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. 2018 Apr 10;18(1):132.
doi: 10.1186/s12887-018-1084-0.

Community health education improves child health care in Rural Western China

Weifeng Liang  1 , Yuan Xing  2 , Miaomiao Pang  3 , Duolao Wang  4 , Hong Yan  5
Affiliations

Community health education improves child health care in Rural Western China

Weifeng Liang et al. BMC Pediatr. .

Abstract

Background: Rural infant growth failure has been highlighted as a priority for action in China's national nutrition and child development policies. The aim of this paper was to evaluate the effect of community-based intervention project on child feeding, child health care and child growth.

Methods: From 2001 to 2005, UNICEF and China's Ministry of Health worked together to develop holistic strategies for child health care. All the interventions were implemented through the three-tier (county-township-village) rural health care network.In this study, 34 counties were included in both surveys in 2001 and 2005. Among these 34 counties, nine were subjected to the intervention and 25 counties were used as controls. In nine intervention counties, leaflets containing information of supplemental feeding of infants and young children were printed and distributed to women during hospital delivery or visit to newborn by village doctors. Two cross-sectional surveys were both conducted from July to early September in 2001 and 2005. We calculated Z-scores of height-for-age (HAZ), weight-for-age (WAZ) and weight-for-height (WHZ), with the new WHO growth standard. HAZ < - 2 was defined as stunting, WAZ < - 2 was defined as underweight, and WHZ < - 2 was defined as wasting.

Results: Following the four-year study period, the parents in the intervention group showed significantly better infant and young child feeding practices and behaviors of child care than did their control group counterparts. In addition, all three anthropometric indicators in 2005 in the intervention group were better than in the control, with stunting 4.9% lower (p < 0.001), underweight 2.2% lower (p < 0.001), and wasting 1.0% lower (p < 0.05).

Conclusions: We concluded that the health care education intervention embed in government had the potential to be successfully promoted in rural western China.

Keywords: Breastfeeding; Child feeding practices; Complementary foods; Rural western China; Stunting.

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Conflict of interest statement

Ethics approval and consent to participate

This study was approved by the Human Research Ethics Committee of the College of Medicine, Xi’an Jiaotong University. Written informed consents were secured from the children’s parents.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations

Figures

Fig. 1
Fig. 1
Distribution of scores of child feeding index in 2001 and 2005
See this image and copyright information in PMC

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