Food Hygiene

Effectiveness of an educational intervention on complementary feeding practices and growth in rural China: a cluster randomised controlled trial.

Title: Effectiveness of an educational intervention on complementary feeding practices and growth in rural China: a cluster randomised controlled trial.
Authors: Shi, L.; Zhang, J.; Wang, Y.; Caulfield, L. E.; Guyer, B.
Contact Information: College of Nursing & Health Sciences, University of Massachusetts — Boston, Boston, MA 02125, USA. E-mail ling.shi@umb.edu
Source:
Public Health Nutrition; Vol. 13 (4), 2010, 556–565.
Date of Publication: 2010
ISSN: 1368-9800
Language: Text: ENGLISH
Article Type: Journal Article
Abstract: Objective: Inappropriate complementary feeding is one of the major causes of malnutrition in young children in developing countries. We developed an educational intervention, delivered by local health-care providers, aimed at improving complementary feeding practices and child nutrition. Design: Eight townships in Laishui, a rural area in China, were randomly assigned to the educational intervention or control group. A total of 599 healthy infants were enrolled at age 2–4 months and followed up until 1 year of age. In the intervention group, educational messages and enhanced home-prepared recipes were disseminated to caregivers through group trainings and home visits. Questionnaire surveys and anthropometric measurements were taken at baseline and ages 6, 9 and 12 months. Analysis was by intention to treat. Results: It was found that food diversity, meal frequency and hygiene practices were improved in the intervention group. Infants in the intervention group gained 0.22 kg more weight (95% CI 0.003, 0.45 kg, P = 0.047) and gained 0.66 cm more length (95% CI 0.03, 1.29 cm, P = 0.04) than did controls over the study period. Conclusions: Findings from the study suggest that an educational intervention delivered through local health-care providers can lead to substantial behavioural changes of caregivers and improve infant growth. Copyright © The Authors 2009.

Based on the findings from formative research, the authors developed an intervention plan comprising four major
components: (i) group training sessions on food selection, preparation and hygiene, childhood nutrition and
growth, and responsive feeding style; (ii) demonstration of preparing enhanced weaning food recipes which were
formulated using locally available, affordable, acceptable and nutrient-dense foods such as egg, tomato, beans,
meat, chicken and liver; (iii) booklets which contained infant feeding guidance and methods of preparing the
recommended recipes; and (iv) home visits every three months to identify possible feeding problems and provide
individual counselling. Note that the hygiene aspect only included washing of hands with soap before feeding

http://journals.cambridge.org/download.php?file=%2FPHN%2FPHN13_04%2FS1368980009991364a.pdf&code=0c54f8c3f94b3a2191f4e05f6aebbcf2

Keywords: BODY WT.
CHILDREN
CHINA
EDUCATION
NUTRITION
POPULATION GROUPS
ANTHROPOMETRIC PARAMETERS
Category Codes: Section Code: Food sciences
Subsection Code: Compositional and nutritional aspects
Update Date: 07 Jun 2010
Accession Number: 2010-08-Aj3639
 
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Database: FSTA – Food Science and Technology Abstracts


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Written by geraldmoy

March 4, 2011 at 1:40 pm