Content area

Abstract

Introduction

Maternal and child under-nutrition is particularly widespread in low and middle-income nations, increasing the overall disease burden due to poor nutritional status. The aim of this study was to develop nutrition intervention for the prevention and control of anaemia among women of reproductive age.

Methods

Community-based intervention study was conducted among 443 women of reproductive age group (15–49 years) to determine the effectiveness of a 6-month nutrition intervention package. The nutrition intervention was developed by using Precede-Proceed model and the trans-theoretical model of behavior change. Multi-channel communication approach was adopted and nutrition intervention package was provided. Assessment of haemoglobin, red blood cells, platelet, ferritin, folate, vitamin B12, haematocrit test, mean corpuscular volume, mean corpuscular haemoglobin, mean corpuscular haemoglobin concentration, red cell distribution width and total leucocyte count was compared at the baseline and endline after the intervention among the participants. The chi-square test of independence and t-test were performed.

Results

The only mean ferritin level shows significant improvement (p < 0.001). A significant decrease (~ 15%, p = 0.027) in anaemia was observed after the intervention.

Conclusions

Improvement in anaemic status of women was observed. National schemes and programs require a more robust strategical implementation like food fortification/bio fortification and behaviour change communication at village level to enhance the availability and accessibility of fortified food.

Significance

What is already known on this subject? Anaemia is highly prevalent among women and child in India. In reproductive aged women, there is some evidence of a link between nutrition and anaemia.

What this study adds? The study recommends that trans-theoretical model of behaviour construct was an effective way to reduce the prevalence of anaemia among reproductive aged women of India. Multi-channel communication and household level interaction can be considered for significant implementation of nutrition intervention.

Details

Title
Impact of Community Based Nutrition Intervention in the Prevention and Control of Anaemia Among Reproductive Aged Women of India
Author
Khanna, Poonam 1 ; Kaur, Manmeet 1 ; Varma, Neelam 1 ; Sharma, Sadhna 1 ; Sehgal, Rakesh 1 ; Singh, Tarundeep 1 ; Srivastava, Rachana 1 ; Kushwaha, Savitesh 1 ; Jain, Rachita 1 

1  Postgraduate Institute of Medical Education and Research, Department of Community Medicine, School of Public Health, Chandigarh, India (GRID:grid.415131.3) (ISNI:0000 0004 1767 2903) 
Pages
1247-1253
Publication year
2023
Publication date
Jul 2023
Publisher
Springer Nature B.V.
ISSN
10927875
e-ISSN
15736628
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1007/s10995-023-03656-x
ProQuest document ID
2821242655
Copyright
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.