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Large-Scale Behavior-Change Initiative for Infant and Young Child Feeding Advanced Language and Motor Development in

Edward A Frongillo¹, Phuong H Nguyen², Kuntal K Saha²

¹University of South Carolina, Columbia, SC; efrongillo@sc.edu.

The Journal of Nutrition

|December 30, 2016

Summary

An intensive infant and young child feeding (IYCF) intervention significantly improved language and gross motor development in children. These advancements were partly linked to better complementary feeding practices, highlighting the importance of integrated nutrition programs.

Keywords:

Bangladesh child undernutrition cluster randomized trial effectiveness evaluation gross motor development interpersonal counseling language development mass media

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Area of Science:

Child Development
Nutritional Science
Public Health Interventions

Background:

Adequate infant and young child feeding (IYCF) is crucial for child development.
Nutrition programs can potentially enhance cognitive and motor skills.
Evaluating the broader impact of IYCF interventions is essential.

Purpose of the Study:

To assess if an intensive IYCF intervention package, delivered at scale, improved language and gross motor development in Bangladeshi children.
To determine if improvements in complementary feeding practices mediated the effects on child development.
To investigate the impact of a multi-component intervention including counseling, mass media, and community mobilization.

Main Methods:

A cluster-randomized trial comparing an intensive IYCF intervention with a non-intensive approach.
Household surveys conducted at baseline and endline with approximately 4000 children (aged 0-47.9 months) per round.
Difference-in-differences analysis and path analysis to evaluate impact and mediation effects on child development milestones.

Main Results:

The intensive IYCF intervention showed significant positive effects on language development (1.05 milestones, P=0.001; 0.76 milestones, P=0.038) and gross motor development (0.85 milestones, P=0.035) in children aged 6-47.9 months.
Effect sizes were 0.35 for language and 0.23 for gross motor development.
Improvements in minimum dietary diversity and iron-rich food consumption partially explained developmental gains.

Conclusions:

Intensive IYCF interventions can effectively advance both language and gross motor development in young children.
Improved complementary feeding practices play a partial role in mediating these developmental advancements.
Integrated nutrition programs should measure diverse child outcomes, including functional development, for comprehensive evaluation.