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eSymposia | Optimizing Nutrition for Maternal, Newborn and Child Health


Evidence based approaches reduces malnutrition: A Systematic review from WHO indicators


Oct 21, 2020 12:00am ‐ Oct 21, 2020 12:00am

Description

Evidence based approaches reduces malnutrition: A Systematic review from WHO indicators M. Asaduzzaman[1] Nigar Sultana [1] M. Asaduzzaman is the Senior Policy Advisor and Ms Nigar Sultana is Policy Officer in the NIPN project of BIDS on contract from HKI under a grant from the European Union. Two objectives behind this exercise: 1)Explore which among the factors that may influence nutritional outcomes have been analysed in the literature and as its corollary which not; What we do not know yet or know only a little but needs to be known for future nutritional interventions. 2)Among these factors which have been actually used for intervention and been successful in influencing desirable nutritional outcomes and again as its corollary which were less successful or not at all. Methodology: •Literature search strategy using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Flow chart •Inclusion criteria (6 Global Nutrition Targets areas-2025 ) •Also Women nutrition and complementary feeding Review findings categorized by •What factors seem to be important in determining the indicators? •How many and which appeared to be common across studies? •Among the interventions which factors have been targeted? •Which interventions have succeeded? •Which not? Key findings on Stunting Nutritional out comes from the key findings - Research findings showed that lower socio-economic inequalities and lower household wealth, low level of mothers’ educations and height is associated with higher levels of stunting. Mother who has taken 4 times ANC from health care facility is associated with positive improvement in stunting. Besides this it has showed that infectious diseases / environmental enteropathy/ Gut Microbiota- (including diarrhoea) dim the prospects of linear growth. Interventions or activities such as household dairy production, access to animal source of food, supplementary foods, cash transfer and combined with nutrition education or BCC seemed to have resulted in better stunting outcomes · Socio economic status including family income and WASH associated with wasting. Moreover, Mother’s low BMI is also associated with higher odds of wasting. Ø Nutrition education or BCC and IYCF indicators as Minimum Meal Frequency and Minimum Dietary Diversity strongly influence positive outcome for wasting. · Gestational age (age of mothers), low level of hemoglobin and Ca in pregnancy and unplanned pregnancy and specially Intimate Partner Violence during pregnancy all have significant positive outcomes regarding LBW. Moreover, low level of mothers’ education, region, poor maternal wealth, BMI (

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