World Health Organization Harvard School of Public Health International Medical Corps HealthNet TPO International Medical Corps Maternal and Child Health Integrated Program.
Am J Orthopsychiatry. 2012 Jul;82(3):349-57. doi: 10.1111/j.1939-0025.2012.01168.x.
Combined psychosocial and nutrition interventions improve the development of infants. However, there is a paucity of studies examining the effectiveness of such interventions in humanitarian settings. This article examines the impact of combining a group-based psychosocial intervention with an existing emergency feeding program for internally displaced mothers in Northern Uganda. The intervention consisted of mother and baby group sessions and home visits for mothers attending 3 emergency feeding centers. Psychosocial outcomes were compared with a contrast group of mothers who received nutritional support alone. The outcomes investigated were infant stimulation and maternal mood. After controlling for the effects of interview site and baseline scores, mothers in the intervention group (n = 70) showed greater involvement with their babies, more availability of play materials, and less sadness and worry at follow-up in comparison to the contrast group (n = 77). The intervention was acceptable to the mothers and easily taught. A proportion of the mothers chose to continue the intervention spontaneously with other mothers in their neighbourhoods. Further research needs to be done to validate these preliminary findings and explore the longer term impact on child growth and intellectual development as well as maternal mood.
心理社会和营养综合干预可促进婴儿发育。然而，在人道主义环境中，此类干预措施的效果仍缺乏研究。本文探讨了将团体心理社会干预与乌干达北部境内流离失所母亲现有紧急喂养方案相结合，对其产生的影响。干预措施包括母亲和婴儿小组会议以及为参加 3 个紧急喂养中心的母亲提供家访。将接受营养支持的母亲作为对照组，比较心理社会结果。调查的结果包括婴儿刺激和母亲情绪。在控制访谈地点和基线评分的影响后，与对照组（n = 77）相比，干预组（n = 70）的母亲在随访时对婴儿的参与度更高，游戏材料更充足，悲伤和担忧情绪更少。该干预措施受到母亲的欢迎，且易于教授。一部分母亲选择在邻里中自发地与其他母亲继续进行干预。需要进一步研究以验证这些初步发现，并探讨其对儿童生长和智力发育以及母亲情绪的长期影响。
