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Child-Owned Poultry Intervention Effects on Hemoglobin, Anemia, Concurrent Anemia and Stunting, and Morbidity Status of Young Children in Southern Ethiopia: A Cluster Randomized Controlled Community Trial

Author

Listed:
  • Anteneh Omer

    (School of Nutrition, Food Science and Technology, Hawassa University, Hawassa P.O. Box 5, Ethiopia)

  • Dejene Hailu

    (School of Public Health, Hawassa University, Hawassa P.O. Box 5, Ethiopia)

  • Susan Joyce Whiting

    (College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada)

Abstract

Cereal-based diets contribute to anemia in Ethiopian children. Eggs have nutrients to boost hemoglobin levels as well as counter concurrent anemia and stunting (CAS) and morbidity status. A community trial, targeting 6–18 months old children, was conducted in Halaba. Two clusters were randomly selected and allocated to intervention (N = 122) and control (N = 121) arms. Intervention group (IG) children received egg-laying hens with caging in a cultural ceremony declaring child ownership of the chickens. Parents promised to feed eggs to the child. Health and agriculture extension workers promoted egg feeding, poultry husbandry, and sanitation to IG families. Control group (CG) had standard health and agriculture education. At baseline, groups were not different by hemoglobin, anemia, CAS, and morbidity status. Mean hemoglobin was 11.0 mg/dl and anemia prevalence was 41.6%. About 11.9% of children had CAS and 52.3% were sick. Using generalized estimating equations, the intervention increased hemoglobin by 0.53 g/dl (ß:0.53; p < 0.001; 95%CI: 0.28–0.79). IG children were 64% ( p < 0.001; odds ratio [OR]:0.36; 95%CI: 0.24–0.54) and 57% ( p = 0.007; OR: 0.43; 95%CI: 0.21–0.73) less likely to be anemic and have CAS, respectively, than CG, with no difference in morbidity. Child-owned poultry intervention is recommended in settings where anemia is high and animal-source food intake is low.

Suggested Citation

  • Anteneh Omer & Dejene Hailu & Susan Joyce Whiting, 2023. "Child-Owned Poultry Intervention Effects on Hemoglobin, Anemia, Concurrent Anemia and Stunting, and Morbidity Status of Young Children in Southern Ethiopia: A Cluster Randomized Controlled Community T," IJERPH, MDPI, vol. 20(7), pages 1-16, April.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:7:p:5406-:d:1116533
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    References listed on IDEAS

    as
    1. Anteneh Omer & Dejene Hailu & Susan J. Whiting, 2022. "Effect of a Child-Owned Poultry Intervention Providing Eggs on Nutrition Status and Motor Skills of Young Children in Southern Ethiopia: A Cluster Randomized and Controlled Community Trial," IJERPH, MDPI, vol. 19(22), pages 1-17, November.
    2. Qiping Yang & Tong Yuan & Lina Yang & Jiaojiao Zou & Meimei Ji & Yefu Zhang & Jing Deng & Qian Lin, 2019. "Household Food Insecurity, Dietary Diversity, Stunting, and Anaemia among Left-Behind Children in Poor Rural Areas of China," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
    3. Sarah Style & Melody Tondeur & Carlos Grijalva-Eternod & Josephine Pringle & Ismail Kassim & Caroline Wilkinson & Allison Oman & Carmel Dolan & Paul Spiegel & Andrew Seal, 2017. "Assessment of the effectiveness of a small quantity lipid-based nutrient supplement on reducing anaemia and stunting in refugee populations in the Horn of Africa: Secondary data analysis," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-18, June.
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