Integrating nutrition and early child-development interventions among infants and preschoolers in rural India

Sylvia Fernandez-Rao, Kristen Marie Hurley, Krishnapillai Madhavan Nair, Nagalla Balakrishna, Kankipati V. Radhakrishna, Punjal Ravinder, Nicholas Tilton, Kimberly B. Harding, Greg A. Reinhart, Maureen M. Black

Research output: Contribution to journalArticle

Abstract

This article describes the development, design, and implementation of an integrated randomized double-masked placebo-controlled trial (Project Grow Smart) that examines how home/preschool fortification with multiple micronutrient powder (MNP) combined with an early child-development intervention affects child development, growth, and micronutrient status among infants and preschoolers in rural India. The 1-year trial has an infant phase (enrollment age: 6-12 months) and a preschool phase (enrollment age: 36-48 months). Infants are individually randomized into one of four groups: placebo, placebo plus early learning, MNP alone, and MNP plus early learning (integrated intervention), conducted through home visits. The preschool phase is a cluster-randomized trial conducted in Anganwadi centers (AWCs), government-run preschools sponsored by the Integrated Child Development System of India. AWCs are randomized into MNP or placebo, with the MNP or placebo mixed into the children's food. The evaluation examines whether the effects of the MNP intervention vary by the quality of the early learning opportunities and communication within the AWCs. Study outcomes include child development, growth, and micronutrient status. Lessons learned during the development, design, and implementation of the integrated trial can be used to guide large-scale policy and programs designed to promote the developmental, educational, and economic potential of children in developing countries.

Original languageEnglish (US)
Pages (from-to)218-231
Number of pages14
JournalAnnals of the New York Academy of Sciences
Volume1308
Issue number1
DOIs
StatePublished - Jan 2014

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Micronutrients
Nutrition
Child Development
India
Powders
Placebos
Learning
House Calls
Preschoolers
Placebo
Growth
Developing countries
Developing Countries
Communication
Economics
Outcome Assessment (Health Care)
Early Learning
Food
Enrollment

Keywords

  • Early child development
  • Integrated interventions
  • Nutrition

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • History and Philosophy of Science

Cite this

Integrating nutrition and early child-development interventions among infants and preschoolers in rural India. / Fernandez-Rao, Sylvia; Hurley, Kristen Marie; Nair, Krishnapillai Madhavan; Balakrishna, Nagalla; Radhakrishna, Kankipati V.; Ravinder, Punjal; Tilton, Nicholas; Harding, Kimberly B.; Reinhart, Greg A.; Black, Maureen M.

In: Annals of the New York Academy of Sciences, Vol. 1308, No. 1, 01.2014, p. 218-231.

Research output: Contribution to journalArticle

Fernandez-Rao, S, Hurley, KM, Nair, KM, Balakrishna, N, Radhakrishna, KV, Ravinder, P, Tilton, N, Harding, KB, Reinhart, GA & Black, MM 2014, 'Integrating nutrition and early child-development interventions among infants and preschoolers in rural India', Annals of the New York Academy of Sciences, vol. 1308, no. 1, pp. 218-231. https://doi.org/10.1111/nyas.12278
Fernandez-Rao, Sylvia ; Hurley, Kristen Marie ; Nair, Krishnapillai Madhavan ; Balakrishna, Nagalla ; Radhakrishna, Kankipati V. ; Ravinder, Punjal ; Tilton, Nicholas ; Harding, Kimberly B. ; Reinhart, Greg A. ; Black, Maureen M. / Integrating nutrition and early child-development interventions among infants and preschoolers in rural India. In: Annals of the New York Academy of Sciences. 2014 ; Vol. 1308, No. 1. pp. 218-231.
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