An evaluation of an operations research project to reduce childhood stunting in a food-insecure area in Ethiopia
Bibliographic Data
| ID | 15090529 |
|---|---|
| Authors | Bridget Fenn (0000-0002-8424-4664, Roche (France), corresponding author), Assaye T Bulti, Assaye Bulti (0000-0001-9635-3887, International Trachoma Initiative), Themba Nduna (International Trachoma Initiative), Arabella Duffield (International Trachoma Initiative), Fiona Watson (Save the Children) |
| Year | 2012 |
| Volume | 15 |
| Issue | 9 |
| Pages | 1746-1754 |
| Publication date | 2012-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980012001115 |
| PMID | 22717058 |
| OpenAlex | W2127858034 |
| Language | EN |
| Citations received | 20 |
| References cited | 9 |
Objective To determine which interventions can reduce linear growth retardation (stunting) in children aged 6–36 months over a 5-year period in a food-insecure population in Ethiopia. Design We used data collected through an operations research project run by Save the Children UK: the Child Caring Practices (CCP) project. Eleven neighbouring villages were purposefully selected to receive one of four interventions: (i) health; (iii) nutrition education; (iii) water, sanitation and hygiene (WASH); or (iv) integrated comprising all interventions. A comparison group of three villages did not receive any interventions. Cross-sectional surveys were conducted at baseline (2004) and for impact evaluation (2009) using the same quantitative and qualitative tools. The primary outcome was stunted growth in children aged 6–36 months measured as height (or length)-for-age Z -scores (mean and prevalence). Secondary outcomes were knowledge of health seeking, infant and young child feeding and preventive practices. Setting Amhara, Ethiopia. Subjects Children aged 6–36 months. Results The WASH intervention group was the only group to show a significant increase in mean height-for-age Z -score (+0·33, P = 0·02), with a 12·1 % decrease in the prevalence of stunting, compared with the baseline group. This group also showed significant improvements in mothers’ knowledge of causes of diarrhoea and hygiene practices. The other intervention groups saw non-significant impacts for childhood stunting but improvements in knowledge relating to specific intervention education messages given. Conclusions The study suggests that an improvement in hygiene practices had a significant impact on stunting levels. However, there may be alternative explanations for this and further evidence is required
Behavior change communication · Environmental health · Health services · Hygiene · Intervention (counseling · Population · Psychological intervention · Sanitation · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Pediatrics
Water, sanitation, and hygiene (Wash), environmental enteropathy, nutrition, and early child development
Prevalence, spatial distribution, and determinants of wasting among children under five in Senegal
Mother’s education level is associated with anthropometric failure among 3- to 12-year-old rural children in Purba Medinipur, West Bengal, India
Do non‐maternal adult female household members influence child nutrition? Empirical evidence from Ethiopia
Assessment of the WHO Stunting Framework using Ethiopia as a case study
A National Communication Campaign in Indonesia Is Associated with Improved Wash-Related Knowledge and Behaviors in Indonesian Mothers
Water, Sanitation, and Hygiene
Children with access to improved sanitation but not improved water are at lower risk of stunting compared to children without access
Determinants of child anthropometric indicators in Ethiopia
Determinants of stunting in Indonesian children
Reduction of chronic malnutrition for infants in Bogotá, Colombia
Relationship of stunting with water, sanitation, and hygiene (Wash) practices among children under the age of five
Comparison of Conditional and Marginal Models in Assessing a Child Nutrition Intervention in Armenia
Do supermarkets contribute to the obesity pandemic in developing countries
Short-term nutrition and growth indicators in 6-month- to 6-year-old children are improved following implementation of a multidisciplinary community-based programme in a chronic conflict setting
Nutrition of infants and young children
Interventions to improve the nutritional status of children under 5 years in Ethiopia
Levels and correlates of nutritional status of women of childbearing age in rural Bangladesh
Learning, Hygiene and Traditional Medicine
Less stunted? The impact of Chinese health aid on child nutrition
Effectiveness of an educational intervention delivered through the health services to improve nutrition in young children
What works? Interventions for maternal and child undernutrition and survival
Worldwide Timing of Growth Faltering
Child undernutrition, tropical enteropathy, toilets, and handwashing
Boys are more stunted than girls in Sub-Saharan Africa
Maternal and child undernutrition
| Unique citing works | 20 |
|---|---|
| Citations per year | 1,43 |
| Citation span | 2012 - 2025 (14) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 20 |