Effects of Nutrition Education on Improving Knowledge and Practice of Complementary Feeding of Mothers with 6- to 23-Month-Old Children in Daycare Centers in Hawassa Town, Southern Ethiopia: An Institution-Based Randomized Control Trial

Undernutrition and hidden hunger threaten the survival, growth, and development of children, young people, economies, and nations. Inappropriate complementary feeding practice due to poor maternal knowledge and awareness in combination with low income and infectious disease is the contributing factor for child undernutrition. Hence, this study was aimed at determining the effect of nutrition education on improving the knowledge and practice of complementary feeding of the mothers with 6- to 23-month old children in daycare centers of Hawassa Town, Southern Ethiopia. An institution-based randomized control trial design was employed. Daycare centers were randomly allocated for the intervention group and the control group. Among the total daycare centers in the town, five were assigned to receive nutrition education and the rest five for the control group (CG). The simple random sampling technique used to select individual participants from each daycare center. Two hundred (200) mother-child pairs (100 for each group) were recruited. Sociodemographic and economic variables were collected by the structured questionnaire. Knowledge of appropriate complementary feeding was assessed by seven knowledge questions. Appropriate complementary feeding practice was assessed by adapting Alive and Thrive Infant and Young Child Feeding (IYCF) practice guidelines. Nutrition education was given for four consecutive months by using Alive and Thrive IYCF guidelines. Data were analyzed by the SPSS software program version 20. The chi-squared test was used to test the significant differences in the proportion of good knowledge and good practice of complementary feeding and good dietary diversity between two groups. The independent t test was used to test the significant differences in mean dietary diversity between two groups. At 95% confidence interval, p<0.05 was considered statistically significant. The results revealed that the proportion of mothers with good knowledge of appropriate complementary feeding was increased from 59% at pretest to 96% at posttest and the appropriate complementary feeding practice was improved from 54% at pretest to 86% at posttest in IG. There was no change in the knowledge and practice of complementary feeding practice in CG after four months. The proportion of mothers with good complementary knowledge was 54% both at pretest and at posttest and good complementary feeding practice was 51% and 52% at pre- and posttest in CG, respectively. There was no significant difference (p>0.05) on complementary feeding knowledge and practice between two groups at pretest, while the difference was highly significant (p<0.05) at the posttest. In conclusion, providing nutrition education improved the appropriate complementary feeding knowledge and practice of mothers. In recommendation, government and other partners working on sustainable child nutrition reduction should focus on the nutrition education to improve the knowledge and appropriate complementary feeding practice including daycare centers.

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Nutrition Education and Introduction of Broad Bean—Based Complementary Food Improves Knowledge and Dietary Practices of Caregivers and Nutritional Status of Their Young Children in Hula, Ethiopia

Food and Nutrition Bulletin ◽

10.1177/156482651403500409 ◽

2014 ◽

Vol 35 (4) ◽

pp. 480-486 ◽

Cited By ~ 26

Author(s):

Canaan Negash ◽

Tefera Belachew ◽

Carol J. Henry ◽

Afework Kebebu ◽

Kebede Abegaz ◽

...

Keyword(s):

Young Children ◽

Nutritional Status ◽

Nutrition Education ◽

Complementary Feeding ◽

Dietary Diversity ◽

Intervention Group ◽

Baseline Survey ◽

Control Group ◽

Broad Beans ◽

Knowledge And Practice

Background Nutritious complementary foods are needed in countries where undernutrition and stunting are major problems, but mothers may be reluctant to change from traditional gruels. Objective To test whether a recipe-based complementary feeding education intervention would improve knowledge and practice of mothers with young children in Hula, Ethiopia. Methods A baseline survey of 200 eligible, randomly selected mother—child pairs gathered data on sociodemographic characteristics, food security status, knowledge and practices concerning complementary feeding, food group intakes of children aged 6 to 23 months by 24-hour recalls, and children's anthropometric measurements. Twice a month for 6 months, women in the intervention group received an education session consisting of eight specific messages using Alive and Thrive posters and a demonstration and tasting of a local barley and maize porridge recipe containing 30% broad beans. The control group lived in a different area and had no intervention. Results At 6 months, knowledge and practice scores regarding complementary feeding were significantly improved ( p < .001) in the intervention group but not in the control group. The intervention resulted in improvement of children's dietary diversity, as well as mean intake of energy and selected nutrients, compared with children in the control group. Changes in height and weight did not differ between the two groups. Conclusions Community-based nutrition education over 6 months that included demonstration of a local porridge recipe with broad beans added improved the complementary feeding practices of caregivers and the nutritional status of their young children.

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Effects of nutrition education and counseling intervention on maternal weight and obstetric outcomes among pregnant women of Gedeo Zone, Southern, Ethiopia: A cluster randomized control trial

Nutrition and Health ◽

10.1177/02601060211056745 ◽

2021 ◽

pp. 026010602110567

Author(s):

Gizaw Sisay ◽

Adane Tesfaye

Keyword(s):

Pregnant Women ◽

Nutrition Education ◽

Randomized Control Trial ◽

Intervention Group ◽

Southern Ethiopia ◽

Control Group ◽

Counseling Intervention ◽

Cluster Randomized Control Trial ◽

Randomized Control ◽

Cluster Randomized

Background: Due to the scarcity of intervention trials, especially in Ethiopia, the effect of nutrition education and counseling intervention on pregnancy outcomes is not well studied. Aim: To assess the effect of nutrition education and counseling on the outcomes of pregnancy among pregnant mothers in public health care institutions of Gedeo Zone, Southern, Ethiopia. Methods: A cluster randomized control trial study design was undertaken. Simple random sampling followed by cluster sampling was used to reach eligible study participants. A total sample of 235 (115 intervention vs.120 control group) pregnant women who followed anti-natal care service in public health facilities of Gedeo Zone was included in the study. Independent t-test was used to analyze the group difference for continuous variable and chi-square test for categorical variables. The post-intervention values between the two groups were compared using analysis of covariance by adjusting to baseline variable. Results: After nutrition education, pregnant women in the control group had less weight gain than in the intervention. The proportion of LBW neonate was 17.8% in the intervention group and 38.2% in the control group ( P < 0.001). Multivariable logistic regression analysis showed that the risk of LBW in the control group was 2.43 more likely than in the intervention group (AOR = 2.43; 95% CI: (1.2, 4.92)). Conclusion: Nutrition education delivered to pregnant women during pregnancy could reduce maternal malnutrition and low birth weight. Recommendation: The intervention is easy to implement in the health facilities of Gedeo zone and would be implemented without delay to achieve the sustainable development goals.

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Scaled-Up Nutrition Education on Pulse-Cereal Complementary Food Practice in Ethiopia: A Cluster-Randomized Trial

10.21203/rs.2.23631/v3 ◽

2020 ◽

Author(s):

Getenesh Berhanu Teshome ◽

Susan J. Whiting ◽

Timothy J. Green ◽

Demelash Mulualem ◽

Carol J. Henry

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

Weight Status ◽

Dietary Diversity ◽

Randomized Study ◽

Intervention Group ◽

Complementary Food ◽

Southern Ethiopia ◽

Control Group ◽

Cluster Randomized

Abstract Background Improving children's weight status through nutrition education (NE) for mothers about using pulses in complementary feeding has been demonstrated in pilot studies, but no effect on stunting was reported. The aim of the study was to evaluate the effectiveness of a 9-month pulse-nutrition education program on mothers' knowledge, attitude, and practices (KAP) towards pulses, as well as its impact on children's dietary diversity, and nutritional status. The NE was delivered by Health Extension Workers (HEWs). Methods A cluster randomized study was employed for the community-based interventional study. Twelve randomly selected villages in Sidama Zone, Southern Ethiopia were included in the study. A total of 772 mother-child pairs involved in the study; where 386 mother-child pairs in the intervention group received additional messages about pulse-cereal complementary food, and 386 pairs (the control) received only routine health education for 9 months. A survey on mothers’ KAP and anthropometric measurements of the children were taken at baseline, midline, and endline. Results At baseline and endline, maternal KAP and the dietary diversity score of the children (mean age at endline 18.8 ± 2.9 mo) were assessed. Results : Intervention mothers’ KAP improved ( p <0.001) at midline and endline compared to that of the control group, as did frequency of pulse consumption and DDS among children. At 9 months, the prevalence of stunting, wasting, and underweight was significantly reduced in the intervention group compared to the control group ( p =0.001). Conclusions NE delivered by HEWs improved KAP of mothers regarding pulse consumption and dietary diversity of children led to improved nutritional status of the children. Training HEWs on the use of pulses for CF may be an effective way to improve the health of children in Ethiopian communities.

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Scaled-Up Nutrition Education on Pulse-Cereal Complementary Food Practice in Ethiopia: A Cluster-Randomized Trial

10.21203/rs.2.23631/v4 ◽

2020 ◽

Author(s):

Getenesh Berhanu Teshome ◽

Susan J. Whiting ◽

Timothy J. Green ◽

Demelash Mulualem ◽

Carol J. Henry

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

Weight Status ◽

Dietary Diversity ◽

Randomized Study ◽

Intervention Group ◽

Complementary Food ◽

Southern Ethiopia ◽

Control Group ◽

Cluster Randomized

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Scaled-Up Nutrition Education on Pulse-Cereal Complementary Food in Ethiopia: A Cluster-Randomized Trial

10.21203/rs.2.23631/v1 ◽

2020 ◽

Author(s):

Getenesh Berhanu Teshome ◽

Susan J. Whiting ◽

Timothy J. Green ◽

Demelash Mulualem ◽

Carol J. Henry

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

Weight Status ◽

Dietary Diversity ◽

Randomized Study ◽

Intervention Group ◽

Complementary Food ◽

Southern Ethiopia ◽

Control Group ◽

Cluster Randomized

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Effects Of Nutrition Education And Counseling Intervention On Maternal Weight And Obstetric Outcomes Among Pregnant Women Of Gedeo Zone, SNNPR, Ethiopia, 2019, Cluster Randomized Control Trial

10.21203/rs.3.rs-129007/v1 ◽

2021 ◽

Author(s):

Gizaw Sisay ◽

Adane Tesfaye

Keyword(s):

Pregnant Women ◽

Nutrition Education ◽

Randomized Control Trial ◽

Intervention Group ◽

Control Group ◽

Maternal Weight ◽

Counseling Intervention ◽

Cluster Randomized Control Trial ◽

Randomized Control ◽

Cluster Randomized

Abstract BackgroundA good approach to improve maternal diet during pregnancy is nutrition education and counseling. However, due to the scarcity of intervention trials, especially in Ethiopia, the effect of nutrition education and counseling intervention on pregnancy outcomes is not well studied.ObjectiveTo assess the effect of nutrition education and counseling on maternal weight and the outcomes of pregnancy among pregnant women in public health care institutions of Gedeo Zone, Southern, Ethiopia.MethodsA cluster randomized control trial study design was undertaken. Simple random sampling followed by cluster sampling was used to reach eligible study participants. A total sample of 235 (115 intervention vs.120 control group) pregnant women who followed antenatal care service in public health facilities of Gedeo Zone were included in the study. Independent t-test was used to analyze the group difference for continuous variable and chi-square test for categorical variables. The post intervention values between two groups were compared using ANCOVA by adjusting to the baseline variables.ResultAfter nutrition education and counseling, pregnant women in the control group had less weight gain than in the intervention (65.03kg vs. 56.69kg, p = 0.001). The proportion of LBW neonate was 17.8% in the intervention group and 38.2% in the control group (p < 0.001). Multivariable logistic regression analysis showed that the risk of LBW in the control group was 2.43 more likely than in the intervention group (AOR = 2.43; 95% CI: (1.2, 4.92).ConclusionNutrition education and counseling delivered to pregnant women on the time of pregnancy could reduce maternal malnutrition and low birth weight. We can recommend that; the intervention is easy to implement in health facilities of Gedeo zone and would be implemented without delay to achieve sustainable development goals.The trial was retrospectively registered in Pan African Clinical Trial Registry (www.pactr.org) database with unique identification number for the registry is PACTR202101757871954.

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Pengetahuan, sikap, motivasi ibu, dan praktik pemberian MP-ASI pada anak usia 6-23 bulan: studi formatif di Aceh

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.34560 ◽

2019 ◽

Vol 16 (1) ◽

pp. 1

Author(s):

Aripin Ahmad ◽

Siti Madanijah ◽

Cesilia Meti Dwiriani ◽

Risatianti Kolopaking

Keyword(s):

Nutrition Education ◽

Complementary Feeding ◽

Dietary Diversity ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Feeding Practice ◽

Maternal Knowledge ◽

Cross Sectional ◽

Knowledge And Attitude ◽

Attitude And Motivation

Maternal knowledge, attitude, motivation and complementary feeding practice of children aged 6-23 months: formative study in AcehBackground: Poor knowledge, attitude, and motivation of the mother determine complementary feeding (CF) practice of the child resulting in poor nutrition fulfillment. Objective: This study aimed to analyze maternal knowledge, attitude, motivation, and relationships with the CF practice of children aged 6-23 months.Method: A cross-sectional study and cluster random sampling was applied to select 392 mothers of children aged 6-23 months in Aceh Besar District. Data on maternal knowledge, attitude, and motivation were collected using valid and reliable structured questionnaire. CF practice quality was assessed using indicators of timely introduction to CF, minimum meal frequency, minimum dietary diversity, and minimum acceptable diet according to WHO recommendation. The association of maternal knowledge, attitude, and motivation with CF practice was analyzed using binary logistic regression with a 95% confidence level (α=0.05).Results: There was a small proportion of mothers (20.2%, 8.7%, 33.9%) having good knowledge, attitude, and motivation, respectively. Overall, there was one-fourth (23%) of the children aged 6-23 months receiving CF as recommended by WHO. There were significant correlations between maternal knowledge and attitude (r=0.606, p<0.01) and motivation (r=0.103, p<0.05). Education level and motivation were the risk factors of improper CF practice (OR=4.25; 95% CI: 1.10-16.36; p=0.035and OR=1.83; 95% CI: 1.05-3.16; p=0.031, respectively). Conclusion: Maternal knowledge, attitude, and motivation of children aged 6-23 months in Aceh were still poor, shown by improper CF practice. Therefore, an effort to improve nutrition education, particularly by health personnel and stakeholder, to be specific and targeted is important.

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Early Use of Corticosteroid May Prolong SARS-CoV-2 Shedding in Non-Intensive Care Unit Patients with COVID-19 Pneumonia: A Multicenter, Single-Blind, Randomized Control Trial

Respiration ◽

10.1159/000512063 ◽

2021 ◽

pp. 1-11

Author(s):

Xiao Tang ◽

Ying-Mei Feng ◽

Ji-Xiang Ni ◽

Jia-Ying Zhang ◽

Li-Min Liu ◽

...

Keyword(s):

T Cells ◽

Randomized Control Trial ◽

Corticosteroid Treatment ◽

Clinical Deterioration ◽

Control Group ◽

Number Of Patients ◽

Early Use ◽

Randomized Control ◽

And Control ◽

Single Blind

Background: There is still no clinical evidence available to support or to oppose corticosteroid treatment for coronavirus disease 2019 (COVID-19) pneumonia. Objective: To investigate the efficacy and safety of corticosteroid given to the hospitalized patients with COVID-19 pneumonia. Methods: This was a prospective, multicenter, single-blind, randomized control trial. Adult patients with COVID-19 pneumonia who were admitted to the general ward were randomly assigned to either receive methylprednisolone or not for 7 days. The primary end point was the incidence of clinical deterioration 14 days after randomization. Results: We terminated this trial early because the number of patients with COVID-19 pneumonia in all the centers decreased in late March. Finally, a total of 86 COVID-19 patients underwent randomization. There was no difference of the incidence of clinical deterioration between the methylprednisolone group and control group (4.8 vs. 4.8%, p = 1.000). The duration of throat viral RNA detectability in the methylprednisolone group was 11 days (interquartile range, 6–16 days), which was significantly longer than that in the control group (8 days [2–12 days], p = 0.030). There were no significant differences between the 2 groups in other secondary outcomes. Mass cytometry discovered CD3+ T cells, CD8+ T cells, and NK cells in the methylprednisolone group which were significantly lower than those in the control group after randomization (p < 0.05). Conclusions: From this prematurely closed trial, we found that the short-term early use of corticosteroid could suppress the immune cells, which may prolong severe acute respiratory syndrome coronavirus 2 shedding in patients with COVID-19 pneumonia. Trial Registration: ClinicalTrials.gov, NCT04273321.

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EFFECT OF ACCUPRESSURE PEN ON DISTANCE VARIABLE IN SCIATICA PATIENTS -A RANDOMIZED CONTROL TRIAL

10.36106/ijsr/8718134 ◽

2021 ◽

pp. 28-31

Author(s):

Urja S. Vaidya ◽

Roshani S. Patel

Keyword(s):

Randomized Control Trial ◽

Stride Length ◽

Step Length ◽

Control Group ◽

Exclusion Criteria ◽

Parametric Test ◽

Group A ◽

Randomized Control ◽

Experimental Group ◽

Distance Variable

Background: Sciatica is a radiating pain which is treated with manual accupressure and after a time electro accupressure came into introduction. Aim And Objective: Aim: To nd out the effectiveness of accupressure pen to improve the distance variable To nd out the effect of Objective: accupressure pen on pain and distance variable in sciatica patient To compare the experimental group to the control group On the basis of Method: inclusion and exclusion criteria 30 participants were selected. They were treated with electro accupressure pen for 3 alternative days / week for 3 weeks, after that re-assessment was taken with NPRS, Slump and Distance variables. The data was analyzed using SPSS Version Results: 21.Parametric test was used .In Group A improvement was seen Accupressure Conclusions: pen is effective to reduce pain and improve step length and stride length in Sciatica Patients

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Efektivitas Klinis Ofloksasin Topikal Dibanding Ciprofloksasin Oral Pada Terapi Otitis Media Supuratif Kronik Aktif

Medica Hospitalia : Journal of Clinical Medicine ◽

10.36408/mhjcm.v4i2.315 ◽

2017 ◽

Vol 4 (2) ◽

Author(s):

Deasy Mediawaty ◽

Pujo Widodo ◽

Dian Ayu Ruspita

Keyword(s):

World Health Organization ◽

Otitis Media ◽

Randomized Control Trial ◽

World Health ◽

Control Group ◽

Control Group Design ◽

Group Design ◽

Randomized Control ◽

Health Organization ◽

Per Oral

Latar belakang : Otitis media kronik atau sering disebut Otitis Media Supuratif Kronik (OMSK) adalah otitis media yang berlangsung > 12 minggu. Prevalensi OMSK di seluruh dunia sebanyak 65-330 juta dan 60% di antaranya menderita kurang pendengaran yang signifikan. Angka kejadian OMSK aktif mencapai 3,8% dari pasien THT-KL. Gejala OMSK aktif berupa banyaknya discaj, kurang pendengaran, nyeri, pusing berputar, telinga tidak nyaman. Tanda OMSK aktif berupa discaj di liang telinga, perforasi membran timpani, dan gangguan pendengaran. World Health Organization (WHO) mencanangkan strategi untuk mengatasi OMSK secara serius berkaitan dengan komplikasi yang dapat disebabkan. Pilihan terapi medikamentosa yang tepat diperlukan untuk mengatasi OMSK aktif. Ofloksasin topikal dan ciprofloksasin oral adalah antibiotik golongan fluorokuinolon yang banyak digunakan. Efektivitas diantaranya dibuktikan dengan perbaikan gejala dan tanda klinis. Tujuan : Membuktikan efektifitas ofloksasin topikal, ciprofloksasin oral dan efektifitas ofloksasin topikal dibanding ciprofloksasin oral terhadap perbaikan gejala dan tanda klinis. Metode : Penelitian intervensi dengan rancangan pretest and posttest control group design, randomized control trial Klinik THT-KL BKIM Semarang pada bulan Juni-Agustus 2016. Penderita OMSK aktif dilakukan anamnesis lalu dilakukan pemeriksaan fisik dan pemeriksaan pendengaran dilanjutkan randomisasi. Penderita diberi ofloksasin topikal 10 tetes/12 jam atau ciprofloksasin tablet 500 mg/12 jam per oral. Hari ke 4, 10 dan 14 setelah terapi penderita kontrol. Analisis uji komparatif menggunakan uji parametrik dan non parametrik. Hasil : Jumlah subyek penelitian 108 orang ; ofloksasin topikal 54 orang (50%) dan ciprofloksasin oral 54 orangÂ (50 %). Gejala dan tanda klinis setelah terapi lebih rendah dibanding sebelum terapi pada kelompok ofloksasin topikal dan ciprofloksasin oral dengan nilai kemaknaan p < 0,05. Gejala klinis kelompok ofloksasin lebih baik dibanding ciproloksasin secara bermakna (p<0,05). Tanda klinis kedua kelompok terdapat perbedaan yang tidak bermakna (p>0,05). Simpulan : Ofloksasin topikal dan ciprofloksasin oral terbukti efektif memperbaiki gejala dan tanda klinis penderita OMSK aktif. Ofloksasin topikal efektif memperbaiki gejala klinis dibandingkan ciprofloksasin oral. Kata kunci : Otitis media supuratif kronik, ofloksasin, ciprofloksasin, gejala dan tanda klinis

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