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AuthorFazid, Sheraz
AuthorHaq, Zia Ul
AuthorGillani, Basharat Hussain
AuthorKhan, Abdul Jalil
AuthorKhan, Muhammad Naseem
AuthorKhan, Aslam
AuthorGarzon, Cecilia
AuthorHabib, Ijaz
AuthorTanimoune, Mahamadou
AuthorIhtesham, Yasir
AuthorHeald, Adrian H.
Available date2024-05-21T08:14:32Z
Publication Date2023-11-28
Publication NameBritish Journal of Nutrition
Identifierhttp://dx.doi.org/10.1017/S0007114523002702
CitationFazid, S., Haq, Z. U., Gillani, B. H., Khan, A. J., Khan, M. N., Khan, A., ... & Heald, A. H. (2024). Effectiveness of locally produced ready-to-use supplementary foods on the prevention of stunting in children aged 6–23 months: a community-based trial from Pakistan. British Journal of Nutrition, 131(7), 1189-1195.
ISSN0007-1145
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85179460663&origin=inward
URIhttp://hdl.handle.net/10576/55225
AbstractUndernutrition is a major public health problem in developing countries. Around 40·2 % of children are stunted in Pakistan. This longitudinal study aimed to assess the effectiveness of locally produced ready-to-use supplementary foods in the prevention of stunting by detecting change in of children in intervention v. control arm against the 2006 WHO growth reference. A community-based non-randomised cluster-controlled trial was conducted from January 2018 to December 2020 in the district of Kurram, Khyber Pakhtunkhwa, Pakistan. A total of 80 clusters (each cluster comprising ≈ 250-300 households) were defined in the catchment population of twelve health facilities. Children aged 6-18 months were recruited n 1680. The intervention included a daily ration of 50 g - locally produced ready-to-use-supplementary food (Wawa-Mum). The main outcome of this study was a change in length for age z-score (LAZ) v. WHO growth standards. Comparison between the interventions was by t test and ANOVA. Cox proportional hazard models were used to assess the association between stunting occurrence and the utilisation of locally produced supplement. Out of the total 1680, fifty-one out of the total 1680, 51·1 out of the total 1680 and 51·1 % (n 859) were male. Mean age 13·9 months (sd + 859) were male. Mean age 13·9 months (sd + -4·4). At baseline, 36·9 % (n 618) were stunted. In the intervention group, mean LAZ score significantly increased from -1·13(2·2 sd) at baseline to -0·93(1·8 sd) at 6-month follow-up (P value 0·01) compared with the control group. The incidence rate of stunting in the intervention arm was 1·3 v. 3·4 per person year in the control arm. The control group had a significantly increased likelihood of stunting (Hazard Ratio (HR) 1·7, 95 % CI 1·46, 2·05, P value < 0·001) v. the intervention group. Locally produced ready-to-use supplementary food is an effective intervention for reducing stunting in children below 2 years of age. This can be provided as part of a malnutrition prevention package to overcome the alarming rates of stunting in Pakistan.
Languageen
PublisherCambridge University Press
SubjectChildren
Community
Length-for-age Z score
Malnutrition
Pakistan
Stunting
TitleEffectiveness of locally produced ready-to-use supplementary foods on the prevention of stunting in children aged 6-23 months: A community-based trial from Pakistan
TypeArticle
Pagination1189-1195
Issue Number7
Volume Number131
ESSN1475-2662
dc.accessType Open Access


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