1. Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa: the cluster-randomised PROMISE EBF trial
- Author
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Sonja Swanvelder, Ingunn Marie S. Engebretsen, Chipepo Kankasa, Philippe Van de Perre, James K Tumwine, Halvor Sommerfelt, Thorkild Tylleskär, Debra Jackson, David Sanders, Lars Thore Fadnes, Tanya Doherty, Vundli Ramokolo, Nicolas Meda, Jolly Nankunda, Carl Lombard, Henry Wamani, Eva-Charlotte Ekström, Abdoulaye Hama Diallo, Victoria Nankabirwa, Centre for International Health [Bergen, Norway], University of Bergen (UiB), School of Public Health, University of the Western Cape, Columbia Mailman School of Public Health, Centre Muraz [Bobo-Dioulasso, Burkina Faso], School of Public Health, University of Western Cape, Biostatistics Unit, Medical research Council, Cape Town, Biostatistics Unit, Medical Research Council, 7505 Cape Town, South Africa, Department of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda, SANTE/SIDA [Bobo-Dioulasso, Burkina Faso], Institut de Recherche en Sciences de la Santé (IRSS) / Centre Muraz, Department of Paediatrics and Child Health, Makerere University [Kampala, Ouganda] (MAK), Department of Women and Children's Health, Uppsala University, Pathogénèse et contrôle des infections chroniques (PCCI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre Hospitalier Universitaire de Montpellier (CHU Montpellier ), Department of Paediatrics and Child Health [Lusaka, Zambia], University of Zambia, Centre for International Health, Boutin, Marion, and Columbia University [New York]
- Subjects
Counseling ,Male ,Pediatrics ,Exclusive breastfeeding promotion ,[SDV]Life Sciences [q-bio] ,Child growth ,Breastfeeding ,Psychological intervention ,Growth ,Weight Gain ,South Africa ,0302 clinical medicine ,Residence Characteristics ,Prevalence ,VDP::Medisinske fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801 ,Uganda ,030212 general & internal medicine ,Underweight ,Wasting ,Growth Disorders ,2. Zero hunger ,VDP::Midical sciences: 700::Health sciences: 800::Community medicine, social medicine: 801 ,education.field_of_study ,Stunting ,Anthropometry ,Postpartum Period ,1. No poverty ,Public Health, Global Health, Social Medicine and Epidemiology ,[SDV] Life Sciences [q-bio] ,Breast Feeding ,Child, Preschool ,Female ,medicine.symptom ,Research Article ,Adult ,medicine.medical_specialty ,Population ,Community randomised trial ,Health Promotion ,Peer Group ,Peer counselling ,Young Adult ,03 medical and health sciences ,Thinness ,030225 pediatrics ,Burkina Faso ,parasitic diseases ,medicine ,Humans ,VDP::Midical sciences: 700::Health sciences: 800::Nutrition: 811 ,education ,Breastfeeding promotion ,Peer-counselling ,VDP::Medisinske fag: 700::Helsefag: 800::Ernæring: 811 ,Wasting Syndrome ,business.industry ,Body Weight ,Public Health, Environmental and Occupational Health ,Infant ,Undernutrition ,medicine.disease ,Malnutrition ,Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ,business ,Demography - Abstract
Background In this multi-country cluster-randomized behavioural intervention trial promoting exclusive breastfeeding (EBF) in Africa, we compared growth of infants up to 6 months of age living in communities where peer counsellors promoted EBF with growth in those infants living in control communities. Methods A total of 82 clusters in Burkina Faso, Uganda and South Africa were randomised to either the intervention or the control arm. Feeding data and anthropometric measurements were collected at visits scheduled 3, 6, 12 and 24 weeks post-partum. We calculated weight-for-length (WLZ), length-for-age (LAZ) and weight-for-age (WAZ) z-scores. Country specific adjusted Least Squares Means with 95% confidence intervals (CI) based on a longitudinal analysis are reported. Prevalence ratios (PR) for the association between peer counselling for EBF and wasting (WLZ
- Published
- 2014