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  Effect of a Homestead Food Production Program on the Prevalence of Diarrhea and Acute Respiratory Infection in Children in Sylhet, Bangladesh: A Cluster-Randomized Controlled Trial

Lambrecht, N., Müller-Hauser, A., Sobhan, S., Schmidt, W.-P., Nurul Huda, T. M., Waid, J. L., Wendt, A., Kader, A., Gabrysch, S. (2023): Effect of a Homestead Food Production Program on the Prevalence of Diarrhea and Acute Respiratory Infection in Children in Sylhet, Bangladesh: A Cluster-Randomized Controlled Trial. - American Journal of Tropical Medicine and Hygiene, 109, 4, 945-956.
https://doi.org/10.4269/ajtmh.23-0152

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Lambrecht_AJTMH_FAARMmorbidity.pdf (Preprint), 582KB
 
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 Creators:
Lambrecht, Nathalie1, Author              
Müller-Hauser, Anna1, Author              
Sobhan, Shafinaz1, Author              
Schmidt, Wolf-Peter2, Author
Nurul Huda, Tarique Md.2, Author
Waid, Jillian Lee1, Author              
Wendt, Amanda1, Author              
Kader, Abdul2, Author
Gabrysch, Sabine1, Author              
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1Potsdam Institute for Climate Impact Research, ou_persistent13              
2External Organizations, ou_persistent22              

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 Abstract: Diarrhea and respiratory illness are leading causes of mortality and morbidity among young children. We assessed the impact of a homestead food production intervention on diarrhea and acute respiratory infection (ARI) in children in Bangladesh, secondary outcomes of the Food and Agricultural Approaches to Reducing Malnutrition (FAARM) cluster-randomized trial. The trial enrolled 2,705 married women and their children 3 years or younger in 96 rural settlements (geographic clusters) in Sylhet Division, Bangladesh. The intervention promoted home gardening and poultry rearing alongside child nutrition and health counseling over 3 years (2015–2018). An 8-month food hygiene behavior change component using emotional drivers was delivered beginning in mid-2017. Caregiver-reported diarrhea and symptoms of ARI in the week preceding the survey were recorded every 2 months. We analyzed 32,460 observations of 3,276 children over 4 years and found that 3.9% of children had diarrhea and 3.4% had an ARI in the prior 7 days. There was no overall effect of the intervention on 7-day diarrhea period prevalence (odds ratio [OR], 0.92; 95% CI, 0.71–1.19), diarrhea point prevalence (OR, 1.03; 95% CI, 0.78–1.36), or 7-day ARI period prevalence (OR, 1.18; 95% CI, 0.88–1.60). There was no impact on diarrhea severity or differences in health-seeking behaviors. Our findings suggest that this homestead food production program was insufficient to reduce morbidity symptoms among children in a rural setting. More comprehensive water, sanitation, and hygiene measures, and behavioral recommendations may be needed to achieve impacts on child health.

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Language(s): eng - English
 Dates: 2023-03-092023-05-222023-08-142023-10
 Publication Status: Finally published
 Pages: 12
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: DOI: 10.4269/ajtmh.23-0152
Organisational keyword: RD2 - Climate Resilience
PIKDOMAIN: RD2 - Climate Resilience
Working Group: Climate Change and Health
MDB-ID: No data to archive
Research topic keyword: Food & Agriculture
Research topic keyword: Health
Regional keyword: Asia
Model / method: Quantitative Methods
 Degree: -

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Title: American Journal of Tropical Medicine and Hygiene
Source Genre: Journal, SCI, Scopus
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Pages: - Volume / Issue: 109 (4) Sequence Number: - Start / End Page: 945 - 956 Identifier: CoNE: https://publications.pik-potsdam.de/cone/journals/resource/1476-1645
Publisher: American Society of Tropical Medicine and Hygiene