Publications by authors named "Eunice Munyama"
Background: Few trials have explored long-term effects of interventions designed to reduce child stunting. We evaluated school-age outcomes in rural Zimbabwean children who received cluster-randomised water, sanitation and hygiene (WASH) and/or infant and young child feeding (IYCF) interventions from pregnancy up to 18 months of age.
Methods: The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial enrolled pregnant women from two rural Zimbabwean districts (Chirumanzu and Shurugwi) between 2012 and 2015, and cluster-randomised them using a 2 × 2 factorial design to standard-of-care, WASH, IYCF, or combined WASH & IYCF, with a co-primary outcome of height-for-age Z-score and haemoglobin at 18 months (clinicaltrials.
Article Synopsis
- - Over 16 million children were born HIV-free despite exposure during pregnancy by 2022, but those who are HIV-free exhibit worse health and development outcomes, leading to the need for further research on their long-term effects compared to unexposed children.
- - The SHINE trial in rural Zimbabwe tracked growth and cognitive development in children born HIV-free compared to unexposed children, evaluating participants at age 7 using a variety of assessments that included measurements of height, haemoglobin, cognitive abilities, and physical fitness.
- - The study aimed to understand the differences in health outcomes between the two groups and utilized advanced statistical methods to analyze the collected data, considering various demographic and socioeconomic factors affecting the children's development.
Background: Neurodevelopment assessment tools for low-resource settings are urgently needed. However, most available tools were developed in high-income settings and may lack cross-cultural validity.
Methods: We piloted and adapted two subtests within the planning domain of the Kaufman Assessment Battery for Children-2nd edition (KABC-II) for use in rural Zimbabwean children aged 7years.
: There is a need for follow-up of early-life stunting intervention trials into childhood to determine their long-term impact. A holistic school-age assessment of health, growth, physical and cognitive function will help to comprehensively characterise the sustained effects of early-life interventions. The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial in rural Zimbabwe assessed the effects of improved infant and young child feeding (IYCF) and/or improved water, sanitation and hygiene (WASH) on stunting and anaemia at 18 months.
View Article and Find Full Text PDFIntroduction: We developed the School-Age Health, Activity, Resilience, Anthropometry and Neurocognitive (SAHARAN) toolbox to address the shortage of school-age assessment tools that combine growth, physical and cognitive function. Here we present i) development, acceptability and feasibility of the SAHARAN toolbox; ii) characteristics of a pilot cohort; and iii) associations between the domains measured in the cohort.
Methods: Growth was measured with anthropometry, knee-heel length and skinfold thicknesses.