Impact of community nutrition project on malnutrition in children under five: a case of SPRING Ghana project

Submitted: 11 January 2024
Accepted: 26 March 2024
Published: 10 May 2024
Abstract Views: 424
PDF: 196
Supplementary materials: 17
HTML: 94
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

This study examines the effects of the Strengthening Partnership, Results, and Innovations in Nutrition Globally (SPRING) project on malnutrition (stunting, acute malnutrition, and underweight) among children under five years of age. We employed the Difference-In-Difference (DID) estimation approach and the Ghana Multiple Indicator Cluster Survey data (MICS) to analyze the project’s impact. Our analysis showed a strong positive association between the project’s effect on the probability of stunting and underweight by 11% (p=0.01) and 9% (p=0.003), respectively, in the treated regions compared with the untreated regions. However, we found no evidence of the project’s effect on acute malnutrition. We also provide suggestive evidence that the project may have influenced child nutrition status through antenatal care attendance. This study demonstrated that tackling child nutrition deficiencies through an integrated holistic approach, such as early Antenatal Care (ANC) attendance, increased access to high-quality foods, improving women’s nutrition knowledge, and improving agricultural practices, can significantly reduce childhood stunting and underweight.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Georgieff MK. Long-term brain and behavioral consequences of early iron deficiency. Nutrition Rev 2011;69:S43-8. DOI: https://doi.org/10.1111/j.1753-4887.2011.00432.x
Neelsen S, Stratmann T. Effects of prenatal and early life malnutrition: evidence from the Greek famine. J Health Econ 2011;30:479-88. DOI: https://doi.org/10.1016/j.jhealeco.2011.03.001
Georgieff MK, Brunette KE, Tran PV. Early life nutrition and neural plasticity. Dev Psychopathol 2015;27:411-23. DOI: https://doi.org/10.1017/S0954579415000061
Jamison DT. Child malnutrition and school performance in China. J Develop Econ 1986;20:299-309. DOI: https://doi.org/10.1016/0304-3878(86)90026-X
Meng X, Qian N. The long term consequences of famine on survivors: evidence from a unique natural experiment using China’s great famine. National Bureau Econ Res 2009. Available from: https://www.nber.org/papers/w14917 DOI: https://doi.org/10.3386/w14917
Bryce J, Coitinho D, Darnton-Hill I, et al. Maternal and child undernutrition: effective action at national level. Lancet 2008;371:510-26. DOI: https://doi.org/10.1016/S0140-6736(07)61694-8
Bigool M, Osei Owusu N, Frimpong AA. Effect of healthcare quality initiative on maternal healthcare service utilization: a case study of the SPRING Ghana project. J Public Health Afr 2022;13:2183. DOI: https://doi.org/10.4081/jphia.2022.2183
Strengthening Partnership, Results, and Innovations in Nutrition Globally (SPRING) . Ghana: Final Country Report. 2018. Available from: https://spring-nutrition.org/publications/reports/ghana-final-country-report
Bhutta ZA, Ahmed T, Black RE, et al. What works? Interventions for maternal and child undernutrition and survival. Lancet 2008;371:417-40. DOI: https://doi.org/10.1016/S0140-6736(07)61693-6
Marquis GS, Colecraft EK, Kanlisi R, et al. An agriculture–nutrition intervention improved children’s diet and growth in a randomized trial in Ghana. Maternal Child Nutr 2018;14:e12677. DOI: https://doi.org/10.1111/mcn.12677
Kang Y, Kim S, Sinamo S, Christian P. Effectiveness of a community‐based nutrition programme to improve child growth in rural Ethiopia: a cluster randomized trial. Maternal Child Nutr 2017;13:12349. DOI: https://doi.org/10.1111/mcn.12349
Linnemayr S, Alderman H. Almost random: evaluating a large-scale randomized nutrition program in the presence of crossover. J Develop Econ 2011;96:106-14. DOI: https://doi.org/10.1016/j.jdeveco.2010.06.002
Ghana Statistical Service. The DHS Program. Ghana Demographic and Health Survey 2022. 2022. Available from: https://dhsprogram.com/pubs/pdf/PR149/PR149.pdf
Ghana Statistical Service Accra, UNICEF. Ghana Multiple Indicator Cluster Survey 2017/18. 2018. Available from: https://www.unicef.org/ghana/media/576/file/Ghana%20Multiple%20Cluster%20Indicator%20Survey.pdf
Olney DK, Leroy J, Bliznashka L, Ruel MT. PROCOMIDA, a food-assisted maternal and child health and nutrition program, reduces child stunting in Guatemala: a cluster-randomized controlled intervention trial. J Nutr 2018;148:1493-505. DOI: https://doi.org/10.1093/jn/nxy138
Kim SS, Nguyen PH, Yohannes Y, et al. Behavior change interventions delivered through interpersonal communication, agricultural activities, community mobilization, and mass media increase complementary feeding practices and reduce child stunting in Ethiopia. J Nutr 2019;149:1470-81. DOI: https://doi.org/10.1093/jn/nxz087
Haeck C, Lefebvre P. A simple recipe: the effect of a prenatal nutrition program on child health at birth. Labour Econ 2016;41:77-89. DOI: https://doi.org/10.1016/j.labeco.2016.05.003
Carlson A, Senauer B. The impact of the special supplemental nutrition program for women, infants, and children on child health. Am J Agri Economics 2003;85:479-91 DOI: https://doi.org/10.1111/1467-8276.00135

How to Cite

Thar Kei Myo , S., & Bigool, M. (2024). Impact of community nutrition project on malnutrition in children under five: a case of SPRING Ghana project. Healthcare in Low-Resource Settings, 12(2). https://doi.org/10.4081/hls.2024.12272