Malnutrition Clinical Trial
Official title:
Community Development and Nutrition Education in Banke District, Nepal: Effect on Child Health and Growth
Heifer Project International is a globally active NGO with more than 400 projects in over 30 countries. The organization uses the introduction of livestock and related training in the development of social capital as tools for poverty alleviation, citizen empowerment, and community development. In a pilot project conducted in 2009-2012, these activities were found to promote some improvement in child health and nutritional status. However, robust enhancement of these important indicators was not observed. Heifer now intends to investigate the efficacy of a nutrition and child health education program in amplifying these effects.
Child health and survival remain significant challenges in Nepal. Nepal is ranks 63rd highest
in the world for "under 5 mortality" rate, with 54/1000 children dying before their 5th
birthdays and 46/1000 infants dying before their first birthdays. Annually, more than 47,000
children die before reaching age 5 years. At these mortality levels, one in every 22 Nepalese
children dies before reaching age 1, and one in every 19 does not survive to his or her fifth
birthday. Nutritional status of children is extremely poor, with ~29% of children underweight
and 41% stunted (respectively, weight and height <-2 SD from median) (UNICEF, 2011) (Ministry
of Health and Population et al., 2012).
Heifer Project International is a globally active NGO with more than 400 projects in over 30
countries. The organization uses the introduction of livestock and related training in the
development of social capital as tools for poverty alleviation, citizen empowerment, and
community development. Heifer International recognizes the links between poverty, child
malnutrition, and disease. However, improving economic indicators is not always sufficient to
improve child outcomes. Thus, the organization now wishes to conduct a systematic assessment
to evaluate the effects of introducing a child health and nutrition component into their
work, and to clarify the links (if any) between social capital training and child growth and
health. In doing so, Heifer International expects to develop a model which could be adapted
for use in other regions of the world. The interaction of Heifer community development
activities, specific child and family characteristics, and child health and nutritional
status will also be explored.
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