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The Integrated Rural Nutrition Project, Kawambwa, Zambia: successes of a nutrition education programme

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Friedrich, J. (1997). "The Integrated Rural Nutrition Project, Kawambwa, Zambia: successes of a nutrition education programme." SCN news / United Nations, Administrative Committee on Coordination, Subcommittee on Nutrition(15): 26-27.

Objective: This article presents some findings from an evaluation of the Integrated Rural Nutrition Project (IRNP) in Kawambwa, Zambia. The IRNP was initiated in 1985. The program relied on a multisectoral approach by the Ministries of Health, Education, Agriculture, and Community Development. The program aimed to reduce the rate of malnutrition.

Methods and Findings: Breast feeding was encouraged, and farmers were encouraged to increase production of beans and groundnuts. Extension workers were trained. Findings indicate that nutrition education programs had a significant, positive effect on the nutritional status of children aged under 5 years. The nutrition education component, which aimed at improving knowledge, attitudes, and practices, was more successful than the activities that aimed at increasing food availability. A continuing question was raised by program staff about whether training of extension workers, social marketing, mass education, or direct extension were capable of having an impact on nutrition without addressing food productivity issues. The availability of legumes improved throughout the intervention period. The length of the hunger season was shortened. However, increased food availability did not improve anthropometric measurements, and some children, who were not part of the seed multiplication program, showed improved anthropometric measurements. Children in the intervention area were exposed to better breast-feeding practices: breast feeding for longer periods and fewer introductions to non-milk liquids. After the first month, under 20% of children in the project area and 80-95% in the non-project areas had received breast milk substitutes. Young children in the project area had better weight-for-height, after controlling for wealth, access to services, maternal and paternal education, gender, and age. 3-year-old children in the project area weighed 0.3 of a z-score more than non-project children.