Age differences in the impact of a Positive Deviance/Hearth programme on the nutritional status of children in rural Bangladesh

Datos Bibliográficos

ID15092514
AutoresYunjeong Kim (0000-0003-2944-7861), Yun-Jeong Kim (0000-0001-7467-4954, Johns Hopkins University), Jaganmay Prajesh Biswas, Jaganmay Biswas (World University of Bangladesh), Md Iqbal Hossain (0000-0002-6827-4505, World University of Bangladesh), Diane Baik (0000-0002-6145-4757, World Vision), Kathryn Reinsma (World Vision), Shinhye Min, Yunhee Kang (0000-0002-8184-9166, Johns Hopkins University, autor de correspondencia)
Año2021
Volumen24
Número16
Páginas5514-5523
Fecha de publicación2021-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPublic Health Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1368-9800 • E-ISSN: 1475-2727
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980021003189
PMID34348815
OpenAlexW3188025153
IdiomaEN
Citas recibidas1
Referencias citadas27

Objective: To examine the difference in the rehabilitation rate from underweight by child age at enrolment in the Positive Deviance (PD)/Hearth programme. Design: This secondary data analysis used programme monitoring records of underweight children aged 6–60 months attending a 2-week PD/Hearth session and followed up for 6 months from September 2018 to March 2019. Data were analysed using multilevel mixed-effect regression and Poisson regression with robust variance. Setting: Rajshahi Division, Bangladesh. Participants: A total of 5227 underweight (weight-for-age Z -score (WAZ) Results: From enrolment to 6 months follow-up, the mean WAZ improved from −2·80 to −2·09, and the percentage of underweight children decreased to 54·5 %. Compared to the enrolment age of 6–11 months, the estimated monthly change in WAZ at 6 months of follow-up were 0·05 lower for 12–23 months, 0·06 lower for 24–35 months, and 0·09 lower for 36–60 months of the enrolment age (all P Conclusions: Enrolment in the PD/Hearth programme at a younger age had the advantage of greater rehabilitation from underweight than older age. Our findings provide a better understanding of the successes and failures of the PD/Hearth programme to achieve more sustainable and cost-effective impacts

Body mass index · Environmental health · Overweight · Poisson regression · Population · Underweight · Child Nutrition and Water Access · Demography · Medicine · Obesity, Physical Activity, Diet · Poverty, Education, and Child Welfare · Internal Medicine · Pediatrics