Sally Grantham?McGregor|Lia Fernald|Rose M. C. Kagawa|Susan Walker
Effects of integrated child development and nutrition interventions on child development and nutritional status
University College London|Berkeley Public Health Division|University of California, Berkeley|University of California, Berkeley|University of the West Indies
conducted systematic review studies examined effect interventions combining child development component nutrition one cases nutrition interventions also included healthpromotion components papers child development nutrition outcomes rated moderatetogood quality included eleven efficacy two nonrandomized trials eight program evaluations identified six trials examined interventions separately combined trials showed nutritional interventions usually benefited nutritional status sometimes benefited child development stimulation consistently benefited child development significant loss effect interventions combined little evidence synergistic interaction nutrition stimulation child development three trials followed children intervention atscale program evaluations combined interventions five benefited child development one two showed deficits generally little benefit atscale programs nutritional status found rigorous evaluations adding stimulation health nutrition services scale urgent need also need establish qualitycontrol mechanisms existing scaledup programs determine longterm effects also need determine sustained benefits children programs finish