Chessa K Lutter
Datos Biográficos
| ID | 1781425 |
|---|---|
| NOMBRE | Chessa K Lutter |
| NOMBRES | Chessa K |
| APELLIDO | Lutter |
| FIRMA | LUTTER C K |
| AFILIACIONES | RTI International |
| ORCID | 0000-0003-1601-4645 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAS | 29 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1996 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Prevalence and risk factors of diarrhea among young children in Kenya’s drylands
Diarrhea is the third leading cause of malnutrition and mortality among children under five globally. Environmental and socioeconomic conditions in the drylands of sub-Saharan Africa may increase the risk of diarrhea, yet few studies have examined the factors in these settings. We therefore aimed to estimate the prevalence of diarrhea and identify potential risk factors among young children in Kenya drylands. Data are from a longitudinal populati…
Factors Influencing Wasting in Children Under 5 in Arid Regions of Kenya
Child wasting is a major public health problem in low- and middle-income countries. Our study aimed to identify immediate, underlying and basic factors influencing wasting among children in Turkana and Samburu, two arid and semi-arid regions in Kenya. Data are from a longitudinal study of children under 3 years of age at baseline, with follow-up every 4 months for 2 years. Generalized estimating equations were used to assess risk factors of wasti…
Examining the complex dynamics influencing acute malnutrition in Turkana and Samburu counties
Acute malnutrition in children under 5 years is persistent in Eastern Africa's arid and semiarid lands. This study aimed to identify the drivers of acute malnutrition in Turkana and Samburu counties, Kenya. This was a population-based longitudinal mixed-methods observational study. Qualitative and quantitative data were collected at Wave 1, but only quantitative data were collected during follow-up. Participants were a representative sample of ch…
Improvement of the Brazilian nutritional scenario despite the persistence of social inequalities
Violations of the International Code of Marketing of Breast-milk Substitutes
The marketing of formula milk as a substitute for breast milk continues to be ubiquitous and multifaceted despite passage by the World Health Assembly of the International Code of Marketing of Breast-milk Substitutes (the Code) in 1981. In this paper, we summarized reports of the Code violations from eight studies using the WHO/UNICEF NetCode protocol. Among 3,124 pregnant women and mothers with young children, in eight countries, 64% reported ex…
Impacts of an egg intervention on nutrient adequacy among young Malawian children
Eggs are a rich source of multiple nutrients that support child growth and development. Provision of eggs as a complementary food may improve dietary adequacy among young children at risk for undernutrition. Our objective was to test the impact of an egg intervention on the adequacy of total nutrient intakes and micronutrient density among 6- to 15-month-old Malawian children. Children 6 to 9 months old, living in Mangochi District, Malawi, were …
Maternal education and equity in breastfeeding
Over the course of our study, women with no formal education have worsening breastfeeding indicators compared to women with primary and secondary or higher education
Impacts of an egg complementary feeding trial on energy intake and dietary diversity in Malawi
Complementary feeding diets in low- and middle-income countries are generally inadequate to meet requirements for growth and development. Food-based interventions may prevent nutrient inadequacies provided that they do not displace other nutrient-rich foods. We conducted a randomized controlled trial in rural Malawi in which 660 children aged 6 to 9 months were provided an egg a day for 6 months or assigned to a control group. Dietary intake of c…
Egg intervention effect on linear growth no longer present after two years
The Lulun Project, a randomized controlled trial conducted in 2015, found that one egg per day for 6 months during early complementary feeding reduced stunting by 47% and increased linear growth by 0.63 length-for-age Z (LAZ). This follow-up cohort study (Lulun Project II) aimed to test whether the growth effect remained in the egg intervention group compared with the control group after approximately 2 years. Mothers or caregivers from the Lulun…
The Lulun Project's social marketing strategy in a trial to introduce eggs during complementary feeding in Ecuador
The Lulun Project incorporated a social marketing strategy that accompanied a randomized controlled trial (RCT) of a food-based intervention that introduced eggs into the complementary feeding diet of Ecuadorian infants. This strategy was designed to promote behaviour change, in this case, egg consumption, through voluntary prosocial behaviour, empowerment, and brand loyalty. A three-phase social marketing strategy (design, campaigns, and evaluat…
Eggs
Recent research has demonstrated that egg consumption can have a dramatic impact on preventing stunting and possibly on the cognitive development of young children (Iannotti, Lutter, Stewart, et al., 2017; Iannotti, Lutter, Waters, et al., 2017). This leaves us with the question: How do we best utilize this new evidence to help improve the lives of children around the world? This supplement tackles this question by providing a set of nine papers …
The potential of a simple egg to improve maternal and child nutrition
Evidence is mounting about the benefits of eggs for child nutrition and potential benefits for women during pregnancy and birth outcomes. Maternal consumption of eggs during lactation may also enhance the breast-milk composition of certain nutrients, thus contributing to the nutrition and potentially also to the development of breastfed children. Relative to single nutrient supplements, eggs deliver nutrients and other hormone or immune factors i…
Violations of the I nternational C ode of M arketing of B reast‐milk S ubstitutes in M exico
This study estimated the prevalence of violations of the International Code of Marketing of Breast-milk Substitutes (BMS) and subsequent resolutions of the World Health Assembly (Code) at health facilities, points of sale (POS), and on BMS labelling and media in Mexico. We carried out a cross-sectional survey among 693 mothers with children aged less than 24 months and 48 health providers at public and private health facilities in two states of M…
New World Health Organization guidance helps protect breastfeeding as a human right
Written by the WHO/UNICEF NetCode author group, the comment focuses on the need to protect families from promotion of breast-milk substitutes and highlights new WHO Guidance on Ending Inappropriate Promotion of Foods for Infants and Young Children. The World Health Assembly welcomed this Guidance in 2016 and has called on all countries to adopt and implement the Guidance recommendations. NetCode, the Network for Global Monitoring and Support for …
Why invest, and what it will take to improve breastfeeding practices?
Key principles to improve programmes and interventions in complementary feeding
Although there are some examples of successful complementary feeding programmes to promote healthy growth and prevent stunting at the community level, to date there are few, if any, examples of successful programmes at scale. A lack of systematic process and impact evaluations on pilot projects to generate lessons learned has precluded scaling up of effective programmes. Programmes to effect positive change in nutrition rarely follow systematic p…
Designing appropriate complementary feeding recommendations
Suboptimal complementary feeding practices contribute to a rapid increase in the prevalence of stunting in young children from age 6 months. The design of effective programmes to improve infant and young child feeding requires a sound understanding of the local situation and a systematic process for prioritizing interventions, integrating them into existing delivery platforms and monitoring their implementation and impact. The identification of a…
The International Code of Marketing of Breast-milk Substitutes
Objective To identify lessons learned from 30 years of implementing the International Code of Marketing of Breast-milk Substitutes (‘the Code’) and identify lessons learned for the regulation of marketing foods and beverages to children. Design Historical analysis of 30 years of implementing the Code. Setting Latin America and the Caribbean. Subjects None. Results Legislation to restrict marketing of breast-milk substitutes is necessary but not s…
Worldwide implementation of the WHO Child Growth Standards
Objective To describe the worldwide implementation of the WHO Child Growth Standards (‘WHO standards’). Design A questionnaire on the adoption of the WHO standards was sent to health authorities. The questions concerned anthropometric indicators adopted, newly introduced indicators, age range, use of sex-specific charts, previously used references, classification system, activities undertaken to roll out the standards and reasons for non-adoption…
Increases in breastfeeding in Latin America and the Caribbean
BACKGROUND: Breastfeeding has large benefits for mothers and infants. The short-term benefits for child survival and reduced morbidity differ by population subgroup because of differences in underlying risk factors. Although breastfeeding is more common among poor than well-off women, how breastfeeding patterns change between these subgroups is important from a policy perspective as the poor will benefit more from increased duration of breastfeed…
Backsliding on a Key Health Investment in Latin America and the Caribbean
Objectives. We examined trends in breastfeeding promotion investments, breastfeeding promotion activities, and breastfeeding duration in Latin America and the Caribbean from the 1980s to the 2000s. Methods. We obtained financial data from the United States Agency for International Development and the International Code Documentation Center, and we obtained breastfeeding promotion data from surveys of breastfeeding coordinators with ministries of …
Incorporating nutrition into delivery care
Delayed umbilical cord clamping, early skin‐to‐skin contact and early initiation of exclusive breastfeeding are three simple and inexpensive delivery care practices which have the potential to improve short‐term and long‐term nutrition and health outcomes in mothers and infants. In preterm infants, delayed clamping prevents intraventricular haemorrhage and improves haematological status, and in full‐term infants, delayed clamping improves iron st…
Identification of risk factors for short breastfeeding duration in Mexico city through survival analysis 1 2
The objectives of these analyses are to identify in Mexico City recent: a) infant feeding policies in maternity wards, b) infant feeding patterns, and c) socio‐economic, cultural, behavioral and biomedical determinants of breastfeeding. Subjects (n = 518) were recruited in two large public hospitals and followed‐up in their homes at one and four months post‐partum (pp). Breastfeeding rates at four months ranged from 49% to 60%. The main reason gi…
The effectiveness of a hospital-based program to promote exclusive breast-feeding among low-income women in Brazil
OBJECTIVES: This study examined the effectiveness of a hospital program to promote exclusive breast-feeding in Santos, Brazil. METHODS: In a prospective design, women who delivered at a hospital with an active breast-feeding promotion program (n = 236) were compared with women who delivered at a nearby control hospital (n = 206). RESULTS: The two groups had similar demographic characteristics and previous breast-feeding histories. Exposure to bre…
Breastfeeding promotion and priority setting in health
An increase in exclusive breastfeeding prevalence can substantially reduce mortality and morbidity among infants. In this paper, estimates of the costs and impacts of three breastfeeding promotion programmes, implemented through maternity services in Brazil, Honduras and Mexico, are used to develop cost-effectiveness measures and these are compared with other health interventions. The results show that breastfeeding promotion can be one of the mo…
Breastfeeding promotion and priority setting in health
An increase in exclusive breastfeeding prevalence can substantially reduce mortality and morbidity among infants. In this paper, estimates of the costs and impacts of three breastfeeding promotion programmes, implemented through maternity services in Brazil, Honduras and Mexico, are used to develop cost-effectiveness measures and these are compared with other health interventions. The results show that breastfeeding promotion can be one of the mo…
The effectiveness of a hospital-based program to promote exclusive breast-feeding among low-income women in Brazil
OBJECTIVES: This study examined the effectiveness of a hospital program to promote exclusive breast-feeding in Santos, Brazil. METHODS: In a prospective design, women who delivered at a hospital with an active breast-feeding promotion program (n = 236) were compared with women who delivered at a nearby control hospital (n = 206). RESULTS: The two groups had similar demographic characteristics and previous breast-feeding histories. Exposure to bre…
Backsliding on a Key Health Investment in Latin America and the Caribbean
Objectives. We examined trends in breastfeeding promotion investments, breastfeeding promotion activities, and breastfeeding duration in Latin America and the Caribbean from the 1980s to the 2000s. Methods. We obtained financial data from the United States Agency for International Development and the International Code Documentation Center, and we obtained breastfeeding promotion data from surveys of breastfeeding coordinators with ministries of …
Improvement of the Brazilian nutritional scenario despite the persistence of social inequalities
Increases in breastfeeding in Latin America and the Caribbean
BACKGROUND: Breastfeeding has large benefits for mothers and infants. The short-term benefits for child survival and reduced morbidity differ by population subgroup because of differences in underlying risk factors. Although breastfeeding is more common among poor than well-off women, how breastfeeding patterns change between these subgroups is important from a policy perspective as the poor will benefit more from increased duration of breastfeed…
Breastfeeding promotion and priority setting in health
An increase in exclusive breastfeeding prevalence can substantially reduce mortality and morbidity among infants. In this paper, estimates of the costs and impacts of three breastfeeding promotion programmes, implemented through maternity services in Brazil, Honduras and Mexico, are used to develop cost-effectiveness measures and these are compared with other health interventions. The results show that breastfeeding promotion can be one of the mo…
DDE and insufficient breast milk
DDE and insufficient breast milk. C Lutter, and R Pérez-EscamillaCopyRight https://doi.org/10.2105/AJPH.86.6.887 Published Online: October 07, 2011
Identification of risk factors for short breastfeeding duration in Mexico city through survival analysis 1 2
The objectives of these analyses are to identify in Mexico City recent: a) infant feeding policies in maternity wards, b) infant feeding patterns, and c) socio‐economic, cultural, behavioral and biomedical determinants of breastfeeding. Subjects (n = 518) were recruited in two large public hospitals and followed‐up in their homes at one and four months post‐partum (pp). Breastfeeding rates at four months ranged from 49% to 60%. The main reason gi…
The effectiveness of a hospital-based program to promote exclusive breast-feeding among low-income women in Brazil
OBJECTIVES: This study examined the effectiveness of a hospital program to promote exclusive breast-feeding in Santos, Brazil. METHODS: In a prospective design, women who delivered at a hospital with an active breast-feeding promotion program (n = 236) were compared with women who delivered at a nearby control hospital (n = 206). RESULTS: The two groups had similar demographic characteristics and previous breast-feeding histories. Exposure to bre…
Incorporating nutrition into delivery care
Delayed umbilical cord clamping, early skin‐to‐skin contact and early initiation of exclusive breastfeeding are three simple and inexpensive delivery care practices which have the potential to improve short‐term and long‐term nutrition and health outcomes in mothers and infants. In preterm infants, delayed clamping prevents intraventricular haemorrhage and improves haematological status, and in full‐term infants, delayed clamping improves iron st…
Increases in breastfeeding in Latin America and the Caribbean
BACKGROUND: Breastfeeding has large benefits for mothers and infants. The short-term benefits for child survival and reduced morbidity differ by population subgroup because of differences in underlying risk factors. Although breastfeeding is more common among poor than well-off women, how breastfeeding patterns change between these subgroups is important from a policy perspective as the poor will benefit more from increased duration of breastfeed…
Backsliding on a Key Health Investment in Latin America and the Caribbean
Objectives. We examined trends in breastfeeding promotion investments, breastfeeding promotion activities, and breastfeeding duration in Latin America and the Caribbean from the 1980s to the 2000s. Methods. We obtained financial data from the United States Agency for International Development and the International Code Documentation Center, and we obtained breastfeeding promotion data from surveys of breastfeeding coordinators with ministries of …
Worldwide implementation of the WHO Child Growth Standards
Objective To describe the worldwide implementation of the WHO Child Growth Standards (‘WHO standards’). Design A questionnaire on the adoption of the WHO standards was sent to health authorities. The questions concerned anthropometric indicators adopted, newly introduced indicators, age range, use of sex-specific charts, previously used references, classification system, activities undertaken to roll out the standards and reasons for non-adoption…
Key principles to improve programmes and interventions in complementary feeding
Although there are some examples of successful complementary feeding programmes to promote healthy growth and prevent stunting at the community level, to date there are few, if any, examples of successful programmes at scale. A lack of systematic process and impact evaluations on pilot projects to generate lessons learned has precluded scaling up of effective programmes. Programmes to effect positive change in nutrition rarely follow systematic p…
Designing appropriate complementary feeding recommendations
Suboptimal complementary feeding practices contribute to a rapid increase in the prevalence of stunting in young children from age 6 months. The design of effective programmes to improve infant and young child feeding requires a sound understanding of the local situation and a systematic process for prioritizing interventions, integrating them into existing delivery platforms and monitoring their implementation and impact. The identification of a…
The International Code of Marketing of Breast-milk Substitutes
Objective To identify lessons learned from 30 years of implementing the International Code of Marketing of Breast-milk Substitutes (‘the Code’) and identify lessons learned for the regulation of marketing foods and beverages to children. Design Historical analysis of 30 years of implementing the Code. Setting Latin America and the Caribbean. Subjects None. Results Legislation to restrict marketing of breast-milk substitutes is necessary but not s…
Why invest, and what it will take to improve breastfeeding practices?
New World Health Organization guidance helps protect breastfeeding as a human right
Written by the WHO/UNICEF NetCode author group, the comment focuses on the need to protect families from promotion of breast-milk substitutes and highlights new WHO Guidance on Ending Inappropriate Promotion of Foods for Infants and Young Children. The World Health Assembly welcomed this Guidance in 2016 and has called on all countries to adopt and implement the Guidance recommendations. NetCode, the Network for Global Monitoring and Support for …
The Lulun Project's social marketing strategy in a trial to introduce eggs during complementary feeding in Ecuador
The Lulun Project incorporated a social marketing strategy that accompanied a randomized controlled trial (RCT) of a food-based intervention that introduced eggs into the complementary feeding diet of Ecuadorian infants. This strategy was designed to promote behaviour change, in this case, egg consumption, through voluntary prosocial behaviour, empowerment, and brand loyalty. A three-phase social marketing strategy (design, campaigns, and evaluat…
Eggs
Recent research has demonstrated that egg consumption can have a dramatic impact on preventing stunting and possibly on the cognitive development of young children (Iannotti, Lutter, Stewart, et al., 2017; Iannotti, Lutter, Waters, et al., 2017). This leaves us with the question: How do we best utilize this new evidence to help improve the lives of children around the world? This supplement tackles this question by providing a set of nine papers …
The potential of a simple egg to improve maternal and child nutrition
Evidence is mounting about the benefits of eggs for child nutrition and potential benefits for women during pregnancy and birth outcomes. Maternal consumption of eggs during lactation may also enhance the breast-milk composition of certain nutrients, thus contributing to the nutrition and potentially also to the development of breastfed children. Relative to single nutrient supplements, eggs deliver nutrients and other hormone or immune factors i…
Violations of the I nternational C ode of M arketing of B reast‐milk S ubstitutes in M exico
This study estimated the prevalence of violations of the International Code of Marketing of Breast-milk Substitutes (BMS) and subsequent resolutions of the World Health Assembly (Code) at health facilities, points of sale (POS), and on BMS labelling and media in Mexico. We carried out a cross-sectional survey among 693 mothers with children aged less than 24 months and 48 health providers at public and private health facilities in two states of M…
Egg intervention effect on linear growth no longer present after two years
The Lulun Project, a randomized controlled trial conducted in 2015, found that one egg per day for 6 months during early complementary feeding reduced stunting by 47% and increased linear growth by 0.63 length-for-age Z (LAZ). This follow-up cohort study (Lulun Project II) aimed to test whether the growth effect remained in the egg intervention group compared with the control group after approximately 2 years. Mothers or caregivers from the Lulun…
Impacts of an egg complementary feeding trial on energy intake and dietary diversity in Malawi
Complementary feeding diets in low- and middle-income countries are generally inadequate to meet requirements for growth and development. Food-based interventions may prevent nutrient inadequacies provided that they do not displace other nutrient-rich foods. We conducted a randomized controlled trial in rural Malawi in which 660 children aged 6 to 9 months were provided an egg a day for 6 months or assigned to a control group. Dietary intake of c…
Impacts of an egg intervention on nutrient adequacy among young Malawian children
Eggs are a rich source of multiple nutrients that support child growth and development. Provision of eggs as a complementary food may improve dietary adequacy among young children at risk for undernutrition. Our objective was to test the impact of an egg intervention on the adequacy of total nutrient intakes and micronutrient density among 6- to 15-month-old Malawian children. Children 6 to 9 months old, living in Mangochi District, Malawi, were …
Maternal education and equity in breastfeeding
Over the course of our study, women with no formal education have worsening breastfeeding indicators compared to women with primary and secondary or higher education
Violations of the International Code of Marketing of Breast-milk Substitutes
The marketing of formula milk as a substitute for breast milk continues to be ubiquitous and multifaceted despite passage by the World Health Assembly of the International Code of Marketing of Breast-milk Substitutes (the Code) in 1981. In this paper, we summarized reports of the Code violations from eight studies using the WHO/UNICEF NetCode protocol. Among 3,124 pregnant women and mothers with young children, in eight countries, 64% reported ex…
Improvement of the Brazilian nutritional scenario despite the persistence of social inequalities
Examining the complex dynamics influencing acute malnutrition in Turkana and Samburu counties
Acute malnutrition in children under 5 years is persistent in Eastern Africa's arid and semiarid lands. This study aimed to identify the drivers of acute malnutrition in Turkana and Samburu counties, Kenya. This was a population-based longitudinal mixed-methods observational study. Qualitative and quantitative data were collected at Wave 1, but only quantitative data were collected during follow-up. Participants were a representative sample of ch…
Factors Influencing Wasting in Children Under 5 in Arid Regions of Kenya
Child wasting is a major public health problem in low- and middle-income countries. Our study aimed to identify immediate, underlying and basic factors influencing wasting among children in Turkana and Samburu, two arid and semi-arid regions in Kenya. Data are from a longitudinal study of children under 3 years of age at baseline, with follow-up every 4 months for 2 years. Generalized estimating equations were used to assess risk factors of wasti…
Medicine (25 obras) · Child Nutrition and Water Access (19 obras) · Environmental health (17 obras) · Breastfeeding Practices and Influences (16 obras) · Demography (10 obras) · Economic growth (10 obras) · Nursing (10 obras) · Breastfeeding (9 obras) · Pediatrics (9 obras) · Political science (9 obras)