Samaki Salama - Promoting healthy child growth and sustainable fisheries in coastal Kenya: A study protocol.

Samaki Salama - Promoting healthy child growth and sustainable fisheries in coastal Kenya: A study protocol.
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Samaki Salama-促进肯尼亚沿海健康的儿童成长和可持续渔业:一项研究方案。

DOI:
10.3389/fpubh.2022.934806
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发表时间:
2022
影响因子:
5.2
通讯作者:
Iannotti, Lora L.
Iannotti, Lora L.
中科院分区:
医学3区
文献类型:
--
作者:
Blackmore, Ivy;Wamukota, Andrew;Kamau-Mbuthia, Elizabeth;Humphries, Austin;Lesorogol, Carolyn;Cohn, Rachel;Sarange, Catherine;Mbogholi, Francis;Obata, Clay;Cheupe, Christopher;Cheupe, Joaquim;Sherburne, Lisa;Chapnick, Melissa;Cartmill, Mary Kate;Iannotti, Lora L.

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全球五分之一的幼儿遭受生长发育迟缓的后果,数百万儿童缺乏锌、铁、碘、维生素A和B12,这些营养素在鱼类食品中发现。小规模渔业有潜力创造收入和增加鱼类消费,同时如果管理得当,在环境上是可持续的。然而,那些从事小规模渔业的人往往被边缘化、贫穷和营养不良。Samaki Salama项目旨在通过一项三臂纵向配对聚类研究更好地了解和应对这些挑战,该研究评估了综合营养社会营销和改良捕鱼陷阱干预措施的影响。将有400个来自肯尼亚基利菲县的小规模渔民家庭参加,他们居住在地理位置(农村)、生计和儿童营养状况相匹配的社区。样本将包括母亲和其他照顾者、6-60个月的儿童以及家庭中的渔民。采用聚类设计,将匹配的社区分为三组:(1)对照组(n = 200);(2)渔民、母亲和卫生工作者的多组分营养社会营销干预组(n = 100);(3)多组分营养社会营销干预加改良的捕鱼陷阱和培训组(n = 100)。主要结果包括儿童生长,鱼类食物摄入量和成熟鱼类的渔业产量。次要结果是饮食多样性、儿童腹泻发病率和渔业收入。将使用过程评价来监测和确保干预措施交付的准确性。这项研究建立在越来越多的文献的基础上,这些文献说明了以营养为重点的社会营销活动的有效性,以促进参与者的积极参与,对干预措施的高度依从性和持续的行为改变。第二个干预要素是改进捕鱼陷阱,使未成熟的鱼逃脱,使参与者能够根据他们收到的信息采取行动,并通过提高收获效率和减少未成熟鱼的捕获量来促进可持续捕鱼。Samaki Salama干预措施的综合方法提供了一个如何利用多学科来应对人类和环境健康的关键挑战的例子,并说明了将研究创新扩展到其他小规模渔业系统的途径。https://clinicaltrials.gov(NCT 05254444)。
One in five young children globally suffer the consequences of stunted growth and development and millions experience deficiencies in zinc, iron, iodine, vitamins A and B12, nutrients found bioavailable in fish foods. Small-scale fisheries have the potential to generate income and augment fish consumption while being environmentally sustainable if appropriately managed. However, those engaged in small-scale fisheries are often marginalized, poor, and malnourished. The Samaki Salama project seeks to better understand and address these challenges through a three-arm, longitudinal matched cluster study which evaluates the impact of an integrated nutrition social marketing and modified fishing trap intervention. There will be 400 small-scale fisher households enrolled from Kilifi County, Kenya and residing in communities matched on location (rural), livelihoods, and child nutritional status. The sample will include mothers and other caregivers, children 6–60 months, and fishers in the family. Applying a cluster design, the matched communities will be divided into three groups: (1) control (n = 200); (2) multi-component nutrition social marketing intervention to fishers, mothers, and health workers (n = 100); and (3) multi-component nutrition social marketing intervention plus modified fishing traps and training (n = 100). Primary outcomes include child growth, fish food intakes, and fisheries yield of mature fish. Secondary outcomes are diet diversity, child diarrheal morbidity, and fisheries revenue. A process evaluation will be used to monitor and ensure fidelity of intervention delivery. This study builds on a growing body of literature illustrating the effectiveness of nutrition focused social marketing campaigns to promote active engagement of participants, high compliance to the intervention, and sustained behavior change. The second intervention element of modified fishing traps that allow immature fish to escape enables participants to act on the messaging they receive and promotes sustainable fishing through increased harvest efficiency and reduced catch of immature fish. The integrated approach of the Samaki Salama intervention provides an example of how to leverage multiple disciplines to address key challenges to human and environmental health and illustrates a pathway for scaling study innovations to other small-scale fisheries systems. https://clinicaltrials.gov (NCT05254444).
DOI: 10.1111/mcn.12700
发表时间: 2018-10-01
影响因子: 3.4
作者:
Andres Gallegos-Riofrio, Carlos;Waters, William F.;Iannotti, Lora L.
通讯作者: Iannotti, Lora L.
DOI: 10.1371/journal.pone.0074321
发表时间: 2013
期刊: PloS one
影响因子: 3.7
作者:
Cinner JE;Huchery C;Darling ES;Humphries AT;Graham NA;Hicks CC;Marshall N;McClanahan TR
通讯作者: McClanahan TR
DOI: 10.1016/s0140-6736(13)60937-x
发表时间: 2013-08-03
期刊: LANCET
影响因子: 168.9
作者:
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者: Uauy, Ricardo
DOI: 10.1177/03795721211061924
发表时间: 2021-12-14
影响因子: 1.9
作者:
Iannotti, Lora L.;Blackmore, Ivy;Humphries, Austin
通讯作者: Humphries, Austin
DOI: 10.3389/fmars.2019.00171
发表时间: 2019-04-18
影响因子: 3.7
作者:
Cohen, Philippa J.;Allison, Edward H.;Ratner, Blake D.
通讯作者: Ratner, Blake D.