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Gabida M, Chemhuru M, Tshimanga M, et al. Effect of distribution of educational material to mothers on duration and severity of diarrhoea and pneumonia, Midlands Province, Zimbabwe: a cluster randomized controlled trial. Int Breastfeed J. 2015;10:13doi: 10.1186/s13006-015-0037-6.
Gabida, M., Chemhuru, M., Tshimanga, M., Gombe, N. T., Takundwa, L., & Bangure, D. (2015). Effect of distribution of educational material to mothers on duration and severity of diarrhoea and pneumonia, Midlands Province, Zimbabwe: a cluster randomized controlled trial. International breastfeeding journal, 1013. https://doi.org/10.1186/s13006-015-0037-6
Gabida, Meggie, et al. "Effect of distribution of educational material to mothers on duration and severity of diarrhoea and pneumonia, Midlands Province, Zimbabwe: a cluster randomized controlled trial." International breastfeeding journal vol. 10 (2015): 13. doi: https://doi.org/10.1186/s13006-015-0037-6
Gabida M, Chemhuru M, Tshimanga M, Gombe NT, Takundwa L, Bangure D. Effect of distribution of educational material to mothers on duration and severity of diarrhoea and pneumonia, Midlands Province, Zimbabwe: a cluster randomized controlled trial. Int Breastfeed J. 2015 Mar 27;10:13. doi: 10.1186/s13006-015-0037-6. eCollection 2015. PMID: 26246847; PMCID: PMC4525732.
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Int Breastfeed J. 2015 Mar 27;10:13. doi: 10.1186/s13006-015-0037-6. eCollection 2015.

Effect of distribution of educational material to mothers on duration and severity of diarrhoea and pneumonia, Midlands Province, Zimbabwe: a cluster randomized controlled trial.

International breastfeeding journal

Meggie Gabida, Milton Chemhuru, Mufuta Tshimanga, Notion T Gombe, Lucia Takundwa, Donewell Bangure

Affiliations

  1. Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
  2. Provincial Medical Directorate, Midlands Province, Ministry of Health and Child Care, Harare, Zimbabwe.

PMID: 26246847 PMCID: PMC4525732 DOI: 10.1186/s13006-015-0037-6

Abstract

BACKGROUND: Exclusive breastfeeding rates remain low in most countries in sub-Saharan Africa. We assessed the effects of a mother-based intervention on duration of diarrhoea and pneumonia in communities that were trained and those not trained in community infant and young child feeding (cIYCF) in Midlands Province, Zimbabwe.

METHODS: We evaluated communities with village health workers who received training in cIYCF and the distribution of educational materials (newsletter) to mothers in promotion of exclusive breastfeeding using a two-by-two factorial cluster randomized controlled trial. The trial arms included clusters trained in cIYCF only, clusters with mothers that received a newsletter only, clusters that received both interventions and clusters receiving no intervention. Consenting mother-infant pairs identified within 72 hours of delivery were followed up at 14 and 20 weeks where duration of diarrhoea and pneumonia as well as severity of diarrhoea was assessed. Clusters were facility catchment areas assigned by an independent statistician using randomization generated by a computer using Stata 10. All admitting facilities and facilities at borders were excluded as buffer zones and eight clusters were analysed. Nutritionists who collected data were not aware of the hypothesis being tested and analysis was by intention-to-treat.

RESULTS: A total of 357 mother-infant pairs were available for analysis in all the clusters. The interaction between cIYCF training and the newsletter was statistically significant at 14 weeks (p = 0.022). The mean duration of diarrhoea was 2.9 (SD = 0.9) days among infants of mothers who resided in communities trained and received a newsletter compared to 5.2 (SD = 1.1) days in communities that received neither. The protective efficacy of the cIYCF plus newsletter was 76% during the first 20 weeks of life. In the two way ANOVA, the newsletter was more effective on duration of pneumonia (p = 0.010) at 14 weeks and remained significantly effective at 20 weeks (p < 0.0001).

CONCLUSIONS: A combined community and distribution of a newsletter to mothers on promotion of exclusive breastfeeding reduces duration of diarrhoea at 14 weeks. At 20 weeks, the newsletter worked better for both duration of diarrhoea and pneumonia compared to cIYCF training alone.

Keywords: Exclusive breastfeeding; Mother-based; Promotion; cIYCF

References

  1. JAMA. 2001 Jan 24-31;285(4):413-20 - PubMed
  2. J Pediatr (Rio J). 2011 Sep-Oct;87(5):371-2 - PubMed
  3. Lancet. 2003 Apr 26;361(9367):1418-23 - PubMed
  4. Pediatrics. 2010 Jul;126(1):e18-25 - PubMed
  5. Lancet. 2003 Jul 5;362(9377):65-71 - PubMed
  6. Am J Clin Nutr. 2007 Dec;86(6):1717-21 - PubMed
  7. Pediatrics. 2006 Feb;117(2):425-32 - PubMed
  8. Lancet. 2000 Nov 11;356(9242):1643-7 - PubMed
  9. Lancet. 2011 Jul 30;378(9789):420-7 - PubMed
  10. Salud Publica Mex. 2005 Jan-Feb;47(1):49-57 - PubMed
  11. Pediatrics. 1998 Apr;101(4):E3 - PubMed
  12. AIDS. 2005 Apr 29;19(7):699-708 - PubMed
  13. Health Technol Assess. 2000;4(25):1-171 - PubMed
  14. Am J Clin Nutr. 2003 Aug;78(2):291-5 - PubMed
  15. Matern Child Nutr. 2008 Apr;4 Suppl 1:5-23 - PubMed
  16. Cochrane Database Syst Rev. 2012 Oct 17;10:CD009468 - PubMed
  17. Int Breastfeed J. 2012 Feb 24;7:2 - PubMed
  18. Bull World Health Organ. 2013 Aug 1;91(8):612-7 - PubMed
  19. Am J Clin Nutr. 2007 Feb;85(2):635S-638S - PubMed
  20. Bull World Health Organ. 2008 May;86(5):356-64 - PubMed
  21. Adv Exp Med Biol. 2004;554:63-77 - PubMed
  22. Int Breastfeed J. 2012 Nov 27;7(1):17 - PubMed
  23. Int Breastfeed J. 2012 Dec 13;7(1):19 - PubMed
  24. BMC Public Health. 2011 Apr 13;11 Suppl 3:S15 - PubMed
  25. CMAJ. 1992 Mar 15;146(6):911-7 - PubMed
  26. BMC Pediatr. 2007 Mar 01;7:10 - PubMed
  27. Am J Clin Nutr. 2009 May;89(5):1375-82 - PubMed
  28. J Health Popul Nutr. 2006 Dec;24(4):530-9 - PubMed
  29. J Health Popul Nutr. 2007 Jun;25(2):195-204 - PubMed
  30. Lancet. 2008 Jan 19;371(9608):243-60 - PubMed
  31. Int Breastfeed J. 2008 Nov 24;3:28 - PubMed

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