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ORIGINAL ARTICLE
Open Access

Volunteer Community Health and Agriculture Workers Help Reduce Childhood Malnutrition in Tajikistan

Roman Yorick, Faridun Khudonazarov, Andrew J. Gall, Karah Fazekas Pedersen and Jennifer Wesson
Global Health: Science and Practice March 2021, 9(Supplement 1):S137-S150; https://doi.org/10.9745/GHSP-D-20-00325
Roman Yorick
aIntraHealth International, Dushanbe, Tajikistan.
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  • For correspondence: roman.yorick{at}berkeley.edu
Faridun Khudonazarov
aIntraHealth International, Dushanbe, Tajikistan.
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Andrew J. Gall
bIntraHealth International, Chapel Hill, NC, USA.
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Karah Fazekas Pedersen
bIntraHealth International, Chapel Hill, NC, USA.
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Jennifer Wesson
bIntraHealth International, Chapel Hill, NC, USA.
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Figures & Tables

Figures

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  • FIGURE 1
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    FIGURE 1

    Tajikistan Health and Nutrition Activity Target Villages in 12 Districts, Khatlon Region, Tajikistan

    Abbreviation: FTF, Feed the Future.

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    FIGURE 2

    Percentage of Recurring Agricultural Practices Survey Respondents Applying Improved Agricultural Technologies, Between 2017 and 2019, Khatlon Region, Tajikistan

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    FIGURE 3

    Percentage of Children Who Achieved Minimal Acceptable Diet Among Recurring Household Survey Respondents, Between 2016 and 2019, Khatlon Region, Tajikistan

  • FIGURE 4
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    FIGURE 4

    Direct Observation of Soap at Handwash Stations and Self-Reported Use of Soap, Among Recurring Household Survey Respondents, Between 2016 and 2019, Khatlon Region, Tajikistan

Tables

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    TABLE 1.

    THNA Community Volunteer Training Topics, Khatlon Region, Tajikistan

    Community Health Worker TrainingCommunity Agricultural Worker Training
    1. Communication skills and principles of adult learning

    2. Safe WASH principles

    3. Principles of healthy nutrition, including micronutrients

    4. Exclusive breastfeeding and complementary feeding of children

    5. Childhood malnutrition; child growth monitoring and promotion

    6. Prevention of anemia in women and children

    7. Antenatal care, nutrition, and danger signs during pregnancy

    8. Conducting household visits, and THNA data collection requirements

    9. Cooking demonstrations

    10. Facilitating and leading peer support groups on various topics

    Fall
    1. Communication skills and principles of adult learning

    2. Poultry care and dairy production (home cheese-making)

      Winter

    3. Household budgeting

    4. Family entrepreneurship

      Spring

    5. Home garden management:

      • Crop rotation

      • Disease management

      • Irrigation

      • Pest management

    6. Soil fertility (composting)

      Summer

    7. Post-harvest technologies (food preservation and storage)

    • Abbreviations: THNA, Tajikistan Health and Nutrition Activity, WASH, water, sanitation, and hygiene.

    • View popup
    TABLE 2.

    Demographics of Recurring Agricultural Practices Survey and Recurring Household Survey Respondents, Khatlon Region, Tajikistan

    Respondents' Age
    18–29 Years, %30–44 Years, %45 Years and Older, %
    FemaleMaleFemaleMaleFemaleMale
    Recurring Agricultural Practices Survey
    September 2017 (N=400)311840472935
    September 2018 (N=360)17243194179
    September 2019 (N=404)19541164079
    Recurring Household Survey
    Intervention Group
    October 2016 (N=242)70300
    May 2017 (N=240)71290
    November 2017 (N=240)66340
    June 2018 (N=249)69300
    June 2019 (N=244)67330
    Comparison Group
    June 2019 (N=120)66331
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    TABLE 3.

    Recurring Household Survey Data Compared to Tajikistan Demographic Health Survey Data, Khatlon Region, Tajikistan

    Recurring HouseholdSurvey: Round 1 (October 2016)Recurring Household Survey: Round 5 (June 2019)Demographic Health Survey (2017)
    Comparison VillagesIntervention Villages
    Feeding Practices and Dietary Diversity
    Exclusive breastfeeding 0-5 months, %-507236
    Continuous breastfeeding, %68787150
    Minimum acceptable diet in children aged 6–23 months, %Breastfed1819379
    Non-breastfed16353a,b,c10
    Child feeding practices during diarrhea, %More fluids336380a,b27
    More food36215510
    Women achieving minimum dietary diversity, %84719080
    Water, Sanitation, and Hygiene
    Households with soap present at handwashing station, %48687076
    Soap use after defecation, %243788a,b-
    Soap use after cleaning a child, %196580a,b-
    Soap use before feeding a child, %222569a,b-
    Soap use before preparing food, %214582a,b-
    Soap use before eating, %248*78a,c-
    Health Seeking Behaviors
    Number of antenatal care visits for previous pregnancy3.64.05.7-
    Women who had 4+ antenatal care visits, %574886a,b64
    Women participating in their health care decision making, %4411-
    Knowledge on Women and Children's Nutrition
    Women who know of the need of a pregnant woman to eat more, %644989a,b,c-
    Women who know that breastfeeding women should eat more, %776699a,b,c-
    Women who know that a baby should receive more breastmilk during diarrhea %442893a,b,c-
    • ↵a Results are statistically significant at P<.05, utilizing a conservative logistic regression model.

    • ↵b Result is significant compared to Round 1 (baseline/endline analysis).

    • ↵c Result is significant compared to comparison villages (treatment/control analysis).

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Global Health: Science and Practice: 9 (Supplement 1)
Global Health: Science and Practice
Vol. 9, No. Supplement 1
March 15, 2021
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Volunteer Community Health and Agriculture Workers Help Reduce Childhood Malnutrition in Tajikistan
Roman Yorick, Faridun Khudonazarov, Andrew J. Gall, Karah Fazekas Pedersen, Jennifer Wesson
Global Health: Science and Practice Mar 2021, 9 (Supplement 1) S137-S150; DOI: 10.9745/GHSP-D-20-00325

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Volunteer Community Health and Agriculture Workers Help Reduce Childhood Malnutrition in Tajikistan
Roman Yorick, Faridun Khudonazarov, Andrew J. Gall, Karah Fazekas Pedersen, Jennifer Wesson
Global Health: Science and Practice Mar 2021, 9 (Supplement 1) S137-S150; DOI: 10.9745/GHSP-D-20-00325
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