Effect of enhanced nutrition services with community‐based nutrition services on the diet quality of young children in Ethiopia
Abstract Poor diet quality related to inadequate complementary feeding is a major public health problem in low and middle‐income countries including Ethiopia. Low dietary diversity has been linked to negative health outcomes in children. To provide a package of interventions to close nutritional gap...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-10-01
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| Series: | Maternal and Child Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/mcn.13525 |
| _version_ | 1797690651540717568 |
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| author | Masresha Tessema Shimelis Hussien Girmaye Ayana Beza Teshome Alemayehu Hussen Tadesse Kebebe Tseday Mogese Alem Petros Getinet Fikresilassie Berhanu Wodajo Tadesse Mokenen Getachew Tollera Susan J. Whiting |
| author_facet | Masresha Tessema Shimelis Hussien Girmaye Ayana Beza Teshome Alemayehu Hussen Tadesse Kebebe Tseday Mogese Alem Petros Getinet Fikresilassie Berhanu Wodajo Tadesse Mokenen Getachew Tollera Susan J. Whiting |
| author_sort | Masresha Tessema |
| collection | DOAJ |
| description | Abstract Poor diet quality related to inadequate complementary feeding is a major public health problem in low and middle‐income countries including Ethiopia. Low dietary diversity has been linked to negative health outcomes in children. To provide a package of interventions to close nutritional gaps through agriculture, the Sustainable Undernutrition Reduction in Ethiopia (SURE) programme was set up as a multi‐sectoral initiative and the results of combined effects of community‐based and enhanced nutrition services, compared to community‐based alone, on diet diversity and diet quality of complementary feeding of young children are presented. The study used pre‐ and post‐intervention design. Baseline (n = 4980) data were collected from May to July 2016, and follow‐up (n = 2419) data from December 2020 to January 2021. From 51 intervention districts having the SURE programme, 36 intervention districts were randomly selected for baseline and 31 for the follow‐up survey. The primary outcome was diet quality: minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD). Comparing endline to baseline over the 4.5‐year intervention, the use of standard community‐based nutrition services of growth monitoring and promotion increased (16%–46%), as did enhanced nutrition services of infant and young child feeding counselling, and agricultural advising (62%–77%). Women involved in home gardening significantly increased (73%–93%); however, household production of food decreased yet consumption of most own‐grown foods increased. Importantly, MAD and MDD increased four‐fold. The SURE intervention programme was associated with improvements in complementary feeding and diet quality through enhanced nutrition services. This suggests programmes targeted at nutrition‐sensitive practices can improve child feeding in young children. |
| first_indexed | 2024-03-12T02:02:24Z |
| format | Article |
| id | doaj.art-9e2bdf8f61cd46c196caf418edab6fb8 |
| institution | Directory Open Access Journal |
| issn | 1740-8695 1740-8709 |
| language | English |
| last_indexed | 2024-03-12T02:02:24Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Maternal and Child Nutrition |
| spelling | doaj.art-9e2bdf8f61cd46c196caf418edab6fb82023-09-07T12:25:29ZengWileyMaternal and Child Nutrition1740-86951740-87092023-10-01194n/an/a10.1111/mcn.13525Effect of enhanced nutrition services with community‐based nutrition services on the diet quality of young children in EthiopiaMasresha Tessema0Shimelis Hussien1Girmaye Ayana2Beza Teshome3Alemayehu Hussen4Tadesse Kebebe5Tseday Mogese6Alem Petros7Getinet Fikresilassie8Berhanu Wodajo9Tadesse Mokenen10Getachew Tollera11Susan J. Whiting12Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaFood Science and Nutrition Research Directorate, Ethiopian Public Health Institute Addis Ababa EthiopiaCollege of Pharmacy and Nutrition University of Saskatchewan Saskatoon Saskatoon CanadaAbstract Poor diet quality related to inadequate complementary feeding is a major public health problem in low and middle‐income countries including Ethiopia. Low dietary diversity has been linked to negative health outcomes in children. To provide a package of interventions to close nutritional gaps through agriculture, the Sustainable Undernutrition Reduction in Ethiopia (SURE) programme was set up as a multi‐sectoral initiative and the results of combined effects of community‐based and enhanced nutrition services, compared to community‐based alone, on diet diversity and diet quality of complementary feeding of young children are presented. The study used pre‐ and post‐intervention design. Baseline (n = 4980) data were collected from May to July 2016, and follow‐up (n = 2419) data from December 2020 to January 2021. From 51 intervention districts having the SURE programme, 36 intervention districts were randomly selected for baseline and 31 for the follow‐up survey. The primary outcome was diet quality: minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD). Comparing endline to baseline over the 4.5‐year intervention, the use of standard community‐based nutrition services of growth monitoring and promotion increased (16%–46%), as did enhanced nutrition services of infant and young child feeding counselling, and agricultural advising (62%–77%). Women involved in home gardening significantly increased (73%–93%); however, household production of food decreased yet consumption of most own‐grown foods increased. Importantly, MAD and MDD increased four‐fold. The SURE intervention programme was associated with improvements in complementary feeding and diet quality through enhanced nutrition services. This suggests programmes targeted at nutrition‐sensitive practices can improve child feeding in young children.https://doi.org/10.1111/mcn.13525community‐based nutritiondiet diversityEthiopiainfant and young child feedingminimum meal frequencynutrition services |
| spellingShingle | Masresha Tessema Shimelis Hussien Girmaye Ayana Beza Teshome Alemayehu Hussen Tadesse Kebebe Tseday Mogese Alem Petros Getinet Fikresilassie Berhanu Wodajo Tadesse Mokenen Getachew Tollera Susan J. Whiting Effect of enhanced nutrition services with community‐based nutrition services on the diet quality of young children in Ethiopia Maternal and Child Nutrition community‐based nutrition diet diversity Ethiopia infant and young child feeding minimum meal frequency nutrition services |
| title | Effect of enhanced nutrition services with community‐based nutrition services on the diet quality of young children in Ethiopia |
| title_full | Effect of enhanced nutrition services with community‐based nutrition services on the diet quality of young children in Ethiopia |
| title_fullStr | Effect of enhanced nutrition services with community‐based nutrition services on the diet quality of young children in Ethiopia |
| title_full_unstemmed | Effect of enhanced nutrition services with community‐based nutrition services on the diet quality of young children in Ethiopia |
| title_short | Effect of enhanced nutrition services with community‐based nutrition services on the diet quality of young children in Ethiopia |
| title_sort | effect of enhanced nutrition services with community based nutrition services on the diet quality of young children in ethiopia |
| topic | community‐based nutrition diet diversity Ethiopia infant and young child feeding minimum meal frequency nutrition services |
| url | https://doi.org/10.1111/mcn.13525 |
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