Improved Effect of School Meals with Micronutrient Supplementation and Deworming

Gopaldas, Tara

doi:10.1177/15648265050262s213

Cited by 13 publications

(6 citation statements)

References 21 publications

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“…Gopaldas et al reported a decrease in night blindness and vitamin A deficiency from 67% to 34%, as an impact of improved mid day meal program in Gujarat. 12 It may be concluded that children who presented with conjunctival xerosis at base line, some of them advanced to the stage of Bitot's spot due to lack of therapeutic intervention, whereas reduction in prevalence of conjunctival xerosis occurred as an impact of the mid day meals.…”

Section: Discussionmentioning

confidence: 97%

Impact of NGO run mid day meal program on nutrition status and growth of primary school children

et al. 2010

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Section: Discussionmentioning

confidence: 97%

Impact of NGO run mid day meal program on nutrition status and growth of primary school children

et al. 2010

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“…In the last 10 years, the effects of deworming have been suggested to be improved by synergistic effects with other interventions such as hygiene promotion, iron or vitamin A supplementation and/or feeding programmes (Tanumihardjo, Permaesih et al . 2004; Gopaldas 2005; Nga, Winichagoon et al . 2009; Haque, Ahmed et al .…”

Section: Introductionmentioning

confidence: 99%

Deworming and adjuvant interventions for improving the developmental health and well‐being of children in low‐ and middle‐income countries: a systematic review and network meta‐analysis

Welch¹,

Ghogomu²,

Hossain³

et al. 2016

Campbell Systematic Reviews

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This review evaluates the effects of mass deworming for soil‐transmitted helminths on growth, educational achievement, cognition, school attendance, quality of life and adverse effects in children in endemic helminth areas. Mass deworming for soil‐transmitted helminths probably has little to no effect on weight, height, school attendance, cognition measured by short‐term attention, or mortality. There are no data on short‐term quality of life and little evidence of adverse effects. Mass deworming for schistosomiasis alone may slightly increase weight but probably has little to no effect on height and cognition. The evidence does not support indirect benefits for untreated children from being exposed to treated children. One moderate quality long term study showed an increase in economic productivity (hours worked) and increase in educational enrollment 10 years later of mass deworming and hygiene promotion. But, it is uncertain whether these effects are due to the deworming or the combined hygiene intervention. Findings are consistent for various groups of the population by age, gender, worm prevalence, baseline nutritional status, compliance, impact on worms, infection intensity, types of worms, risk of bias, and study characteristics. Deworming for children who screened positive for schistosomiasis or soil‐transmitted helminths results in larger gains in weight but no difference in effect on height, cognition or school attendance. Also, one low to moderate quality study showed long‐term benefit on school enrolment of sanitation improvement combined with screening and treating people for hookworm infection. Abstract BackgroundSoil‐transmitted helminthiasis and schistosomiasis, considered among the neglected tropical diseases by the World Health Organization (WHO), affect more than a third of the world's population, with varying intensity of infection. There is debate about the effectiveness and cost‐effectiveness of mass deworming of children as a strategy to improve child health in endemic areas. ObjectivesThe objective of this review was to evaluate the effects of mass deworming for soil‐transmitted helminths with or without deworming for schistosomiasis or co‐interventions on growth, educational achievement, cognition, school attendance, quality of life and adverse effects in children inendemic helminth areas.We also aimed to assess possible effect modifiers using pre‐planned subgroup analysis of age, sex, prevalence of worms and baseline nutritional status. Search strategyOur librarian scientist designed a search strategy that was reviewed by the Campbell Collaboration librarian for the following 11 electronic databases: MEDLINE, CINAHL, LILACS, EMBASE, the Cochrane Library, Econlit, Internet Documents in Economics Access Service (IDEAS), Public Affairs Information Service (PAIS), Social Services Abstracts, Global Health CABI and CAB Abstracts, up to May 13, 2015. We also searched websites and clinical trial registers, other systematic reviews, and contacted authors and experts in the field. Study selection ...

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“…The prevalence of night blindness and Vitamin A deficiency reduced from 67 to 34 percent. 15 However, some authors argue that many of the nutrition studies of school lunch programme are controlled trials in which many components of the interventions are closely managed and hence the external validity of these studies for programme implemented in the field is often difficult to ascertain. 16 While the delivery of mid-day meal in schools was initially shrouded in operational difficulties, it was debated that the programme is difficult to scale by government staff and should be handed over to NGOs for better implementation.…”

Section: Malnutrition and Nutrition Specific Interventionsmentioning

confidence: 99%

Intergenerational Effects of Stunting on Human Capital: Where Does the Compass Point?

Chakravarty¹,

Tatwadi²,

Ravi³

2019

IJMEDPH

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Development of any nation hinges on its human capital. Human capital formation starts from early stages of childhood. Early childhood nutrition is one of the determinants of improved health and development. The purpose of this paper is to investigate the role of nutrition in impacting cognitive development, education attainment and skill development, which are the determinants of human capital. This is an attempt to analyse the intrinsic relationship between stunting and its intergenerational impact on human capital. Systemic review of literature method was put to use, to analyse the interactions between stunting and human capital. The search criteria limited the period to 30 years (1986-2017) and relevant to childhood nutrition. The search was drawn from PubMed, Web of Science and relevant independent surveys, journals and reports of repute. The study reveals that the human capital formation starts from the early stages of childhood and healthy childhood holds positive relationship to formation of human capital in the long run. Healthy childhood is largely attributed to improved nutrition which has an impact on underweight, wasting and stunting. While improvement in underweight and wasting can be achieved in short run, stunting is intergenerational and needs more long-term investments. Both nutrition specific as well as nutrition sensitive interventions play a critical role in development of robust human capital that leads to improved employability and enhanced earnings for an individual in the future. However, to have an impact on stunting, it calls for a shift in focus by augmenting investments towards nutrition sensitive domain as well, along with its present focus in nutrition specific domain. We use the evidences from South Asian and Sub Saharan countries, to make a case for India where 38 percent of children are stunted and where WASH, agriculture and women empowerment programmes do not focus on nutrition nor measure nutritional outcomes.

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Improved Effect of School Meals with Micronutrient Supplementation and Deworming

Abstract: Since 2003, 4 states in India, namely, Gujarat, Andhra Pradesh, Karnataka, and Tamil Nadu covering approximately 30 million schoolers have adopted the "Gujarat Model."

Cited by 13 publications

References 21 publications

Impact of NGO run mid day meal program on nutrition status and growth of primary school children

Impact of NGO run mid day meal program on nutrition status and growth of primary school children

Deworming and adjuvant interventions for improving the developmental health and well‐being of children in low‐ and middle‐income countries: a systematic review and network meta‐analysis

Intergenerational Effects of Stunting on Human Capital: Where Does the Compass Point?

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