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Combined infant and young child feeding with small-quantity lipid-based nutrient supplementation is associated with a reduction in anemia but no changes in anthropometric status of young children from Katanga Province of the Democratic Republic of Congo: a quasi-experimental effectiveness study
Combined infant and young child feeding with small-quantity lipid-based nutrient supplementation is associated with a reduction in anemia but no changes in anthropometric status of young children from Katanga Province of the Democratic Republic of Congo: a quasi-experimental effectiveness study
- Source :
- The American Journal of Clinical Nutrition
- Publication Year :
- 2020
- Publisher :
- OXFORD UNIV PRESS, 2020.
-
Abstract
- Background Small-quantity lipid-based nutrient supplements (SQ-LNS) are efficacious in controlled settings; data are scarce on the effectiveness utilizing health care delivery platforms. Objective We evaluated the impact of an infant young child feeding (IYCF)–SQ-LNS intervention on anemia and growth in children aged 6–18 mo in the Democratic Republic of Congo following a quasi-experimental effectiveness design. Methods An intervention health zone (HZ) received enhanced IYCF including improved counseling on IYCF during pregnancy until 12 mo after birth and daily use of SQ-LNS for infants 6–12 mo; the control HZ received the standard IYCF package. We analyzed data from 2995 children, collected in repeated cross-sectional surveys. We used adjusted difference-in-difference analyses to calculate changes in anemia, iron and vitamin A deficiencies, stunting, wasting, and underweight. Results Of mothers, 70.5% received SQ-LNS at least once in the intervention HZ, with 99.6% of their children consuming SQ-LNS at least once. The mean number of batches of SQ-LNS (28 sachets per batch, 6 batches total) received was 2.3 ± 0.8 (i.e., 64.4 ± 22.4 d of SQ-LNS). The enhanced program was associated with an 11.0% point (95% CI: −18.1, −3.8; P
- Subjects :
- Vitamin
Pediatrics
medicine.medical_specialty
Anemia
effectiveness
Medicine (miscellaneous)
Standard score
AcademicSubjects/MED00160
AcademicSubjects/MED00060
chemistry.chemical_compound
Child Development
medicine
Humans
integrated IYCF-SQ-LNS
Wasting
Growth Disorders
quasi-experiment
Pregnancy
Nutrition and Dietetics
business.industry
International Nutrition
Infant
Anthropometry
Micronutrient
medicine.disease
Lipids
Original Research Communications
child growth
chemistry
micronutrients
Dietary Supplements
Democratic Republic of the Congo
medicine.symptom
Underweight
business
Subjects
Details
- Language :
- English
- ISSN :
- 00029165
- Database :
- OpenAIRE
- Journal :
- The American Journal of Clinical Nutrition
- Accession number :
- edsair.doi.dedup.....f3f8b58a4b59cabcb67f4d2a203e4623