Evidence map›Paper›PMID 31694729›Full record

ArticlePublic health nutrition2020

Short-term nutrition and growth indicators in 6-month- to 6-year-old children are improved following implementation of a multidisciplinary community-based programme in a chronic conflict setting.

Hambardzum Simonyan, Aelita Sargsyan, Arin A Balalian, Karapet Davtyan, Himanshu A Gupte

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Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hambardzum SimonyanFund for Armenian Relief of America, Yerevan, Armenia.
Aelita SargsyanFund for Armenian Relief of America, Yerevan, Armenia.
Arin A BalalianColumbia University, Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USA.ORCID 0000-0001-5928-7833
Karapet DavtyanTB Research and Prevention Center NGO, Yerevan, Armenia.ORCID 0000-0003-1583-2590
Himanshu A GupteNarotam Sekhsaria Foundation, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated short- and long-term indicators of malnutrition and diet before and after the community-based 'Breaking the Cycle of Poverty' multidisciplinary intervention.

designA historically and geographically controlled study using data collected in 2013 and 2016. We compared the prevalence of short-term indicators (anaemia, breast-feeding duration and minimum dietary diversity) and long-term indicators (stunting and wasting) in exposed communities at two time points. We then compared these factors in geographic areas exposed or not exposed to intervention. We conducted logistic regression analyses on the 2016 sample to measure associations between living in intervention communities and child growth indicators.

settingBerd region, a chronic conflict zone near the north-eastern border of Armenia and Azerbaijan.

participantsChildren aged 6 months to 6 years.

resultsAnalyses included data from 2013 comprising 382 children, and data from 2016 comprising 348 children living in communities where the programme was implemented, and 635 children from unexposed communities. Anaemia prevalence in exposed communities was significantly lower in 2016 v. 2013 (10·9 v. 19·1 %, P < 0·01). Minimum dietary diversity (79·0 v. 68·1 %, P < 0·001) and breast-feeding duration (13·0 v. 11·5 months, P < 0·002) were significantly improved in exposed communities. Prevalences of stunting (11·5 v. 10·2 %, P = 0·57) and wasting (4·8 v. 2·0 %, P = 0·07) were not significantly different. Odds of anaemia were significantly lower (OR = 0·24, 95 % CI 0·16, 0·36) in intervention communities.

conclusionsExposure to a community-based multidisciplinary intervention reduced the rate of anaemia and improved dietary indicators.

Indexed as

Child DevelopmentAnemiaArmeniaBreast FeedingChildChild Nutrition DisordersChild, PreschoolCommunity Health ServicesDietFemaleGrowth DisordersHealth PromotionHumansInfantLogistic ModelsMaleArmeniaChild growthEvaluationMultidisciplinary interventionStunting

Identifiers

PMID31694729
PMCPMC6958560

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