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Effectiveness of nutrition and WASH/malaria educational community-based interventions in reducing anemia in children from Angola

2021-03Journal article Open access
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dc.contributor.authorFançony, Cláudia
dc.contributor.authorSoares, Ânia
dc.contributor.authorLavinha, João
dc.contributor.authorBarros, Henrique
dc.contributor.authorBrito, Miguel
dc.date.accessioned2021-03-15T17:28:43Z
dc.date.available2021-03-15T17:28:43Z
dc.date.issued2021-03
dc.description.abstractWe found no published data in Angola regarding the effect of combining nutrition-specific and nutrition-sensitive approaches in the reduction of anemia in preschool children. Thus, we implemented a cluster-randomized controlled trial to determine the effectiveness of two educational-plus-therapeutic interventions, in Nutrition and WASH/Malaria, in reducing anemia. We compared them to (1) a test-and-treat intervention and (2) with each other. A block randomization was performed to allocate 6 isolated hamlets to 3 study arms. A difference-in-difference technique, using Fit Generalized estimating models, was used to determine differences between the children successfully followed in all groups, between 2015 and 2016. We found no significant differences in anemia´s and hemoglobin variability between educational and the control group. However, the WASH/Malaria group had 22.8% higher prevalence of anemia when compared with the Nutrition group, having also higher prevalence of P. falciparum. Thus, our results suggest that adding a 12-month educational Nutrition or a WASH/Malaria component to a test-and-treat approach may have a limited effect in controlling anemia. Possibly, the intensity and duration of the educational interventions were not sufficient to observe the amount of behavior change needed to stop transmission and improve the general child feeding practices.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFançony C, Soares Â, Lavinha J, Barros H, Brito M. Effectiveness of nutrition and WASH/malaria educational community-based interventions in reducing anemia in children from Angola. Sci Rep. 2021;11:5603.pt_PT
dc.identifier.doi10.1038/s41598-021-85006-xpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/13099
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherNaturept_PT
dc.relation.publisherversionhttps://www.nature.com/articles/s41598-021-85006-xpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectMalariapt_PT
dc.subjectNutritional interventionpt_PT
dc.subjectWaterpt_PT
dc.subjectSanitationpt_PT
dc.subjectHygienept_PT
dc.subjectAnemiapt_PT
dc.subjectPreschool childrenpt_PT
dc.subjectAngolapt_PT
dc.titleEffectiveness of nutrition and WASH/malaria educational community-based interventions in reducing anemia in children from Angolapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage5603pt_PT
oaire.citation.titleScientific Reportspt_PT
oaire.citation.volume11pt_PT
person.familyNameBrito
person.givenNameMiguel
person.identifier.ciencia-id231F-F341-7E93
person.identifier.orcid0000-0001-6394-658X
person.identifier.ridA-7970-2016
person.identifier.scopus-author-id35224551000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4252d8e0-800c-4d67-8b13-0b711d860669
relation.isAuthorOfPublication.latestForDiscovery4252d8e0-800c-4d67-8b13-0b711d860669

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