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An Integrated Infant and Young Child Feeding and Small-Quantity Lipid-based Nutrient Supplementation Program Is Associated with Improved Gross Motor and Communication Scores of Children 6–18 Months in the Democratic Republic of Congo
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7 2020
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Source: J Pediatr. 222:154-163
Details:
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Alternative Title:J Pediatr
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Personal Author:
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Description:Background:
Data on effectiveness of an integrated enhanced IYCF and small-quantity lipid nutrient supplements (SQ-LNS) program on child development (CD) indicators in a real-life setting is limited.
Objective:
To evaluate the impact of an IYCF-SQ-LNS intervention on CD scores in children aged 6–18 months in the Katanga Province, Congo (DRC).
Methods:
We analyzed data of 2595 children from 2 HZ in a quasi-experimental with pre- and post-implementation to evaluate program impact on CD. A standard care (SC), was received in the comparison HZ and the intervention HZ got the SC + enhanced IYCF with monthly supply of 28 SQ-LNS sachets for up to 1yr. Program exposure and communication and motor domains of the Ages and Stages questionnaire (ASQ scores) were collected to assess changes in CD. A quasi-intent-to-treat (ITT) and adjusted difference-in-difference (DiD) analyses were used to quantify impact of the enhanced compared to the standard package.
Results:
In adjusted models contrasting endline to baseline, there was a greater relative increase in proportion of children with normal communication [ DiD=+13.7% p<0.001)] and gross motor scores [+7.4 % p<0.001] in the intervention vs comparison HZ. Further, in separate analyses among children of intervention HZ at endline, each additional SQ-LNS distribution was associated with +0.09(95%CI: 0.03–0.16) z-score unit increase in gross motor scores(p <0.01).
Conclusions:
The integrated IYCF-SQ-LNS intervention was positively associated with larger relative improvements in measures of child communication and motor development in the Katanga province of DRC. The findings obtained in this program should be reexamined in different settings.
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Pubmed ID:32122634
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Pubmed Central ID:PMC9396473
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Volume:222
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