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Freetown, Sierra Leone

Hutchins A.M.,University of Colorado at Colorado Springs | Winham D.M.,Nutrition Program | Thompson S.V.,Oregon Health And Science University
British Journal of Nutrition | Year: 2012

Consumption of Phaseolus vulgaris bean species such as pinto, black, navy or kidney may be beneficial in the prevention and treatment of chronic diseases. In particular, conditions that are promoted by increased glycaemic stress (hyperglycaemia and hyperinsulinaemia) including diabetes, CVD and cancer seem to be reduced in individuals who eat more of these beans. The present paper discusses the influence of P. vulgaris species on glycaemic response and the impact that relationship may have on the risk of developing diabetes, CVD and cancer. © 2012 The Authors. Source

Sesay F.F.,Helen Keller International | Hodges M.H.,Helen Keller International | Kamara H.I.,Helen Keller International | Turay M.,Helen Keller International | And 8 more authors.
International Health | Year: 2014

Background: In May 2012, the twice-yearly Maternal and Child Health Week (MCHW) integrated vitamin A supplementation (VAS) and supplementary measles vaccination to reach all children 6-59 months in Sierra Leone. Following the MCHW, a post event coverage survey was conducted to validate VAS coverage and assess adverse events following immunization. Methods: Using the WHO Expanded Program on Immunization sampling methodology, 30 clusters were randomly selected using population proportionate to size sampling. Fourteen caregivers of children 6-59 months were interviewed per cluster for precision of+5%. Responseswere collected via mobile phones using EpiSurveyor. Results: Overall VAS and measles coveragewas 91.9% and 91.6%, respectively, with no significant differences by age group, sex, religion or occupation. Major reasons given for not receiving VAS and measles vaccination were not knowing about the MCHW or being out of the area. Significantly more mild adverse events (fever, pain at injection site) were reported via the post event coverage survey (29.1%) than MCHW (0.01%) (p,0.0001). Conclusion: The MCHW reached.90% of children in Sierra Leone with equitable coverage. Increased reporting of mild adverse events during the survey may be attributed to delayed onset after measles vaccination and/or direct inquiry from enumerators. Even mild adverse events following immunization requires strengthened reporting during and after vaccination campaigns. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. Source

News Article | April 7, 2016
Site: http://www.sciencedaily.com/news/

In 2009, more fruits, vegetables, whole grains and low-fat milk were included in the food voucher package provided by USDA’s Special Supplemental Nutrition Program for Women, Infants and Children (WIC). As a result, the diet quality improved for the roughly 4 million children who are served by WIC, according to a study.

Hodges M.H.,Helen Keller International Sierra Leone | Sesay F.F.,Helen Keller International Sierra Leone | Kamara H.I.,Helen Keller International Sierra Leone | Nyorkor E.D.,Helen Keller International Sierra Leone | And 10 more authors.
Maternal and Child Health Journal | Year: 2015

Since 2004, twice-yearly mass vitamin A supplementation (VAS) has equitably reached over 85 % of children 6–59 months old in Sierra Leone. However infants who turn 6 months after the event may wait until they are 11 months old to receive their first dose. The effectiveness of integrating VAS at 6 months into the Expanded Program of Immunization (EPI) in a revised child health card was studied. Health facilities matched according to staff cadre and work load were assigned to provide either a ‘mini package’ of VAS and infant and young child feeding (IYCF), a ‘full package’ of VAS, IYCF and family planning (FP), or ‘child health card’ only. 400 neonates were enrolled into each group, caregivers given the new child health card and followed until they were 12 months old. More infants in the full: 74.5 % and mini: 71.7 % group received VAS between 6 and 7 months of age compared with the new CH card only group: 60.2 % (p = 0.002, p < 0.001 respectively). FP commodities were provided to 44.5 % of caregivers in the full compared with <2.5 % in the mini and new child health card only groups (p < 0.0001). Integration of VAS within the EPI schedule achieved >60 % coverage for infants between 6 and 7 months of age. Provision of FP and/or IYCF further improved coverage. Funding was provided by the Canadian Department of Foreign Affairs, Trade and Development who had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. © 2015, The Author(s). Source

Palacios C.,Nutrition Program | Palacios C.,University of Puerto Rico at San Juan | Segarra A.,Nutrition Program | Segarra A.,University of Puerto Rico at San Juan | And 4 more authors.
Archivos Latinoamericanos de Nutricion | Year: 2012

The objective of the study was to assess the reproducibility and validity of a short semiquantitative calcium specific FFQ in a convenience Puerto Rican sample. Reproducibility was tested by the difference between calcium intakes from the FFQ completed twice, with a one month difference; validity was assessed against 6-day diet records (DR) in a sample of students, employees and faculty of the Medical Sciences Campus of the University of Puerto Rico. The statistical analyses performed were Pearson correlations, paired t-test, Bland-Altman plots, cross-classification analysis, Willett's surrogate categories, specificity, sensitivity and predictive value. A total of 93 subjects were included in the study (mean age 28.8±10.1 years, BMI 25.7±6.1 kg/m2). Mean estimated calcium intakes were 846.4±356.9 mg/day for the first FFQ, 801.1±423.7 mg/day for the repeated FFQ and 845.4±377.5 mg/day for 6-day DR. No statistical difference was observed between the means by paired t-test (p>0.05), with significant correlations between means (p<0.05). The FFQ was found to have a specificity of 65.2%, a sensitivity of 73.5%, a positive predictive value of 86.2% and a negative predictive value of 45.5%. In conclusion, the short FFQ is a valid tool that could be used in the future to assess calcium intake in epidemiological surveys in this group. Source

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