Effectiveness of weekly local mothers' kitchen recipe talks to improve dietary iron intake among tribes of Andhra Pradesh, India: A prospective cohort study

J Family Med Prim Care. 2022 Nov;11(11):7386-7393. doi: 10.4103/jfmpc.jfmpc_1147_22. Epub 2022 Dec 16.

Abstract

Introduction: Anemia is a major public health problem in India, especially among tribal women. The study was done to estimate the prevalence of iron intake below the estimated average requirement in the diet and to study the effectiveness of weekly local mothers' kitchen recipe talks.

Methodology: A total of 340 women from scheduled tribes participated in a prospective cohort study over 10 months in 10 clusters in the Guntur district of Andhra Pradesh, India. A questionnaire, a 24-hour dietary recall, and an assessment of hemoglobin were done to gather information at baseline and after three months of weekly local recipe talks in mothers' kitchens.

Results: A total of 340 women were studied. The mean age of the mothers was 23.5 ± 3.6 years. At baseline prevalence, the mean intake of daily iron in diet among mothers was 9.04 ± 3.18 (SD) mg/day. The prevalence of anemia among mothers at the baseline was 63.8%. The mean intake of daily iron in the diet at the end line was significantly higher with a P value of 0.019 among mothers who attended 10 or more weekly local mothers' kitchen recipe talks and did not take iron folic acid (IFA). Mothers who attended 10 or more weekly local mothers' kitchen recipe talks without IFA intake have a significant drop in the prevalence of severe anemia.

Conclusion: The integration of weekly local mothers' kitchen recipe talks in the ongoing Integrated Child Development Service Scheme can be a boon for early-aged, less-literate, inexperienced, and financially poor mothers.

Keywords: Anemia; diet; intervention; iron; mothers.