Logo: to the web site of Uppsala University

uu.sePublications from Uppsala University
Planned maintenance
A system upgrade is planned for 10/12-2024, at 12:00-13:00. During this time DiVA will be unavailable.
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Parenting with nutrition education and unconditional cash reduce maternal depressive symptoms and improve quality of life: Findings from a cluster randomised controlled trial in urban Bangladesh
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. icddr,b.
icddr,b.
icddr,b.
Monash university.
Show others and affiliations
(English)In: Article in journal (Other academic) Submitted
Place, publisher, year, edition, pages
Sweden.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-540846OAI: oai:DiVA.org:uu-540846DiVA, id: diva2:1907210
Available from: 2024-10-22 Created: 2024-10-22 Last updated: 2024-10-23
In thesis
1. Effects of psychosocial stimulation on children’s development and growth using an unconditional cash transfer programme for lactating mothers of a deprived urban setting in Bangladesh
Open this publication in new window or tab >>Effects of psychosocial stimulation on children’s development and growth using an unconditional cash transfer programme for lactating mothers of a deprived urban setting in Bangladesh
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

An estimated 249 million children under the age of five in low-and-middle-income countries (LMICs) are at risk of not reaching their developmental potential, with the majority of them living in South Asia. Despite this, there is limited evidence of early childhood development (ECD) programs focused on parenting for 0-3 years children in urban areas of LMICs. This study aimed to deliver a parenting programme in combination with a social safety-net (unconditional cash transfer-UCT) initiative to enhance child development and mother’s well-being.

A cluster randomized controlled trial (cRCT) was implemented with 599 mother-child dyads (children aged 6-16 months) in the deprived urban settings of Rangpur City Corporation, Bangladesh, from 2018 to 2020. The parenting intervention was integrated into the Bangladesh Government’s UCT programme for a period of one year. The cRCT consisted of two arms: i) Parenting and nutrition education combined with UCT (n=299, clusters=10) and ii) UCT only (n=300, clusters=10). Intention-to-treat analysis was performed to assess the effects and the cost effectiveness of the intervention in the trial.

Baseline information from the cRCT in children (n=599) indicated that factors such as age, sex, stunting, and quality of home stimulation environment were common determinants of child development. Attrition rate was only 6.2% (n=37) after one year of intervention. Adjusted multiple linear regression analysis (n=562) controlling for clusters showed that the intervention improved children’s cognitive, language and motor development. However, there was no improvement in physical growth. The intervention also improved fathers’ engagement in child development activities and reduced household violence against mothers. Mothers’ knowledge of childcare and home stimulation environment were the positive mediators for child development. The study also found that the intervention reduced maternal depressive symptoms and improved quality of life (n=547). The incremental cost effectiveness analysis within trial arms confirmed that the intervention was cost-effective for children’s development. An additional US$100 expenditure for parenting intervention was estimated to improve 0.42 SD in cognition, 0.38 SD in language and 0.17 SD in motor development.

Parenting intervention using UCT platform can improve child development outcomes for disadvantaged children and enhance mother’s well-being. These interventions have the potential to be scaled up in similar urban settings within LMICs.

 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2024. p. 58
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 2095
Keywords
parenting, child development, cash transfer, maternal depression, economic evaluation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
International Health
Identifiers
urn:nbn:se:uu:diva-540088 (URN)978-91-513-2272-8 (ISBN)
Public defence
2024-12-03, Rudbecksalen, Rudbecklaboratoriet, Dag Hammarskjölds väg 20, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2024-11-12 Created: 2024-10-14 Last updated: 2024-11-12

Open Access in DiVA

No full text in DiVA

By organisation
Department of Women's and Children's Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 44 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf