The impact of training for day-care educators on childhood anaemia in nurseries: an institutional randomised clinical trial

The impact of training for day-care educators on childhood anaemia in nurseries: an institutional randomised clinical trial

Author Konstantyner, Tulio Autor UNIFESP Google Scholar
Taddei ,JosE Augusto de Aguiar Carrazedo Autor UNIFESP Google Scholar
Oliveira, Mariana de Novaes Autor UNIFESP Google Scholar
Palma, Domingos Autor UNIFESP Google Scholar
Colugnati, Fernando A. B. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
IPTI Res Inst Technol & Innovat
Abstract Objective: To test the impact of training for educators on the health of children enrolled in public and philanthropic day-care nurseries.Design: A randomised, institutional, non-blind clinical trial was conducted. An educational intervention was performed in four day-care centres and the control group consisted of four other day-care centres. Interviews with the mothers, collection of blood from the children by digital puncture and anthropometry were performed. the chosen indicator for the improvement of health was anaemia (Hb <11 g/dl). An unconditional logistic regression model was set for the risk factors for anaemia, considering associations with P <= 0.05 as statistically significant.Setting: Eight day-care centres in the city of São Paulo, Brazil.Subjects: Two hundred and fifty-two children from day-care nurseries.Results: the children from the day-care centres that were not subject to intervention presented a 2.11 times greater risk (95% CI 1.04, 4.30; P=0.40) of having anaemia at the end of the study independent of the control variables (sex, age, time in the day-care centre, anaemia at the beginning of the study, maternal age, use of oral iron supplements, number of siblings, per capita family income, use of antibiotics and the necessity of avoidable hospitalisations) used in the construction of the final logistical model.Conclusions: the assessed educational intervention promoted significant changes in the health status of the children, reinforcing the importance of training for professionals who care for young children in day-care centres in developing countries in order to promote child health.
Keywords Anaemia
Day care
Health education
Health promotion
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Grant number FAPESP: 2006/02597-0
Date 2011-08-01
Published in Public Health Nutrition. Cambridge: Cambridge Univ Press, v. 14, n. 8, p. 1450-1457, 2011.
ISSN 1368-9800 (Sherpa/Romeo, impact factor)
Publisher Cambridge Univ Press
Extent 1450-1457
Origin http://dx.doi.org/10.1017/S1368980010001977
Access rights Closed access
Type Article
Web of Science ID WOS:000292212600016
URI http://repositorio.unifesp.br/handle/11600/33935

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