Assessment of an adolescent-girl-focused nutritional educational intervention within a girls’ empowerment programme

A cluster randomised evaluation in Zambia

Datos Bibliográficos

ID15097124
AutoresPaul Hewett (0000-0003-0394-3154, Population Council, autor de correspondencia), Amanda L Willig (0000-0001-8802-4311, University of Alabama at Birmingham), Jean Digitale (0000-0002-6909-8478, Population Council), Erica Soler-Hampejsek, Erica Soler‐Hampejsek (0000-0001-7294-6645, Population Council), Jere R Behrman (0000-0001-7835-6283, University of Pennsylvania), Karen Austrian (0000-0001-5464-7908, British Council)
Año2021
Volumen24
Número4
Páginas651-664
Fecha de publicación2021-03-01
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/s1368980020001263
PMID32693858
OpenAlexW3043982621
IdiomaEN
Citas recibidas4
Referencias citadas23

Objective: Adolescent girls are at risk for both macro- and micronutrient deficiencies affecting growth, maternal and child health. This study assessed the impact of an adolescent-girl-tailored nutritional education curriculum on nutritional outcomes, including knowledge, dietary behaviour, anthropometry and anaemia. Design: A cluster-randomised evaluation was conducted with two study arms: girls in mentor-led weekly girls’ groups receiving sexual and reproductive health and life-skills training assigned to an age-appropriate nutritional curriculum and control girls in the weekly girls’ groups without the nutritional education. The primary analysis was intent-to-treat (ITT) generalised least squares regression. Secondary analysis using two-stage, instrumental-variables estimation was also conducted. Setting: The intervention and evaluation were conducted in urban and rural areas across four of ten provinces in Zambia. Participants: In total, 2660 girl adolescents aged 10–19 years were interviewed in 2013 (baseline) and annually through 2017. Results: ITT results indicate that exposure to the nutritional educational programme did not meaningfully change outcomes for adolescents or their children. Intervention adolescents were no more likely to correctly identify healthy foods ( P = 0·51) or proper infant-feeding practices ( P = 0·92); were no less likely to be stunted ( P = 0·30) or underweight ( P = 0·87) and no less likely to be anaemic ( P = 0·38). Outcomes for children of intervention participants were not improved, including being breastfed ( P = 0·42), stunted ( P = 0·21), wasted ( P = 0·77) or anaemic ( P = 0·51). Conclusions: Even a high-quality nutritional educational intervention tailored to adolescents within an empowerment programme does not assure improved nutritional outcomes; adolescent preferences, resource control and household dynamics require consideration in the context of nutritional educational programmes

Anthropometry · Cluster (spacecraft · Cluster randomised controlled trial · Developmental psychology · Empowerment · Environmental health · Girl · Intervention (counseling · Micronutrient · Nutrition Education · Obesity · Overweight · Underweight · Child Nutrition and Water Access · Demography · Medicine · Nursing · Obesity, Physical Activity, Diet · Poverty, Education, and Child Welfare · Psychology · Gerontology · Pediatrics