Poster Child for Healthy Growth Simple, low-cost growth charts can - - PowerPoint PPT Presentation

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Poster Child for Healthy Growth Simple, low-cost growth charts can - - PowerPoint PPT Presentation

Jan 19, 2024 403 likes •548 views

Poster Child for Healthy Growth Simple, low-cost growth charts can reduce stunting. Carlos Acero Primary Investigators: Gnther Fink, Rachel Levenson, Peter Country Director, IPA Zambia cacero@poverty-action.org Rockers, and Sarah

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Poster Child for Healthy Growth

​Carlos Acero ​Country Director, IPA Zambia ​cacero@poverty-action.org

Simple, low-cost growth charts can reduce stunting. Primary Investigators: Günther Fink, Rachel Levenson, Peter Rockers, and Sarah Tembo

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  • In-home growth charts reduced stunting among previously

malnourished children by 22 percentage points.

  • Community-based growth monitoring, in contrast, did not

produce significant improvements.

  • Neither program was found to impact cognitive development.
  • Growth charts appear to be a cost-effective tool for reducing

stunting.

Summary

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  • Chronic malnutrition has adverse long-term effects on cognitive, physical

and mental development

  • Stunting is pervasive
  • Up to 45% of children in Zambia
  • Progress limited, particularly in rural areas
  • 2011 National Food and Nutrition Strategic Plan
  • What could limit progress?
  • Lack of parental knowledge about stunting
  • Lack of tools for parents to assess child’s growth
  • Lack of household resources

Child stunting is pervasive

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Growth Charts

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  • Easy-to-use growth chart

installed in homes

  • Locally developed and

tested a few versions

  • Separate poster for boys

and for girls

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Community Meetings

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​Three rounds of meetings ​Study team implemented four activities at meetings:

1. Community sensitization on malnutrition 2. Measurement of height, weight, and MUAC 3. Distribution of protein (Yummy Soy) supplements to stunted children younger than 30 months old 4. Refer children with acute malnutrition to health center

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Sample – 547 Children, 6-24 months old

Control Group Community Meetings P=1/3 P=1/3 P=1/3 Posters

Study Design

IPA worked with researchers to test these two interventions.

  • Different methods of disseminating knowledge
  • Different tools for assessing growth
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  • 127 rural, subsistence farming communities in Chipata District
  • 2014-2015
  • To assess impact on stunting: measured impacts on children’s

height-for-age and overall development

  • To assess impact on parental behavior: administered a detailed

food questionnaire for parents about child’s consumption

Evaluation Details

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​In-home growth charts improved growth among malnourished children, reducing stunting by 22 percentage points. ​Community-based growth monitoring with nutritional supplements, on the other hand, did not have significant impacts.

Results

​Impacts on Stunting

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  • Neither program was found to impact children’s cognitive

development.

  • These benefits may still occur over a longer timeframe than the study covered.
  • Caregivers in both groups reported feeding their children more

protein-rich foods than caregivers in the comparison group.

  • The growth charts program achieved larger impacts on all observed behaviors.
  • Parental aspirations may have played a role.

Impacts on Child Development and Parent Behavior

Results

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Growth charts appear to be a cost- effective tool for reducing stunting. For every dollar that was invested in growth charts, children who otherwise would have been stunted gained an estimated $22 in additional lifetime wages.

A Cost-Effective Program

Return on investment calculated from Fink, G., Peet, E., Danaei, G., Andrews, K., Charles McCoy, D., Sudfeld, C. R., Smith, M., Ezzati, M., Fawzi,

  • W. W. 2016. “Schooling and wage income losses due to early-childhood

growth faltering in developing countries national, regional, and global estimates." American Journal of Clinical Nutrition, 104 no. 1 (July): 104-12.

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Policy Lessons

  • Growth charts installed in homes appear to be a

cost-effective tool to reduce stunting in Zambia, and should be evaluated at scale.

  • Further studies are needed to determine

whether this intervention would work elsewhere.

  • More research is needed on longer run impacts.
  • To what extent do impacts last during lean season?
2 year 6 months __________ 2 years 3 months _________ 2 years _________ 1 year 9 months _________ 1 year 6 months _________ 1 year 3 months _________ 1 year _________ 9 months _________

Ngati mwana wanu ali mugawo lofiira, chonde pitani naye ku chipatala chili pafupi ndi inu kapena munga tume lamya ku IPA Zambia pa nambala iyi 0976703901.

65 60 55 155 150 90 85 80 75 70 120 115 110 105 100 95 145 140 135 130 125

Satilani kakulidwe ka mwana kuti afike pa muyeso wake

Kumbukani:

  • Nthawi zonse muyenera kusewenzesa ufa wa mgaiwa

kudyesa mwana wanu

  • Mwana wa thanzi ayenera kudya kanai kufikira kasanu (4-5)

pa tsiku

  • Ana a thanzi ndi mphavu ayenera zolimbitsa thupi, zomwe

apezamo muzakudya monga nsomba, nyama,mazira kapena soya beans

Sebenzesani zakudya zosiyana-siyana zomwe zipezeka kuno kwanu monga ndiwo za masamba, kapenta, kayela, shawa, kachamba, chinangwa, mapila, mpunga, mkaka wa fresh kapena mawisi, zipaso ndi mafuta ophikila.
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Thank you

poverty-action.org This project was funded by the Bill & Melinda Gates Foundation.