Improvement of Healthy Diet Related Knowledge among a Sample of Egyptian Women in Three Upper Egypt Governorates Using a Community Based Intervention
DOI:
https://doi.org/10.3889/oamjms.2019.748Keywords:
Community Intervention, Upper Egypt, Healthy diet, Knowledge, WomenAbstract
BACKGROUND: Fostering a community-based approach is one of the United Nations Children's Fund (UNICEF) strategies to empower the public with the knowledge and tools required for improving the nutritional status.
AIM: The current study was conducted to assess the knowledge of mothers/caregivers towards a healthy, safe, and affordable diet and to cover the detected knowledge gap using a community-based approach.
METHODS: A pre-posttest experimental design was carried out at a community level at three Upper Egypt governorates: Assiut, Qena, and Sohag over six months from September 2017 till February 2018. In the preparatory phase, 22 non-governmental organisations (NGOs) were selected per governorate, and 15 trainers were prepared at the central level to train 40 trainees from each governorate. In the implementation phase, 11,000 women were approached, 6548 of them agreed to participate in the baseline knowledge assessment: 1774 women from Assiut, 2337 from Qena, and 2437 from Sohag.
RESULTS: A significant improvement in the participants’ subtotal and total knowledge scores in all dimensions of nutrition education which are: food economics, food safety, and a healthy diet. The highest percent change was in Assiut 77.1 (69.3: 109.9), followed by Qena 54.9 (27.2: 93.3), and then Sohag 43.7 (31.6: 61.4) which was noticed among the participants from the 3 governorates.
CONCLUSION: This community-based approach was a successful intervention to deliver effective health education messages; thus, improving participants' knowledge regarding food safety, healthy diet, and food economics. It represented the success of NGOs to enhance health and nutrition literacy among the participating women living in underprivileged areas. It is recommended to encourage collaboration with NGOs to move the community towards healthy behaviours.
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References
UNICEF/WHO/World Bank Group: Joint child malnutrition estimates, UNICEF global databases: Infant and Young Child Feeding, NCD Risk Factor Collaboration, WHO Global Health Observatory, 2018.
Christian P, Smith E.AdolescentUndernutrition: Global Burden, Physiology, and Nutritional Risks. Ann NutrMetab. 2018; 72:316-328. https://doi.org/10.1159/000488865 PMid:29730657
Ministry of Health and Population [Egypt]. Egypt Demographic and Health Survey, 2014. Available at: https://dhsprogram.com/pubs/pdf/FR302/FR302.pdf
Abdel-Aziz SB, Mowafy MA, Galal YS. Assessing the Impact of a Community-Based Health and Nutrition Education on the Management of Diarrhea in an Urban District, Cairo, Egypt. Glob J Health Sci. 2015; 8(2):46-55. https://doi.org/10.5539/gjhs.v8n2p46 PMid:26383210 PMCid:PMC4803995
Nesbitt A, Thomas MK, Marshall B, Snedeker K, Meleta K, Watson B, Bienefeld M. Baseline for consumer food safety knowledge and behaviour in Canada. Food Control. 2014; 38:157-73. https://doi.org/10.1016/j.foodcont.2013.10.010
The Central Agency for Public Mobilization & Statistics (CAPMAS), 2019. Available athttps://www.capmas.gov.eg/. Last accessed March 2019
Nutrition Eduction Materials, 2018. Available at https://www.fns.usda.gov/tn/nutrition-education-materials. Last accessed September 2018
Center for Disease Control and Prevention (CDC). Food Safety for Home Delivered Meals, 2018. Availble at https://www.foodsafety.gov/risk/deliveries/index.html last accessed September 2018
My Plate guide to school Lunch, 2018. Availble at https://choosemyplate-prod.azureedge.net/sites/default/files/tentips/2016-SchoolLunchInfographic-2pages.pdf. Last accessed September 2018
Dewey KG, Mayers DR. Early child growth: how do nutrition and infection interact?. Maternal & child nutrition. 2011; 7(3):129-42. https://doi.org/10.1111/j.1740-8709.2011.00357.x PMid:21929641
Kenaway EK. Fathy M. The Rising of Food Prices in Egypt: Reasons and Solutions‖. Middle East Journal of Scientific Research. 2011; 10(5):626-30.
International Food Policy Research Institute (IFPRI) & World Food Programme. Tackling Egypt's risingfood insecurity in a time of transition. IFPRI-WFP, 2013.
Schiffman J, Darmstadt GL, Agarwal S, Baqui AH. Community-based intervention packages for improvingperinatal health in developing countries: a review of the evidence. SeminPerinatol. 2010; 34:462-476. https://doi.org/10.1053/j.semperi.2010.09.008 PMid:21094420
El Arifeen S, Christou A, Reichenbach L, Osman FA, Azad K, Islam KS, et al. Community-based approaches and partnerships: innovations in health-service delivery in Bangladesh. Lancet. 2013; 382:2012-2026. https://doi.org/10.1016/S0140-6736(13)62149-2
World Health Organization. Child health in the community; community IMCI: briefing package for facilitators: reference document. Geneva: WHO. 2004.
Soubeiga D, Gauvin L, Hatem MA, Johri M. Birth Preparedness and Complication Readiness (BPCR) interventions to reduce maternal and neonatal mortality in developing countries: systematic review andmeta-analysis. BMC Pregnancy Childbirth. 2014; 14:129. https://doi.org/10.1186/1471-2393-14-129 PMid:24708719 PMCid:PMC4234142
World Health Organization. Comprehensive implementationplan on maternal, infant and young child nutrition. In: Resolution WHA65.6 (World HealthAssembly). WHO: Geneva, Switzerland, 2012: 11-13.
World Health Organization. Global Targets 2025. ToImprove Maternal, Infant and Young Child Nutrition [Online], 2014. Available at: www.who.int/nutrition/topics/nutrition_globaltargets2025/en/(Accessed 20 December2018).
Spence AC, Campbell KJ, Crawford DA, McNaughton SA, Hesketh KD. Mediators of improved child diet quality following a health promotion intervention: the Melbourne InFANT Program. International Journal of Behavioral Nutrition and Physical Activity. 2014; 11(1):137. https://doi.org/10.1186/s12966-014-0137-5 PMid:25366542 PMCid:PMC4230360
Abdel-Aziz SB, Mowafy MA, Galal YS. Assessing the impact of a community-based health and nutrition education on the management of diarrhea in an urban district, Cairo, Egypt. Global journal of health science. 2016: 8(2):46. https://doi.org/10.5539/gjhs.v8n2p46 PMid:26383210 PMCid:PMC4803995
Brasington A, Abdelmegeid A, Dwivedi V, Kols A, Kim YM, Khadka N, Rawlins B, Gibson A. Promoting healthy behaviors among Egyptian mothers: a quasi-experimental study of a health communication package delivered by community organizations. PloS one. 2016; 11(3):e0151783. https://doi.org/10.1371/journal.pone.0151783 PMid:26989898 PMCid:PMC4798575
Farahat MF, El-Shafie MM, Waly MI. Food safety knowledge and practices among Saudi women. Food Control. 2015; 47:427-35. https://doi.org/10.1016/j.foodcont.2014.07.045
Fawzi M, Shama ME. Food safety knowledge and practices among women working in Alexandria University, Egypt. Egypt Public Health Assoc. 2009; 84(1):95-17.
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Copyright (c) 2019 Marwa Salem, Hanaa Yousof, Ola Abdelmoneim (Author)
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