Process evaluation of a national, community-based, food supplementary programme for improving the nutritional status of children in Iran

Ghodsi, Delaram; Rashidian, Arash; Omidvar, Nasrin; Eini-Zinab, Hassan; Raghfar, Hossein; Ebrahimi, Marzieh

doi:10.1017/s1368980018001696

Cited by 7 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This program was found to effectively improve childhood growth in a study conducted by Ghodsi et al [ 42 ]. However, a process evaluation study showed that some improvements were needed in the contents of provided food baskets [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Household Food Insecurity and Growth Disorders in Children Aged 3 to 6 in Qazvin City, Iran

Gholampour

Noroozi

Zavoshy

et al. 2020

Pediatr Gastroenterol Hepatol Nutr

View full text Add to dashboard Cite

Purpose: Food insecurity, which is the inability to obtain food or inadequate food consumption in terms of quality and quantity, has physical and psychological consequences on children's health. This study aimed to investigate the relationship between children's growth disorders and food insecurity in Qazvin city, Iran. Methods: A case-control study was conducted on 177 cases and 355 controls of children aged 3 to 6 years, who were referred to health centers in Qazvin city. The case group consisted of children with growth disorders. Data were obtained with the 18-item US Department of Agriculture questionnaire, a household socioeconomic questionnaire, a and growth monitoring card. The data were analyzed with using IBM SPSS Version 22.0, by independent sample t-test, chi-square test, and logistic regression. Results: A significant relationship was found between children's growth disorders and household food insecurity with (p<0.05, odds ratio [OR]=17.0, confidence interval [CI]=5.9, 48.8) and without hunger (p<0.05, OR=2.69, CI=1.4, 4.9). There were also significant relationships between children's growth disorders and socioeconomic status (p<0.05, OR=3.4, CI=1.4, 8.5), the duration of breastfeeding (p<0.05, OR=0.94, CI=0.9, 0.98), and children's ages (p<0.05, OR=0.94, CI=0.92, 0.96). Sex and birth order, and the age of the parents was not found to be significantly related with growth disorders. Conclusion: Lower socioeconomic status and household food insecurity were the important predictors of children's growth disorders. Policymakers should focus more on promoting steady employment and income among family members. Nutritional education for mothers is also recommended, in order to better meet the nutritional needs of the children.

show abstract

Section: Discussionmentioning

confidence: 99%

Relationship Between Household Food Insecurity and Growth Disorders in Children Aged 3 to 6 in Qazvin City, Iran

Gholampour

Noroozi

Zavoshy

et al. 2020

Pediatr Gastroenterol Hepatol Nutr

View full text Add to dashboard Cite

show abstract

“…Some of the reasons identified for low effectiveness of this intervention in Iran were low nutrient density of the food items, including the food basket and inconsistency between the food basket items in the program and foods selected by the beneficiaries in the defined stores. Food sharing between the family members because of poverty and low food security of the beneficiaries and weak supervision on family's food selection when using E-cards, and weakness in empowerment and education of mothers were identified as factors that affected the program's effectiveness [45]. The program implementation costs were estimated at around USD 30 per child (in 2015), mainly related to the food basket and personnel salaries.…”

Section: Discussionmentioning

confidence: 99%

“…A descriptive-analytical study Ghodsi et al/Iran/2018 [45] There were not any data regarding children anthropometric outcomes. Mother-child interaction quality mediated the effects of both EN and RS on HAZ at 4 years via its longitudinal stability from 2 years of age (β = 0.016, p = 0.005; β = 0.048, p < 0.001, respectively).…”

Section: Zavareh Et Al/iran/2017 [44]mentioning

confidence: 99%

Effectiveness of Community Nutrition-Specific Interventions on Improving Malnutrition of Children under 5 Years of Age in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis

Ghodsi

Omidvar

Nikooyeh

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Childhood malnutrition remains an important public health and development problem in low- and middle-income countries. This study aimed to systematically review the community-based nutrition-specific interventions and their effectiveness and/or cost-effectiveness on the nutritional status of children under 5 years of age in the Eastern Mediterranean Region (EMR). A systematic literature search of the English electronic databases, including PubMed, Scopus, ISI Web of Knowledge, Ovid, EMBASE, as well as Persian databases (SID and Magiran) was performed up to May 2019. Studies regarding the effectiveness/cost-effectiveness of the community-based nutrition-specific programs and interventions targeted at under-five-year children in EMR countries were selected. The primary outcomes were mean of Weight-for-age z-score (WAZ), Height-for-Age z-score (HAZ), and Weight-for-Height z-score (WHZ) of children or prevalence of wasting, stunting, and/or underweight among the children. Meta-analysis was also performed on the selected articles and intervention effects (mean differences) were calculated for each outcome for each study and pooled using a weighted random effects model. Risk of bias (ROB) of each included study was assessed based on the Cochrane Handbook for Systematic Reviews. The study protocol was registered in PROSPERO (CRD42020172643). Of 1036 identified studies, eight met the inclusion criteria. Amongst these, seven were from Pakistan and one from Iran. Only one study conducted in Pakistan reported the cost-effectiveness of nutrition-specific interventions in the region. Nutrition education/consultation and cash-based interventions were the most common nutrition-specific strategies used for management of child malnutrition in the EMR countries. Out of these eight studies, four were included in the meta-analysis. When different interventions were pooled, they had resulted in a significant improvement in WHZ of children (MD: 0.26; 95% CI: 0.07 to 0.46, three studies, I2 82.40%). Considering the high prevalence of child malnutrition in a number of countries in the region, capacity building and investigation regarding the implementation of new approaches to improve nutritional status of children and their effect(s) and cost-effectiveness assessment are highly recommended.

show abstract

“…For this issue, low and middleincome countries remained struggling to meet these goals (Mazzocchi, Brasili, & Sandri, 2008). Household poverty could be the reason behind intrahousehold food sharing (Ghodsi et al, 2017). As participants in this study were the targeted children from poor families, we assumed that the low compliance of food supplementation in our study was influenced by the level of economic status.…”

Section: Targeted Childrenmentioning

confidence: 99%

“…A national, community-based program conducted in Iran revealed that there were several constraints in the program implementation, such as irregular distribution of food supplementation, insufficiency of health workers, inadequate training of participants, and sharing food supplementation within the families (Ghodsi et al, 2017). A study in community feeding center in Aceh showed that a limited number of nutritionist workforces and lacked tools and facilities might influence the number of severely malnourished children in the affected area (Tarmizi, Sudargo, & Sugiharto, 2016).…”

Section: Introductionmentioning

confidence: 99%

Implementation of a community-based nutrition program in the community feeding center: a case study from Bantul

Piliang¹,

Sulistiyawati²,

Paramashanti³

2021

JHealthEdu

View full text Add to dashboard Cite

Background: Malnutrition among children becomes one of public issues in the population. Community-based nutrition programs provide opportunities to improve current child nutrition and in later life. Objective: To explore the implementation of a community-based nutrition program in Sedayu Subdistrict, Bantul District. Methods: A qualitative study with a single study case was conducted between March and May 2017 in the community feeding center in Argorejo Village, Sedayu Subdistrict, Bantul District. Data were collected from a focus group discussion among mothers of children under-fives, in-depth interviews to community health workers and a nutritionist, and observation during the program activities. Analysis was done by developing coding and themes on the implementation of the program. Results: Several activities were identified in the community-based nutrition program such as anthropometric measurement, nutrition counselling and education, providing healthy snacks during the program, and weekly food supplementation distribution to targeted children. Facilitators of this program included active participation from community health workers, acceptance and supports from the community, and self-subsistent food supplementation. Meanwhile, the barriers of this program were budget allocation, limited numbers and time of health workers, and lacked tools and facilities. Conclusions: Community-based nutrition program in the community feeding center is community-driven program which is from and to the community. The sustainability of this program needs a strong commitment from the government, multisectoral stakeholders, and the community.

show abstract

Process evaluation of a national, community-based, food supplementary programme for improving the nutritional status of children in Iran

Abstract: Focusing on food items that are mostly being used for child feeding (e.g. eggs or milk in food baskets) may be beneficial to assure the target child is receiving the distributed foods.

Cited by 7 publications

References 9 publications

Relationship Between Household Food Insecurity and Growth Disorders in Children Aged 3 to 6 in Qazvin City, Iran

Relationship Between Household Food Insecurity and Growth Disorders in Children Aged 3 to 6 in Qazvin City, Iran

Effectiveness of Community Nutrition-Specific Interventions on Improving Malnutrition of Children under 5 Years of Age in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis

Implementation of a community-based nutrition program in the community feeding center: a case study from Bantul

Contact Info

Product

Resources

About