Table 2

Description of studies included
Author Country Design Population Intervention Comparator Results- outcome of interest
Feeding frequency Energy intake Dietary diversity
Bhandari N 2001 India RCT Nutritionists, Caregivers and their children. Intervention group received nutrition training from the trained nutritionists. Description of training duration for nutritionists was not provided. Comparison group’s health workers were not trained to provide n = 106 No details At 9 months No details
(Intervention-n = 104, Control 106) • I: 978kj/day; IQR 406–1371
• C: 577kj/day; IQR 196–1250
• P < 0.05
At 12 months
• I: 1417kj/day; IQR 723–2253
• C: 924kj/day; IQR 474–1471
• P < 0.05
Santos I 2001 Brazil Cluster RCT Doctors (Intervention-17, Control-16) and pairs of caregivers and their children (Intervention-218, Control-206) Nutrition counseling component of WHO’s Integrated Management of Childhood Illness (IMCI) given for 20 hours to doctors in the intervention group. The trained doctors provided counseling to caregivers. 16 doctors did not receive nutrition counseling training. They offered general care to caregivers and their children No details At <18 months Compared to Control, Intervention group had higher proportion of dietary diversity (also see Table 5)
• Intervention: 3827.5 kJ/day; SD 1230.9
• Control: 3546.8 kJ/day; SD 1058.1
• P = 0.3
Bhandari N 2004 India Cluster RCT Health and nutrition workers; pairs of caregivers and their children Health and nutrition workers in the 4 intervention communities received nutrition training. They cared for 552 child-mother pairs. Health and nutrition workers in 4 communities without nutrition training. They cared for 473 child-mother pairs. At 9 months: At 9 months: Compared to Control, Intervention group had high proportion of dietary diversity (see Table 5)
• I: 4.4; SD 1.5 • I: 1556 kJ/Day; SD 1109
• C: 3.9; SD 1.7 • C: 1025 kJ/Day; SD 866
At 18 months • P < 0.01
• I: 5.9; SD 1.2 At 18 months
C: 5.4; SD 1.3 • I: 3807 kJ/Day; SD 1527
• C: 2577 kJ/Day; SD 1058
Penny ME 2005 Peru Cluster RCT Health care workers and pairs of caregivers and their children Health care workers in 6 health facilities received nutrition-training intervention; 187 babies were enrolled and their caregivers were counseled by these health workers. Health care workers in 6 health facilities without the nutrition training intervention. They gave care to 190 babies enrolled in these facilities. No details At 9 months: Dietary diversity at 18 months was higher in intervention group than the control group (Table 5)
• I: 450 kcal/day
• C: 400 kcal/day
At 18 months
• I: 960 kcal/day
• C: 800 kcal/day
• P = 0.001
Zaman S 2008 Pakistan Cluster RCT Community Health Workers and pairs of caregivers and their children Health workers in 18 health centers received a 5 half days nutrition training using the WHO’s IMCI training module for nutrition. They recruited and gave counseling and consultation to151 child-mother pairs Health workers in other 18 health centers without nutrition training intervention recruited and cared for 169 pairs of mothers and children No details • P < 0.01No details Intervention group had a higher proportion on all the food items consumption compared to the control group (Table 5)
Shi L 2010 China Cluster RCT Primary healthcare providers; pairs of mothers and infants Health care providers received nutrition training on complementary feeding, breastfeeding, and counseling skills. They counseled and provided care for 294 pairs of caregivers and their children. Health workers from township hospitals did not receive nutrition training. Recruited and cared for 305 pairs of caregivers and their children. At 9 months No details Intervention group had a higher proportion on all the food items consumed compared to the control group (Table 5)
• I: 3.77; SD 1.62
• C: 2.53;
SD1.82
• P < 0.001
At 12 months
• 4.17
• I: 2.90; SD 1.85
• P < 0.001
Vazir S 2012 India Cluster RCT Community health workers (Village health workers) n = 60 and 511 pairs of mothers and their children Village health workers received supervised training on how to counsel mothers/caregivers on complementary feeding, and responsive feeding. Caregivers who received such counseling also received standard care. Village health workers did not receive training. They provided only standard of care to caregivers and their children. No details At 9 months Intervention groups (complementary and responsive feeding groups) had a higher proportion on all the food items consumption compared to the control group (Table 5)
• I: 348 kcal/day; IQR 229,540
• C: 209 kcal/day; IQR 122,338
• P < 0.005
At 15 months
• I: 569 kcal/day; IQR 539,618
• C: 460; IQR 429,489
P < 0.005
Roy SK 2005 Bangladesh RCT Nutritionists, medical officer, and health assistants Two-week nutrition training was conducted for health workers. The training included nutrition education, counseling, and anthropometry. Trained health workers provided counseling to mothers of moderately malnourished children on complementary feeding. Mothers of a control group received normal care from health workers who received no nutrition training Feeding frequency >3 times/day No details No details
At 3 months
I: 98%, C: 54%
At 6 months
I: 97%, C: 58%
Pachon H 2002 Vietnam Cluster RCT Community health workers and 240 pairs of caregivers and their children Training implementers (health workers) who are also health volunteers received nutrition training to implement intensive nutrition rehabilitation sessions for ten months. Counseling for caregivers was done twice a week for nine months. Health workers were not trained to implement intensive nutrition rehabilitation sessions. At 2–6 months At 2–6 months No details
• I: 4.6; SD 1.3 • I: 662.7 kcal/day; SD 301.0
• C: 4.2; SD 1.1 • C: 597.4 kcal/day; SD 275.7
• P < 0.01 • P < 0.1
At 12 months At 12 months
• I: 4.9; SD 1.5 • I: 826.9 kcal/day SD 324.4
• C: 4.4; SD 1.5 • C: 718.4 kcal/day SD 330.0)
P < 0.01 • P < 0.01
Kilaru A 2005 India Cluster RCT Auxiliary nurse midwives, community health workers Auxiliary nurse midwives, community health workers received nutrition training from MCH consultant (pediatrician and nutritionists). They provided counseling to 173 caregivers and their children Normal standard of care provided by auxiliary nurse midwives who did not receive any special nutrition training At 7-11 months Feeding frequency >4 times/day No details At 11 months
• I: 78% Feeding at least 5 types/day
• C: 51% • I: 42%
• P < 0.001 • C: 19%
P = 0.01

Footnotes.

I - Intervention group, C - Control group, P - P value, SD - Standard deviation, IQR - Inter quartile range, CI - Confidence Interval.

Sunguya et al.

Sunguya et al. Nutrition Journal 2013 12:66   doi:10.1186/1475-2891-12-66

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