Browsing by Autor "Ramiro Llanque"
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Item type: Item , Effects of a home-based participatory play intervention on infant and young child nutrition: a randomised evaluation among low-income households in El Alto, Bolivia(BMJ, 2018) Sebastián Martínez; Julia Johannsen; Gastón Gertner; Jorge Franco; Ana B Perez Exposito; Rosario Bartolini; Irma Condori; Jhovanna Flores Ayllón; Ramiro Llanque; Nohora AlvaradoParticipatory play-based behavioural change strategies are a promising delivery model to improve recommended IYCF practices. After 30 months of intervention, we found sustained positive effects on caregiver's knowledge and IYCF practices but no effect on nutritional status. Despite the lack of effect on linear growth and anaemia, our results highlight the relevance of implementing interventions that improve IYCF practices due to their importance for early development and prevention of obesity. Other contextual variables, apart from diet, that could be limiting children's growth potential in this population need to be identified to design holistic approaches that improve child well-being and human capital.Item type: Item , Peri-Urban, but Not Urban, Residence in Bolivia Is Associated with Higher Odds of Co-Occurrence of Overweight and Anemia among Young Children, and of Households with an Overweight Woman and Stunted Child(Elsevier BV, 2018) Andrew D. Jones; Lesli Hoey; Jennifer Blesh; Kathryn M. Janda; Ramiro Llanque; Ana María AguilarItem type: Item , Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ approach of Curamericas: 2. Study site, design, and methods(BioMed Central, 2023) Henry B. Perry; Mario Valdez; Stanley Blanco; Ramiro Llanque; Shayanne Martin; Jason Lambden; Corey Gregg; Kaitlin Leach; Elijah T. Olivas; Barbara MuffolettoItem type: Item , Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 4. Nutrition-related activities and changes in childhood stunting, wasting, and underweight(BioMed Central, 2023) Henry B. Perry; Ira Stollak; Ramiro Llanque; Stanley Blanco; Elizabeth Jordan-Bell; Alexis C. Shindhelm; Carey Westgate; Andrew Herrera; Mario ValdezThe Project Area in which Curamericas/Guatemala implemented the CBIO+ Approach experienced a reduction in the prevalence of stunting and other measures of undernutrition in under-2 children. Given the burden of undernutrition in Guatemala and other parts of the world, this approach merits broader application and further evaluation.Item type: Item , Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 5. Mortality assessment(BioMed Central, 2023) Henry B. Perry; Ira Stollak; Ramiro Llanque; Annah Okari; Carey Westgate; Alexis C. Shindhelm; Victoria B. Chou; Mario ValdezThe baseline maternal mortality ratio is one of the highest in the Western hemisphere. There is strong evidence of a decline in maternal mortality in the Project Area. The evidence of a decline in neonatal and under-5 mortality is less robust. Childhood pneumonia and neonatal conditions were the leading causes of under-5 mortality. Expanding access to evidence-based community-based interventions for (1) prevention of postpartum hemorrhage, (2) home-based neonatal care, and (3) management of childhood pneumonia could help further reduce mortality in the Project Area and in similar areas of Guatemala and beyond.