Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh.
This article was published in The Journal of Nutrition [C 2019 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...
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Oxford Academic
2022
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| অনলাইন ব্যবহার করুন: | http://hdl.handle.net/10361/16458 https://doi.org/10.1093/jn/nxy249 |
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10361-164582022-03-22T05:35:31Z Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh. Frongillo, Edward A Nguyen, Phuong H Sanghvi, Tina Mahmud, Zeba Aktar, Bachera Alayon, Silvia Menon, Purnima Brac James P. Grant School of Public Health Food insecurity Community mobilization Interpersonal communication Pregnancy Antenatal care This article was published in The Journal of Nutrition [C 2019 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/nxy249 The Journal's website is at: https://academic.oup.com/jn/article/149/1/159/5288239 Background: Antenatal care may be a means to reduce food insecurity in pregnancy and postpartum periods. Objective: With the use of a cluster-randomized design, we tested whether participation in nutrition-focused antenatal care intending to improve household knowledge about the importance of nutrition for pregnant and lactating women and encourage allocation of household resources to ensure sufficient quality and quantity of foods, without providing food assistance, would reduce household food insecurity. Methods: Alive & Thrive integrated nutrition interventions into an existing Maternal, Neonatal, and Child Health (MNCH) program in Bangladesh. The nutrition-focused MNCH package was delivered in 10 subdistricts through antenatal care visits with the use of interpersonal communication, community mobilization, and monitoring of weight gain, aiming to improve maternal diet quality, quantity, and micronutrient intake during pregnancy and breastfeeding. The package included components that could reduce food insecurity, measured using the Household Food Insecurity Access Scale. To examine the impact of the nutrition-focused MNCH package compared with the standard MNCH package, we used linear and multinomial logit regression models, adjusted for subdistrict clustering, to test differences at endline in items, domains, and categories of food insecurity, after first confirming no differences at baseline. Results: At baseline, nearly half of households were food insecure. At endline, the groups differed in food insecurity, whether expressed as items, domains, or categories, with food insecurity in the nutrition-focused MNCH group 22 percentage points lower than in the standard MNCH group and 20 percentage points lower than at baseline. Conclusions: Participation in nutrition-focused antenatal care reduced household food insecurity among recently delivered and pregnant women. Integration of social and behavioral nutrition interventions into antenatal care with components that promote food security provides a potentially effective means to reduce food insecurity, without incurring high costs of providing supplemental food, in populations where limited resources can be directed towards accessing adequate and appropriate foods. Registered at clinicaltrials.gov as NCT02745249. J Nutr 2019;149:159–166. Published 2022-03-15T05:50:07Z 2022-03-15T05:50:07Z 2019 2019-01-13 Journal Article Frongillo, E. A., Nguyen, P. H., Sanghvi, T., Mahmud, Z., Aktar, B., Alayon, S., & Menon, P. (2019). Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh. Journal of Nutrition, 149(1), 159-166. doi:10.1093/jn/nxy249 http://hdl.handle.net/10361/16458 https://doi.org/10.1093/jn/nxy249 en_US https://academic.oup.com/jn/article/149/1/159/5288239 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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Food insecurity Community mobilization Interpersonal communication Pregnancy Antenatal care |
| spellingShingle |
Food insecurity Community mobilization Interpersonal communication Pregnancy Antenatal care Frongillo, Edward A Nguyen, Phuong H Sanghvi, Tina Mahmud, Zeba Aktar, Bachera Alayon, Silvia Menon, Purnima Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh. |
| description |
This article was published in The Journal of Nutrition [C 2019 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/nxy249 The Journal's website is at: https://academic.oup.com/jn/article/149/1/159/5288239 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Frongillo, Edward A Nguyen, Phuong H Sanghvi, Tina Mahmud, Zeba Aktar, Bachera Alayon, Silvia Menon, Purnima |
| format |
Journal Article |
| author |
Frongillo, Edward A Nguyen, Phuong H Sanghvi, Tina Mahmud, Zeba Aktar, Bachera Alayon, Silvia Menon, Purnima |
| author_sort |
Frongillo, Edward A |
| title |
Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh. |
| title_short |
Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh. |
| title_full |
Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh. |
| title_fullStr |
Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh. |
| title_full_unstemmed |
Nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in Bangladesh. |
| title_sort |
nutrition interventions integrated into an existing maternal, neonatal, and child health program reduce food insecurity among recently delivered and pregnant women in bangladesh. |
| publisher |
Oxford Academic |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16458 https://doi.org/10.1093/jn/nxy249 |
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