ArticleInternational journal of epidemiology2010
An adequacy evaluation of a 10-year, four-country nutrition and health programme.
Article in International journal of epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Evidence on Strategies for Integrating Nutrition Interventions with Health and Immunization Systems in Conflict-affected Areas of Low- and Lower-middle-income Settings-A Systematic Review.Nutrition reviews · 2025Pooled it
- Interventions to improve infant and young child feeding practices in Ethiopia: a systematic review.BMJ open · 2021Pooled it
- Before and after study of a national complementary and supplementary feeding programme in Rwanda, 2017-2021.Maternal & child nutrition · 2024Article
- Design, Methods, and Select Baseline Results from a School Nutrition Project for Adolescents in Bangladesh.Current developments in nutrition · 2023Article
- Anaemia among women of reproductive age in selected sub-Saharan African countries: multivariate decomposition analyses of the demographic and health surveys data 2008-2018.Frontiers in public health · 2023Article
- Best practices and opportunities for integrating nutrition specific into nutrition sensitive interventions in fragile contexts: a systematic review.BMC nutrition · 2021Article
- Repurposing NGO data for better research outcomes: a scoping review of the use and secondary analysis of NGO data in health policy and systems research.Health research policy and systems · 2020Article
- A scoping review of social-behaviour change techniques applied in complementary feeding interventions.Maternal & child nutrition · 2020Article
- Integrating nutrition into health systems: What the evidence advocates.Maternal & child nutrition · 2019Review
- Needs and Barriers of Teen Mothers in Rural Eastern Uganda: Stakeholders' Perceptions Regarding Maternal/Child Nutrition and Health.International journal of environmental research and public health · 2018Article
- Multiple-micronutrient supplementation: Evidence from large-scale prenatal programmes on coverage, compliance and impact.Maternal & child nutrition · 2018Article
- Milk Other Than Breast Milk and the Development of Asthma in Children 3 Years of Age. A Birth Cohort Study (2006⁻2011).Nutrients · 2018Article
- Can an integrated approach reduce child vulnerability to anaemia? Evidence from three African countries.PloS one · 2014Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvaluations of large-scale health and nutrition programmes in developing countries are needed for determining the effectiveness of interventions. This article critically analyses a non-governmental organization (NGO)-led large-scale, multi-country, 10-year micronutrient and health (MICAH) programme with an 'adequacy evaluation', that is, a documentation of time trends in the expected direction.
methodsMICAH was implemented from 1996 to 2005 in selected areas of Ethiopia, Ghana, Malawi and Tanzania, reaching >6 million people with numerous health and nutrition interventions. Coverage and impact were monitored through surveys at baseline, midpoint and end of funding. The data were subjected to post-hoc methods of quality determination, and, if of suitable quality, included in the adequacy evaluation.
resultsMost collected data were of moderate or high quality and therefore included in the adequacy evaluation. There were moderate to large improvements in vitamin A status in Ethiopian school-age children, children <5 years of age in Tanzania and Ghana and mothers in Ghana. Iodine status improved in Malawi and Tanzania. Anaemia rates and malaria prevalence decreased in women, pregnant women and pre-school children in Ghana, Malawi and Tanzania, but anaemia increased in Ethiopian women. Large increases were reported for rates of exclusive breastfeeding and immunization. Child growth improved to the maximum that would be predicted with the given interventions.
conclusionsNumerous nutrition and health impacts were observed in the intervention areas, often of a magnitude equal to or larger than observed in controlled interventions or trials. These results show the value of integrated long-term interventions.
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