Preconception Care and Nutrition Interventions in Low- and Middle-Income Countries

Author(s):  
Zulfiqar A. Bhutta ◽  
Zohra S. Lassi
PLoS Medicine ◽  
2013 ◽  
Vol 10 (9) ◽  
pp. e1001507 ◽  
Author(s):  
Cheryl T. Young ◽  
Marcelo L. Urquia ◽  
Joel G. Ray

2020 ◽  
Author(s):  
Saskia Osendarp ◽  
Jonathan Akuoku ◽  
Robert Black ◽  
Derek Headey ◽  
Marie Ruel ◽  
...  

Abstract The COVID-19-related economic crisis and food- and health-system disruptions threaten to exacerbate undernutrition in low- and middle-income countries (LMIC). We used three modelling tools (MIRAGRODEP, Lives Saved Tool, and Optima Nutrition Tool) to estimate impacts on child stunting, wasting, and mortality, maternal anemia, children born to low BMI women, and future productivity losses for three scenarios across 2020–2022 (n = 118 LMICs). We also estimated the additional cost of mitigation for six nutrition interventions to maximize non-stunted and alive children. By 2022 COVID-19 could result in an additional 9.3 million wasted and 2.6 million stunted children, 168,000 additional child-deaths 2.1 million maternal anemia cases, 2.1 million children born to low BMI women and US$29.7 billion future productivity losses due to excess stunting and child mortality. An additional $1.2 billion per year is needed to mitigate these effects. Governments and donors must maintain nutrition as a priority, continue to support resilient systems, and ensure efficient use of new and existing resources.


2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Alison Y. Riddle ◽  
Cynthia M. Kroeger ◽  
Abigail K. Ramage ◽  
Zulfiqar A. Bhutta ◽  
Elizabeth Kristjansson ◽  
...  

2020 ◽  
Vol 11 (1) ◽  
pp. 165-189
Author(s):  
Ritu Rana ◽  
Kavitha Menon ◽  
Shuby Puthussery ◽  
Anal Ravalia ◽  
Pooja Panchal ◽  
...  

Background: Undernutrition remains an unfinished agenda for a majority of low- and middle-income countries (LMICs). Numerous nutrition interventions have been implemented in LMICs and various indicators have been used to measure the impact of these interventions. The aim of this meta-review was to summarise the findings on the effectiveness of various nutrition interventions that have been implemented in LMICs on the WHO global nutrition targets-related outcomes. The six outcomes are- reducing stunting, wasting, anemia among women of reproductive age, low birthweight, childhood overweight, and improving exclusive breastfeeding. This study presents the results for one of the outcomes (stunting).     Methods: We conducted a comprehensive search on 21 electronic databases, including six regional and four systematic reviews (SRs) specific databases. Two researchers independently screened identified records against the inclusion criteria. Quality of included SRs were assessed using the AMSTAR tool. Extracted data were narratively synthesised examining the direction of impact. The review protocol was registered with the EPPI-Centre.  Results: Of 6,597 SRs initially identified, 28 SRs that assessed outcomes of WHO global nutrition targets-related outcomes were eligible for inclusion. We found 12 SRs that assessed stunting outcomes, these SRs synthesised 68 quantitative primary studies, from 29 LMICs. All included SRs were of high quality. Eight nutrition interventions were reported in the included SRs- five nutrition-specific (n=9) and three nutrition-sensitive (n=3). Among all interventions, two nutrition-specific (complementary feeding: n=1; dietary supplementation: n=2) interventions showed a positive effect. Conclusion: This meta-review identified, two interventions, complementary feeding and dietary supplementation, with most frequently reported evidence of positive impact on stunting. In LMICs, public health policymakers should consider these two interventions for scaling-up. 


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