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首页> 外文期刊>Maternal & child nutrition >Suaahara Suaahara in Nepal: An at‐scale, multi‐sectoral nutrition program influences knowledge and practices while enhancing equity
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Suaahara Suaahara in Nepal: An at‐scale, multi‐sectoral nutrition program influences knowledge and practices while enhancing equity

机译：Suaahara Suaahara在尼泊尔：占地面积，多部门营养计划影响知识和实践，同时加强股权

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Abstract The burden of undernutrition in South Asia is greater than anywhere else. Policies and programmatic efforts increasingly address health and non‐health determinants of undernutrition. In Nepal, one large‐scale integrated nutrition program, Suaahara, aimed to reduce undernutrition among women and children in the 1,000‐day period, while simultaneously addressing inequities. In this study, we use household‐level process evaluation data ( N ?=?480) to assess levels of exposure to program inputs and levels of knowledge and practices related to health, nutrition, and water, sanitation, and hygiene (WASH). We also assess Suaahara's effect on the differences between disadvantaged (DAG) and non‐disadvantaged households in exposure, knowledge, and practice indicators. All regression models were adjusted for potential confounders at the child‐, maternal‐, and household levels, as well as clustering. We found a higher prevalence of almost all exposure and knowledge indicators and some practice indicators in Suaahara areas versus comparison areas. A higher proportion of DAG households in Suaahara areas reported exposure, were knowledgeable, and practiced optimal behaviors related to nearly all maternal and child health, nutrition, and WASH indicators than DAG households in non‐ Suaahara areas and sometimes even than non‐DAG households in Suaahara areas. Moreover, differences in some of these indicators between DAG and non‐DAG households were significantly smaller in Suaahara areas than in comparison areas. These results indicate that large‐scale integrated interventions can influence nutrition‐related knowledge and practices, while simultaneously reducing inequities.
机译：摘要南亚营养不良的负担大于其他任何地方。政策和方案努力越来越满足营养不良的健康和非健康决定因素。在尼泊尔，一个大规模的综合营养计划，Suaahara，旨在减少1000天期间妇女和儿童的欠育，同时解决不公平。在这项研究中，我们使用家庭级过程评估数据（N？= 480）来评估与健康，营养和水，卫生和卫生（洗涤）相关的计划输入和知识和实践水平的水平。我们还评估Suaahara对弱势群体（DAG）和非弱势居民在暴露，知识和实践指标之间的差异的影响。所有回归模型都针对儿童，母系和家庭水平的潜在混音以及聚类。我们发现几乎所有曝光和知识指标的普遍性较高，以及苏亚哈拉地区的一些实践指标与比较领域。苏达哈拉地区的达格户比例较高，报告了曝光，均有知识渊博，并练习与近乎所有孕产妇和儿童健康，营养和洗涤指标相关的最佳行为，而不是非八斋面积中的DAG家庭，甚至甚至比非DAG户素那哈萨地区。此外，在比较区域中，Suaahara地区的DAG和非DAG家庭之间的一些指标中的一些指标的差异显着较小。这些结果表明，大规模的综合干预措施可以影响营养相关的知识和实践，同时减少不平等。

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