The role of nutrition‐sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation study
Abstract Objective The study aimed to investigate the role of nutrition‐sensitive and specific interventions along with nutrition education on child stunting during the first 1000 days in Ethiopia. Methods An adequacy evaluation study was used to see changes between the baseline and end‐line data af...
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| Format: | Article |
| Language: | English |
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Wiley
2022-03-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.524 |
| _version_ | 1797224982130982912 |
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| author | Tefera Chane Mekonnen Sisay Eshete Tadesse Yeshimebet Ali Dawed Nigus Cherie Hunegnaw Abebe Getachew Shumye Foziya Mohammed Ahmed Hussien |
| author_facet | Tefera Chane Mekonnen Sisay Eshete Tadesse Yeshimebet Ali Dawed Nigus Cherie Hunegnaw Abebe Getachew Shumye Foziya Mohammed Ahmed Hussien |
| author_sort | Tefera Chane Mekonnen |
| collection | DOAJ |
| description | Abstract Objective The study aimed to investigate the role of nutrition‐sensitive and specific interventions along with nutrition education on child stunting during the first 1000 days in Ethiopia. Methods An adequacy evaluation study was used to see changes between the baseline and end‐line data after following for 1 year. A sample of 170 mother‐child pairs who had a 1‐year followed up was used to detect differences. We performed structural equation modeling to elucidate changes in feeding behaviors, socioeconomic status, water, sanitation and hygiene on child linear growth. Furthermore, the independent effect of covariates on child linear growth was handled using a general linear model. Results A total of 170 and 270 mother‐child dyads were interviewed at baseline and end‐line surveys, respectively. After about 1 year of intervention, the annual rate of stunting prevalence declined from 29.3% (95% confidence interval [CI] = 18.6, 42.7) to 16.4% (95% CI = 10.7, 24.2). There was a significant change in the mean of length‐for‐age Z‐score which changed from −1.18 to −0.45 (P < .034). Adjusting for the different constructs of the health belief model, child sex, age, feeding behaviors, and dietary diversity, one egg consumption per day was responsible for the most significant variability explained (36%) for stunting reduction. Conclusions Sustainable access to egg consumption for children below 2 years experienced a substantial reduction in childhood stunting. A combination of nutrition‐sensitive agricultural and direct nutrition interventions along with behavioral‐based education is a sustainable strategy in reducing and preventing child growth from faltering in the early life stages. |
| first_indexed | 2024-03-12T13:33:55Z |
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| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-04-24T14:01:46Z |
| publishDate | 2022-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-ff6be4b9202845a299fdb846e1efa7952024-04-03T12:41:03ZengWileyHealth Science Reports2398-88352022-03-0152n/an/a10.1002/hsr2.524The role of nutrition‐sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation studyTefera Chane Mekonnen0Sisay Eshete Tadesse1Yeshimebet Ali Dawed2Nigus Cherie3Hunegnaw Abebe4Getachew Shumye5Foziya Mohammed6Ahmed Hussien7Nutrition and Dietetics Department School of Public Health, College of Medicine and Health Sciences, Wollo University Dessie EthiopiaNutrition and Dietetics Department School of Public Health, College of Medicine and Health Sciences, Wollo University Dessie EthiopiaNutrition and Dietetics Department School of Public Health, College of Medicine and Health Sciences, Wollo University Dessie EthiopiaReproductive and Family Health Department School of Public Health, College of Medicine and Health Sciences, Wollo University Dessie EthiopiaDepartments of Animal Science College of Agriculture, Wollo University Dessie EthiopiaDepartment of Plant Science College of Agriculture, Wollo University Dessie EthiopiaNutrition and Dietetics Department School of Public Health, College of Medicine and Health Sciences, Wollo University Dessie EthiopiaNutrition and Dietetics Department School of Public Health, College of Medicine and Health Sciences, Wollo University Dessie EthiopiaAbstract Objective The study aimed to investigate the role of nutrition‐sensitive and specific interventions along with nutrition education on child stunting during the first 1000 days in Ethiopia. Methods An adequacy evaluation study was used to see changes between the baseline and end‐line data after following for 1 year. A sample of 170 mother‐child pairs who had a 1‐year followed up was used to detect differences. We performed structural equation modeling to elucidate changes in feeding behaviors, socioeconomic status, water, sanitation and hygiene on child linear growth. Furthermore, the independent effect of covariates on child linear growth was handled using a general linear model. Results A total of 170 and 270 mother‐child dyads were interviewed at baseline and end‐line surveys, respectively. After about 1 year of intervention, the annual rate of stunting prevalence declined from 29.3% (95% confidence interval [CI] = 18.6, 42.7) to 16.4% (95% CI = 10.7, 24.2). There was a significant change in the mean of length‐for‐age Z‐score which changed from −1.18 to −0.45 (P < .034). Adjusting for the different constructs of the health belief model, child sex, age, feeding behaviors, and dietary diversity, one egg consumption per day was responsible for the most significant variability explained (36%) for stunting reduction. Conclusions Sustainable access to egg consumption for children below 2 years experienced a substantial reduction in childhood stunting. A combination of nutrition‐sensitive agricultural and direct nutrition interventions along with behavioral‐based education is a sustainable strategy in reducing and preventing child growth from faltering in the early life stages.https://doi.org/10.1002/hsr2.5241000 daysEthiopiabehavioral changechild‐linear growthegg consumptionnutrition education |
| spellingShingle | Tefera Chane Mekonnen Sisay Eshete Tadesse Yeshimebet Ali Dawed Nigus Cherie Hunegnaw Abebe Getachew Shumye Foziya Mohammed Ahmed Hussien The role of nutrition‐sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation study Health Science Reports 1000 days Ethiopia behavioral change child‐linear growth egg consumption nutrition education |
| title | The role of nutrition‐sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation study |
| title_full | The role of nutrition‐sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation study |
| title_fullStr | The role of nutrition‐sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation study |
| title_full_unstemmed | The role of nutrition‐sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation study |
| title_short | The role of nutrition‐sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation study |
| title_sort | role of nutrition sensitive agriculture combined with behavioral interventions in childhood growth in ethiopia an adequacy evaluation study |
| topic | 1000 days Ethiopia behavioral change child‐linear growth egg consumption nutrition education |
| url | https://doi.org/10.1002/hsr2.524 |
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