A multi-sectoral community development intervention has a positive impact on diet quality and growth in school-age children in rural Nepal

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cg.authorship.typesCGIAR and advanced research instituteen
cg.authorship.typesCGIAR single centreen
cg.contributor.affiliationTufts Universityen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.affiliationHeifer Internationalen
cg.contributor.donorUnited States Agency for International Developmenten
cg.contributor.donorCGIAR Trust Funden
cg.contributor.initiativeSustainable Healthy Diets
cg.coverage.countryNepal
cg.coverage.iso3166-alpha2NP
cg.coverage.regionAsia
cg.coverage.regionSouthern Asia
cg.creator.identifierSumanta Neupane: 0000-0003-2977-0896
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1111/mcn.13637en
cg.identifier.projectIFPRI - Nutrition, Diets, and Health Unit
cg.identifier.projectIFPRI - Feed the Future
cg.identifier.publicationRankA
cg.isijournalISI Journalen
cg.issn1740-8695en
cg.issue3en
cg.journalMaternal and Child Nutritionen
cg.reviewStatusPeer Reviewen
cg.subject.actionAreaSystems Transformation
cg.subject.impactAreaNutrition, health and food security
cg.volume20en
dc.contributor.authorMiller, Laurie C.en
dc.contributor.authorNeupane, Sumantaen
dc.contributor.authorJoshi, Neenaen
dc.contributor.authorLohani, Mahendraen
dc.date.accessioned2024-03-21T20:19:53Zen
dc.date.available2024-03-21T20:19:53Zen
dc.identifier.urihttps://hdl.handle.net/10568/140554
dc.titleA multi-sectoral community development intervention has a positive impact on diet quality and growth in school-age children in rural Nepalen
dcterms.abstractPoor diet quality (diet diversity and animal-source food [ASF] consumption) during childhood negatively affects growth, development, behaviour and physiologic function in later life. Relatively less is known about the impact of poor diet on the growth of school-age children compared to children <5 years of age, especially in low/middle-income countries. A better understanding of delivery strategies for effective interventions to improve diet and hence growth in school-age children is needed. A 36-month longitudinal controlled impact evaluation in rural Nepal assessed the nutrition and growth of children <5 years of age in families assigned via community clusters to full package intervention (community development, training in nutrition [during pregnancy and for children <5 years] and livestock husbandry), partial package (training only) or control (no inputs). Concurrent data were collected prospectively (baseline plus additional four rounds) on school-age children (5–8 years at baseline) in these households; the present study analysed findings in the cohort of school-age children seen at all five study visits (n = 341). Diet quality improved more in the full package school-age children compared to those in partial package or control households. full package children consumed more ASF (β +0.40 [CI 0.07,0.73], p < 0.05), more diverse diets (β +0.93 [CI 0.55,1.31], p < 0.001) and had better head circumference z-scores (β +0.21 [CI 0.07,0.35], p < 0.01) than control children. In conclusion, a multi-sectoral community development intervention was associated with improvements in diet and growth of school-age children in rural Nepal even though the intervention focused on the diet of children <5 years of age. The diet and growth of school-age children can be favourably influenced by community-level interventions, even indirectly.en
dcterms.accessRightsOpen Access
dcterms.audienceAcademicsen
dcterms.available2024-03-15
dcterms.bibliographicCitationMiller, Laurie C.; Neupane, Sumanta; Joshi, Neena; and Lohani, Mahendra. 2024. A multi-sectoral community development intervention has a positive impact on diet quality and growth in school-age children in rural Nepal. Maternal and Child Nutrition 20(3). First published online March 15, 2024. https://doi.org/10.1111/mcn.13637en
dcterms.issued2024-07-01
dcterms.languageen
dcterms.licenseCC-BY-NC-ND-4.0
dcterms.publisherWileyen
dcterms.relationhttps://doi.org/10.1017/S136898001900260Xen
dcterms.subjectcommunity developmenten
dcterms.subjectdiet qualityen
dcterms.subjectgrowthen
dcterms.subjectrural communitiesen
dcterms.subjectschoolchildrenen
dcterms.subjectanimal source foodsen
dcterms.subjectchild growthen
dcterms.subjectdietary diversityen
dcterms.subjectnutritionen
dcterms.typeJournal Article

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