The effectiveness of interventions on nutrition social behaviour change communication in improving child nutritional status within the first 1000 days: Evidence from a systematic review and meta-analysis

Article

Mahumud, Rashidul A., Uprety, Sophiya, Wali, Nidhi, Renzaho, Andre M. N. and Chitekwe, Stanley. 2022. "The effectiveness of interventions on nutrition social behaviour change communication in improving child nutritional status within the first 1000 days: Evidence from a systematic review and meta-analysis." Maternal and Child Nutrition. 18 (1). https://doi.org/10.1111/mcn.13286
Article Title

The effectiveness of interventions on nutrition social behaviour change communication in improving child nutritional status within the first 1000 days: Evidence from a systematic review and meta-analysis

ERA Journal ID40061
Article CategoryArticle
AuthorsMahumud, Rashidul A., Uprety, Sophiya, Wali, Nidhi, Renzaho, Andre M. N. and Chitekwe, Stanley
Journal TitleMaternal and Child Nutrition
Journal Citation18 (1)
Article Numbere13286
Number of Pages21
Year2022
ISSN1740-8695
1740-8709
Digital Object Identifier (DOI)https://doi.org/10.1111/mcn.13286
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/mcn.13286
Abstract

This systematic review and meta-analysis aimed to assess the robustness of designs and tools used in nutrition social behaviour change communication (NSBCC) interventions and establish their effectiveness. EBSCOhost as an umbrella database including Medline (Ovid) and CINAHL, EMBASE, and ProQUEST databases were searched for peer-reviewed articles from January 1960 to October 2018. Additional sources were searched to identify all relevant studies including grey literature. Studies' biases were assessed according to Cochrane handbook. Pooled estimate of effectiveness of interventions on infant and young child feeding (IYCF) practices and child nutritional status with 95% confidence intervals were measured using random-effects models. Eighty studies were included in this review: Fifty-one (64%) were cluster randomised controlled trials (RCTs), 13 (16%) were RCTs and 16 (20%) quasi-experimental. Of the included studies, 22 (27%) measured early initiation of breastfeeding, 38 (47%) measured exclusive breastfeeding, 29 (36%) measured minimum dietary diversity, 21 (26%) measured minimum meal frequency, 26 (32%) measured height for age z-scores (HAZ), 23 (29%) measured weight for height z-scores (WHZ), 27 (34%) measured weight for age z-scores (WAZ), 20 (25%) measured stunting, 14 (17%) measured wasting, and 11 (14%) measured underweight. The overall intervention's effect was significant for exclusive breastfeeding (EBF) (odds ratio = 1.73; 95% confidence interval [CI]: 1.35–2.11, p < 0.001), HAZ (standardized mean differences [SMD] = 0.19; 95% CI: 0.17–0.21; p < 0.001), WHZ (SMD = 0.02; 95% CI: 0.004–0.04; p < 0.001), and WAZ (SMD = 0.04; 95% CI: 0.02–0.06; p < 0.001). Evidence shows the effectiveness of NSBCC in improving EBF and child anthropometric outcomes. Further research should test the impact on child nutritional status with clearly specified and detailed NSBCC interventions.

Keywordsnutrition education; child nutrition; 1000 days; nutrition social behaviour change communication; infant and young child feeding; IYCF; NSBCC; nutrition BCC
Byline AffiliationsUniversity of Sydney
Centre for Health Research
Health Research Group, Bangladesh
Public Health Nutritionist, Nepal
Western Sydney University
Translational Health Research Institute, Australia
Burnet Institute, Australia
United Nations Children'sFund (UNICEF), Nepal
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