The Effectiveness of Nutritional Interventions Implemented Through Lady Health Workers on the Reduction of Stunting in Children under 5 in Pakistan; The Difference‐in‐Difference Analysis

Khizar Ashraf; Tanvir M. Huda; Javeria Ikram; Shabina Ariff; Muhammad Sajid; Gul Nawaz Khan; Muhammad Umer; Imran Ahmed; Michael John Dibley; Sajid Bashir Soofi

doi:10.20944/preprints202404.1536.v1

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preprints.org > public health and healthcare > public health and health services > doi: 10.20944/preprints202404.1536.v1

Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Effectiveness of Nutritional Interventions Implemented Through Lady Health Workers on the Reduction of Stunting in Children under 5 in Pakistan; The Difference‐in‐Difference Analysis

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Version 1 : Received: 23 April 2024 / Approved: 23 April 2024 / Online: 23 April 2024 (17:51:57 CEST)

How to cite: Ashraf, K.; Huda, T.M.; Ikram, J.; Ariff, S.; Sajid, M.; Khan, G.N.; Umer, M.; Ahmed, I.; Dibley, M.J.; Soofi, S.B. The Effectiveness of Nutritional Interventions Implemented Through Lady Health Workers on the Reduction of Stunting in Children under 5 in Pakistan; The Difference‐in‐Difference Analysis. Preprints 2024, 2024041536. https://doi.org/10.20944/preprints202404.1536.v1 Ashraf, K.; Huda, T.M.; Ikram, J.; Ariff, S.; Sajid, M.; Khan, G.N.; Umer, M.; Ahmed, I.; Dibley, M.J.; Soofi, S.B. The Effectiveness of Nutritional Interventions Implemented Through Lady Health Workers on the Reduction of Stunting in Children under 5 in Pakistan; The Difference‐in‐Difference Analysis. Preprints 2024, 2024041536. https://doi.org/10.20944/preprints202404.1536.v1

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MDPI and ACS Style

Ashraf, K.; Huda, T.M.; Ikram, J.; Ariff, S.; Sajid, M.; Khan, G.N.; Umer, M.; Ahmed, I.; Dibley, M.J.; Soofi, S.B. The Effectiveness of Nutritional Interventions Implemented Through Lady Health Workers on the Reduction of Stunting in Children under 5 in Pakistan; The Difference‐in‐Difference Analysis. Preprints 2024, 2024041536. https://doi.org/10.20944/preprints202404.1536.v1

APA Style

Ashraf, K., Huda, T.M., Ikram, J., Ariff, S., Sajid, M., Khan, G.N., Umer, M., Ahmed, I., Dibley, M.J., & Soofi, S.B. (2024). The Effectiveness of Nutritional Interventions Implemented Through Lady Health Workers on the Reduction of Stunting in Children under 5 in Pakistan; The Difference‐in‐Difference Analysis. Preprints. https://doi.org/10.20944/preprints202404.1536.v1

Chicago/Turabian Style

Ashraf, K., Michael John Dibley and Sajid Bashir Soofi. 2024 "The Effectiveness of Nutritional Interventions Implemented Through Lady Health Workers on the Reduction of Stunting in Children under 5 in Pakistan; The Difference‐in‐Difference Analysis" Preprints. https://doi.org/10.20944/preprints202404.1536.v1

Abstract

In Pakistan, 2018 National Nutrition Survey reported 40% of under five children were stunted. This study assesses the effectiveness of nutritional supplementation in reducing stunting among under-five children in two rural districts in Sindh, Pakistan. This was a mixed-method quasi-experimental study with intervention and control population. 3397 and 3277 under-five children participated in the baseline and end-line surveys. Both study areas were matched for demographic and economic circumstances. The participants received nutrient supplements underpinned by nutrition behaviour change communication for appropriate complementary feeding practices and hand hygiene targeted at primary caregivers during the first 1000 days of an infant's life. The impact was assessed using the difference in difference analysis with kernel propensity score matching to adjust the differences among control and intervention populations.

Keywords

nutrition; Pakistan; Stunting prevention; Lipid based nutrient supplements; programmatic review

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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