This study evaluated integrating the delivery of seasonal malaria chemoprevention (SMC) with nutritional supplementation in northern Nigeria. Children ages 6-24 months in intervention areas received SMC (SP-AQ) along with lipid-based nutritional supplements (LNS), while comparison areas received only SMC. The study found that bundling LNS with SMC campaigns did not positively or negatively impact coverage, adherence, or malnutrition outcomes. Both groups saw reductions in stunting and underweight over time, likely due to seasonality rather than the interventions. The authors conclude that while integration was not costly, LNS was too expensive and alternative, less resource-intensive interventions should be explored.
Factors Associated with Growth in the First 1,000 Days CHECKLEYCORE Group
CORE Group GHPC15
October 8, 2015
Concurrent Session: Factors Associated with Growth in the First 1,000 Days: Translating Evidence into Programs for Stunting, Wasting, and the Double Burden of Malnutrition
Integrating nutrition into national HIV policies and programs: experience fro...RENEWAL-IFPRI
Presented at RENEWAL’s Satellite Session "Nutrition Security, Social Protection and HIV: Operationalizing Evidence for Programs in Africa" at the XVIII International AIDS Conference. By Pamela Fergusson
paediatric Nutrition in kapkatet district hospitalcheruiyot sambu
kapkatet district hospital is one of the best in the country (kenya) and it is situated in kericho county. paediatrict nutrition team is lead by sambu cheruiyot with MSCN, BSCN and BCN.
The Pregnancy Microbiome: The Link Between Maternal Periodontitis and Adverse...Crimsonpublishers-IGRWH
The Pregnancy Microbiome: The Link Between Maternal Periodontitis and Adverse Pregnancy Outcomes: Opinion by Irosha Rukmali Perera in Gynecology journal
Factors Associated with Growth in the First 1,000 Days CHECKLEYCORE Group
CORE Group GHPC15
October 8, 2015
Concurrent Session: Factors Associated with Growth in the First 1,000 Days: Translating Evidence into Programs for Stunting, Wasting, and the Double Burden of Malnutrition
Integrating nutrition into national HIV policies and programs: experience fro...RENEWAL-IFPRI
Presented at RENEWAL’s Satellite Session "Nutrition Security, Social Protection and HIV: Operationalizing Evidence for Programs in Africa" at the XVIII International AIDS Conference. By Pamela Fergusson
paediatric Nutrition in kapkatet district hospitalcheruiyot sambu
kapkatet district hospital is one of the best in the country (kenya) and it is situated in kericho county. paediatrict nutrition team is lead by sambu cheruiyot with MSCN, BSCN and BCN.
The Pregnancy Microbiome: The Link Between Maternal Periodontitis and Adverse...Crimsonpublishers-IGRWH
The Pregnancy Microbiome: The Link Between Maternal Periodontitis and Adverse Pregnancy Outcomes: Opinion by Irosha Rukmali Perera in Gynecology journal
What is the epidemiological evidence linking early life events and cancer risk and what are the potential critical windows for cancer prevention?
By Professor Ricardo Uauy, University of Chile, London School of Hygiene and Tropical Medicine
World Cancer Congress, Saturday 6 December 2014
ACTIVE TB CASE FINDINGS IN SCHOOLS. CONDUCTED BY CHERUIYOT SAMBU AND COLLINS ...cheruiyot sambu
WE CONDUCTED PROSPECTIVE STUDY IN TENGECHA BOYS HIGH SCHOOL IN KERICHO COUNTY. FROM THE FINDINGS THERE IS A NEED TO SCREEN FOR TB IN ALL BOARDING SCHOOLS AND VENTILATION IN CLASSES AND LIVING ROOMS IS NECESSARY. WE PRESENTED IN CONFERENCE ORGANISED BY KAPTLD ON 18 TO 22 NOVEMBER 2015 IN TRAVELLERS BEACH HOTEL MOMBASA.
Professor André Marette of the Physiology and Endocrinology Department at the Laval University in Canada explains the impact on health markers: “Is yogurt associated with reduced cardio-metabolic risk factors in children?“. During this talk, he evaluated the role of yogurt as a nutrient-dense snack and its influence in reducing the risk of developing diabetes and obesity.
On the 2nd of Mars 2017, Professor Luis A. Moreno opened the symposium in Amsterdam with a presentation on diet quality and lifestyle factors: “Could yogurt facilitate better eating habits in children?“.
Corinna Hawkes
POLICY SEMINAR
Virtual Event - The New Nutrition Reality: Time to Recognize and Tackle the Double Burden of Malnutrition!
DEC 1, 2020 - 09:30 AM TO 11:15 AM EST
Growth prospects of children after discharge from malnutrition treatment cent...POSHAN
This presentation was made by Dr. Jyoti Sharma (Public Health Foundation of India) in the session on ‘Implementation research on delivery of preventive and curative interventions during early childhood’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Agrobiodiversity and dietary diversity for improved nutritional status of mot...Transform Nutrition
A presentation given by Maureen Cheserek at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
info4africa/MRC KZN Community Forum | 25 March 2014 | The Department of Healt...info4africa
Speaker: Ms Zamazulu Mtshali – Deputy Manager for the Integrated Nutrition Programme (INP), KwaZulu-Natal Department of Health
Ms Mtshali's presentation will highlight studies that show the presence of nutritional transition in KwaZulu-Natal, where both under and over-nutrition are prevalent. Within the context of the HIV and AIDS pandemic and food insecurity, the high prevalence of under-nutrition, micronutrient deficiencies and emergent over-nutrition presents a complex series of challenges.
Over the years, significant gains have been made with regards to scaling up nutrition, with the development of policies and guidelines for the implementation of nutrition strategies. There is now a renewed focus on specific priority groups for nutrition interventions to have a bigger impact.
What is the epidemiological evidence linking early life events and cancer risk and what are the potential critical windows for cancer prevention?
By Professor Ricardo Uauy, University of Chile, London School of Hygiene and Tropical Medicine
World Cancer Congress, Saturday 6 December 2014
ACTIVE TB CASE FINDINGS IN SCHOOLS. CONDUCTED BY CHERUIYOT SAMBU AND COLLINS ...cheruiyot sambu
WE CONDUCTED PROSPECTIVE STUDY IN TENGECHA BOYS HIGH SCHOOL IN KERICHO COUNTY. FROM THE FINDINGS THERE IS A NEED TO SCREEN FOR TB IN ALL BOARDING SCHOOLS AND VENTILATION IN CLASSES AND LIVING ROOMS IS NECESSARY. WE PRESENTED IN CONFERENCE ORGANISED BY KAPTLD ON 18 TO 22 NOVEMBER 2015 IN TRAVELLERS BEACH HOTEL MOMBASA.
Professor André Marette of the Physiology and Endocrinology Department at the Laval University in Canada explains the impact on health markers: “Is yogurt associated with reduced cardio-metabolic risk factors in children?“. During this talk, he evaluated the role of yogurt as a nutrient-dense snack and its influence in reducing the risk of developing diabetes and obesity.
On the 2nd of Mars 2017, Professor Luis A. Moreno opened the symposium in Amsterdam with a presentation on diet quality and lifestyle factors: “Could yogurt facilitate better eating habits in children?“.
Corinna Hawkes
POLICY SEMINAR
Virtual Event - The New Nutrition Reality: Time to Recognize and Tackle the Double Burden of Malnutrition!
DEC 1, 2020 - 09:30 AM TO 11:15 AM EST
Growth prospects of children after discharge from malnutrition treatment cent...POSHAN
This presentation was made by Dr. Jyoti Sharma (Public Health Foundation of India) in the session on ‘Implementation research on delivery of preventive and curative interventions during early childhood’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Agrobiodiversity and dietary diversity for improved nutritional status of mot...Transform Nutrition
A presentation given by Maureen Cheserek at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
info4africa/MRC KZN Community Forum | 25 March 2014 | The Department of Healt...info4africa
Speaker: Ms Zamazulu Mtshali – Deputy Manager for the Integrated Nutrition Programme (INP), KwaZulu-Natal Department of Health
Ms Mtshali's presentation will highlight studies that show the presence of nutritional transition in KwaZulu-Natal, where both under and over-nutrition are prevalent. Within the context of the HIV and AIDS pandemic and food insecurity, the high prevalence of under-nutrition, micronutrient deficiencies and emergent over-nutrition presents a complex series of challenges.
Over the years, significant gains have been made with regards to scaling up nutrition, with the development of policies and guidelines for the implementation of nutrition strategies. There is now a renewed focus on specific priority groups for nutrition interventions to have a bigger impact.
A Study to Assess the Effectiveness of Planned Teaching Program on the Knowle...ijtsrd
Malnutrition and Tuberculosis chronic infectious disease are both problems of considerable magnitude in the most underdeveloped regions of the world. Malnutrition can leads to secondary immunodeficiency that increase the host susceptibility to infection. The aim of the study was to assess the effectiveness of planned teaching program on the knowledge and practice regarding dietary pattern among mothers of children with tuberculosis admitted in pediatric ward. Quasi experimental with two groups pre test post test design was used for 60 mothers at IPD and OPD of pediatric department and purposive sampling technique was used. Self structured questionnaire was used to assess knowledge and checklist for practice. In post test experimental group mothers have 63.3 average knowledge, 26.6 poor knowledge and 10 good knowledge while in the control group, 53.3 poor knowledge, 46.6 average knowledge and non hove good knowledge. In experimental group mean score was 17.9 1.96 while in control group mean score was 11.8 2.99. At the “p” value 0.05, the calculated t value 3.21 was compared with the tabulated value 2.01 . In post test experimental group, mothers have 53.3 good practice, 46.6 average practice and none have poor practice while in the control group, 63.33 average practice, 23.3 poor practice and 13.3 good practice. In experimental group mean score was 19.13 1.99 while in the control group, mean score was 14.06 2.85.At the “p” value 0.05, the calculated t value 3.28 was compared with the tabulated value 2.01 . These finding reveals that the planned teaching program on dietary pattern was effective. Mrs. Anchal Tiwari | Mrs. Anugrah Charan | Dr. Sarika Gupta "A Study to Assess the Effectiveness of Planned Teaching Program on the Knowledge and Practice Regarding Dietary Pattern among Mothers of Children with Tuberculosis Admitted in Pediatric Ward at KGMU Hospital, Lucknowv" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-2 , February 2021, URL: https://www.ijtsrd.com/papers/ijtsrd38591.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/38591/a-study-to-assess-the-effectiveness-of-planned-teaching-program-on-the-knowledge-and-practice-regarding-dietary-pattern-among-mothers-of-children-with-tuberculosis-admitted-in-pediatric-ward-at-kgmu-hospital-lucknowv/mrs-anchal-tiwari
A project proposal for East Timor on improving health and nutrition for women...Kazuko Yoshizawa
The presentation outlines a project proposal aimed at capacity building in health and nutrition for Timor-Leste, developed through extensive consultation with the Ministry of Health, development partners, NGOs, and civil society. The primary objective of the project is to enhance the nutritional status of women and children who are particularly vulnerable to malnutrition. The project proposal comprises four key areas that address the capacity gaps identified through stakeholder consultations and documented in published reports and strategies. By providing additional support and interventions, as well as strengthening existing structures, the proposed interventions would help to improve the nutrition status of children and women. The proposal further suggests that the capacity of Integrated Community Health Services (Sisca) could be enhanced to improve rural health services. Such improvements would help to address the existing disparities in health outcomes between rural and urban areas in Timor-Leste. Through the proposed interventions, the project aims to support the overall development of the health and nutrition sector in Timor-Leste. By addressing the identified capacity gaps, the project would help to build sustainable systems that can deliver effective health and nutrition services to the population.
In conclusion, the presentation explains a comprehensive project proposal that aims to improve the nutritional status of vulnerable women and children in Timor-Leste. The proposal is based on extensive consultation with stakeholders and would address capacity gaps identified through published reports and strategies. Through this project, it would be possible to enhance rural health services by strengthening the capacity of Integrated Community Health Services (Sisca) and supporting existing structures. Ultimately, the proposed interventions would contribute to the development of sustainable health and nutrition systems in Timor-Leste.
Final Presentation - TPS MCH Team on July 21, 2011 in Chennai on the Concluding Day of the Trans Disciplinary Problem Solving Course: co-taught by Washington University in St. Louis and ICTPH.
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...Yogesh Arora
A presentation on severe acute malnutrition and nutritional rehabilitation center. Various preventive, promotive, and curative aspects of SAM are discussed in this presentation.
Critical appraisal of child health policies, programs, guidelines and their i...Mohammad Aslam Shaiekh
Critical Appraisal of Child Health Policies, Programs, Guidelines and Their Implementation Strategies and Review the Current Status of National Context
Critical appraisal of child health policies, programs, guidelines and their i...Mohammad Aslam Shaiekh
Critical Appraisal of Child Health Policies, Programs, Guidelines and Their Implementation Strategies and Review the Current Status of National Context.
Livestock-Climate Change CRSP Annual Meeting 2011: Integrating Human Nutritio...Colorado State University
Tips for integrating human nutrition into research on the interaction between livestock/agricultural production and climate change; overview of the Global Livestock CRSP's ENAM project in Ghana. Presentation given by G. Marquis (McGill University) at the Livestock-Climate Change CRSP Annual Meeting, Golden, CO, April 26-27, 2011.
Findings of the report on Mycotoxin Control in Low- and Middle-Income Countries Francois Stepman
Prof. David Miller (Carleton University, Canada)
Workshop on “Engaging the Health and Nutrition Sectors in Aflatoxin Control in Africa”
March 23 – 24, 2016
NCCR 2020: Conference Of Very Important Disease (COVID-19) | 24 - 26 August 2020
Young Investigator Awards Presentation
Mohammad Hasnan Ahmad
Nutritionist
Principal Investigator
Centre for Nutrition Epidemiology Research
Institute for Public Health
National Institutes of Health
Ministry of Health Malaysia
https://doi.org/10.5281/zenodo.4004505
ASSOCIATED FACTORS TO STUNTED CHILDREN IN PUTRAJAYA
SMAMP Poster 151019
1. Malaria and Nutrition: Impact of Integrating the Delivery of Seasonal Malaria
Chemoprevention (SMC) with Nutrition Supplementation in Northern Nigeria
BACKGROUND Objectives METHODS
DisCussion & Conclusions
RESULTS
Abigail Ward1
, Andrea Guillot1
, Lyudmila Gorokhovich1
, Justin C. Graves1
, Kathleen Maloney1
, Omowunmi F. Omoniwa1
, Leslie Emegbuonye1
, Charles Opondo2
, Marko Kerac2
,
Alan Dangour2
, Sharon K. Greene3
, Elizabeth Omoluabi4
, Antoinette Bhattacharya1
, Karen Milch Hariharan1
, Owens Wiwa1
, Justin M. Cohen1
, Arnaud Le Menach1
The Nigerian Context
• Malaria: Kano is one of 9 Nigerian states
recommended for annual delivery of seasonal
malaria chemoprevention to children under five.1
Malaria accounts for up to 25% of under-five mortality
in Kano State.2
• Malnutrition: The 2013 DHS Survey estimated that
chronic malnutrition affected nearly half of under-fives
in Kano (stunted) and 38% of children were acutely
malnourished (wasted).3
• Malnutrition doubles the risk of dying from malaria.4
Distribution of SMC/LNS
• Monthly door-to-door distribution from August-
November 2014 in 7 wards in Madobi LGA, Kano
• 4 wards received SP-AQ only
• 3 wards received SP-AQ+LNS (lipid-based
nutritional supplement Plumpy ‘Doz)
• SP-AQ distributed to children ages 3-59 months
• LNS distributed to children ages 6-24 months
Evaluation
• Cross-sectional household
surveys conducted in August 2014,
November 2014, and May 2015.
• Data collected included demographics, coverage
and adherence, and length, weight, and mid-upper
arm circumference for children 6-24 months in
August 2014.
• Measured the impact of adding LNS on nutrition
outcomes using multivariable logistic regression
models.
The study had three major evaluation objectives.
Compared with delivery of SMC alone to children ages
6-24 months:
Objective 1
To evaluate changes in coverage and adherence within
target communities due to integrating the delivery of
LNS during SMC campaigns.
OBJECTIVE 2
To evaluate changes in malnutrition outcomes
(stunting, wasting, underweight) due to integrating
the delivery of LNS during SMC campaigns.
Prevalence of Malnutrition Indicators
This study was funded by CIFF. The authors are grateful to the Kano State Ministry of Health, for their guidance and active collaboration, NutriSet for LNS donation, as well as Akena Research, Evaluation and Consulting for their technical expertise.
Resources
1. WHO Global Malaria Programme (2012). WHO Policy Recommendation: Seasonal Malaria Chemoprevention (SMC) for
Plasmodium falciparum malaria control in highly seasonal transmission areas of the Sahel sub-region in Africa.
2. Nigeria FMOH Newborn Health Report (2011).
3. Nigeria 2013 Demographic and Health Survey. www.measuredhs.com.
4. Black RE, Allen LH, et al. (2008). Maternal and child undernutrition: global and regional exposures and health consequences.
Lancet, 371(9608:243-60.
1
Clinton Health Access Initiative, Boston, MA, USA
2
London School of Hygiene & Tropical Medicine, London, UK
3
Independent Consultant, New York, NY
4
Akena Research, Evaluation and Consulting, Kano, Nigeria
award@clintonhealthaccess.org
SMC campaigns present an opportunity to
integrate delivery of malnutrition interventions.
Study Area
Figure 1. Coverage of SP-AQ did not change when integrated
with LNS delivery. Adherence to SP-AQ did not differ between
intervention groups (p=0.38).
SP-AQ LNS SP-AQ+LNS
88.3 88
82.6 80.4
SMC+LNS Arm SMC Only Arm
Percent Intervention Coverage and Adherence
STUNTING UNDERWEIGHT WASTING LOW MUAC
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
78.9 76.4
53.5
74.9
74.7
50.6
55.1
61.5
26.7
51.5
58.4
29.5
15.1
21
12
13.8
25.5
15.2
2.7
0.2
0.8
4.4
0.1 0.2
FIGURE 2. Malnutrition outcomes did not change significantly change immediately
following distribution of SP-AQ and LNS. Between November 2014 and May 2015,
stunting and underweight declined significantly in both arms (p<0.001).
Baseline
Endline
Midline
SMC+LNS SMC Only
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Children6-24monthsatbaseline
Child-monthsofcoverage
M A D O B I L G A
SMC ONLY
SMC+LNS
Regression Results: Nutrition Outcomes
K A N O
Malaria Outcomes
Presented Wednesday
10:15 AM
Scientific Session 128
n=840
n=803
n=954
n=860
n=650
n=861
Children who received 4 rounds of SMC and LNS (SMC+LNS area):
• had similar nutrition outcomes (stunting, underweight, wasting,
MUAC) to children who received 4 rounds of SMC (SMC Only
area).
• had similar z-scores (length-for-age, weight-for-age, length-for-
weight) to children who received 4 rounds of SMC (SMC Only
area).
• had higher mid-upper arm circumference (MUAC) z-scores
than children who received 4 rounds of SMC (SMC Only area)
(p=0.002, comparing August 2014 and May 2015).
*Models are adjusted for household wealth.
57
83.4
SMC Adherence
*children who took
the 3-day course of
SP-AQ in the fourth
treatment round as
reported by parent or
head of household
LNS Adherence
*based on
consumption in
the past 24 hours
reported by parent or
head of household
• Bundling LNS in SMC campgains did not positively or negatively affect coverage or adherence.
• LNS was not shown to improve malnutrition outcomes in this study. Reductions following LNS
distribution may be due to seasonality or measurement improvement during the study.
Limitations
• This study was limited by a cross-sectional design, length measurement underestimation, and
recall bias among parents and heads of household.
STEPS FORWARD
• Although programmatic costs of integration are not high, LNS product cost is considerably more
expensive than SP-AQ. Other, less resource-intensive commodities should be explored.
• Alternative nutritional interventions to reduce rates and prevent stunting, underweight, and SAM
should be explored urgently, and, if feasible, integrated into relevant delivery platforms such as
malaria prevention programs.