scholarly journals Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh: a randomised trial

2012 ◽  
Vol 66 (6) ◽  
pp. 701-709 ◽  
Author(s):  
B Nahar ◽  
M I Hossain ◽  
J D Hamadani ◽  
T Ahmed ◽  
S N Huda ◽  
...  
Keyword(s):  
Growth And Development ◽  
Randomised Trial ◽  
Community Based ◽  
Malnourished Children ◽  
Psychosocial Stimulation

scholarly journals Peer Counseling Promotes Appropriate Infant Feeding Practices and Improves Infant Growth and Development in an Urban Slum in Bangladesh: A Community-Based Cluster Randomized Controlled Trial

2019 ◽  
Vol 3 (7) ◽  
Author(s):  
Gulshan Ara ◽  
Mansura Khanam ◽  
Nowshin Papri ◽  
Baitun Nahar ◽  
Iqbal Kabir ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Growth And Development ◽  
Controlled Trial ◽  
Feeding Practices ◽  
Peer Counseling ◽  
Infant Feeding Practices ◽  
Community Based ◽  
Randomized Controlled ◽  
Psychosocial Stimulation ◽  
Cluster Randomized

ABSTRACT Background Undernutrition and poor cognitive development affect many children in developing countries. Good nutrition and health care are essential for optimal child development and growth. Objectives We assessed the impact of peer counseling combined with psychosocial stimulation on feeding practices and child growth and development in slums in Bangladesh. Methods We performed a community-based cluster randomized controlled trial in selected slums; 350 mother–infant pairs were allocated to receive peer counseling on feeding practices plus psychosocial stimulation (PC + PCS; n = 175) or usual health messages (control; n = 175) using restricted randomization. Data were collected at enrollment and 1, 3, 5, 7, 9, and 12 mo after delivery. We collected data on infant and young child feeding practices and anthropometric measurements from birth until 12 mo to assess the main outcomes, including feeding practices and growth. We used the Bayley Scale III at 12 mo to assess child development. The effects of the PC + PCS intervention were assessed by using regression models. Results More mothers in the PC + PCS group than in the control group reported early initiation of breastfeeding (in the first hour: 89% compared with 78%, respectively; P < 0.05) and exclusive breastfeeding at 5 mo (73% compared with 27%, respectively; P < 0.001). Peer counseling had positively impacted infant length gain at 12 mo (P < 0.005). Children in the PC + PCS group were found to be more socially and emotionally active compared with controls at 12 mo (standardized score: 0.165 compared with −0.219, respectively; P < 0.05). Conclusion Combining peer counseling with psychosocial stimulation had positive effects on infant feeding practices and growth at 12 mo and on the social–emotional development of young children. This trial was registered at clinicaltrial.gov as NCT03040375.

scholarly journals Community-based Management of Micronutrient deficiency in Malnourished Children in Ghana

2014 ◽  
Vol 13 (4) ◽  
pp. 383-387
Author(s):  
O Ayokunle ◽  
OA Odusoga
Keyword(s):  
Developing Countries ◽  
Growth And Development ◽  
Patient Management ◽  
Medical Science ◽  
Micronutrient Deficiency ◽  
Severe Malnutrition ◽  
Significant Morbidity ◽  
Community Based ◽  
Malnourished Children ◽  
The Relationship

The relationship between undernutrition and ill health is complex. It is complicated by growth retardation, impaired mental development, and significant morbidity from malaria, diarrhoeal diseases, pneumonia etc. and mortality. Several micronutrients are required for adequate growth and development especially in young children. They also account for three of the four most important forms of malnutrition worldwide. This review attempts to evaluate the community-based management of malnutrition in developing countries while comparing it to the in-patient management of malnourished children. Parameters evaluated include cost, coverage, choice, nosocomial infection acquisition and effect on productivity. The community-based management of severe malnutrition has many benefits that should be harnessed by healthcare givers so as to reduce the burden of malnutrition in low resource settings.DOI: http://dx.doi.org/10.3329/bjms.v13i4.20552Bangladesh Journal of Medical Science Vol.13(4) 2014 p.383-387

Maternal and child health nurses’ experiences of implementing two community-based breastfeeding interventions in Victoria, Australia: A mixed methods process evaluation

2019 ◽  
Vol 16 (1) ◽  
pp. 4-14 ◽  
Author(s):  
Rhian L Cramer ◽  
Helen L McLachlan ◽  
Touran Shafiei ◽  
Lisa H Amir ◽  
Meabh Cullinane ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Randomised Trial ◽  
Cluster Randomised Trial ◽  
Breastfeeding Initiation ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Community Based ◽  
Significant Drop ◽  
And Child Health

Despite high rates of breastfeeding initiation in Australia, there is a significant drop in breastfeeding rates in the early postpartum period, and Australian government breastfeeding targets are not being met. The Supporting breastfeeding In Local Communities (SILC) trial was a three-arm cluster randomised trial implemented in 10 Victorian local government areas (LGAs). It aimed to determine whether early home-based breastfeeding support by a maternal and child health nurse (MCH nurse) with or without access to a community-based breastfeeding drop-in centre increased the proportion of infants receiving ‘any’ breast milk at four months. Focus groups, a written questionnaire and semi-structured interviews were undertaken to explore the interventions from the perspective of the SILC-MCH nurses (n=13) and coordinators (n=6), who established and implemented the interventions. Inductive thematic analysis was used to identify themes, then findings further examined using Diffusion of Innovations Theory as a framework. SILC-MCH nurses and coordinators reported high levels of satisfaction, valuing the opportunity to improve breastfeeding in our community; and having focused breastfeeding time with women in their own homes. They felt the SILC interventions offered benefits to women, nurses and the MCH service. Implementing new interventions into existing, complex community health services presented unforeseen challenges, which were different in each LGA and were in part due to the complexity of the individual LGAs and not the interventions themselves. These findings will help inform the planning and development of future programs aimed at improving breastfeeding and other interventions in MCH.

DOWNWARD SPIRAL

PEDIATRICS ◽  
1977 ◽  
Vol 60 (3) ◽  
pp. 382-382
Author(s):  
H. Mahler ◽  
Keyword(s):  
Environmental Factors ◽  
Growth And Development ◽  
Social Injustice ◽  
Small Children ◽  
Death Toll ◽  
Malnourished Children ◽  
Downward Spiral

Malnutrition is both one of the consequences of social injustice and one of the factors contributing to its maintenance. It bears hardest on small children, contributing to the massive death toll among the young, and together with other adverse environmental factors it interferes with the adequate growth and development of the survivors. It reduces their capacity to learn during childhood and to earn during adulthood. The inevitable result is a downward spiral in which poor malnourished parents produce malnourished children who in turn will become poor and malnourished parents.

Multi-Tasking Community-Based Bilingual Doulas are Bridging Gaps – Despite Standing on Fragile Ground. A Qualitative Study of Doulas’ Experiences in Sweden

2021 ◽  
Author(s):  
Helena Lindgren ◽  
Amani Eltayb ◽  
Anna Wahlberg ◽  
Nataliia Tsekhmestruk ◽  
Rhonda Small ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Working Conditions ◽  
Randomised Trial ◽  
Migrant Women ◽  
Work Situation ◽  
Community Based ◽  
Education Access ◽  
Migrant Communities ◽  
Individual Interviews

Abstract Background: Community-based Bilingual Doulas (CBDs) are women from migrant communities trained to support and comfort migrant women during labour and birth. The aim of the study was to describe CBDs’ experiences of supporting migrant women during labour and birth, working alongside caregivers, and to explore CBDs perceptions of their work situation in a Swedish setting. Methods: As part of an ongoing randomised trial of CBD support in Stockholm, Sweden, semi-structured individual interviews were conducted with nine of the 35 participating CBDs. Results: The overarching theme which emerged was “Multi-tasking bilingual doulas bridging gaps – despite standing on fragile ground”. To reach out a helping hand and receive appreciation from the women when their needs were met, motivated the CBDs to continue despite the constraints related to roles, working conditions and boundaries. The CBDs felt proud of being acknowledged, although they did also feel a need for more supervision and education. Conclusion: The CBDs experienced their doula tasks as meaningful and emotionally rewarding, which mostly outweighed the challenges of their work which they saw as insecure, exhausting and underpaid. If CBDs are implemented on a larger scale, the scope of their role, education, access to supervision and working conditions all need to be better addressed.

Development of Severely Malnourished Children Who Received Psychosocial Stimulation: Six-Year Follow-up

PEDIATRICS ◽  
1987 ◽  
Vol 79 (2) ◽  
pp. 247-254 ◽  
Author(s):  
Sally Grantham-McGregor ◽  
William Schofield ◽  
Christine Powell
Keyword(s):  
Home Visiting ◽  
Intervention Group ◽  
Severe Malnutrition ◽  
The Third ◽  
Malnourished Children ◽  
Catching Up ◽  
Psychosocial Stimulation ◽  
Catch Up ◽  
Home Visiting Program

The development of 16 children who were hospitalized for severe malnutrition and participated in a home-visiting program of psychosocial stimulation was compared with that of two other groups who were also hospitalized but received standard medical care only: severely malnourished group (n = 18) and an adequately nourished one (n = 20). All groups were assessed regularly on the Griffiths Mental Development Scales and the Stanford-Binet test. Both groups of malnourished children were markedly behind the adequately nourished group on admission to the hospital and the group that received no intervention showed little sign of catching up. The intervention group caught up to the adequately nourished group in 2 years. This report covers the third year of home-visiting and the 3 years following its cessation. The intervention group showed a decline in three of the five Griffiths subscales. However, they retained a marked advantage over the nonintervention group of malnourished children on the Stanford-Binet test until the end of follow-up, showing no further decline in the last year. For height, both malnourished groups failed to catch up to the adequately nourished group. It was concluded that a relatively simple intervention can benefit the development of severely malnourished children.

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