Gupta Arti, Shaik Yusuf Noorani, Kakkar Rakesh, Aravindakshan Rajeev, Pentapati Siva Santosh Kumar, Reddy B Venkatashiva
Department of Community and Family Medicine, All India Institute of Medical Sciences Mangalagiri, Andhra Pradesh, India.
Assistant Child Development Project Officer, ICDS Project, Mangalagiri, Guntur, Andhra Pradesh, India.
J Family Med Prim Care. 2022 Nov;11(11):7386-7393. doi: 10.4103/jfmpc.jfmpc_1147_22. Epub 2022 Dec 16.
Anemia is a major public health problem in India, especially among tribal women. The study was done to estimate the prevalence of iron intake below the estimated average requirement in the diet and to study the effectiveness of weekly local mothers' kitchen recipe talks.
A total of 340 women from scheduled tribes participated in a prospective cohort study over 10 months in 10 clusters in the Guntur district of Andhra Pradesh, India. A questionnaire, a 24-hour dietary recall, and an assessment of hemoglobin were done to gather information at baseline and after three months of weekly local recipe talks in mothers' kitchens.
A total of 340 women were studied. The mean age of the mothers was 23.5 ± 3.6 years. At baseline prevalence, the mean intake of daily iron in diet among mothers was 9.04 ± 3.18 (SD) mg/day. The prevalence of anemia among mothers at the baseline was 63.8%. The mean intake of daily iron in the diet at the end line was significantly higher with a value of 0.019 among mothers who attended 10 or more weekly local mothers' kitchen recipe talks and did not take iron folic acid (IFA). Mothers who attended 10 or more weekly local mothers' kitchen recipe talks without IFA intake have a significant drop in the prevalence of severe anemia.
The integration of weekly local mothers' kitchen recipe talks in the ongoing Integrated Child Development Service Scheme can be a boon for early-aged, less-literate, inexperienced, and financially poor mothers.
贫血是印度一个主要的公共卫生问题，在部落妇女中尤为突出。本研究旨在估计饮食中铁摄入量低于估计平均需求量的患病率，并研究每周一次的当地母亲厨房食谱讲座的效果。
来自印度安得拉邦贡图尔地区10个集群的340名在册部落妇女参与了一项为期10个月的前瞻性队列研究。在基线时以及在母亲厨房进行每周一次的当地食谱讲座三个月后，通过问卷调查、24小时饮食回顾和血红蛋白评估来收集信息。
共研究了340名妇女。母亲的平均年龄为23.5±3.6岁。在基线患病率时，母亲饮食中每日铁的平均摄入量为9.04±3.18（标准差）毫克/天。基线时母亲中贫血的患病率为63.8%。在参加了10次或更多次每周当地母亲厨房食谱讲座且未服用铁叶酸（IFA）的母亲中，末期饮食中每日铁的平均摄入量显著更高，P值为0.019。参加了10次或更多次每周当地母亲厨房食谱讲座且未摄入IFA的母亲中，重度贫血的患病率显著下降。
将每周一次的当地母亲厨房食谱讲座纳入现行的综合儿童发展服务计划，对年龄较小、识字率较低、缺乏经验且经济贫困的母亲来说可能是一件好事。
