Trial reportPublic health nutrition2020
Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone.
Trial report in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of growth monitoring and promotion on health indicators in children under five years of age in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation.The Cochrane database of systematic reviews · 2021Pooled it
- Effect of nutrition-sensitive agriculture interventions with participatory videos and women's group meetings on maternal and child nutritional outcomes in rural Odisha, India (UPAVAN trial): a four-arm, observer-blind, cluster-randomised controlled trial.The Lancet. Planetary health · 2021Trial
- Building a rights-based approach to nutrition for women and children: harnessing the potential of women's groups and rights-based organizations in South Asia.Frontiers in public health · 2025Article
- A multi-sectoral community development intervention has a positive impact on diet quality and growth in school-age children in rural Nepal.Maternal & child nutrition · 2024Article
- Social capital and healthy eating among two ethnic minority groups in Yunnan Province, Southwest China: the mediating role of social support and nutrition knowledge.Frontiers in nutrition · 2024Article
- Effects of nutritional interventions on the physical development of preschool children: a systematic review and meta-analysis.Translational pediatrics · 2023Article
- Challenges and Stakeholders' Views on Achievements of Multi-Sectoral Governance in Improving Child Nutrition in Buhigwe District, Tanzania.The East African health research journal · 2023Article
- Translating Multisectoral Nutrition Policy into Community Practice: Participation of Nutrition Officers in Tanzania Fosters Effective Collaborative Strategies to Improve Child Nutrition.Current developments in nutrition · 2022Article
- Qualitative evidence for improved caring, feeding and food production practices after nutrition-sensitive agriculture interventions in rural Vietnam.Agriculture & food security · 2022Article
- Maternal depression is associated with less dietary diversity among rural Nepali children.Maternal & child nutrition · 2021Article
- Social capital and dietary patterns in three ethnic minority groups native to Yunnan Province, Southwest China.PloS one · 2021Article
- Diet quality over time is associated with better development in rural Nepali children.Maternal & child nutrition · 2020Article
- Multisectoral community development in Nepal has greater effects on child growth and diet than nutrition education alone - CORRIGENDUM.Public health nutrition · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the impact on child diet and growth of a multisectoral community intervention v. nutrition education and livestock management training alone.
designLongitudinal community-based randomized trial involving three groups of villages assigned to receive: (i) Full Package community development activities, delivered via women's groups; (ii) livestock training and nutrition education alone (Partial Package); or (iii) no intervention (Control). Household surveys, child growth monitoring, child and household diet quality measures (diet diversity (DD), animal-source food (ASF) consumption) were collected at five visits over 36 months. Mixed-effect linear regression and Poisson models used survey round, treatment group and group-by-round interaction to predict outcomes of interest, adjusted for household- and child-specific characteristics.
settingBanke, Nepal.
participantsHouseholds (n 974) with children aged 1-60 months (n 1333).
resultsChildren in Full Package households had better endline anthropometry (weight-for-age, weight-for-height, mid-upper-arm-circumference Z-scores), DD, and more consumption of ASF, after adjusting for household- and child-specific characteristics. By endline, compared with Partial Package or Control groups, Full Package households demonstrated preferential child feeding practices and had significantly more improvement in household wealth and hygiene habits.
conclusionsIn this longitudinal study, a comprehensive multisectoral intervention was more successful in improving key growth indicators as well as diet quality in young children. Provision of training in livestock management and nutrition education alone had limited effect on these outcomes. Although more time-consuming and costly to administer, incorporating nutrition training with community social capital development was associated with better child growth and nutrition outcomes than isolated training programmes alone.
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