Effects of responsive stimulation and nutrition interventions on children's development and growth at age 4 years in a disadvantaged population in Pakistan:

Slides:

Advertisements

Similar presentations

Food systems, nutrition, health and the environment

Advertisements

Effect of a bereavement support group on female adolescents' psychological health: a randomised controlled trial in South Africa Prof Tonya Renee Thurman,

The commercial determinants of health

Self-assessment of the outcome of early medical abortion versus clinic follow-up in India: a randomised, controlled, non-inferiority trial Dr Kirti Iyengar,

The impact of megacities on health: preparing for a resilient future

Assessment of progress towards universal health coverage for people with disabilities in Afghanistan: a multilevel analysis of repeated cross-sectional.

Brandon A Kohrt, Suzan J Song The Lancet Global Health

Charity begins at home in global health research funding

Threats to human health by great ocean garbage patches

Prevalence of cerebral palsy in Uganda: a population-based study

Effects of restrictions to Income Support on health of lone mothers in the UK: a natural experiment study Srinivasa Vittal Katikireddi, PhD, Oarabile.

Do air quality alerts benefit public health? New evidence from Canada

Early childhood development: a new challenge for the SDG era

The Good School Toolkit for reducing physical violence from school staff to primary school students: a cluster-randomised controlled trial in Uganda

Efficacy of chlorhexidine application to umbilical cord on neonatal mortality in Pemba, Tanzania: a community-based randomised controlled trial Dr Sunil.

Effects of a parenting intervention to address maternal psychological wellbeing and child development and growth in rural Uganda: a community-based, cluster-randomised.

Effective cross-sector collaborations create sustainability

Effects of water quality, sanitation, handwashing, and nutritional interventions on child development in rural Kenya (WASH Benefits Kenya): a cluster-randomised.

Self-assessment of the outcome of early medical abortion versus clinic follow-up in India: a randomised, controlled, non-inferiority trial Dr Kirti Iyengar,

The effect of a transition into poverty on child and maternal mental health: a longitudinal analysis of the UK Millennium Cohort Study Dr Sophie Wickham,

Effect of provision of home-based curative health services by public sector health-care providers on neonatal survival: a community-based cluster-randomised.

Effect of participatory women's groups and counselling through home visits on children's linear growth in rural eastern India (CARING trial): a cluster-randomised.

The effect of explosive remnants of war on global public health: a systematic mixed- studies review using narrative synthesis Alexandra Frost, MSc, Prof.

National, regional, and global prevalence of smoking during pregnancy in the general population: a systematic review and meta-analysis Shannon Lange,

Smartphone-based screening for visual impairment in Kenyan school children: a cluster randomised controlled trial Hillary K Rono, MMed, Andrew Bastawrous,

Arnaud Chiolero The Lancet Public Health

Jonathan Broad, Matthew D Snape The Lancet Public Health

Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Kenya: a cluster-randomised controlled.

Malebona Precious Matsoso, Jeanette Rebecca Hunter, Vishal Brijlal

Food systems, nutrition, health and the environment

Effect of a community-led sanitation intervention on child diarrhoea and child growth in rural Mali: a cluster-randomised controlled trial Dr Amy J Pickering,

Sherif M Abdalla, Robert Bortolussi, Noni E MacDonald

Effectiveness of a lifestyle intervention led by female community health volunteers versus usual care in blood pressure reduction (COBIN): an open-label,

Exposure to improved nutrition from conception to age 2 years and adult cardiometabolic disease risk: a modelling study Nicole D Ford, PhD, Jere R Behrman,

Trends in infant mortality in Venezuela between 1985 and 2016: a systematic analysis of demographic data Jenny García, MSc, Prof Gerardo Correa, MSc,

Risk of poor development in young children in low-income and middle-income countries: an estimation and analysis at the global, regional, and country.

Effect of a bereavement support group on female adolescents' psychological health: a randomised controlled trial in South Africa Prof Tonya Renee Thurman,

Tobacco use and second-hand smoke exposure in young adolescents aged 12–15 years: data from 68 low-income and middle-income countries Prof Bo Xi, PhD,

Effect of a workplace-based group training programme combined with financial incentives on smoking cessation: a cluster-randomised controlled trial Floor.

Elder abuse prevalence in community settings: a systematic review and meta-analysis Yongjie Yon, MA, Christopher R Mikton, PhD, Zachary D Gassoumis, PhD,

Forecasting the care needs of the older population in England over the next 20 years: estimates from the Population Ageing and Care Simulation (PACSim)

Effective interventions for unintentional injuries: a systematic review and mortality impact assessment among the poorest billion Andres I Vecino-Ortiz,

Tuberculosis case detection by trained inmate peer educators in a resource-limited prison setting in Ethiopia: a cluster-randomised trial Kelemework.

Thank you to our diverse (but not diverse enough) reviewers

Matthieu J Guitton The Lancet Planetary Health

Spatial lifecourse epidemiology

Buyun Liu, Yangbo Sun, Wei Bao The Lancet Planetary Health

Effect of a behaviour change intervention on the quality of peri-urban sanitation in Lusaka, Zambia: a randomised controlled trial James B Tidwell, PhD,

Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries: a systematic review Alexander K Rowe,

The Lancet Global Health

Integrating an early childhood development programme into Bangladeshi primary health-care services: an open-label, cluster-randomised controlled trial

Malaria innovations: pursuing value in an evolving market

Multiple behaviour change intervention for diarrhoea control in Lusaka, Zambia: a cluster randomised trial Katie Greenland, MSc, Jenala Chipungu, BSc,

Restructuring physical micro-environments to reduce the demand for meat: a systematic review and qualitative comparative analysis Filippo Bianchi, MPhil,

Jean H Humphrey, Andrew J Prendergast The Lancet Global Health

Reducing the cardiovascular disease burden for people of all ages in the Americas region: analysis of mortality data, 2000–15 Prof Peter Lloyd-Sherlock,

Improving management of neonatal infections

Effect of community health clubs on child diarrhoea in western Rwanda: cluster- randomised controlled trial Sheela S Sinharoy, PhD, Wolf-Peter Schmidt,

Population attributable fractions for risk factors for dementia in low-income and middle- income countries: an analysis using cross-sectional survey data

The effect of the Alive & Thrive initiative on exclusive breastfeeding in rural Burkina Faso: a repeated cross-sectional cluster randomised controlled.

Deriving a practical framework for the evaluation of health apps

Excess under-5 female mortality across India: a spatial analysis using 2011 census data Christophe Z Guilmoto, PhD, Nandita Saikia, PhD, Vandana Tamrakar,

Peng Jia, Youfa Wang The Lancet Global Health

Use of standardised patients to assess gender differences in quality of tuberculosis care in urban India: a two-city, cross-sectional study Benjamin.

The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions Katherine E.

Tracking aid for global health goals: a systematic comparison of four approaches applied to reproductive, maternal, newborn, and child health Catherine.

Effects of nutritional supplementation and home visiting on growth and development in young children in Madagascar: a cluster-randomised controlled trial

Institutional challenges to achieving health equity in Ecuador

Post-partum family planning in Burkina Faso (Yam Daabo): a two group, multi- intervention, single-blinded, cluster-randomised controlled trial Nguyen.

Sickle cell disease: a new era

Presentation transcript:

Effects of responsive stimulation and nutrition interventions on children's development and growth at age 4 years in a disadvantaged population in Pakistan: a longitudinal follow-up of a cluster-randomised factorial effectiveness trial Aisha K Yousafzai, PhD, Jelena Obradović, PhD, Muneera A Rasheed, MSc, Arjumand Rizvi, MSc, Ximena A Portilla, PhD, Nicole Tirado-Strayer, MSc, Saima Siyal, MA, Uzma Memon, MA The Lancet Global Health Volume 4, Issue 8, Pages e548-e558 (August 2016) DOI: 10.1016/S2214-109X(16)30100-0 Copyright © 2016 Yousafzai et al. Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 1 Re-enrolment and assessments at 4 years 90% of the original enrolled subjects were re-enrolled for the follow-up study, and assessments at 4 years were completed on 87% of the original enrolled subjects. 33 children were not assessed because of loss to follow-up despite repeated home visits (n=18) or due to moderate-to-severe disability (n=15). The Lancet Global Health 2016 4, e548-e558DOI: (10.1016/S2214-109X(16)30100-0) Copyright © 2016 Yousafzai et al. Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions

Figure 2 Proportion of family members who engaged in four or more learning activities with the case child over 3 days (A) Responsive stimulation. (B) Enhanced nutrition. No significant differences were found between responsive stimulation (n=659) compared with no responsive stimulation (n=639) groups for mothers (p=0·201), fathers (p=0·680), and other caregivers (p=0·675). There were significant differences between enhanced nutrition (n=624) compared with no enhanced nutrition (n=674) groups for mothers (p=0·001), fathers (p<0·0001), and other caregivers (p<0·0001). A significant interaction effect was found between interventions for other caregivers (p<0·0001). The Lancet Global Health 2016 4, e548-e558DOI: (10.1016/S2214-109X(16)30100-0) Copyright © 2016 Yousafzai et al. Published by Elsevier Ltd. This is an Open Access article under the CC BY license Terms and Conditions