title: The SHINE Trial Infant Feeding Intervention: Pilot Study of Effects on Maternal Learning and Infant Diet Quality in Rural Zimbabwe.
abstract: The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial is designed to measure the independent and combined effects of improved water, sanitation, and hygiene and improved infant feeding on child stunting and anemia in Zimbabwe. We developed and pilot-tested the infant feeding intervention delivered by 9 village health workers to 19 mothers of infants aged 7-12 months. Between September 2010 and January 2011, maternal knowledge was assessed using mixed methods, and infant nutrient intakes were assessed by 24-hour recall. We observed positive shifts in mothers' knowledge. At baseline, 63% of infants met their energy requirement and most did not receive enough folate, zinc, or calcium; none met their iron requirement. Postintervention, all infants received sufficient fat and vitamin A, and most consumed enough daily energy (79%), protein (95%), calcium (89%), zinc (89%), folate (68%), and iron (68%). The SHINE trial infant feeding intervention led to significant short-term improvements in maternal learning and infant nutrient intakes.
authors.affiliation: Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
authors.forename: Amy
authors.initials: A
authors.lastname: Desai
authors.affiliation: Division of Nutritional Sciences, Cornell University, Ithaca, New York.
authors.forename: Laura E
authors.initials: LE
authors.lastname: Smith
authors.affiliation: Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Division of Nutritional Sciences, Cornell University, Ithaca, New York Zvitambo Institute for Maternal and Child Health Research.
authors.forename: Mduduzi N N
authors.initials: MN
authors.lastname: Mbuya
authors.affiliation: Ministry of Health and Child Care, Harare, Zimbabwe.
authors.forename: Ancikaria
authors.initials: A
authors.lastname: Chigumira
authors.affiliation: Division of Nutritional Sciences, Cornell University, Ithaca, New York Zvitambo Institute for Maternal and Child Health Research.
authors.forename: Dadirai
authors.initials: D
authors.lastname: Fundira
authors.affiliation: Zvitambo Institute for Maternal and Child Health Research.
authors.forename: Naume V
authors.initials: NV
authors.lastname: Tavengwa
authors.affiliation: Zvitambo Institute for Maternal and Child Health Research.
authors.forename: Thokozile R
authors.initials: TR
authors.lastname: Malaba
authors.affiliation: Zvitambo Institute for Maternal and Child Health Research.
authors.forename: Florence D
authors.initials: FD
authors.lastname: Majo
authors.affiliation: Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Zvitambo Institute for Maternal and Child Health Research.
authors.forename: Jean H
authors.initials: JH
authors.lastname: Humphrey
authors.affiliation: Division of Nutritional Sciences, Cornell University, Ithaca, New York.
authors.forename: Rebecca J
authors.initials: RJ
authors.lastname: Stoltzfus
mesh_terms: D004032:Diet / Q000592:standards; D005260:Female; D006266:Health Education; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena / Q000592:standards*; D008297:Male; D018977:Micronutrients; D009035:Mothers / Q000193:education*; D010865:Pilot Projects; D012424:Rural Population; D015030:Zimbabwe
chemical_list: D018977:Micronutrients
keywords: complementary feeding; dietary assessment; infant and young child feeding; intervention design research; lipid-based nutrient supplement