Influence of care group participation on infant and young child feeding, dietary diversity, WASH behaviours and nutrition outcomes in rural Zimbabwe

IF 3.3 Q2 NUTRITION & DIETETICS BMJ Nutrition, Prevention and Health Pub Date : 2023-09-14 DOI:10.1136/bmjnph-2023-000627
Tonderayi Mathew Matsungo, Faith Kamazizwa, Tafadzwa Mavhudzi, Starlet Makota, Blessing Kamunda, Calvin Matsinde, Dexter Chagwena, Kudzai Mukudoka, Prosper Chopera
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Abstract

Background The care group approach (CGA) is a community-based nutrition behaviour change strategy centred on ‘peer-to-peer learning’ through women support groups. Objective To assess the impact of the CGA on the adoption of appropriate infant and young child feeding (IYCF), dietary diversity and water, sanitation and hygiene (WASH) practices, and associated nutrition-related outcomes. Methods A retrospective cohort study used a mixed-method approach in selected rural districts in Zimbabwe in June 2022. A structured questionnaire was used to collect data on IYCF, diet quality, WASH and child morbidity. Binary logistic regression was used to evaluate the association between exposure and outcome. Significance was at p<0.05. Results A total of 127 exposed and 234 controls were enrolled. There was no significant difference between exposed and controls on the prevalence of; diarrhoea (p = 0.659), cough (p=0.191) and fever (p=0.916). No significant difference was observed in the proportion ever breastfed (p=0.609), Children with Adequate Dietary Diversity Score (p=0.606) across the two groups. However, the proportion of families with adequate Household Dietary Diversity Score (HDDS) (p=0.005) and Minimum Dietary Diversity for Women (MDD-W) (p=0.009) were significantly higher in exposed than controls. Knowledge on all promoted behaviours was significantly higher in the exposed than in controls with the exception of exclusive breast feeding. While the practices were significantly higher in exposed compared with controls for: ‘Appropriate complementary feeding for children aged 6–24 months’ (p=0.001), ‘good nutrition for women of reproductive age’ (p=0.001), ‘production and consumption of diverse nutritious food’ (p=0.001) and ‘production and consumption of biofortified crops’ (p=0.001). Conclusions The results showed that CGA potential to increase knowledge and achieve nutrition and health-related behaviour change in low-income settings if integrated into existing community programmes. Interestingly, HDDS and MDD-W were significantly higher in exposed than controls. However, more research is required to obtain conclusive results.
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护理小组参与对津巴布韦农村婴幼儿喂养、饮食多样性、讲卫生行为和营养结果的影响
护理小组方法(CGA)是一种以社区为基础的营养行为改变战略,其核心是通过妇女支持小组进行“同伴对同伴学习”。目的评估CGA对采用适当婴幼儿喂养(IYCF)、饮食多样性和水、环境卫生和个人卫生(WASH)做法以及相关营养相关结果的影响。方法于2022年6月在津巴布韦选定的农村地区采用混合方法进行回顾性队列研究。采用结构化问卷收集有关IYCF、饮食质量、WASH和儿童发病率的数据。使用二元逻辑回归来评估暴露与结果之间的关系。p < 0.05。结果共纳入暴露者127例,对照组234例。暴露组与对照组之间的患病率无显著差异;腹泻(p= 0.659)、咳嗽(p=0.191)、发热(p=0.916)。两组的母乳喂养比例(p=0.609)和饮食多样性充足儿童评分(p=0.606)无显著差异。然而,家庭膳食多样性评分(HDDS) (p=0.005)和女性最低膳食多样性评分(MDD-W) (p=0.009)充足的家庭比例在暴露组中显著高于对照组。除纯母乳喂养外,接触者对所有促进行为的了解明显高于对照组。与对照组相比,“为6-24个月的儿童提供适当的补充喂养”(p=0.001)、“为育龄妇女提供良好的营养”(p=0.001)、“生产和消费多种营养食品”(p=0.001)和“生产和消费生物强化作物”(p=0.001)的做法明显更高。结论:研究结果表明,如果将CGA纳入现有的社区方案,它有可能增加低收入环境的知识,并实现营养和健康相关行为的改变。有趣的是,暴露组的hdd和MDD-W明显高于对照组。然而,要获得结论性的结果,还需要更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Nutrition, Prevention and Health
BMJ Nutrition, Prevention and Health Nursing-Nutrition and Dietetics
CiteScore
5.80
自引率
0.00%
发文量
34
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