A Multi-Sectoral Approach Improves Early Child Development in a Disadvantaged Community in Peru: Role of Community Gardens, Nutrition Workshops and Enhanced Caregiver-Child Interaction: Project "Wawa Illari"
Doris González-Fernández, Ana Sofía Mazzini Salom, Fermina Herrera Bendezu, Sonia Huamán, Bertha Rojas Hernández, Illène Pevec, Eliana Mariana Galarza Izquierdo, Nicoletta Armstrong, Virginia Thomas, Sonia Vela Gonzáles, Carlos Gonzáles Saravia, Marilyn E. Scott, Kristine G. Koski
Frontiers in Public Health
Urban Farm DB summary
In peripheral settlements of the Pachacámac district of metropolitan Lima, Peru, community health promoters delivered a sequence of (1) home and community gardens, (2) 'conscious nutrition' and (3) parenting workshops (ICDP), comparing 113 children aged 0–3 in intervention communities with 127 in control communities at baseline, 8 and 12 months. The interventions significantly reduced the risk of food insecurity (adjusted risk ratio 0.20, 95% CI 0.08–0.51) and of language delay (0.39, 0.19–0.82), but did not significantly improve motor or social/cognitive delay. Multiple micronutrient supplement use lowered motor delay risk (0.12), while households with more pets had higher risk of motor delay (3.24), social/cognitive delay (2.72) and food insecurity (1.73). Because gardens were bundled with nutrition and parenting components, the contribution of the gardens alone cannot be isolated.