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Behavior Change, Egg Consumption, and Child Nutrition: A Cluster Randomized Controlled Trial.
Sarah L McKune1, Heather Stark2, Amanda C Sapp2
1Departments of Environmental and Global Health, smckune@ufl.edu.
Pediatrics
|November 26, 2020
Summary
A behavior change intervention significantly increased child egg consumption in rural Burkina Faso. Providing chickens alongside the intervention further boosted egg intake and reduced child malnutrition, including wasting and underweight.
Area of Science:
- Global child health
- Nutritional interventions
- Behavioral economics
Background:
- Malnutrition is a major cause of child illness and death worldwide.
- Egg consumption can improve child nutrition but is uncommon in poor, rural areas.
- Culturally adapted strategies are needed to increase egg intake in vulnerable populations.
Purpose of the Study:
- To evaluate a culturally tailored behavior change intervention aimed at increasing egg consumption among children.
- To assess the impact of providing chickens in addition to the intervention on egg consumption and child nutrition outcomes.
Main Methods:
- A 3-arm cluster randomized controlled trial was conducted in rural Burkina Faso.
- 260 mother-child dyads were included, with children aged 4 to 17 months.
- Interventions included a behavior change package and/or the provision of chickens.
Main Results:
- Both the full intervention (including chickens) and partial intervention (behavior change only) significantly increased child egg consumption.
- The full intervention also increased poultry production and women's decision-making power.
- Significant reductions in child wasting and underweight were observed with the full intervention.
Conclusions:
- Culturally tailored behavior change packages effectively increase child egg consumption.
- Combining behavior change with chicken provision enhances egg consumption and improves nutritional status (reducing wasting and underweight).
- These strategies are recommended for nutrition programs in resource-limited settings with available poultry.
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