Evaluating interventions to improve child nutrition in Eastern Democratic Republic of Congo

Shannon Doocy, Jillian Emerson, Elizabeth Colantouni, Johnathan Strong, Kimberly Amundson-Mansen, Joseph Menakuntuala

Research output: Contribution to journalArticle

Abstract

ObjectiveThe prevention of malnutrition in children under two approach (PM2A), women's empowerment and agricultural interventions have not been widely evaluated in relation to child diet and nutrition outcomes. The present study evaluated the effectiveness of PM2A, women's empowerment groups (WEG), farmer field schools (FFS) and farmer-to-farmer training (F2F).DesignCommunity-matched quasi-experimental design; outcome measures included children's dietary diversity, stunting and underweight.SettingCommunities in South Kivu, Democratic Republic of the Congo.ParticipantsA total of 1312 children from 1113 households.ResultsAchievement of minimum dietary diversity ranged from 22·9 to 39·7 % and was significantly greater in the PM2A and FFS groups (P<0·05 for both comparisons). Fewer than 7·6 and 5·8 % of children in any group met minimum meal frequency and acceptable diet targets; only the PM2A group differed significantly from controls (P<0·05 for both comparisons). The endline stunting prevalence ranged from 54·7 % (PM2A) to 69·1 % (F2F) and underweight prevalence from 22·3 % (FFS) to 34·4 % (F2F). No significant differences were found between intervention groups and controls for nutrition measures; however, lower prevalences of stunting (PM2A, '4 %) and underweight (PM2A and FFS, '7 %) suggest potential impact on nutrition outcomes.ConclusionsChildren in the PM2A and FFS groups had better child diet measures and nutrition outcomes with the best results among PM2A beneficiaries. Interventions that address multiple aspects nutrition education, health, ration provision and income generation may be more effective in improving child diet and nutrition in resource-poor settings than stand-alone approaches.

Original languageEnglish (US)
JournalPublic Health Nutrition
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Democratic Republic of the Congo
Growth Disorders
Thinness
Diet
Outcome Assessment (Health Care)
Child Nutrition Disorders
4-dimethylamino-2-phenyl-2-(1,2-benzisothiazol-3-yl)butyramide
Farmers
Health Education
Meals
Research Design
Control Groups

Keywords

  • Child nutrition
  • Democratic Republic of the Congo
  • Dietary diversity
  • Stunting
  • Underweight

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Evaluating interventions to improve child nutrition in Eastern Democratic Republic of Congo. / Doocy, Shannon; Emerson, Jillian; Colantouni, Elizabeth; Strong, Johnathan; Amundson-Mansen, Kimberly; Menakuntuala, Joseph.

In: Public Health Nutrition, 01.01.2018.

Research output: Contribution to journalArticle

Doocy, Shannon ; Emerson, Jillian ; Colantouni, Elizabeth ; Strong, Johnathan ; Amundson-Mansen, Kimberly ; Menakuntuala, Joseph. / Evaluating interventions to improve child nutrition in Eastern Democratic Republic of Congo. In: Public Health Nutrition. 2018.
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abstract = "ObjectiveThe prevention of malnutrition in children under two approach (PM2A), women's empowerment and agricultural interventions have not been widely evaluated in relation to child diet and nutrition outcomes. The present study evaluated the effectiveness of PM2A, women's empowerment groups (WEG), farmer field schools (FFS) and farmer-to-farmer training (F2F).DesignCommunity-matched quasi-experimental design; outcome measures included children's dietary diversity, stunting and underweight.SettingCommunities in South Kivu, Democratic Republic of the Congo.ParticipantsA total of 1312 children from 1113 households.ResultsAchievement of minimum dietary diversity ranged from 22·9 to 39·7 {\%} and was significantly greater in the PM2A and FFS groups (P<0·05 for both comparisons). Fewer than 7·6 and 5·8 {\%} of children in any group met minimum meal frequency and acceptable diet targets; only the PM2A group differed significantly from controls (P<0·05 for both comparisons). The endline stunting prevalence ranged from 54·7 {\%} (PM2A) to 69·1 {\%} (F2F) and underweight prevalence from 22·3 {\%} (FFS) to 34·4 {\%} (F2F). No significant differences were found between intervention groups and controls for nutrition measures; however, lower prevalences of stunting (PM2A, '4 {\%}) and underweight (PM2A and FFS, '7 {\%}) suggest potential impact on nutrition outcomes.ConclusionsChildren in the PM2A and FFS groups had better child diet measures and nutrition outcomes with the best results among PM2A beneficiaries. Interventions that address multiple aspects nutrition education, health, ration provision and income generation may be more effective in improving child diet and nutrition in resource-poor settings than stand-alone approaches.",
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AB - ObjectiveThe prevention of malnutrition in children under two approach (PM2A), women's empowerment and agricultural interventions have not been widely evaluated in relation to child diet and nutrition outcomes. The present study evaluated the effectiveness of PM2A, women's empowerment groups (WEG), farmer field schools (FFS) and farmer-to-farmer training (F2F).DesignCommunity-matched quasi-experimental design; outcome measures included children's dietary diversity, stunting and underweight.SettingCommunities in South Kivu, Democratic Republic of the Congo.ParticipantsA total of 1312 children from 1113 households.ResultsAchievement of minimum dietary diversity ranged from 22·9 to 39·7 % and was significantly greater in the PM2A and FFS groups (P<0·05 for both comparisons). Fewer than 7·6 and 5·8 % of children in any group met minimum meal frequency and acceptable diet targets; only the PM2A group differed significantly from controls (P<0·05 for both comparisons). The endline stunting prevalence ranged from 54·7 % (PM2A) to 69·1 % (F2F) and underweight prevalence from 22·3 % (FFS) to 34·4 % (F2F). No significant differences were found between intervention groups and controls for nutrition measures; however, lower prevalences of stunting (PM2A, '4 %) and underweight (PM2A and FFS, '7 %) suggest potential impact on nutrition outcomes.ConclusionsChildren in the PM2A and FFS groups had better child diet measures and nutrition outcomes with the best results among PM2A beneficiaries. Interventions that address multiple aspects nutrition education, health, ration provision and income generation may be more effective in improving child diet and nutrition in resource-poor settings than stand-alone approaches.

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KW - Dietary diversity

KW - Stunting

KW - Underweight

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