Improving nutritional status among urban poor children in sub-Saharan Africa: An evidence-informed Delphi-based consultation.

Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101201025 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1740-8709 (Electronic) Linking ISSN: 17408695 NLM ISO Abbreviation: Matern Child Nutr Subsets: MEDLINE

Publication: Oxford, UK : Wiley-Blackwell
Original Publication: Oxford, UK : Blackwell Pub., c2005-

Infant Nutrition Disorders* ; Nutritional Status*; Africa South of the Sahara/epidemiology ; Child ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Referral and Consultation

In sub-Saharan Africa (SSA), rapid urbanisation coupled with the high prevalence of infant and young child (IYC) undernutrition in low-income settings means that interventions to support IYC nutrition are a priority. Little is known about how urbanisation influences IYC feeding (IYCF) practices, and evidence-based interventions to improve IYC health/nutrition in the urban poor are lacking. Therefore, this research aimed to (a) systematically review evidence on interventions for improving the nutritional status of IYC aged 6-23 months living in urban poor areas (PROSPERO CRD42018091265) and (b) engage stakeholders to identify the highest ranking evidence gaps for improving IYCF programmes/policies. First, a rapid systematic review was conducted. This focused on the literature published regarding nutrition-specific and nutrition-sensitive complementary feeding interventions in urban poor areas, specifically low-income informal settlements, in low- and middle-income countries (LMICs). Six intervention studies met the review inclusion criteria. Intervention adherence was generally high, and indicators of maternal knowledge and IYC nutritional intake typically increased because of the interventions, but the impact on anthropometric status was small. Second, stakeholders working across SSA were engaged via a Delphi-based approach to identify priority areas for future intervention. Stakeholders reported that a situational analysis was required to better understand IYCF in urban poor areas, particularly the causes of IYC undernutrition, and highlighted the need to involve local communities in defining how future work should proceed. Together, these findings indicate a need for more evidence regarding IYCF and the factors that drive it in urban poor areas across LMIC settings, but particularly in SSA.
(© 2020 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.)

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MC_PC_MR/R019657/1 United Kingdom MRC_ Medical Research Council; MR/R018657/1 United Kingdom MRC_ Medical Research Council

Keywords: LMIC; complementary feeding; growth; infant nutrition; stunting; sub-Saharan Africa; undernutrition

Date Created: 20201104 Date Completed: 20210728 Latest Revision: 20250530

20250530

PMC7988854

10.1111/mcn.13099

33145974