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Integrating Infant and Young Child Feeding Interventions into immunization programmes in children under two: a Systematic Review. MSc project.

Author: Barbara Andreuzzi
Year: 2019
Resource type: Report

BackgroundUndernutrition is one of the major causes of death amongst children under five worldwide. Adequate nutrition from conception to 2 years of life is essential for child development and in the same period contacts for vaccination are more frequent. Since 2005, child health interventions were integrated into immunization. Though there is no evidence of cost-effectiveness of time-consuming nutrition intervention integrated into immunization.

MethodsImmunization programmes and nutrition interventions terms were searched on CINAHL, Embase, Medline, Econlit and Global Health from inception to July 21, 2019. Studies reporting Infant and Young Child Feeding (IYCF) practices and immunization outcomes were included in the analysis. The quality of the included studies was assessed using NICE quality assessment checklist. Extracted data were synthesised narratively.

ResultsNine studies met inclusion criteria, from the 3,947 initially identified. All were based in Asia, Africa and South America. Publication quality was adequate or poor. Though only two studies directly addressed the main question of this systematic review, others presented useful data to answer it. Study population were mother-infant pairs. Sample sizes vary between 73 and 2,210. Two publications reported immunization coverage post-intervention, and none reported it before. Four studies had received IYCF counselling and two of these had received it at the immunization point. Three studies reported anthropometric measurements, both as interventions and outcomes.  Out of all, only one reported the strength of the effect of receiving or not infant feeding counselling on anthropometry and breastfeeding practices (p<0.001).  None of the studies reported nutritional interventions used to improve immunization coverage. Knowledge gaps were observed with regards to workload for the staff and logistical organization.

ConclusionThis systematic review revealed that the possibility of integration of more time-consuming nutritional intervention into immunization programmes is not sufficiently studied. There is a need for more quality studies on this topic.

This research was carried out as a final project for the MSc Nutrition for Global Health at the London School of Hygiene and Tropical Medicine and is available at: https://www.lshtm.ac.uk/research/library-archive-open-research-services/resources/msc-project-reports

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Barbara Andreuzzi (2019). Integrating Infant and Young Child Feeding Interventions into immunization programmes in children under two: a Systematic Review. MSc project.. www.ennonline.net/integrating-iycf-interventions-into-immunization-programmes-in-children-under-two-systematic-review-msc-project

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