257504 Kazakhstan Orphan Nutrition Project: Addressing the nutritional needs of orphans ages 0-3 in Kazakhstani baby houses

Monday, October 29, 2012 : 8:30 AM - 8:45 AM

Katherine Ward, MPH, CHES , 104 Shelia Drive, SPOON Foundation, Warner Robins, GA
Mary Hearst, PhD, MPH , Henrietta Schmoll School of Health, St. Catherine University, St. Paul, MN
Background: The Kazakhstan Orphan Nutrition Project (KONP) is the first program in Central Asia to explore the nutritional needs of orphans living in baby houses. Project: Between February 2009 and June 2010, SPOON Foundation in collaboration with the Kazakh Academy of Nutrition collected comprehensive baseline data on the nutritional status of children living in 10 baby houses in Kazakhstan. A sample of 286 children ages 0-3 years was assessed for anthropometrics, nutrient biomarkers (blood), and Bayley Scales for Infant Development (BSID). After the assessment, 8 baby houses were randomly assigned to receive one of the following interventions: 1) control; 2) a vitamin supplement; 3) a new nutrition-enriched diet; or 4) both a supplement and special diet. Qualitative data was then collected to assess baby house operations and feeding practices. Results: The baseline assessment revealed that 73% of the children presented one or more significant nutrition-related condition. The BSID showed that half of the children experienced mild to severe mental and motor delays. More than half the children left their respective baby houses following the baseline assessment, limiting the impact of the intervention. However, as a result of KONP's efforts, the Kazakh Ministry of Health adopted new nutrition norms and the nutrition-enriched diet to be implemented in each of Kazakhstan's 25 baby houses. Based on the qualitative data, trainings were developed for baby house staff to supplement the new menu and norms. Conclusions: Baseline and qualitative data demonstrate a dire need for comprehensive nutrition and feeding programs in Kazakhstani baby houses.

Learning Areas:
Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Identify the nutrition-related developmental conditions and micronutrient deficiencies prevalent among young Kazakhstani orphans. Describe best practice recommendations for prevention of nutrition-related conditions among institutionalized orphan populations. Discuss challenges to implementing nutrition and feeding programs in Kazakhstani baby houses.

Keywords: Child Health, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently project manager of the Kazakhstan Orphan Nutrition Project, overseeing the collection and analysis of data and the development of trainings. As a health education specialist, my interest lies in developing evidence-based, culturally sensitive training programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.