{"id":20588,"date":"2016-05-01T00:00:00","date_gmt":"2018-12-03T19:37:48","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/a-2-year-integrated-agriculture-and-nutrition-program-targeted\/"},"modified":"2018-12-03T20:37:48","modified_gmt":"2018-12-03T19:37:48","slug":"a-2-year-integrated-agriculture-and-nutrition-program-targeted","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/a-2-year-integrated-agriculture-and-nutrition-program-targeted\/","title":{"rendered":"A 2-Year Integrated Agriculture and Nutrition Program Targeted to Mothers of Young Children in Burkina Faso Reduces Underweight among Mothers and Increases Their Empowerment: A Cluster-Randomized Controlled Trial."},"content":{"rendered":"<p style=\"text-align:justify\"><strong>BACKGROUND<\/strong><br \/>\nRecent evidence demonstrates the benefits of integrated agriculture and nutrition programs for children&#039;s health and nutrition outcomes. These programs may also improve mothers&#039; nutrition and empowerment outcomes. However, evidence from rigorous evaluations is scarce.<\/p>\n<p style=\"text-align:justify\"><strong>OBJECTIVE<\/strong><br \/>\nWe examined impacts of Helen Keller International&#039;s 2-y enhanced-homestead food production (E-HFP) program in Burkina Faso on the secondary impact measures of mothers&#039; nutrition and empowerment.<\/p>\n<p style=\"text-align:justify\"><strong>METHODS<\/strong><br \/>\nWe used a cluster-randomized controlled trial whereby 55 villages with 1767 mothers of young children were randomly assigned to 3 groups: 1) control, 2) E-HFP with the behavior change communication (BCC) strategy implemented by older women leaders, or 3) E-HFP with BCC implemented by health committee members. Data for the treatment groups were pooled for this analysis because no differences were found between the 2 groups in key mothers&#039; outcomes. We used difference-in-differences (DID) estimates to assess impacts on mothers&#039; dietary intake, diversity, body mass index (BMI; in kg\/m(2)), prevalence of underweight (BMI &lt;18.5), and empowerment.<\/p>\n<p style=\"text-align:justify\"><strong>RESULTS<\/strong><br \/>\nThe E-HFP program significantly increased mothers&#039; intake of fruit (DID = 15.8 percentage points; P = 0.02) and marginally increased their intake of meat\/poultry (DID = 7.5 percentage points; P = 0.08) and dietary diversity (DID = 0.3 points; P = 0.08). The prevalence of underweight was significantly reduced among mothers in treatment compared with control villages by 8.7 percentage points (P &lt; 0.01). Although the changes in BMI did not differ between mothers in treatment and control villages, there was a marginally significant interaction (baseline underweight &times; change in BMI; P-interaction = 0.07), indicating that underweight mothers had a greater increase in BMI than did mothers who were not underweight. The E-HFP program also positively affected mothers&#039; overall empowerment score (DID = 3.13 points out of 37 possible points; P &lt; 0.01) and 3 components of empowerment: meeting with women (DID = 1.21 points out of 5 possible points; P &lt; 0.01), purchasing decisions (DID = 0.86 points out of 8 possible points; P = 0.01), and health care decisions (DID = 0.24 points out of 2 possible points; P = 0.05).<\/p>\n<p style=\"text-align:justify\"><strong>CONCLUSIONS<\/strong><br \/>\nHelen Keller International&#039;s E-HFP program in Burkina Faso substantially improved mothers&#039; nutrition and empowerment outcomes. These positive impacts benefit the mothers themselves and may also improve their ability to care for their children. This trial was registered at clinicaltrials.gov as NCT01825226.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-20588","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Poverty Health and Nutrition Division, International Food Policy Research Institute, Washington, DC; d.olney@cgiar.org.","annee":"2016","mois":"5","numero":"146:5","page":"1109-17","auteurs":[{"ID":1920,"post_author":"0","post_date":"2018-12-03 16:50:39","post_date_gmt":"2018-12-03 15:50:39","post_content":"","post_title":"Deanna K Olney","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"deanna-k-olney","to_ping":"","pinged":"","post_modified":"2018-12-03 16:50:39","post_modified_gmt":"2018-12-03 15:50:39","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/deanna-k-olney\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1921,"post_author":"0","post_date":"2018-12-03 16:50:40","post_date_gmt":"2018-12-03 15:50:40","post_content":"","post_title":"Lilia Bliznashka","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"lilia-bliznashka","to_ping":"","pinged":"","post_modified":"2018-12-03 16:50:40","post_modified_gmt":"2018-12-03 15:50:40","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/lilia-bliznashka\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":20585,"post_author":"0","post_date":"2018-12-03 20:37:46","post_date_gmt":"2018-12-03 19:37:46","post_content":"","post_title":"Abdoulaye Pedehombga","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"abdoulaye-pedehombga","to_ping":"","pinged":"","post_modified":"2018-12-03 20:37:46","post_modified_gmt":"2018-12-03 19:37:46","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/abdoulaye-pedehombga\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":20586,"post_author":"0","post_date":"2018-12-03 20:37:47","post_date_gmt":"2018-12-03 19:37:47","post_content":"","post_title":"Andrew Dillon","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"andrew-dillon","to_ping":"","pinged":"","post_modified":"2018-12-03 20:37:47","post_modified_gmt":"2018-12-03 19:37:47","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/andrew-dillon\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1922,"post_author":"0","post_date":"2018-12-03 16:50:40","post_date_gmt":"2018-12-03 15:50:40","post_content":"","post_title":"Marie T Ruel","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"marie-t-ruel","to_ping":"","pinged":"","post_modified":"2018-12-03 16:50:40","post_modified_gmt":"2018-12-03 15:50:40","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/marie-t-ruel\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":20587,"post_author":"0","post_date":"2018-12-03 20:37:48","post_date_gmt":"2018-12-03 19:37:48","post_content":"","post_title":"Jessica Heckert","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"jessica-heckert","to_ping":"","pinged":"","post_modified":"2018-12-03 20:37:48","post_modified_gmt":"2018-12-03 19:37:48","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/jessica-heckert\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":1924,"post_author":"0","post_date":"2018-12-03 16:50:41","post_date_gmt":"2018-12-03 15:50:41","post_content":"","post_title":"The Journal of nutrition","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"the-journal-of-nutrition","to_ping":"","pinged":"","post_modified":"2018-12-03 16:50:41","post_modified_gmt":"2018-12-03 15:50:41","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/the-journal-of-nutrition\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - 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