Prevalence, trends and predictors of anaemia and growth faltering in Malawi: A prospective case study of the micronutrient and health programme (1996-2005)
Notice bibliographique
Résumé
This thesis presents results of studies aimed at assessing the impact of an integrated, community-based micronutrient and health (MICAH) programme on linear growth retardation (stunting) and anaemia in rural Malawian children (6.0-59.9 months), and anaemia in women (15-49 years). The programme was implemented by World Vision in collaboration with its local partners in selected rural communities. Using data collected at the baseline (1996), and during evaluation of the programme (2000 and 2004), the results were compared between MICAH and Comparison areas, which only participated in the programme until 1999. Programme interventions included weekly iron supplementation, provision of potable water and sanitation, dietary diversification, promotion of appropriate child feeding practices, and prevention and treatment of parasitic infections. In children, the prevalence of stunting and anaemia was very high in 1996. Although stunting significantly declined in MICAH and Comparison areas in subsequent surveys, the difference between MICAH and Comparison areas was only significant in 2000. As for anaemia, there was a significantly lower prevalence in MICAH than Comparison areas in 2000 and 2004. Factors that were associated with a reduction in the probability of stunting at the baseline or in MICAH/Comparison areas were: increasing household socioeconomic status; children aged >=24 months; household access to protected water; exclusive breastfeeding for 6 months; and, households that raised livestock. For anaemia, factors that were associated with a reduction in childhood anaemia were: children aged >=24 months; children without malaria parasitemia; and, children from households that grew fruit trees. Among women, data were available only for the 2000 and 2004 surveys. There was no significant difference in the prevalence of anaemia in 2000, but significantly fewer women were anaemic in MICAH than Comparison areas in 2004. Women from households that reported using bed nets to prevent malaria; households with increasing socioeconomic status; and surprisingly, women who were diagnosed with malaria parasitemia were less likely to be anaemic. Growing of fruit trees had mixed results. Taken together, the studies showed that the Malawi MICAH programme is a potential model for combating stunting and anaemia in rural areas, particularly if programme interventions are integrated and community-based.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».