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印度全生命阶段营养敏感型和特定干预措施的概念模型与框架

A conceptual model and framework of nutrition-sensitive and specific interventions across Life stages in India.

作者信息

Sharma Shantanu

机构信息

Department of Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden.

MAMTA Health Institute of Mother and Child, Delhi, India.

出版信息

J Family Med Prim Care. 2021 Nov;10(11):3976-3982. doi: 10.4103/jfmpc.jfmpc_789_21. Epub 2021 Nov 29.

Abstract

A large segment of the maternal and child population in low- and middle-income countries (LMIC) is malnourished. There has been a considerable amount of literature on different evidence-based actions that work well with pregnant women or lactating mothers. However, we lack a comprehensive framework of evidence-based nutrition interventions for LMIC that endorse actions along the life course, that is, from adolescence to lactation and childhood, for improved child health and nutrition. Considering the need, this study aimed to explore and design a model and framework for improving maternal and child nutrition. A systematic review of the literature was conducted to identify evidence-based interventions that reduce malnutrition and improve maternal and child health and nutrition. The literature search was made using Google, Google Scholar, and PubMed. The search of the literature in the last 5 years was made. Our conceptual model illustrates key nutrition approaches at different levels (from individual to system levels). The promotion, prevention, monitoring, and management framework (based on nutrition-specific interventions) sorts out actions across each set of the population (pregnant, lactating, and newly married women and adolescent girls) for improved nutrition and health. Our nutrition-sensitive intervention framework, in the way to target basic causes of undernutrition, highlight actions that may result in improved maternal and child health and nutrition in the long run. Encapsulating the wide array of interventions across the life course, our model and framework hold importance as they contain evidence-based actions as suggested by the international agencies and are contextualized for India.

摘要

低收入和中等收入国家(LMIC)的很大一部分母婴人口营养不良。关于对孕妇或哺乳期母亲有效的不同循证行动,已有大量文献。然而,我们缺乏一个针对低收入和中等收入国家的全面循证营养干预框架,该框架认可从青春期到哺乳期及儿童期整个生命历程中的行动,以改善儿童健康和营养状况。考虑到这一需求,本研究旨在探索和设计一个改善母婴营养的模型和框架。我们进行了一项系统的文献综述,以确定减少营养不良并改善母婴健康和营养的循证干预措施。文献检索使用了谷歌、谷歌学术和PubMed。检索了过去5年的文献。我们的概念模型阐述了不同层面(从个体到系统层面)的关键营养方法。促进、预防、监测和管理框架(基于特定营养干预措施)梳理了针对每组人群(孕妇、哺乳期妇女、新婚妇女和少女)的行动,以改善营养和健康状况。我们的营养敏感型干预框架旨在针对营养不良的根本原因,强调那些从长远来看可能改善母婴健康和营养的行动。我们的模型和框架涵盖了整个生命历程中的一系列广泛干预措施,具有重要意义,因为它们包含了国际机构建议的循证行动,并针对印度进行了情境化设计。

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