A four-year mixed family- and community-based growth moni-toring and promotion program for children with undernutrition up to five years in Cambodia. 公开

Abstract

Undernutrition of children is a major public health problem in developing countries. Children especially under 1 year suffering from undernutrition have physical and neurological consequences. Growth monitoring and promotion program has been designed for decades to tackle this issue in developing countries. However, the prevalences of undernutrition in developing countries are still challenging, nevertheless.

We conducted a comprehensive community-based growth monitoring and promotion program targeting children under five years in a Cambodian rural village from 2016 through 2019. This program was equipped with a hybrid of full-time health workers and community volunteers. Through ample workforce capacity, we provided nutrition education sessions in a small group setting, family-centered nutrition counseling, and frequent anthropometric measurements. Instead of a cross-sectional approach, we used multi-level growth modeling to analyze our longitudinal z scores for height-for-age and weight-for-age. We dichotomized our children into two groups for comparison: under one year and above one year. 

  The result showed that growth trajectory of children under one year was different from growth patterns normally observed in developing countries. We also found that a longer duration of growth monitoring and promotion program was related to a better nutrition outcome.

Table of Contents

Introduction 1.

Method

Setting 5.

Nutrition education sessions and interventions 6.

Interventions 7.

Anthropometric measurements 8.

Collection of Demographic information 8.

Statistical methods 9.

Results 12.

Figure 1. 15.

Figure 2. 16.

Figure 3. 17.

Figure 4. 18.

Discussion 19.

References 25. 

Table 1. 29.

Table 2. 30.

Table 3. 31.

Table 4. 32.

Table 5. 33.

           

 

About this Master's Thesis

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School	Rollins School of Public Health
Department	Executive Masters of Public Health - MPH
Subfield / Discipline	Applied Epidemiology
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Epidemiology Health Sciences, Public Health Health Sciences, Nutrition
关键词	Family-based intervention Under 5 years' children Cambodia Community-based intervention Growth monitoring and promotion
Committee Chair / Thesis Advisor	Chiou, Yee-Hsuan, Kaohsiung Veterans General Hospital Stein, Aryeh, Emory University

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