oa South African Journal of Clinical Nutrition - Nutrition education to improve dietary intake and micronutrient nutriture among children in less-resourced areas : a randomised controlled intervention in Kabarole district, western Uganda : original research
|Article Title||Nutrition education to improve dietary intake and micronutrient nutriture among children in less-resourced areas : a randomised controlled intervention in Kabarole district, western Uganda : original research|
|© Publisher:||Medpharm Publications|
|Journal||South African Journal of Clinical Nutrition|
|Affiliations||1 Makerere University, Uganda, 2 University of Georgia, USA, 3 University of Georgia, USA and 4 University of Indonesia|
|Publication Date||Jan 2011|
|Pages||83 - 88|
|Keyword(s)||Anaemia, C-reactive protein, Feeding practices, Nutrition education and Vitamin A|
Objective: To determine whether nutrition education targeting the child-feeding practices of low-income rural caregivers will reduce anaemia and improve vitamin A nutriture of the young children in their care.
Design: A controlled intervention trial, based on experiential learning theory. Forty-six women completed a nine-session nutrition education programme, while controls (n = 43) concurrently engaged in sewing classes.
Setting: Two rural farming communities in the Kabarole district, western Uganda.
Subjects: Less literate, low-income rural female caregivers and the children in their care (6-48 months).
Outcome measures: Caregivers' child-feeding practices and the children's nutritional status were assessed at baseline, one month after intervention (Follow-up 1) and one year from baseline (Follow-up 2).
Results: Caregivers in the intervention group reported improved child snacking patterns, food-selection practices, meal adequacy, and food variety. Children in the intervention group recorded lower haemoglobin levels at baseline (9.86 vs. 10.70 g/dl) and caught up with controls at Follow-up 1 (10.06 vs. 10.78 g/dl). However, changes were not sustained. Mean retinol-binding protein improved from 0.68 μmol/l (95% CI: 0.57-0.78) to 0.91 μmol/l (95% CI: 0.78-1.03) among intervention children, but remained approximately the same in controls. Vitamin A nutriture was influenced by infections.
Conclusion: Nutrition education significantly improved feeding practices and children's nutritional status. The effectiveness and sustainability of this programme can be enhanced if nutrition education is integrated into other food-production and public health programmes.
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