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2. Contextual factors affecting the implementation of an anemia focused virtual counseling intervention for pregnant women in plains Nepal: a mixed methods process evaluation

Author

Bhattarai, Sanju, Yadav, Samata Kumari, Thapaliya, Bibhu, Giri, Santosh, Bhattarai, Basudev, Sapkota, Suprich, Manandhar, Shraddha, Arjyal, Abriti, Saville, Naomi, Harris-Fry, Helen, Haghparast-Bidgoli, Hassan, Copas, Andrew, Hillman, Sara, Baral, Sushil Chandra, and Morrison, Joanna

Published
2023
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3. Defining a Dichotomous Indicator for Population-Level Assessment of Dietary Diversity Among Pregnant Adolescent Girls and Women: A Secondary Analysis of Quantitative 24-h Recalls from Rural Settings in Bangladesh, Burkina Faso, India, and Nepal

Author

Verger, Eric O, Eymard-Duvernay, Sabrina, Bahya-Batinda, Dang, Hanley-Cook, Giles T., Argaw, Alemayehu, Becquey, Elodie, Diop, Loty, Gelli, Aulo, Harris-Fry, Helen, Kachwaha, Shivani, Kim, Sunny S, Nguyen, Phuong Hong, Saville, Naomi M, Tran, Lan Mai, Zagré, Rock R, Landais, Edwige, Savy, Mathilde, Martin-Prevel, Yves, and Lachat, Carl

Published
2024
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6. Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women’s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Published
2022
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8. Feasibility, acceptability and equity of a mobile intervention for Upscaling Participatory Action and Videos for Agriculture and Nutrition (m-UPAVAN) in rural Odisha, India

Author

Fivian, Emily, primary, Parida, Manoj, additional, Harris-Fry, Helen, additional, Mohanty, Satyanarayan, additional, Padhan, Shibanath, additional, Pradhan, Ronali, additional, Das, Pranay, additional, Odhiambo, Gladys, additional, Prost, Audrey, additional, Roopnaraine, Terry, additional, Behera, Satyaranjan, additional, James, Philip, additional, Mishra, Naba Kishor, additional, Rath, Suchitra, additional, Nair, Nirmala, additional, Rath, Shibanand, additional, Koniz-Booher, Peggy, additional, Danton, Heather, additional, Allen, Elizabeth, additional, and Kadiyala, Suneetha, additional

Published
2024
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9. Corrigendum to ‘Defining a Dichotomous Indicator for Population-Level Assessment of Dietary Diversity Among Pregnant Adolescent Girls and Women:…’ [Curr. Dev. Nutr. 8 (2024) 102053]

Author

Verger, Eric O, primary, Eymard-Duvernay, Sabrina, additional, Bahya-Batinda, Dang, additional, Hanley-Cook, Giles T, additional, Argaw, Alemayehu, additional, Becquey, Elodie, additional, Diop, Loty, additional, Gelli, Aulo, additional, Harris-Fry, Helen, additional, Kachwaha, Shivani, additional, Kim, Sunny S, additional, Nguyen, Phuong Hong, additional, Saville, Naomi M, additional, Tran, Lan Mai, additional, Zagré, Rock R, additional, Landais, Edwige, additional, Savy, Mathilde, additional, Martin-Prevel, Yves, additional, and Lachat, Carl, additional

Published
2024
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10. Effect of nutrition-sensitive agriculture interventions with participatory videos and women's group meetings on maternal and child nutritional outcomes in rural Odisha, India (UPAVAN trial): a four-arm, observer-blind, cluster-randomised controlled trial

Author

Kadiyala, Suneetha, Harris-Fry, Helen, Pradhan, Ronali, Mohanty, Satyanarayan, Padhan, Shibanath, Rath, Suchitra, James, Philip, Fivian, Emily, Koniz-Booher, Peggy, Nair, Nirmala, Haghparast-Bidgoli, Hassan, Mishra, Naba Kishor, Rath, Shibanand, Beaumont, Emma, Danton, Heather, Krishnan, Sneha, Parida, Manoj, O'Hearn, Meghan, Kumar, Abhinav, Upadhyay, Avinash, Tripathy, Prasanta, Skordis, Jolene, Sturgess, Joanna, Elbourne, Diana, Prost, Audrey, and Allen, Elizabeth

Published
2021
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11. Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal

Author

Verger, Eric O.; Eymard-Duvernay, Sabrina; Bahya-Batinda, Dang; Hanley-Cook, Giles T.; Argaw, Alemayehu; Becquey, Elodie; Diop, Loty; Gelli, Aulo; Harris-Fry, Helen; Kachwaha, Shivani; Kim, Sunny S.; Nguyen, Phuong Hong; Saville, Naomi M.; Tran, Lan Mai; Zagré, Rock R.; Landais, Edwige; Savy, Mathilde; Martin-Prevel, Yves; Lachat, Carl and Verger, Eric O.; Eymard-Duvernay, Sabrina; Bahya-Batinda, Dang; Hanley-Cook, Giles T.; Argaw, Alemayehu; Becquey, Elodie; Diop, Loty; Gelli, Aulo; Harris-Fry, Helen; Kachwaha, Shivani; Kim, Sunny S.; Nguyen, Phuong Hong; Saville, Naomi M.; Tran, Lan Mai; Zagré, Rock R.; Landais, Edwige; Savy, Mathilde; Martin-Prevel, Yves; Lachat, Carl

Abstract

Alive and Thrive, Nutrition, Diets, and Health (NDH); Poverty, Gender, and Inclusion (PGI), Background The Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) indicator was validated as a proxy of micronutrient adequacy among nonpregnant women in low- and middle-income countries (LMICs). At that time, indeed, there was insufficient data to validate the indicator among pregnant women, who face higher micronutrient requirements. Objective This study aimed to validate a minimum food group consumption threshold, out of the 10 food groups used to construct MDD-W, to be used as a population-level indicator of higher micronutrient adequacy among pregnant women aged 15–49 y in LMICs. Methods We used secondary quantitative 24-h recall data from 6 surveys in 4 LMICs (Bangladesh, Burkina Faso, India, and Nepal, total n = 4909). We computed the 10-food group Women's Dietary Diversity Score (WDDS-10) and calculated the mean probability of adequacy (MPA) of 11 micronutrients. Linear regression models were fitted to assess the associations between WDDS-10 and MPA. Sensitivity, specificity, and proportion of individuals correctly classified were used to assess the performance of MDD-W in predicting an MPA of >0.60. Results In the pooled sample, median values (interquartile range) of WDDS-10 and MPA were 3 (1) and 0.20 (0.34), respectively, whereas the proportion of pregnant women with an MPA of >0.60 was 9.6%. The WDDS-10 was significantly positively associated with MPA in each survey. Although the acceptable food group consumption threshold varied between 4 and 6 food groups across surveys, the threshold of 5 showed the highest performance in the pooled sample with good sensitivity (62%), very good specificity (81%), and percentage of correctly classified individuals (79%). Conclusions The WDDS-10 is a good predictor of dietary micronutrient adequacy among pregnant women aged 15–49 y in LMICs. Moreover, the threshold of 5 or more food groups for the MDD-W indicator may be extended to all women of reproductive age, regardless of their physiologic status.

Published
2024

13. Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: a secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India and Nepal

Author

Verger, Eric O., primary, Eymard-Duvernay, Sabrina, additional, Bahya-Batinda, Dang, additional, Hanley-Cook, Giles T., additional, Argaw, Alemayehu, additional, Becquey, Elodie, additional, Diop, Loty, additional, Gelli, Aulo, additional, Harris-Fry, Helen, additional, Kachwaha, Shivani, additional, Kim, Sunny S., additional, Nguyen, Phuong Hong, additional, Saville, Naomi M., additional, Tran, Lan Mai, additional, Zagré, Rock R., additional, Landais, Edwige, additional, Savy, Mathilde, additional, Martin-Prevel, Yves, additional, and Lachat, Carl, additional

Published
2023
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15. Women’s Empowerment, Production Choices, and Crop Diversity: a secondary analysis of cross-sectional data from four low- and middle-income countries

Author

Connors, Kaela, Jaacks, Lindsay, Awasthi, Ananya, Becker, Karoline, Kerr, Rachel Bezner, Fivian, Emily, Gelli, Aulo, Harris-Fry, Helen, Heckert, Jessica, Kadiyala, Suneetha, Martinez, Elena, Santoso, Marianne V., Young, Sera L., and Bliznashka, Lily

Abstract

Background: Bolstering farm-level crop diversity is one strategy to strengthen food system resilience and achieve global food security. Rural women play an essential role in food production; therefore, we evaluated the role of women’s empowerment in crop diversity. Methods: We analysed data from Burkina Faso (n=1,735), India (n=4,450), Malawi (n=547), and Tanzania (n=574). Women’s empowerment was assessed using indicators from the Women’s Empowerment in Agriculture Index. Farm-level crop diversity was measured as: number of food crops grown, number of food groups grown, and if nutrient-dense crops were grown. We used a two-stage modelling approach. First, we analysed covariate-adjusted country-specific associations between women’s empowerment and crop diversity indicators using multivariable generalised linear models. Second, we pooled country-specific associations using random effects models. Findings: In pooled analyses, women providing decision-making input into each additional area of production was associated with cultivating 0·36 (95% CI: 0·16, 0·55) more food crops, 0·16 (0·06, 0·25) more food groups, and 3 percentage points (pp) (3, 4) more nutrient-dense crops. Each community group a woman actively participated in was associated with cultivating 0·20 (0·04, 0·35) more food crops and 0·11 (0·03, 0·18) more food groups, but not more nutrient-dense crops. Asset ownership was associated with cultivating 0·08 (0·04, 0·12) more food crops and 0·05 (0·04, 0·07) more food groups, but not more nutrient-dense crops. Interpretation: Greater women’s empowerment was associated with higher farm-level crop diversity among low-income agricultural households, suggesting that it could help enhance efforts to strengthen food system resilience.

Published
2023

18. Intrahousehold power inequalities and cooperation: Unpacking household responses to nutrition‐sensitive agriculture interventions in rural India

Author

Harris‐Fry, Helen, primary, Prost, Audrey, additional, Beaumont, Emma, additional, Fivian, Emily, additional, Mohanty, Satyanarayan, additional, Parida, Manoj, additional, Pradhan, Ronali, additional, Sahu, Satyapriya, additional, Padhan, Shibanath, additional, Mishra, Naba K., additional, Rath, Shibanand, additional, Rath, Suchitra, additional, Koniz‐Booher, Peggy, additional, Allen, Elizabeth, additional, and Kadiyala, Suneetha, additional

Published
2023
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19. Women's empowerment, production choices, and crop diversity in Burkina Faso, India, Malawi, and Tanzania: A secondary analysis of cross-sectional data

Author

Connors, Kaela; Jaacks, Lindsay M.; Awasthi, Ananya; Becker, Karoline; Kerr, Rachel Bezner; Fivian, Emily; Gelli, Aulo; Harris-Fry, Helen; Heckert, Jessica; Kadiyala, Suneetha; Martinez, Elena; Santoso, Marianne V.; Young, Sera L.; Bliznashka, Lilia, http://orcid.org/0000-0003-4977-2549 Gelli, Aulo; http://orcid.org/0000-0002-3022-8298 Heckert, Jessica; http://orcid.org/0000-0002-2671-0786 Bliznashka, Lilia, Connors, Kaela; Jaacks, Lindsay M.; Awasthi, Ananya; Becker, Karoline; Kerr, Rachel Bezner; Fivian, Emily; Gelli, Aulo; Harris-Fry, Helen; Heckert, Jessica; Kadiyala, Suneetha; Martinez, Elena; Santoso, Marianne V.; Young, Sera L.; Bliznashka, Lilia, and http://orcid.org/0000-0003-4977-2549 Gelli, Aulo; http://orcid.org/0000-0002-3022-8298 Heckert, Jessica; http://orcid.org/0000-0002-2671-0786 Bliznashka, Lilia

Abstract

PR, IFPRI3; DCA; 1 Fostering Climate-Resilient and Sustainable Food Supply; 2 Promoting Healthy Diets and Nutrition for all; 4 Transforming Agricultural and Rural Economies; ISI; CRP4, Nutrition, Diets, and Health (NDH); Poverty, Gender, and Inclusion (PGI); Food and Nutrition Policy; A4NH, CGIAR Research Program on Agriculture for Nutrition and Health (A4NH), Background: Bolstering farm-level crop diversity is one strategy to strengthen food system resilience and achieve global food security. Women who live in rural areas play an essential role in food production; therefore, we aimed to assess the associations between women's empowerment and crop diversity. Methods: In this secondary analysis of cross-sectional data, we used data from four cluster-randomised controlled trials done in Burkina Faso, India, Malawi, and Tanzania. We assessed women's empowerment using indicators from the Women's Empowerment in Agriculture Index. Farm-level crop diversity measures were the number of food crops grown, number of food groups grown, and if nutrient-dense crops were grown. We used a two-stage modelling approach. First, we analysed covariate-adjusted country-specific associations between women's empowerment and crop diversity indicators using multivariable generalised linear models. Second, we pooled country-specific associations using random-effects models. Findings: The final analytic sample included 1735 women from Burkina Faso, 4450 women from India, 547 women from Malawi, and 574 women from Tanzania. Across all countries, compared with households in which women provided input into fewer productive decisions, households of women with greater input into productive decisions produced more food crops (mean difference 0·36 [95% CI 0·16–0·55]), a higher number of food groups (mean difference 0·16 [0·06–0·25]), and more nutrient-dense crops (percentage point difference 3 [95% CI 3–4]). Across all countries, each additional community group a woman actively participated in was associated with cultivating a higher number of food crops (mean difference 0·20 [0·04–0·35]) and a higher number of food groups (mean difference 0·11 [0·03–0·18]), but not more nutrient-dense crops. In pooled associations from Burkina Faso and India, asset ownership was associated with cultivating a higher number of food crops (mean difference 0·08 [0·04–0·12]) an

Published
2023

21. Protocol for the cost-consequence and equity impact analyses of a cluster randomised controlled trial comparing three variants of a nutrition-sensitive agricultural extension intervention to improve maternal and child dietary diversity and nutritional status in rural Odisha, India (UPAVAN trial)

Author

Haghparast-Bidgoli, Hassan, Skordis, Jolene, Harris-Fry, Helen, Krishnan, Sneha, O’Hearn, Meghan, Kumar, Abhinav, Pradhan, Ronali, Mishra, Naba Kishore, Upadhyay, Avinash, Pradhan, Shibananth, Ojha, Amit Kumar, Cunningham, Sarah, Rath, Shibanand, Palmer, Tom, Koniz-Booher, Peggy, and Kadiyala, Suneetha

Published
2019
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22. Study protocol for a randomised controlled trial of a virtual antenatal intervention for improved diet and iron intake in Kapilvastu district, Nepal: VALID

Author

Saville, Naomi M, primary, Bhattarai, Sanju, additional, Harris-Fry, Helen, additional, Giri, Santosh, additional, Manandhar, Shraddha, additional, Morrison, Joanna, additional, Copas, Andrew, additional, Thapaliya, Bibhu, additional, Arjyal, Abriti, additional, Haghparast-Bidgoli, Hassan, additional, Baral, Sushil C, additional, and Hillman, Sara, additional

Published
2023
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23. Impact of a Virtual Antenatal Intervention for Improved Diet and Iron Intake in Kapilvastu District, Nepal: VALID Randomised Controlled Trial

Author

Saville, Naomi, primary, Bhattarai, Sanju, additional, Giri, Santosh, additional, Sapkota, Suprich, additional, Morrison, Joanna, additional, Thapaliya, Bibhu, additional, Bhattarai, Basudev, additional, Yadav, Samata, additional, Arjyal, Abriti, additional, Copas, Andrew, additional, Haghparast-Bidgoli, Hassan, additional, Harris-Fry, Helen, additional, Piya, Reecha, additional, Baral, Sushil, additional, and Hillman, Sara, additional

Published
2023
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25. Economic Evaluation of Nutrition-Sensitive Agricultural Interventions to Increase Maternal and Child Dietary Diversity and Nutritional Status in Rural Odisha, India

Author

Haghparast-Bidgoli, Hassan, primary, Harris-Fry, Helen, additional, Kumar, Abhinav, additional, Pradhan, Ronali, additional, Mishra, Naba Kishore, additional, Padhan, Shibananth, additional, Ojha, Amit Kumar, additional, Mishra, Sailendra Narayan, additional, Fivian, Emily, additional, James, Philip, additional, Ferguson, Sarah, additional, Krishnan, Sneha, additional, O’Hearn, Meghan, additional, Palmer, Tom, additional, Koniz-Booher, Peggy, additional, Danton, Heather, additional, Minovi, Sandee, additional, Mohanty, Satyanarayan, additional, Rath, Shibanand, additional, Rath, Suchitra, additional, Nair, Nirmala, additional, Tripathy, Prasanta, additional, Prost, Audrey, additional, Allen, Elizabeth, additional, Skordis, Jolene, additional, and Kadiyala, Suneetha, additional

Published
2022
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26. Assessing food-based strategies to address anaemia in pregnancy in rural plains Nepal: a mixed methods study.

Author

Morrison, Joanna, Giri, Romi, James, Philip, Arjyal, Abriti, Kharel, Chandani, Saville, Naomi, Baral, Sushil, Hillman, Sara, and Harris-Fry, Helen

Subjects
MOTHERS, CULTURE, NUTRITIONAL assessment, FOCUS groups, RURAL conditions, RESEARCH methodology, FOOD security, SOCIAL norms, INTERVIEWING, PREGNANT women, FATHERS, NUTRITIONAL requirements, DESCRIPTIVE statistics, RESEARCH funding, IRON deficiency anemia, JUDGMENT sampling, DATA analysis software, NUTRITIONAL status, EDUCATIONAL attainment, PREGNANCY
Abstract

Anaemia in pregnancy is a persistent health problem in Nepal and could be reduced through nutrition counselling and strengthened iron folic acid supplementation programmes. We analysed 24-hour diet recall data from 846 pregnant women in rural plains Nepal, using linear programming to identify the potential for optimised food-based strategies to increase iron adequacy. We then conducted qualitative research to analyse how anaemia was defined and recognised, how families used food-based strategies to address anaemia, and the acceptability of optimised food-based strategies. We did 16 interviews of recently pregnant mothers, three focus group discussions with fathers, three focus group discussions with mothers-in-law and four interviews with key informants. Dietary analyses showed optimised diets did not achieve 100 % of recommended iron intakes, but iron intakes could be doubled by increasing intakes of green leaves, egg and meat. Families sought to address anaemia through food-based strategies but were often unable to because of the perceived expense of providing an 'energy-giving' diet. Some foods were avoided because of religious or cultural taboos, or because they were low status and could evoke social consequences if eaten. There is a need for counselling to offer affordable ways for families to optimise iron adequacy. The participation of communities in tailoring advice to ensure cultural relevance and alignment with local norms is necessary to enable its effectiveness. [ABSTRACT FROM AUTHOR]

Published
2023
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27. Upscaling Participatory Action and Videos for Agriculture and Nutrition (UPAVAN) trial comparing three variants of a nutrition-sensitive agricultural extension intervention to improve maternal and child nutritional outcomes in rural Odisha, India: study protocol for a cluster randomised controlled trial

Author

Kadiyala, Suneetha, Prost, Audrey, Harris-Fry, Helen, O’Hearn, Meghan, Pradhan, Ronali, Pradhan, Shibananth, Mishra, Naba Kishore, Rath, Suchitra, Nair, Nirmala, Rath, Shibanand, Tripathy, Prasantha, Krishnan, Sneha, Koniz-Booher, Peggy, Danton, Heather, Elbourne, Diana, Sturgess, Joanna, Beaumont, Emma, Haghparast-Bidgoli, Hassan, Skordis-Worrall, Jolene, Mohanty, Satyanarayan, Upadhay, Avinash, and Allen, Elizabeth

Published
2018
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28. Understanding the effects of nutrition‐sensitive agriculture interventions with participatory videos and women's group meetings on maternal and child nutrition in rural Odisha, India: A mixed‐methods process evaluation

Author

Prost, Audrey, primary, Harris‐Fry, Helen, additional, Mohanty, Satyanarayan, additional, Parida, Manoj, additional, Krishnan, Sneha, additional, Fivian, Emily, additional, Rath, Suchitra, additional, Nair, Nirmala, additional, Mishra, Naba K., additional, Padhan, Shibanath, additional, Pradhan, Ronali, additional, Sahu, Satyapriya, additional, Skordis, Jolene, additional, Danton, Heather, additional, Koniz‐Booher, Peggy, additional, Beaumont, Emma, additional, James, Philip, additional, Allen, Elizabeth, additional, Elbourne, Diana, additional, and Kadiyala, Suneetha, additional

Published
2022
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29. Additional file 5 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Subjects
humanities, reproductive and urinary physiology
Abstract

Additional file 5: Supplementary Annex 5. Menstrual monitoring consent form in English.

Published
2022
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30. Additional file 3 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 3: Supplementary Annex 3. Menstrual monitoring participant information sheet in English.

Published
2022
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31. Additional file 1 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 1: Supplementary Annex 1. Trial Steering Monitoring (TSC) charter.

Published
2022
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32. Additional file 8 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 8: Supplementary Annex 8. Data Monitoring Committee (DMC) charter.

Published
2022
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33. Additional file 4 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 4: Supplementary Annex 4. Full Trial participant information sheets in English.

Published
2022
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34. Additional file 7 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 7: Supplementary Annex 7. Expected pregnancies to be enrolled and numbers after loss to follow-up.

Published
2022
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35. Additional file 6 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 6: Supplementary Annex 6. Full Trial consent form in English.

Published
2022
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36. Additional file 2 of Comprehensive Anaemia Programme and Personalized Therapies (CAPPT): protocol for a cluster-randomised controlled trial testing the effect women���s groups, home counselling and iron supplementation on haemoglobin in pregnancy in southern Nepal

Author

Saville, Naomi M., Kharel, Chandani, Morrison, Joanna, Harris-Fry, Helen, James, Philip, Copas, Andrew, Giri, Santosh, Arjyal, Abriti, Beard, B. James, Haghparast-Bidgoli, Hassan, Skordis, Jolene, Richter, Adam, Baral, Sushil, and Hillman, Sara

Abstract

Additional file 2: Supplementary Annex 2. List of selected study clusters with population and expected pregnancies.

Published
2022
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37. A network approach for managing ecosystem services and improving food and nutrition security on smallholder farms

Author

Timberlake, Thomas P., primary, Cirtwill, Alyssa R., additional, Baral, Sushil C., additional, Bhusal, Daya R., additional, Devkota, Kedar, additional, Harris‐Fry, Helen A., additional, Kortsch, Susanne, additional, Myers, Samuel S., additional, Roslin, Tomas, additional, Saville, Naomi M., additional, Smith, Matthew R., additional, Strona, Giovanni, additional, and Memmott, Jane, additional

Published
2022
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39. A Community-Based Approach to Integrating Socio, Cultural and Environmental Contexts in the Development of a Food Database for Indigenous and Rural Populations: The Case of the Batwa and Bakiga in South-Western Uganda

Author

Scarpa, Giulia, primary, Berrang-Ford, Lea, additional, Twesigomwe, Sabastian, additional, Kakwangire, Paul, additional, Peters, Remco, additional, Zavaleta-Cortijo, Carol, additional, Patterson, Kaitlin, additional, Namanya, Didacus B., additional, Lwasa, Shuaib, additional, Nowembabazi, Ester, additional, Kesande, Charity, additional, Harris-Fry, Helen, additional, and Cade, Janet E., additional

Published
2021
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42. Comprehensive Anaemia Programme And Personalized Therapies (CAPPT): Protocol For A Cluster-Randomised Controlled Trial Testing The Effect Women’s Groups, Home Counselling And Iron Supplementation On Haemoglobin In Pregnancy In Southern Nepal

Author

Saville, Naomi M, primary, Kharel, Chandani, additional, Morrison, Joanna, additional, Harris-Fry, Helen A., additional, James, Philip, additional, Copas, Andrew, additional, Giri, Santosh, additional, Arjyal, Abriti, additional, Beard, B. James, additional, Haghparast-Bidgoli, Hassan, additional, Skordis, Jolene, additional, Richter, Adam, additional, Baral, Sushil, additional, and Hillman, Sara, additional

Published
2021
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43. What influences child feeding in the Northern Triangle? A mixed-methods systematic review

Author

Deeney, Megan and Harris-Fry, Helen

Abstract

Optimising child feeding behaviours could improve child health in Guatemala, Honduras and El Salvador, where undernutrition rates remain high. However, the design of interventions to improve child feeding behaviours is limited by piecemeal, theoretically underdeveloped evidence on factors that may influence these behaviours. Between July 2018 and January 2020, we systematically searched Cochrane, Medline, EMBASE, Global Health and LILACS databases, grey literature websites and reference lists, for evidence of region-specific causes of child feeding behaviours and the effectiveness of related interventions and policies. The Behaviour Change Wheel was used as a framework to synthesise and map the resulting literature. We identified 2,905 records and included 68 relevant studies of mixed quality, published between 1964 and 2019. Most (n = 50) were quantitative, 15 were qualitative and three used mixed methods. A total of 39 studies described causes of child feeding behaviour; 29 evaluated interventions or policies. Frequently cited barriers to breastfeeding included mothers' beliefs and perceptions of colostrum and breast milk sufficiency; fears around child illness; and familial and societal pressures, particularly from paternal grandmothers. Child diets were influenced by similar beliefs and mothers' lack of money, time and control over household finances and decisions. Interventions (n = 22) primarily provided foods or supplements with education, resulting in mixed effects on breastfeeding and child diets. Policy evaluations (n = 7) showed positive and null effects on child feeding practices. We conclude that interventions should address context-specific barriers to optimal feeding behaviours, use behaviour change theory to apply appropriate techniques and evaluate impact using robust research methods.

Published
2020

44. Gender equity in agriculture for improving nutritional status, diets, and household food security: a mixed-methods systematic review

Author

Harris-Fry, Helen, Nur, Hayaan, Shankar, Bhavani, Zanello, Giacomo, Srinivasan, Chittur, and Kadiyala, Suneetha

Abstract

Introduction: Undernutrition rates remain high in rural, low-income settings, where large gender-based inequities persist. We hypothesised that increasing gender equity in agriculture could improve nutrition. Methods: We conducted a systematic review to assess the associations between gender-based inequities (in income, land, livestock, and workloads) and nutrition, diets, and food security outcomes in agricultural contexts of low- and middle-income countries. Between 9 March and 7 August 2018, we searched 18 databases and 14 journals, and contacted 27 experts. We included quantitative and qualitative literature from agricultural contexts in low- and middle-income countries, with no date restriction. Outcomes were: women’s and children’s anthropometric status, dietary quality, and household food security. We conducted meta-analyses using random effects models. PROSPERO registration: CRD42018093987. Results: We identified 19,820 records, of which 34 studies (42,809 households) met the inclusion criteria. Most (22/25) quantitative studies had a high risk of bias, and qualitative evidence was mixed-quality. Income, land, and livestock equity had heterogeneous associations with household food security and child anthropometric outcomes. Meta-analyses showed women’s share of household income earned (0.32 (95% CI -4.22, 4.86), 6 results) and women’s share of land owned (2.72 (-0.52, 5.96) 3 results) did not increase the percentage of household budget spent on food. Higher-quality studies showed more consistently positive associations between income equity and food security. Evidence is limited on other exposure-outcome pairings. Conclusion: We find heterogeneous associations between gender equity and household-level food security. High-quality research is needed to establish the impact of gender equity on nutrition outcomes across contexts.

Published
2020

45. Differences in maternal and early child nutritional status by offspring sex in lowland Nepal.

Author

Saville, Naomi M., Harris‐Fry, Helen, Marphatia, Akanksha, Reid, Alice, Cortina‐Borja, Mario, Manandhar, Dharma S., and Wells, Jonathan C.

Subjects
*NUTRITIONAL status, *ANIMAL offspring sex ratio, *ARM circumference, *MOTHER-son relationship, *BODY mass index, *FETAL development
Abstract

Objective: On average, boys grow faster than girls in early life but appear more susceptible to undernutrition. We investigated sex differences in early child growth, and whether maternal nutritional status and diet differed by offspring sex during and after pregnancy in an undernourished population. Methods: We analyzed longitudinal data from a cluster‐randomized trial from plains Nepal, stratifying results by child or gestational age. Children's outcomes (0–20 months) were weight, length, and head circumference and their z‐scores relative to WHO reference data in 2‐monthly intervals (n range: 24837 to 25 946). Maternal outcomes were mid‐upper arm circumference (MUAC), and body mass index (BMI) during pregnancy (12–40 weeks) (n = 5550 and n = 5519) and postpartum (n = 15 710 and n = 15 356), and diet in pregnancy. We fitted unadjusted and adjusted mixed‐effects linear and logistic regression models comparing boys with girls. Results: Boys were larger than girls, however relative to their sex‐specific reference they had lower length and head circumference z‐scores from birth to 12 months, but higher weight‐for‐length z‐scores from 0 to 6 months. Mothers of sons had higher MUAC and BMI around 36 weeks gestation but no other differences in pregnancy diets or pregnancy/postpartum maternal anthropometry were detected. Larger sex differences in children's size in the food supplementation study arm suggest that food restriction in pregnancy may limit fetal growth of boys more than girls. Conclusions: Generally, mothers' anthropometry and dietary intake do not differ according to offspring sex. As boys are consistently larger, we expect that poor maternal nutritional status may compromise their growth more than girls. Copyright © 2021 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Published
2022
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47. How to design a complex behaviour change intervention: experiences from a nutrition-sensitive agriculture trial in rural India

Author

Harris-Fry, Helen, primary, O'Hearn, Meghan, additional, Pradhan, Ronali, additional, Krishnan, Sneha, additional, Nair, Nirmala, additional, Rath, Suchitra, additional, Rath, Shibanand, additional, Koniz-Booher, Peggy, additional, Danton, Heather, additional, Aakesson, Ashley, additional, Pradhan, Shibananth, additional, Mishra, Naba Kishore, additional, Kumar, Abhinav, additional, Upadhay, Avinash, additional, Prost, Audrey, additional, and Kadiyala, Suneetha, additional

Published
2020
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48. Agricultural and empowerment pathways from land ownership to women's nutrition in India

Author

Harris‐Fry, Helen, primary, Krishnan, Sneha, additional, Beaumont, Emma, additional, Prost, Audrey, additional, Gouda, Sanghamitra, additional, Mohanty, Satyanarayan, additional, Pradhan, Ronali, additional, Rath, Suchitra, additional, Rath, Shibanand, additional, Pradhan, Shibnath, additional, Mishra, Naba Kishore, additional, Allen, Elizabeth, additional, and Kadiyala, Suneetha, additional

Published
2020
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