Effectiveness of agricultural interventions that aim to improve nutritional status of children
Citation: Masset E., Haddad L., Cornelius A., et al. Effectiveness of agricultural interventions that aim to improve nutritional status of children: systematic review. BMJ. 2012;344:1-7
The question posed by the review cannot be answered with any level of confidence. The data available show a poor effect of these interventions on nutritional status, but methodological weaknesses of the studies cast serious doubts on the validity of these results. More rigorous and better designed studies are needed, as well as the establishment of agreed quality standards to guide researchers in this important area.
Agricultural interventions in developing countries have been considered to have an effect on nutrition in children. This review aimed to assess the effectiveness of such interventions against four main outcomes; program participation, income, dietary diversity, and micronutrient intake. Twenty-three studies were included in this review. The studies were tested for bias and rated low, medium or high quality along four dimensions. Results from most studies evaluating home garden interventions showed a positive effect on production of agricultural goods but not on household income. A positive effect on promoting consumption of micronutrient and protein rich food was observed, however the effect of interventions of overall diet of participants was unclear. Little evidence showed a positive effect on vitamin A absorption and prevalence of stunting, wasting and underweight in children <5 years old. No evidence was found for an effect on iron absorption. Reports of participation rates were not recorded. No solid conclusions were drawn in regards to the effectiveness of agricultural interventions in improving the nutritional status of children in developing countries, indicating a gap in adequate evidence.
Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence the prevention and treatment of malnutrition but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about prevention or treatment of malnutirition on the basis of this summary alone.
If you have found this summary helpful, please consider making a donation. If everyone who looked at our COVID-19 resources gave us just £2 per month, it would fund Evidence Aid’s life-saving work.