An agriculture–nutrition intervention improved children's diet and growth in a randomized trial in Ghana

Show simple item record Marquis, G.S. Colecraft, E.K. Kanlisi, R. Aidam, B.A. Atuobi-Yeboah, A. Pinto, C. Aryeetey, R. 2019-06-26T12:00:36Z 2019-06-26T12:00:36Z 2018-10
dc.description.abstract Stunting in Ghana is associated with rural communities, poverty, and low education; integrated agricultural interventions can address the problem. This cluster randomized controlled trial tested the effect of a 12-month intervention (inputs and training for poultry farming and home gardening, and nutrition and health education) on child diet and nutritional status. Sixteen clusters were identified and randomly assigned to intervention or control; communities within clusters were randomly chosen, and all interested , eligible mother-child pairs were enrolled (intervention: 8 clusters, 19 communities, and 287 households; control: 8 clusters, 20 communities, and 213 households). Intention to treat analyses were used to estimate the effect of the intervention on endline minimum diet diversity (≥4 food groups), consumption of eggs, and length-forage (LAZ)/height-forage (HAZ), weight-forage (WAZ), and weight-for-length (WLZ)/ weight-for-height (WHZ) z-scores; standard errors were corrected for clustering. Children were 10.5 ± 5.2 months (range: 0-32) at baseline and 29.8 ± 5.4 months (range: 13-48) at endline. Compared with children in the control group, children in the intervention group met minimum diet diversity (adjusted odds ratio = 1.65, 95% CI [1.02, 2.69]) and a higher LAZ/HAZ (β = 0.22, 95% CI [0.09, 0.34]) and WAZ (β = 0.15, 95% CI [0.00, 0.30]). Sensitivity analyses with random-effects and mixed-effects models and as-treated analysis were consistent with the findings. There was no group difference in WLZ/WHZ. Integrated interventions that increase access to high-quality foods and nutrition education improve child nutrition. en_US
dc.language.iso en en_US
dc.publisher Maternal and Child Nutrition en_US
dc.subject Agriculture en_US
dc.subject Dietary diversity en_US
dc.subject Length-for-age en_US
dc.subject Nutrition education en_US
dc.subject Poultry en_US
dc.subject Weight-for-age en_US
dc.title An agriculture–nutrition intervention improved children's diet and growth in a randomized trial in Ghana en_US
dc.type Article en_US

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