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Growth effects of e...
Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa : the cluster-randomised PROMISE EBF trial
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- Engebretsen, Ingunn Marie Stadskleiv (author)
- Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway
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- Jackson, Debra (author)
- School of Public Health, University of Western Cape, South Africa
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- Fadnes, Lars Thore (author)
- Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway
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- Nankabirwa, Victoria (author)
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA
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- Diallo, Abdoulaye Hama (author)
- Centre MURAZ, Ministry of Health, Bobo-Dioulasso, Burkina Faso
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- Doherty, Tanya (author)
- School of Public Health, University of Western Cape, South Africa
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- Lombard, Carl (author)
- Biostatistics Unit, Medical Research Council, South Africa
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- Swanvelder, Sonja (author)
- Biostatistics Unit, Medical Research Council, South Africa
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- Nankunda, Jolly (author)
- Department of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda
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- Ramokolo, Vundli (author)
- Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway
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- Sanders, David (author)
- School of Public Health, University of Western Cape, South Africa
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- Wamani, Henry (author)
- School of Public Health, Makerere University, Kampala, Uganda
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- Meda, Nicolas (author)
- Centre MURAZ, Ministry of Health, Bobo-Dioulasso, Burkina Faso
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- Tumwine, James K. (author)
- Department of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda
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- Ekström, Eva-Charlotte, 1956- (author)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell sexuell och reproduktiv hälsa/Larsson
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- Van de Perre, Philippe (author)
- INSERM U1058, Montpellier, France
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- Kankasa, Chipepo (author)
- Department of Paediatrics and Child Health, School of Medicine, University of Zambia, Lusaka, Zambia
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- Sommerfelt, Halvor (author)
- Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway
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- Tylleskar, Thorkild (author)
- Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway
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(creator_code:org_t)
- 2014-06-21
- 2014
- English.
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In: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 14, s. 633-
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Abstract
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- Background: In this multi-country cluster-randomized behavioural intervention trial promoting exclusive breastfeeding (EBF) in Africa, we compared growth of infants up to 6 months of age living in communities where peer counsellors promoted EBF with growth in those infants living in control communities. Methods: A total of 82 clusters in Burkina Faso, Uganda and South Africa were randomised to either the intervention or the control arm. Feeding data and anthropometric measurements were collected at visits scheduled 3, 6, 12 and 24 weeks post-partum. We calculated weight-for-length (WLZ), length-for-age (LAZ) and weight-for-age (WAZ) z-scores. Country specific adjusted Least Squares Means with 95% confidence intervals (CI) based on a longitudinal analysis are reported. Prevalence ratios (PR) for the association between peer counselling for EBF and wasting (WLZ < -2), stunting (LAZ < -2) and underweight (WAZ < -2) were calculated at each data collection point. Results: The study included a total of 2,579 children. Adjusting for socio-economic status, the mean WLZ at 24 weeks were in Burkina Faso -0.20 (95% CI -0.39 to -0.01) and in Uganda -0.23 (95% CI -0.43 to -0.03) lower in the intervention than in the control arm. In South Africa the mean WLZ at 24 weeks was 0.23 (95% CI 0.03 to 0.43) greater in the intervention than in the control arm. Differences in LAZ between the study arms were small and not statistically significant. In Uganda, infants in the intervention arm were more likely to be wasted compared to those in the control arm at 24 weeks (PR 2.36; 95% CI 1.11 to 5.00). Differences in wasting in South Africa and Burkina Faso and stunting and underweight in all three countries were small and not significantly different. Conclusions: There were small differences in mean anthropometric indicators between the intervention and control arms in the study, but in Uganda and Burkina Faso, a tendency to slightly lower ponderal growth (weight-for-length z-scores) was found in the intervention arms.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Exclusive breastfeeding promotion
- Peer counselling
- Child growth
- Anthropometry
- Stunting
- Wasting
- Underweight
- Undernutrition
- Community randomised trial
Publication and Content Type
- ref (subject category)
- art (subject category)
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Engebretsen, Ing ...
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Jackson, Debra
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Fadnes, Lars Tho ...
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Nankabirwa, Vict ...
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Diallo, Abdoulay ...
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Doherty, Tanya
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Lombard, Carl
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Swanvelder, Sonj ...
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Nankunda, Jolly
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Ramokolo, Vundli
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Sanders, David
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Wamani, Henry
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Meda, Nicolas
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Tumwine, James K ...
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Ekström, Eva-Cha ...
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Van de Perre, Ph ...
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Kankasa, Chipepo
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Sommerfelt, Halv ...
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Tylleskar, Thork ...
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