A 2-year integrated agriculture and nutrition and health behavior change communication program targeted to women in Burkina Faso reduces anemia, wasting, and diarrhea in children 3–12.9 months of age at baseline: A cluster-randomized controlled trial

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cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.affiliationHelen Keller Internationalen
cg.contributor.affiliationMichigan State Universityen
cg.contributor.crpAgriculture for Nutrition and Healthen
cg.contributor.crpPolicies, Institutions, and Marketsen
cg.contributor.donorBill & Melinda Gates Foundationen
cg.contributor.donorEuropean Unionen
cg.contributor.donorInternational Fund for Agricultural Developmenten
cg.coverage.countryBurkina Fasoen
cg.coverage.iso3166-alpha2BFen
cg.coverage.regionAfricaen
cg.coverage.regionWestern Africaen
cg.creator.identifierDeanna Olney: 0000-0002-2420-8565en
cg.creator.identifierMarie Ruel: 0000-0002-9506-348Xen
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.3945/jn.114.203539en
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Divisionen
cg.identifier.publicationRankA Plusen
cg.isijournalISI Journalen
cg.issn1541-6100en
cg.issue6en
cg.journalJournal of Nutritionen
cg.reviewStatusPeer Reviewen
cg.subject.ilriAGRICULTUREen
cg.subject.ilriDISEASE CONTROLen
cg.subject.ilriHEALTHen
cg.subject.ilriNUTRITIONen
cg.subject.ilriWOMENen
cg.volume145en
dc.contributor.authorOlney, Deanna K.en
dc.contributor.authorPedehombga, A.en
dc.contributor.authorRuel, Marie T.en
dc.contributor.authorDillon, A.en
dc.date.accessioned2024-04-05T13:02:00Zen
dc.date.available2024-04-05T13:02:00Zen
dc.identifier.urihttps://hdl.handle.net/10568/140763
dc.titleA 2-year integrated agriculture and nutrition and health behavior change communication program targeted to women in Burkina Faso reduces anemia, wasting, and diarrhea in children 3–12.9 months of age at baseline: A cluster-randomized controlled trialen
dcterms.abstractBackground: Among young children in Burkina Faso, anemia and chronic and acute undernutrition are widespread. Objective: This study assesses the impact of Helen Keller International's (HKI) 2-y integrated agriculture [homestead food production (HFP)] and nutrition and health behavior change communication (BCC) program, targeted to women, on children's (3–12.9 mo old at baseline) anthropometry (stunting, wasting, and underweight), mean hemoglobin (Hb), anemia (Hb < 11 g/dL), and diarrhea prevalence. Methods: We used a cluster-randomized controlled trial, with 55 villages randomly assigned to a control group (n = 25) or 1 of 2 treatment groups (n = 15 each), which differed by who delivered the BCC messages [older women leaders or health committee (HC) members]. We used difference-in-difference (DID) estimates to assess impacts on child outcomes. Results: We found marginally significant (P < 0.10) impacts on Hb (DID: 0.51 g/dL; P = 0.07) and wasting [DID: −8.8 percentage point (pp); P = 0.08] and statistically significant (P < 0.05) impacts on diarrhea (−15.9 pp; P = 0.00) in HC compared with control villages among children aged 3–12.9 mo and larger impacts for anemia (DID: −14.6 pp; P = 0.03) and mean Hb (DID: 0.74 g/dL; P = 0.03) among younger children (aged 3–5.9 mo). However, we found no significant impacts on stunting or underweight prevalence. Plausibility was supported by greater improvements in women’s agricultural production and maternal infant and young child feeding and care knowledge and practices in HC compared with control villages. Conclusions: HKI’s 2-y integrated HFP+BCC program (HC group) significantly improved several child outcomes, including wasting (marginal), diarrhea, Hb, and anemia, especially among the youngest children. This is the first cluster-randomized controlled trial of an HFP program that documents statistically significant positive effects on these child nutrition outcomes. This trial was registered at clinicaltrials.gov as NCT01825226.en
dcterms.accessRightsOpen Accessen
dcterms.audienceScientistsen
dcterms.bibliographicCitationOlney, D.K., Pedehombga, A., Ruel, M.T. and Dillon, A. 2015. A 2-year integrated agriculture and nutrition and health behavior change communication program targeted to women in Burkina Faso reduces anemia, wasting, and diarrhea in children 3–12.9 months of age at baseline: A cluster-randomized controlled trial. Journal of Nutrition 145(6): 1317-1324.en
dcterms.extentpp. 1317-1324en
dcterms.issued2015-09-15en
dcterms.languageenen
dcterms.licenseCopyrighted; all rights reserveden
dcterms.publisherElsevieren
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/4883en
dcterms.subjectanaemiaen
dcterms.subjectgenderen
dcterms.subjectfood productionen
dcterms.subjectundernutritionen
dcterms.subjecthealthen
dcterms.subjectagricultureen
dcterms.subjectmalnutritionen
dcterms.subjectnutritionen
dcterms.subjectchildrenen
dcterms.subjectdisease controlen
dcterms.subjectwomenen
dcterms.typeJournal Articleen

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