scholarly journals Improvement in appetite among stunted children receiving nutritional intervention in Bangladesh: results from a community-based study

2021 ◽  
Author(s):  
Nurun Nahar Naila ◽  
Mustafa Mahfuz ◽  
Muttaquina Hossain ◽  
Michael Arndt ◽  
Judd L. Walson ◽  
...  
Keyword(s):  
Low Income ◽  
Clinical Care ◽  
Nutritional Intervention ◽  
Low Income Countries ◽  
Intervention Package ◽  
Community Based ◽  
Nutritional Interventions ◽  
Child Stunting ◽  
Psychosocial Stimulation ◽  
Parental Counseling

Abstract Background/objectives Stunted children often have poor appetite, which may limit their response to nutritional interventions. We investigated the effect of a nutritional intervention on the appetite status of stunted children. Methods A longitudinal prospective intervention study was conducted with 50 stunted (length for age; LAZ < −2) (age and sex matched) aged 12–18 months and their mothers in Bauniabadh slum of Dhaka city. The stunted children received the following intervention package: one boiled egg and 150 ml milk daily 6 days a week for 3 months; psychosocial stimulation including structured play activities and parental counseling for 6 months; routine clinical care. Appetite status was measured using an interview-based tool “Early Childhood Appetite and Satiety Tool.” Results Over the period of nutritional intervention, the mean appetite score increased from 49 to 60 in the stunted children and was associated with increased food consumption. Over the intervention period, both egg and milk consumption increased (40.3–49.6 g and 83.8–138.5 ml, respectively). Conclusions Assessment of appetite status using EACST appears to be a useful tool for monitoring a nutritional intervention in stunted children. This tool may be useful for programs in managing child stunting in low-income countries and an important way to assess the efficacy of a nutritional intervention in these children.

scholarly journals Serum Adipokines, Growth Factors, and Cytokines Are Independently Associated with Stunting in Bangladeshi Children

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1827 ◽  
Author(s):  
Muttaquina Hossain ◽  
Baitun Nahar ◽  
Md. Ahshanul Haque ◽  
Dinesh Mondal ◽  
Mustafa Mahfuz ◽  
...  
Keyword(s):  
Clinical Care ◽  
Food Supplementation ◽  
Intervention Package ◽  
Necrosis Factor Alpha ◽  
Routine Clinical Care ◽  
Psychosocial Stimulation ◽  
Quasi Experimental ◽  
Ifn Γ ◽  
Alpha 1 Antitrypsin ◽  
Fecal Biomarkers

Growth in young children is controlled through the release of several hormonal signals, which are affected by diet, infection, and other exposures. Stunting is clearly a growth disorder, yet limited evidence exists documenting the association of different growth biomarkers with child stunting. This study explored the association between different growth biomarkers and stunting in Bangladeshi children. A quasi-experimental study was conducted among 50 stunted (length-for-age Z-score (LAZ) < −2 SD) and 50 control (LAZ ≥ −2 SD) children, aged 12–18 months, residing in a Bangladeshi slum. The enrolled stunted children received an intervention package, which included food supplementation for three months, psychosocial stimulation for six months, and routine clinical care on community nutrition center at the study field site. The controls received routine clinical care only. All children were clinically screened over the study period. Length, weight, fasting blood and fecal biomarkers were measured. All biomarkers levels were similar in both groups except for oxyntomodulin at enrolment. Leptin (adjusted odds ratio, AOR: 4.0, p < 0.01), leptin–adiponectin ratio (AOR 5.07 × 108, p < 0.01), insulin-like growth factor-1 (IGF-1) (AOR 1.02, p < 0.05), and gamma interferon (IFN-γ) (AOR 0.92, p < 0.05) levels were independently associated with stunting at enrolment. Serum leptin, leptin–adiponectin ratio, interleukin-6 (IL-6), IL-10, tumor necrosis factor-alpha (TNF-α), and fecal alpha-1-antitrypsin (AAT) levels increased significantly (p < 0.001), while IFN-γ levels significantly decreased among stunted children after six months of intervention. Leptin, leptin–adiponectin ratio, IGF-1, and IFN-γ are independently associated with stunting in Bangladeshi children. This trial was registered at clinicaltrials.gov as NCT02839148.

scholarly journals Community-based maternal and newborn care: A concept analysis

Curationis ◽  
2018 ◽  
Vol 41 (1) ◽  
Author(s):  
Yonas R. Guta ◽  
Patrone R. Risenga ◽  
Mary M. Moleki ◽  
Merertu T. Alemu
Keyword(s):  
Low Income ◽  
Newborn Care ◽  
Newborn Health ◽  
Concept Analysis ◽  
Low Income Countries ◽  
Maternal And Newborn Health ◽  
Community Based ◽  
Care Services ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

Background: Community-based care can serve as a valuable programme in the provision of essential maternal and newborn care, specifically in communities in low-income countries. However, its application in maternal and newborn care is not clearly documented in relation to the rendering of services by skilled birth attendants.Objectives: The purpose of the analysis was to clarify the meaning of the concept ‘community-based maternal and newborn care and its relationship to maternal and newborn health’.Method: Walker and Avant’s and Rodgers and Knafl’s as well as Chin and Kramer’s approaches to concept analysis were followed to analyse community-based maternal and newborn care.Results: The attributes of community-based care in maternal and newborn health include (1) the provision of home- and/or community-level skilled care, (2) linkages of health services and (3) community participation and mobilisation. These attributes are influenced by antecedents as well as consequences.Conclusion: The provision of good maternal and newborn care to all clients is a crucial aspect in provision of maternal and newborn services. In order for low-income countries to promote maternal and newborn health, community-based care services are the best option to follow.

Levels of functional disability in elderly people in Tanzania with dementia, stroke and Parkinson’s disease

2015 ◽  
Vol 27 (4) ◽  
pp. 206-212 ◽  
Author(s):  
Aloyce Kisoli ◽  
William K. Gray ◽  
Catherine L. Dotchin ◽  
Golda Orega ◽  
Felicity Dewhurst ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Low Income ◽  
Functional Disability ◽  
Population Level ◽  
Severe Disability ◽  
Low Income Countries ◽  
Community Based ◽  
Demographic Ageing ◽  
People With Dementia

BackgroundDisability is associated with increasing age and poverty, yet there are few reliable data regarding disability amongst the elderly in low-income countries. The aim of this study was to compare disability levels for three of the most common neurological, non-communicable diseases: dementia, stroke and Parkinson’s disease (PD).MethodsWe performed a community-based study of people aged 70 years and over in 12 randomly selected villages in the rural Hai district of Tanzania. Participants underwent disability assessment using the Barthel Index, and clinical assessment for dementia, stroke and PD.ResultsIn a representative cohort of 2232 people aged 70 years and over, there were 54 cases of stroke, 12 cases of PD and estimated (by extrapolation from a sub-sample of 1198 people) to be 112 cases of dementia. People with stroke were the most disabled, with 62.9% having moderate or severe disability. Levels of moderate or severe disability were 41.2% in people with dementia and 50.0% in people with PD. However, the higher prevalence of dementia meant that, at a population level, it was associated with similar levels of disability as stroke, with 18.5% of 249 people identified as having moderate or severe disability having dementia, compared to 13.7% for stroke and 2.4% for PD.ConclusionsLevels of disability from these conditions is high and is likely to increase with demographic ageing. Innovative, community-based strategies to reduce disability levels should be investigated.

scholarly journals Improving Newborn Survival in Low-Income Countries: Community-Based Approaches and Lessons from South Asia

PLoS Medicine ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. e1000246 ◽  
Author(s):  
Nirmala Nair ◽  
Prasanta Tripathy ◽  
Audrey Prost ◽  
Anthony Costello ◽  
David Osrin
Keyword(s):  
South Asia ◽  
Low Income ◽  
Low Income Countries ◽  
Community Based

Addressing the needs of adolescent mothers and their offspring in Nigeria: a community-based study

2012 ◽  
Vol 24 (4) ◽  
pp. 307-313 ◽  
Author(s):  
Bolajoko O. Olusanya ◽  
Olufunke M. Ebuehi
Keyword(s):  
Postsecondary Education ◽  
Adolescent Mothers ◽  
Low Income ◽  
Low Income Countries ◽  
Childhood Immunization ◽  
Health Seeking ◽  
Community Based ◽  
Poor Countries ◽  
Seeking Behavior ◽  
Obstetric Services

Abstract Objective: The purpose of this study is to determine the perinatal profile of adolescent mothers with surviving offspring against the backdrop of limited community-based data on the outcomes of adolescent pregnancy in low-income countries. Methods: A case-control study of adolescent mothers (13–19 years) attending four community-based clinics for routine childhood immunization from July 2005 to March 2008 in Lagos, Nigeria, matched for infant age and sex. Maternal and infant factors associated with adolescent mothers were determined using unconditional and conditional multivariable logistic regression analyses. Results: A total of 241 adolescent mothers (mean age, 18.2±1.2 years) were consecutively recruited over the study period and matched with 1205 controls (mean age, 27.3±3.9 years). Adolescent mothers in this population were significantly more likely to be unmarried, of the Hausa ethnic tribe, without postsecondary education, unemployed, and primiparous. Although all received antenatal care, they were also more likely to deliver outside hospital without skilled attendants, and their offspring were likely to be undernourished. Conclusions: Socio-demographic profile of adolescent girls who become pregnant is likely to have a significant influence on their health-seeking behavior for obstetric services. Teenagers especially from the most vulnerable ethnic groups in resource-poor countries should be educated on the developmental risks of early childbearing in their surviving offspring.

Assessment of social acceptance and scope of scaling up urine diversion dehydration toilets in Kenya

2012 ◽  
Vol 2 (3) ◽  
pp. 182-189 ◽  
Author(s):  
S. M. N. Uddin ◽  
V. S. Muhandiki ◽  
J. Fukuda ◽  
M. Nakamura ◽  
A. Sakai
Keyword(s):  
Low Income ◽  
Local Community ◽  
Social Acceptance ◽  
Group Discussion ◽  
Scaling Up ◽  
Cultural Barriers ◽  
Low Income Countries ◽  
Community Based ◽  
Urine Diversion ◽  
Almost All

A urine diversion dehydration toilet (UDDT) is a kind of toilet which can be used to recover resources such as nutrients and can also be an option to improve the sanitary situation in low income countries. A structured questionnaire survey, key informant interviews, participatory approaches such as focus group discussion (FGD) and mass gathering were carried out in Kenya to assess social acceptance and scope of scaling up of UDDTs. The results showed that almost all respondents among UDDT users and non-users have overcome social and cultural barriers to accept UDDTs. Most UDDT users were applying UDDT products as fertilizers on their farms. It is recommended to promote coordination and networking of local community based organizations in order to replicate UDDTs.

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