Effects of Integrated Intervention of Psychosocial Stimulation, Nutritional Support, and Water Sanitation Hygiene on Malnourished Children in Kanam, Plateau State, Nigeria

S. Jacob, A. A. Jatau, J. W. Darbe, Falade J. Olakunle, H. S. Jacob, M. Buhari
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Abstract

The study examined the integrated intervention of psychosocial stimulation, nutrition support and water sanitation hygiene (WASH) on the developmental status of malnourished children in Kanam, Plateau State within a time frame of four months. The study had one (1) Objective, one (1) Research question and one hypothesis. Experimental design was employed with a sample size of 16 malnourished children, age 6–59 months, which were purposively sampled based on the consent of the parents/caregivers. The instruments for data collection were Anthropometric assessment proforma, communication and play tracker, and WASH checklist. A focus group discussion with the caregivers/parents on their knowledge and attitudes in childcare practices were also conducted with weekly and monthly facilitation/support of mother-to-mother counseling visitation as part of intervention strategies for the study. Food supplements formulated from flours of cereal which are commonly used for making complementary food in the study area (millet), a protein-rich ingredient (soybean Glycine max)) and a fat-rich ingredient (sesame). A descriptive and inferential statistical method was employed in data analysis through the use of SPSS version 23. Specifically, mean, standard deviation, and analysis of variance (ANOVA) were employed at significance level of P<0.05. The findings revealed a significant improvement between the baseline and after intervention results in the developmental status of malnourished children exposed to integrated intervention. Therefore, the study recommended that an approach such as psychosocial stimulation, nutritional support, water sanitation and hygiene should be used in the management of malnourished children.
社会心理刺激、营养支持和水环境卫生综合干预对尼日利亚高原州卡纳姆营养不良儿童的影响
该研究在四个月的时间框架内检查了心理社会刺激、营养支持和水环境卫生(WASH)对高原州卡纳姆营养不良儿童发育状况的综合干预。本研究有一(1)个目标,一个研究问题和一个假设。实验设计采用16例6-59个月营养不良儿童的样本量,在父母/照顾者同意的基础上进行有目的的抽样。数据收集工具为人体测量评估表、交流与玩耍追踪器、WASH检查表。与照顾者/父母进行焦点小组讨论,了解他们对儿童保育实践的知识和态度,并每周和每月进行母亲对母亲的咨询访问,作为研究干预策略的一部分。食品补充剂由谷物粉配制而成,这些谷物粉在研究地区通常用于制作辅食(小米)、富含蛋白质的成分(大豆甘氨酸)和富含脂肪的成分(芝麻)。数据分析采用描述性和推断性统计方法,使用SPSS 23版。具体而言,采用均值、标准差和方差分析(ANOVA),显著性水平P<0.05。研究结果显示,接受综合干预的营养不良儿童的发育状况在基线和干预结果之间有显著改善。因此,该研究建议在管理营养不良儿童时应采用诸如社会心理刺激、营养支持、水环境卫生和个人卫生等方法。
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