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dc.contributor.authorEngebretsen, Ingunn Marie S.en_US
dc.contributor.authorJackson, Debraen_US
dc.contributor.authorFadnes, Lars Thoreen_US
dc.contributor.authorNankabirwa, Victoriaen_US
dc.contributor.authorDiallo, Abdoulaye Hamaen_US
dc.contributor.authorDoherty, Tanya Marken_US
dc.contributor.authorLombard, Carlen_US
dc.contributor.authorSwanevelder, Sonjaen_US
dc.contributor.authorNankunda, Jollyen_US
dc.contributor.authorRamokolo, Vundlien_US
dc.contributor.authorSanders, Daviden_US
dc.contributor.authorWamani, Henryen_US
dc.contributor.authorMeda, Nicolasen_US
dc.contributor.authorTumwine, James K.en_US
dc.contributor.authorEkström, Eva-Charlotteen_US
dc.contributor.authorVan de Perre, Philippeen_US
dc.contributor.authorKankasa, Chipepoen_US
dc.contributor.authorSommerfelt, Halvoren_US
dc.contributor.authorTylleskär, Thorkilden_US
dc.contributor.authoron behalf of the PROMISE EBF-study groupen_US
dc.date.accessioned2014-09-15T06:27:01Z
dc.date.available2014-09-15T06:27:01Z
dc.date.issued2014-06-21eng
dc.identifier.issn1471-2458
dc.identifier.urihttps://hdl.handle.net/1956/8466
dc.description.abstractBackground: In this multi-country cluster-randomized behavioural intervention trial promoting exclusive breastfeeding (EBF) in Africa, we compared growth of infants up to 6 months of age living in communities where peer counsellors promoted EBF with growth in those infants living in control communities. Methods: A total of 82 clusters in Burkina Faso, Uganda and South Africa were randomised to either the intervention or the control arm. Feeding data and anthropometric measurements were collected at visits scheduled 3, 6, 12 and 24 weeks post-partum. We calculated weight-for-length (WLZ), length-for-age (LAZ) and weight-for-age (WAZ) z-scores. Country specific adjusted Least Squares Means with 95% confidence intervals (CI) based on a longitudinal analysis are reported. Prevalence ratios (PR) for the association between peer counselling for EBF and wasting (WLZ < −2), stunting (LAZ < −2) and underweight (WAZ < −2) were calculated at each data collection point. Results: The study included a total of 2,579 children. Adjusting for socio-economic status, the mean WLZ at 24 weeks were in Burkina Faso −0.20 (95% CI −0.39 to −0.01) and in Uganda −0.23 (95% CI −0.43 to −0.03) lower in the intervention than in the control arm. In South Africa the mean WLZ at 24 weeks was 0.23 (95% CI 0.03 to 0.43) greater in the intervention than in the control arm. Differences in LAZ between the study arms were small and not statistically significant. In Uganda, infants in the intervention arm were more likely to be wasted compared to those in the control arm at 24 weeks (PR 2.36; 95% CI 1.11 to 5.00). Differences in wasting in South Africa and Burkina Faso and stunting and underweight in all three countries were small and not significantly different. Conclusions: There were small differences in mean anthropometric indicators between the intervention and control arms in the study, but in Uganda and Burkina Faso, a tendency to slightly lower ponderal growth (weight-for-length z-scores) was found in the intervention arms.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0eng
dc.subjectExclusive breastfeeding promotioneng
dc.subjectPeer-counsellingeng
dc.subjectChild growtheng
dc.subjectAnthropometryeng
dc.subjectStuntingeng
dc.subjectWastingeng
dc.subjectUnderweighteng
dc.subjectUndernutritioneng
dc.subjectCommunity randomised trialeng
dc.titleGrowth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa: the cluster-randomised PROMISE EBF trialen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2014-08-27T11:32:01Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2014 Engebretsen et al.; licensee BioMed Central Ltd.
dc.rights.holderIngunn Marie Stadskleiv Engebretsen et al.; licensee BioMed Central Ltd.
dc.source.articlenumber633
dc.identifier.doihttps://doi.org/10.1186/1471-2458-14-633
dc.identifier.cristin1159433
dc.source.journalBMC Public Health
dc.source.4014


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