2023 article

The Livestock for Health Study: A Field Trial on Livestock Interventions to Prevent Acute Malnutrition Among Women and Children in Pastoralist Communities in Northern Kenya

Samuel M. Thumbi, Josphat Muema, Nyamai Mutono, Joseph Njuguna, Christine C. Jost, Erin Boyd, Daniel Tewoldeberhan, Immaculate Mutua, George Gacharamu, Francis Wambua, Robert Allport, Emmanuella Olesambu, Abdal Monium Osman, Darana Souza, Irene Kimani, Julius Otieno Oyugi, Zipporah Bukania, Harriet Oboge, Guy H. Palmer, Jonathan Yoder

5Citations signalées, ce qui n’est pas une note de qualité

8Institutions déclarées

5Pays d’affiliation déclarés

Rattachement africain : Kenya, gb, hr, us, it. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

BACKGROUND: Livestock-dependent communities in Africa's drylands disproportionately experience acute malnutrition, especially during drought seasons. We detail the design and implementation of the Livestock for Health (L4H) study aimed at determining the effect of providing livestock feed and nutritional counselling to prevent seasonal spikes of acute malnutrition. METHODS: The L4H study employed a 3-arm cluster randomized controlled trial to compare households in pastoralist settings in northern Kenya receiving livestock feeds during critical dry periods, with or without nutritional counseling, with control households. Over 4 dry seasons, 2019 to 2021, the study collected data on household milk production, consumption patterns, mothers'/children's nutritional status, household socioeconomic status, herd dynamics, and human and animal health status every 6 weeks. RESULTS: L4H recruited 1734 households, with 639, 585, and 510 households assigned to intervention arms 1 and 2 and control arm 3, respectively. From these households, 1734 women and 1748 children younger than 3 years were recruited. In total, 19 419 household visits were completed, obtaining anthropometric measures 9 times on average for each child and mother. Eighty-one households (5%) were lost from the study due to the mother's death, child's death, migration, and withdrawal for other reasons. DISCUSSION: L4H's success in a challenging environment was possible due to strong community engagement, formative studies to inform trial design, collaboration with local authorities, and effective interdisciplinary collaboration. Subsequent manuscripts will report the study findings. TRIAL REGISTRATION: The study was registered October 29, 2020, and is online at ClinicalTrials.gov (ID: NCT04608656).

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.

Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref: The Livestock for Health Study: A Field Trial on Livestock Interventions to Prevent Acute Malnutrition Among Women and Children in Pastoralist Communities in Northern Kenya
Date Crossref: 18/10/2023
Éditeur: SAGE Publications
Type: journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Où se fait cette recherche

University of Nairobi Center for Epidemiological Modelling and Analysis University of Nairobi, Kenya (code pays fourni par la source)
Université ou école supérieure
Centre for Immunity pays non établi dans la notice
Établissement de santé
Institute of Immunology pays non établi dans la notice
Structure de recherche
Washington State University Feed the Future Innovation Lab for Animal Health pays non établi dans la notice
Université ou école supérieure
University of Edinburgh Institute of Immunology and Infection Research pays non établi dans la notice
Université ou école supérieure
United States Agency for International Development Credence Management Solutions LLC pays non établi dans la notice
Organisme public
Ministry of Health Kenya (code pays fourni par la source)
Organisme public
Food and Agriculture Organization of the United Nations Nairobi, Kenya (pays nommé en fin d’affiliation)
Organisme public
United Nations Children's Fund Nairobi, Kenya (pays nommé en fin d’affiliation)
Institution
Kimetrica Limited Nairobi, Kenya (pays nommé en fin d’affiliation)
Institution
Emergency and Resilience Division pays non établi dans la notice
Institution
School of Economic Sciences pays non établi dans la notice
Université ou école supérieure

Center for Epidemiological Modelling and Analysis — University of Nairobi (University of Nairobi, Kenya), Centre for Immunity et Institute of Immunology, avec 9 autres affiliations. Pays d’affiliation : Kenya.

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Rangeland Management and Livestock EcologyChild Nutrition and Water AccessZoonotic diseases and public health

Consulter la publication primaire Ouvrir le DOI