Impact of a positive deviance approach to improve the effectiveness of an iron-supplementation program to control nutritional anemia among rural Senegalese pregnant women.

摘要: Background. Iron supplementation through prenatal care remains the most widespread strategy to control anemia during pregnancy, but its effectiveness is only partial, showing need address other approaches. Objective. This study was conducted measure impact of a positive deviance approach improve an iron-supplementation program among pregnant women in rural Senegalese area. Methods. A (PD Micah) compared with ongoing integrated nutrition and health intervention (Micah) pre-post evaluation using independent cross-sectional samples total 371 women. sociodemographic questionnaire administered, biologic anthropometric measurements were performed. Results. After 9 months activities, mean hemoglobin level rose from 93.9 100.7 g/L PD Micah group. Distribution iron supplements community volunteers implementation healthy pregnancy promotion sessions on monthly basis improved accessibility 23.3% No significant change observed Logistic regression analysis showed significantly reduced risk area (adjusted odds ratio, 0.25; 95% confidence interval, 0.12 0.53). Conclusions. shows that community-based strategy, such as approach, can contribute improving pregnancy.