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Effect of a community health worker–delivered parental education and counseling intervention on anemia cure rates in rural Indian children: A pragmatic cluster randomized clinical trial

JAMA Jul 27, 2019

Shet AS, et al. - Via a pragmatic cluster-randomized effectiveness trial in 1,144 children aged 12 to 59 months from 55 villages from the rural Chamrajnagar district in southern India done between November 2014 and July 2015, experts assessed the impacts of community-based parental education/counseling when combined with usual treatment on children’s anemia cure rate. Villages were randomized into either usual treatment (n=27) or to the intervention (n=28). The mean age was 30 months, with a slightly higher ratio of boys to girls of the kids involved in the study. Five hundred and seventeen out of 534 children with anemia were re-evaluated following 6 months while 17 were lost to follow-up. In children in the intervention group vs children who received usual treatment, the anemia cure rate was higher. The risk ratio determined through multilevel logistic regression was 1.37 and the model-estimated risk variation was 15.1%. Larger mean hemoglobin increments and improved iron and folic acid adherence was exhibited by intervention-group kids. Adverse events were moderate. To cure 1 child with anemia, 7 mothers were required to be counseled. Hence, in curing childhood anemia, parental education and counseling by a community health worker accomplished perceivable gains. Moreover, to enhance population-level anemia control, policymakers should acknowledge this approach.
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