Objective This study examined the effects of a peer-led integrated nutrition education intervention with maternal social support using Care Groups on infant growth among South Sudanese refugees in Uganda. Methods A community-based cluster-randomized trial (RCT) was conducted among 390 pregnant women (third trimester). Two intervention study arms were Mothers-only(n = 131) and Parents-combined (n = 142) with a Control (n = 117). WHO infant growth standards defined length-for-age z-scores (LAZ) for stunting, weight-for-age z-scores (WAZ) for underweight and weight-for-length z-scores (WLZ) for wasting. The Medical Outcomes Study (MOS) social support index was a proxy measure for social support. A split-plot ANOVA tested the interaction effects of social support, intervention, and time on infant growth after adjusting for covariates. Further, pairwise comparisons explained mean differences in infant growth among the study arms. Results The mean infant birth weight was 3.1 ± 0.5 kg. Over the study period, infant stunting was most prevalent in the Control (≥ 14%) compared to Mothers-only (< 9.5%) and Parents-combined (< 7.4%) arms. There were significant interaction effects of the Care Group intervention and social support by time on infant mean LAZ (F (6, 560) = 28.91, p < 0.001), WAZ (F (5.8, 539.4) = 12.70, p = < 0.001) and WLZ (F (5.3, 492.5) = 3.38, p = 0.004). Simple main effects by the end of the study showed that the intervention improved infant mean LAZ (Mothers-only vs. Control (mean difference, MD) = 2.05, p < 0.001; Parents-combined vs. Control, MD = 2.00, p < 0.001) and WAZ (Mothers-only vs. Control, MD = 1.27, p < 0.001; Parents-combined vs. Control, MD = 1.28, p < 0.001). Conclusion Maternal social support with an integrated nutrition education intervention significantly improved infant stunting and underweight. Nutrition-sensitive approaches focused on reducing child undernutrition among post-emergency refugees may benefit from using Care Groups in programs. Trial registration Clinicaltrials.gov, NCT05584969.

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Malnutrition and food insecurity in northern Nigeria: an insight into the United Nations World Food Program (WFP) in Nigeria

Akpoghelie,

Chiadika,

Edo

et al. 2024

Discov Food

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A Peer-Led Integrated Nutrition Education Intervention through Care Groups Improved Complementary Feeding of Infants in Postemergency Settlements in the West-Nile Region in Uganda: A Cluster Randomized Trial

Cited by 4 publications

References 61 publications

Factors for Minimum Acceptable Diet Practice among 6–23-Month-Old Children in Rural and Urban Areas of Indonesia

Factors for Minimum Acceptable Diet Practice among 6–23-Month-Old Children in Rural and Urban Areas of Indonesia

Care groups in an integrated nutrition education intervention improved infant growth among South Sudanese refugees in Uganda’s West Nile post-emergency settlements: A cluster randomized trial

Malnutrition and food insecurity in northern Nigeria: an insight into the United Nations World Food Program (WFP) in Nigeria

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