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FältnamnIndikatorerMetadata
00006463naa a2200637 4500
001oai:DiVA.org:uu-229746
003SwePub
008140812s2014 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2297462 URI
024a https://doi.org/10.1186/1471-2458-14-6332 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Engebretsen, Ingunn Marie Stadskleivu Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway4 aut
2451 0a Growth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa :b the cluster-randomised PROMISE EBF trial
264 c 2014-06-21
264 1b Springer Science and Business Media LLC,c 2014
338 a electronic2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653 a Exclusive breastfeeding promotion
653 a Peer counselling
653 a Child growth
653 a Anthropometry
653 a Stunting
653 a Wasting
653 a Underweight
653 a Undernutrition
653 a Community randomised trial
700a Jackson, Debrau School of Public Health, University of Western Cape, South Africa4 aut
700a Fadnes, Lars Thoreu Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway4 aut
700a Nankabirwa, Victoriau Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA4 aut
700a Diallo, Abdoulaye Hamau Centre MURAZ, Ministry of Health, Bobo-Dioulasso, Burkina Faso4 aut
700a Doherty, Tanyau School of Public Health, University of Western Cape, South Africa4 aut
700a Lombard, Carlu Biostatistics Unit, Medical Research Council, South Africa4 aut
700a Swanvelder, Sonjau Biostatistics Unit, Medical Research Council, South Africa4 aut
700a Nankunda, Jollyu Department of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda4 aut
700a Ramokolo, Vundliu Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway4 aut
700a Sanders, Davidu School of Public Health, University of Western Cape, South Africa4 aut
700a Wamani, Henryu School of Public Health, Makerere University, Kampala, Uganda4 aut
700a Meda, Nicolasu Centre MURAZ, Ministry of Health, Bobo-Dioulasso, Burkina Faso4 aut
700a Tumwine, James K.u Department of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda4 aut
700a Ekström, Eva-Charlotte,d 1956-u Uppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell sexuell och reproduktiv hälsa/Larsson4 aut0 (Swepub:uu)loeks254
700a Van de Perre, Philippeu INSERM U1058, Montpellier, France4 aut
700a Kankasa, Chipepou Department of Paediatrics and Child Health, School of Medicine, University of Zambia, Lusaka, Zambia4 aut
700a Sommerfelt, Halvoru Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway4 aut
700a Tylleskar, Thorkildu Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway4 aut
710a Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norwayb School of Public Health, University of Western Cape, South Africa4 org
773t BMC Public Healthd : Springer Science and Business Media LLCg 14, s. 633-q 14<633-x 1471-2458
856u https://uu.diva-portal.org/smash/get/diva2:738245/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856u https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-14-633
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-229746
8564 8u https://doi.org/10.1186/1471-2458-14-633

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