• Roseline Remans, Paul M Pronyk, Jessica C Fanzo, Jiehua Chen, Cheryl A Palm, Bennett Nemser, Maria Muniz, Alex Radunsky, Alem Hadera Abay, Mouctar Coulibaly, Joseph Mensah-Homiah, Margaret Wagah, Xiaoyi An, Christine Mwaura, Eva Quintana, Marie-Andree Somers, Pedro A Sanchez, Sonia E Sachs, John W McArthur, Jeffrey D Sachs, and Millennium Villages Study Group.
• The Earth Institute, Columbia University, New York, NY, USA. rremans@ei.columbia.edu
• Am. J. Clin. Nutr. 2011 Dec 1;94(6):1632-42.

BackgroundIn sub-Saharan Africa, ~ 40% of children <5 y old are stunted, with levels that have remained largely unchanged over the past 2 decades. Although the complex determinants of undernutrition are well recognized, few studies have evaluated strategies that combine nutrition-specific, health-based approaches with food system- and livelihood-based interventions.ObjectiveWe examined changes in childhood stunting and its determinants after 3 y of exposure to an integrated, multisector intervention and compared these changes with national trends.DesignA prospective observational trial was conducted across rural sites in 9 sub-Saharan African countries with baseline levels of childhood stunting >20%. A stratified random sample of households and resident children <2 y old from villages exposed to the program were enrolled in the study. Main outcome measures included principal determinants of undernutrition and childhood stunting, which was defined as a height-for-age z score less than -2. National trends in stunting were generated from demographic and health surveys.ResultsThree years after the start of the program in 2005-2006, consistent improvements were observed in household food security and diet diversity, whereas coverage with child care and disease-control interventions improved for most outcomes. The prevalence of stunting in children <2 y old at year 3 of the program (2008-2009) was 43% lower (adjusted OR: 0.57; 95% CI: 0.38, 0.83) than at baseline. The average national stunting prevalence for the countries included in the study had remained largely unchanged over the past 2 decades.ConclusionThese findings provide encouraging evidence that a package of multisector interventions has the potential to produce reductions in childhood stunting.

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