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American Journal of Clinical Nutrition, Vol 48, 1166-1172, Copyright © 1988 by The American Society for Clinical Nutrition, Inc

ORIGINAL RESEARCH COMMUNICATIONS

Educational intervention for altering water-sanitation behavior to reduce childhood diarrhea in urban Bangladesh: impact on nutritional status

BF Stanton, JD Clemens and T Khair
International Center for Diarrhoeal Disease Research, Dhaka, Bangladesh.

We evaluated whether an educational intervention that was effective in reducing childhood diarrhea also improved childhood nutritional status. Fifty-one communities of 38 families each were randomized to receive the intervention or no intervention. During 1 y of follow-up the rate of diarrhea (per 100 wk) in children less than 6 y in the intervention group was 5.89 episodes whereas that in the nonintervention group was 7.55 episodes (protective efficacy 22%; p less than 0.0001). During the same follow-up period children in both groups exhibited comparable patterns of weight gain; 1 y after the intervention the mean weight for age of children in both groups was 76% of the NCHS standard. No significant differences were observed in the proportion of each group that experienced a major deterioration or improvement of nutritional status. We conclude that an intervention that reduces rates of childhood diarrhea may not necessarily also improve nutritional status.


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 Int J EpidemiolHome page
D. S Alam, G. C Marks, A. H Baqui, M Yunus, and G. J Fuchs
Association between clinical type of diarrhoea and growth of children under 5 years in rural Bangladesh
Int. J. Epidemiol., October 1, 2000; 29(5): 916 - 921.
[Abstract] [Full Text] [PDF]


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Copyright © 1988 by The American Society for Nutrition