Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh
This article was published in the Journal of Nutrition, Oxford Academic [© 2018 American Society for Nutrition. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) ] and the definite version is available...
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Oxford Academic
2022
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| オンライン･アクセス: | http://hdl.handle.net/10361/16411 https://doi.org/10.1093/jn/nxy090 |
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10361-164112022-03-22T04:12:35Z Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh Nguyen, Phuong Hong Frongillo, Edward A Sanghvi, Tina Wable, Gargi Mahmud, Zeba Tran, Lan Mai Aktar, Bachera Afsana, Kaosar Alayon, Silvia Ruel, Marie T Menon, Purnima Brac James P. Grant School of Public Health Bangladesh Cluster-randomized trial Interpersonal counseling Engagement of husbands Maternal nutrition program This article was published in the Journal of Nutrition, Oxford Academic [© 2018 American Society for Nutrition. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) ] and the definite version is available at: https://doi.org/10.1093/jn/nxy090 The Journal's website is at: https://academic.oup.com/jn/article/148/8/1352/5040613?login=false Background: Although husbands may provide support during pregnancy, limited evidence exists on how to promote husbands' engagement and what impact it has. Alive & Thrive integrated nutrition-focused interventions, targeting both wives and husbands, through an existing Maternal, Neonatal, and Child Health (MNCH) platform in Bangladesh. Objectives: We evaluated 1) the impact of a nutrition-focused MNCH program, compared with the standard MNCH program, on husbands' behavioral determinants (i.e., awareness, knowledge, self-efficacy) and support to wives to adopt optimal nutrition practices and 2) how much of the previously documented impact on women's supplement intake and dietary diversity was explained by husbands' behavioral determinants and support. Methods: We used a cluster-randomized design with cross-sectional surveys at baseline (2015) and endline (2016) (n = ∼1000 women and ∼700 husbands/survey). We used mixed linear regression accounting for clustering to estimate difference-in-differences (DIDs) for impact on husbands' behavioral determinants and path analysis to examine how much these determinants explained the impact on women's nutrition behaviors. Results: Of husbands in the nutrition-focused MNCH group, 62% were counseled by health workers, 66% attended a husbands' forum, and 34% saw video shows. The nutrition-focused MNCH, compared with the standard MNCH group, resulted in greater husbands' awareness (DID: 2.74 of 10 points), knowledge (DID: 1.31), self-efficacy and social norms with regard to optimal nutrition practices (difference: 1.08), and support to their wives (DID: 1.86). Husbands' behavioral determinants and support explained nearly half of the program impact for maternal supplement intake and one-quarter for dietary diversity. Conclusions: A nutrition-focused MNCH program that promoted and facilitated husbands' engagement during their wives' pregnancies significantly improved husbands' awareness, knowledge, self-efficacy, and support. These improvements substantially explained the program's impact on women's intake of micronutrient supplements and dietary diversity. Targeting wives and husbands and designing activities to engage men in maternal nutrition programs are important to maximize impact. This trial was registered at www.clinicaltrials.gov as NCT02745249. Published 2022-03-07T05:59:49Z 2022-03-07T05:59:49Z 2018 2018-08-01 Journal Article Nguyen, P. H., Frongillo, E. A., Sanghvi, T., Wable, G., Mahmud, Z., Tran, L. M., . . . Menon, P. (2018). Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in bangladesh. Journal of Nutrition, 148(8), 1352-1363. doi:10.1093/jn/nxy090 http://hdl.handle.net/10361/16411 https://doi.org/10.1093/jn/nxy090 en_US https://academic.oup.com/jn/article/148/8/1352/5040613?login=false The Journal of Nutrition application/pdf Oxford Academic |
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Brac University |
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Institutional Repository |
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en_US |
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Bangladesh Cluster-randomized trial Interpersonal counseling Engagement of husbands Maternal nutrition program |
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Bangladesh Cluster-randomized trial Interpersonal counseling Engagement of husbands Maternal nutrition program Nguyen, Phuong Hong Frongillo, Edward A Sanghvi, Tina Wable, Gargi Mahmud, Zeba Tran, Lan Mai Aktar, Bachera Afsana, Kaosar Alayon, Silvia Ruel, Marie T Menon, Purnima Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh |
| description |
This article was published in the Journal of Nutrition, Oxford Academic [© 2018 American Society for Nutrition. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) ] and the definite version is available at: https://doi.org/10.1093/jn/nxy090 The Journal's website is at: https://academic.oup.com/jn/article/148/8/1352/5040613?login=false |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Nguyen, Phuong Hong Frongillo, Edward A Sanghvi, Tina Wable, Gargi Mahmud, Zeba Tran, Lan Mai Aktar, Bachera Afsana, Kaosar Alayon, Silvia Ruel, Marie T Menon, Purnima |
| format |
Journal Article |
| author |
Nguyen, Phuong Hong Frongillo, Edward A Sanghvi, Tina Wable, Gargi Mahmud, Zeba Tran, Lan Mai Aktar, Bachera Afsana, Kaosar Alayon, Silvia Ruel, Marie T Menon, Purnima |
| author_sort |
Nguyen, Phuong Hong |
| title |
Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh |
| title_short |
Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh |
| title_full |
Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh |
| title_fullStr |
Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh |
| title_full_unstemmed |
Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh |
| title_sort |
engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: results of a cluster-randomized program evaluation in bangladesh |
| publisher |
Oxford Academic |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16411 https://doi.org/10.1093/jn/nxy090 |
| work_keys_str_mv |
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