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Feasibility and effectiveness of supplementation with locally available foods in prevention of child malnutrition in Kenya

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Tomedi, A., F. Rohan-Minjares, et al. (2012). "Feasibility and effectiveness of supplementation with locally available foods in prevention of child malnutrition in Kenya." Public Health Nutrition 15(4): 749-756.

Objective: To establish the operational feasibility and effectiveness of using locally available foods to prevent malnutrition and improve child growth in Kenyan children.

Design: Quasi-experimental Design with an intervention group of children in all villages in one region and a non-intervention group of children in all villages in an adjacent region. The intervention was the distribution of a monthly food ration for the index child, a separate family ration, and group education on appropriate complementary feeding and hygiene.

Setting: Rural villages in the arid lands of eastern Kenya with a high prevalence of child malnutrition.

Subjects: All children in the target villages aged 6-20 months with weight-for-length Z-score (WHZ) greater than A2 at baseline.

Results: Children in the intervention and non-intervention groups had similar baseline anthropometric measures. The caregivers in the intervention group confirmed that the intended amounts of food supplements were received and child nutrient intake improved. During the 7-month intervention period there were significant group differences in pre-post Z-score changes between the intervention and non-intervention groups for weight-for-age (0·82, P < 0·001) and weight-for-height (1·19, P < 0·001), but not for height-for-age (-0.20, P = 0·09), after adjusting for multiple covariates. Compared with the non-intervention group, the intervention group had a lower prevalence of wasting (0 % v. 8·9 %, P = 0·0002) and underweight (6·3 % v. 23·0 %, P < 0·0001). Infectious morbidity was similar in both groups.

Conclusions: The findings suggest that the distribution of locally available foods is operationally feasible and improves child weight gain and decreases acute malnutrition in Kenyan children.