Effectiveness of a nutrition education and counselling training package on antenatal care
A cluster randomized controlled trial in Addis Ababa
Bibliographic Data
| ID | 11490963 |
|---|---|
| Authors | Afrah Mohammedsanni Omer (0000-0001-7775-4335, Addis Ababa University, corresponding author), Demewoz Haile (0000-0003-0047-4276, Addis Ababa University), Bilal Shikur (Addis Ababa University), Erlyn Rachelle Macarayan (0000-0002-7334-8142, Harvard Global Health Institute, Cambridge, MA 02138, USA), Seifu Hagos (Addis Ababa University) |
| Year | 2020 |
| Volume | 35 |
| Issue | Supplement_1 |
| Pages | i65-i75 |
| Publication date | 2020-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czaa101 |
| PMID | 33165586 |
| OpenAlex | W3103702665 |
| Language | EN |
| Citations received | 4 |
| References cited | 15 |
The World Health Organization (WHO) recommends the need for a strong nutrition training package for practitioners, including antenatal care (ANC) providers. Without such a training package, ANC visits remain a missed opportunity to address nutritional problems among pregnant women. This study evaluated the effectiveness of an in-service nutrition education and counselling package on the providers’ counselling skills during ANC visits. A cluster randomized controlled trial was conducted in Addis Ababa, Ethiopia. All health-care providers working in ANC units across 20 health centres participated in this study. Health centres were allocated to intervention and control arms using a matched-pair randomization technique. An in-service nutrition education and counselling package, including training for ANC providers, supportive supervision and provision of modules, pamphlets and job aids, was provided for health centres assigned to the intervention arm. Observation checklists were used to assess the counselling skills of health-care providers. We used mixed-effect linear regression to evaluate the impact of the intervention. Significantly more health-care providers in the intervention arm informed pregnant women about the need to have one additional meal (Difference in proportion [DP] 49.17% vs −0.84%; DID 50.0%), about minimum required dietary diversity (DP 72.5% vs −2.5%; DID 75.0%) and about gestational weight gain (DP 68.33% vs −8.33%; DID 76.6%). Furthermore, providers improved in identifying key difficulties that pregnant women face (DP 28.34% vs −2.5%; DID 30.8%), and in recommending simple achievable actions on nutrition during pregnancy (DP 20.8% vs −10.9%; DID 31.6%). The intervention did not have statistically significant effects on how providers informed women about early initiation of breastfeeding (DP 6.67% vs 9.17%; DID −2.5%). The comprehensive in-service nutrition education and counselling package improved how ANC providers engaged with pregnant women and delivered nutrition messages during ANC consultations. This trial was registered in the Pan African Clinical Trial (PACTR registry, PACTR20170900 2477373; Date issued 21 September 2017)
Cluster randomised controlled trial · Environmental health · Family medicine · Health care · Intervention (counseling) · Nutrition Education · Population · Prenatal care · Randomization · Randomized controlled trial · Service (business) · Service provider · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Gerontology
Pré-Natal de Risco Habitual
Effect of double duty interventions on the frequency of morbidity among adolescents in Debre Berhan Regiopolitan City, Ethiopia
A systematic review of behaviour change interventions to improve maternal health outcomes in sub-Saharan Africa
Making progress in early-career publishing
| Citations per year | 1.33 |
|---|---|
| Citation span | 2023 - 2025 (3) |
| Highly cited | No |