Interventions for Maternal and Child Health in Nepal
Maternal and Child Health: Interventions to Improve Nutritional Status
Sarah Bassiouni Margaret Lippitt Katie Stetler EMD 543: Global Aspects of Food and Nutrition December 2011
Table of Contents I. Executive Summary.................................................................................. Including one-page briefs on recommended interventions II. Introduction.............................................................................................. III. Antenatal Care........................................................................................ 1. Maternal Supplementation............................................................ 2. Maternal Smoking Cessation........................................................ IV. Delivery Care.......................................................................................... 1. Training Traditional Birth Attendants............................................ 2. Promotion of Delayed Umbilical Cord Clamping.......................... V. Post-Partum and Early Childhood Care................................................... 1. Promotion of Breastfeeding............................................................ 2. Early Childhood Vitamin A Supplementation................................ 3. Child Growth Monitoring and Promotion....................................... VI. Conclusion............................................................................................... i
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I. Executive Summary
Macro- and micro-nutrient malnutrition is a major public health problem and a key factor in determining morbidity and mortality. Its underlying determinants include poverty, education, sanitation, climate, food production, cultural norms, and accessibility and quality of health care. Pregnant women and young children are particularly at risk owing to the extra nutritional demands of rapid growth. Malnutrition is the direct cause of approximately 300,000 deaths
Sarah Bassiouni Margaret Lippitt Katie Stetler EMD 543: Global Aspects of Food and Nutrition December 2011
Table of Contents I. Executive Summary.................................................................................. Including one-page briefs on recommended interventions II. Introduction.............................................................................................. III. Antenatal Care........................................................................................ 1. Maternal Supplementation............................................................ 2. Maternal Smoking Cessation........................................................ IV. Delivery Care.......................................................................................... 1. Training Traditional Birth Attendants............................................ 2. Promotion of Delayed Umbilical Cord Clamping.......................... V. Post-Partum and Early Childhood Care................................................... 1. Promotion of Breastfeeding............................................................ 2. Early Childhood Vitamin A Supplementation................................ 3. Child Growth Monitoring and Promotion....................................... VI. Conclusion............................................................................................... i
1 2 3 7 10 10 13 17 18 22 26 29
I. Executive Summary
Macro- and micro-nutrient malnutrition is a major public health problem and a key factor in determining morbidity and mortality. Its underlying determinants include poverty, education, sanitation, climate, food production, cultural norms, and accessibility and quality of health care. Pregnant women and young children are particularly at risk owing to the extra nutritional demands of rapid growth. Malnutrition is the direct cause of approximately 300,000 deaths