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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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 Urheber:
Lambrecht, Nathalie1, Autor              
Müller-Hauser, Anna1, Autor              
Sobhan, Shafinaz1, Autor              
Schmidt, Wolf-Peter2, Autor
Nurul Huda, Tarique Md.2, Autor
Waid, Jillian Lee1, Autor              
Wendt, Amanda1, Autor              
Kader, Abdul2, Autor
Gabrysch, Sabine1, Autor              
Affiliations:
1Potsdam Institute for Climate Impact Research, ou_persistent13              
2External Organizations, ou_persistent22              

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 Zusammenfassung: 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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Sprache(n): eng - Englisch
 Datum: 2023-03-092023-05-222023-08-142023-10
 Publikationsstatus: Final veröffentlicht
 Seiten: 12
 Ort, Verlag, Ausgabe: -
 Inhaltsverzeichnis: -
 Art der Begutachtung: Expertenbegutachtung
 Identifikatoren: 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
 Art des Abschluß: -

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Titel: American Journal of Tropical Medicine and Hygiene
Genre der Quelle: Zeitschrift, SCI, Scopus
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Seiten: - Band / Heft: 109 (4) Artikelnummer: - Start- / Endseite: 945 - 956 Identifikator: CoNE: https://publications.pik-potsdam.de/cone/journals/resource/1476-1645
Publisher: American Society of Tropical Medicine and Hygiene