Nutrition, hygiene and stimulation education for impoverished mothers in rural Uganda : effect on maternal depression symptoms and their associations to child development outcomes

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dc.contributor.authorAtukunda, Prudenceen_ZA
dc.contributor.authorMuhoozi, Grace K. M.en_ZA
dc.contributor.authorWesterberg, Ane C.en_ZA
dc.contributor.authorIversen, Per O.en_ZA
dc.date.accessioned2021-10-19T08:08:07Z
dc.date.available2021-10-19T08:08:07Z
dc.date.issued2019-07-11
dc.descriptionCITATION: Atukunda P. et al. 2019. Hygiene and Stimulation Education for Impoverished Mothers in Rural Uganda: Effect on Maternal Depression Symptoms and Their Associations to Child Development Outcomes. Nutrients, 11(7). doi:10.3390/nu11071561
dc.descriptionThe original publication is available at https://www.mdpi.com/journal/nutrients
dc.description.abstractOptimal nutrition improves child development, and impaired development is associated with maternal depression symptoms, in particular in low resource settings. In this follow-up of an open cluster-randomized education trial, we examined its effects among mothers in rural Uganda on their depression symptoms and the association of these symptoms to child development. The education comprised complementary feeding, stimulation, and hygiene. We assessed 77 intervention mothers and 78 controls using Beck Depression Inventory-II (BDI-II) and Center for Epidemiologic Studies Depression Scale (CES-D) scores. Child development was assessed with Bayley Scales of Infant and Toddler Development-III (BSID-III) composite scores for cognitive, language and motor development. Compared to controls, the intervention reduced depression symptoms’ scores with mean (95% CI) differences: −8.26 (−11.49 to −1.13, p = 0.0001) and −6.54; (−8.69 to −2.99, p = 0.004) for BDI II at 20–24 and 36 months, respectively. Similar results were obtained with CES-D. There was a negative association of BDI-II scores and BSID-III cognitive and language scores at 20–24 (p = 0.01 and 0.008, respectively) and 36 months (p = 0.017 and 0.001, respectively). CES-D associations with BSID-III cognitive and language scores showed similar trends. BSID-III motor scores were associated with depression scores at 36 months for both BDI-II and CES-D (p = 0.043 and 0.028, respectively). In conclusion, the group education was associated with reduced maternal depression scores. Moreover, the depression scores were inversely associated with child cognitive and language development outcomes.en_ZA
dc.description.urihttps://www.mdpi.com/2072-6643/11/7/1561
dc.description.versionPublisher’s version
dc.format.extent13 pages ; illustrations
dc.identifier.citationAtukunda P. et al. 2019. Hygiene and Stimulation Education for Impoverished Mothers in Rural Uganda: Effect on Maternal Depression Symptoms and Their Associations to Child Development Outcomes. Nutrients, 11(7). doi:10.3390/nu11071561
dc.identifier.issn2072-6643 (online)
dc.identifier.otherdoi:10.3390/nu11071561
dc.identifier.urihttp://hdl.handle.net/10019.1/123248
dc.language.isoen_ZAen_ZA
dc.publisherMDPI
dc.rights.holderAuthors retain rights
dc.subjectNutrition -- Information services -- Ugandaen_ZA
dc.subjectMaternal health services -- Ugandaen_ZA
dc.subjectPostpartum depressionen_ZA
dc.subjectChild developmenten_ZA
dc.subjectChildren -- Nutritionen_ZA
dc.subjectComplementary feedingen_ZA
dc.titleNutrition, hygiene and stimulation education for impoverished mothers in rural Uganda : effect on maternal depression symptoms and their associations to child development outcomesen_ZA
dc.typeArticleen_ZA
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