Effect of maternal nutritional education and counselling on children’s stunting prevalence in urban informal settlements in Nairobi, Kenya

Dados Bibliográficos

ID15095033
AutoresCK Nyamasege (0000-0002-1007-0673, University of Tsukuba, autor correspondente), EW Kimani-Murage (African Population and Health Research Center), Milka Wanjohi (0000-0003-4289-4762, African Population and Health Research Center), DWM Kaindi (University of Nairobi), Yukiko Wagatsuma (0000-0002-8056-9998, University of Tsukuba)
Ano2021
Volume24
Fascículo12
Páginas3740-3752
Data de publicação2021-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020001962
PMID32693855
OpenAlexW3044826436
IdiomaEN
Citações recebidas3
Referências citadas39

Objective: To determine whether the prevalence of stunting differed between an intervention group and a control group and to identify factors associated with the children’s linear growth. Design: This was a follow-up study of mother–child pairs who participated in a 2012–2015 cluster randomised controlled trial. Linear mixed effects models were performed to model the children’s linear growth and identify the determinants of child linear growth. Setting: The study was conducted in two slums in Nairobi. The intervention group received monthly nutrition education and counselling (NEC) during pregnancy and infancy period. Participants: A birth cohort of 1004 was followed up every 3 months after delivery to the 13th month. However, as a result of dropouts, a total of 438 mother–child pairs participated during the 55-month follow-up. The loss to follow-up baseline characteristics did not differ from those included for analysis. Results: Length-for-age z -scores decreased from birth to the 13th month, mean –1·42 ( sd 2·04), with the control group (33·5 %) reporting a significantly higher prevalence of stunting than the intervention group (28·6 %). Conversely, the scores increased in the 55th month, mean –0·89 ( sd 1·04), with significantly more males (16·5 %) stunted in the control group than in the intervention group (8·3 %). Being in the control group, being a male child, often vomiting/regurgitating food, mother’s stature of Conclusions: Home-based maternal NEC reduced stunting among under five years; however, the long-term benefits of this intervention on children’s health need to be elucidated

Cohort · Linear growth · Pregnancy · Weaning · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare · Internal Medicine · Pediatrics