RESUMO
A multidisciplinary intervention to reduce protein-energy malnutrition among children in rural areas was piloted in 3 provinces of the Islamic Republic of Iran. Based on an initial situation analysis, a range of interventions were implemented through local nongovernmental organizations, including nutrition, health and literacy education for mothers, improved growth monitoring and fostering rural cooperatives and income generation schemes. Malnutrition before and after the intervention (in 1996 and 1999) was assessed using anthropometric measurements of random samples of children aged 6-35 months in control and intervention areas. Three years into the intervention, all indicators of malnutrition had consistently decreased in all intervention areas and the prevalence of underweight and stunting was significantly lower. Control areas showed a mixed pattern of small increases and decreases in malnutrition indicators.
Assuntos
Transtornos da Nutrição Infantil/prevenção & controle , Organizações/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Desnutrição Proteico-Calórica/prevenção & controle , Serviços de Saúde Rural/organização & administração , Antropometria , Transtornos da Nutrição Infantil/epidemiologia , Ciências da Nutrição Infantil/educação , Pré-Escolar , Comportamento Cooperativo , Escolaridade , Humanos , Incidência , Lactente , Relações Interinstitucionais , Irã (Geográfico)/epidemiologia , Mães/educação , Avaliação das Necessidades , Inquéritos Nutricionais , Projetos Piloto , Prevalência , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Desnutrição Proteico-Calórica/epidemiologia , Fatores SocioeconômicosRESUMO
A multidisciplinary intervention to reduce protein-energy malnutrition among children in rural areas was piloted in 3 provinces of the Islamic Republic of Iran. Based on an initial situation analysis, a range of interventions were implemented through local nongovernmental organizations, including nutrition, health and literacy education for mothers, improved growth monitoring and fostering rural cooperatives and income generation schemes. Malnutrition before and after the intervention [in 1996 and 1999] was assessed using anthropometric measurements of r and om samples of children aged 6-35 months in control and intervention areas. Three years into the intervention, all indicators of malnutrition had consistently decreased in all intervention areas and the prevalence of underweight and stunting was significantly lower. Control areas showed a mixed pattern of small increases and decreases in malnutrition indicators
