{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:58:15Z","timestamp":1787806695309,"version":"build-2784847793"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T00:00:00Z","timestamp":1615852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the impact of a 12\u2010month multi\u2010modal public health intervention programme for treating and preventing anaemia among children aged 6\u00a0months to 4\u00a0years in an underserved community in Peru.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The intervention included nutritional education, use of a Lucky Iron Fish<jats:sup>\u00ae<\/jats:sup> cooking tool, and dietary supplementation. The primary outcome measure was anaemia resolution. Secondary outcomes included absolute changes in haemoglobin, change in knowledge survey scores and adherence to interventions. Chi\u2010square test and Mann\u2013Whitney U\u2010test were employed to identify associations between anaemia and intervention\u2010related measures. Variables found to be significantly associated in bivariate analysis or of clinical importance were included in a logistic regression model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 406 children enrolled, 256 (63.1%) completed the programme. Of those, 34.0% had anaemia at baseline; this decreased to 13.0% over 12\u00a0months. The mean haemoglobin for all ages at baseline was 11.3\u00a0g\/dL (SD 0.9). At 12\u00a0months, the mean was 11.9\u00a0g\/dL (SD 0.8), with a mean increase of 0.5\u00a0g\/dL (95% CI 0.4\u20130.6). Children with anaemia at baseline saw an increase of 1.19\u00a0g\/dL at the 12\u2010month follow\u2010up (95% CI 1.12\u20131.37). Parents correctly answered 79.0% of knowledge assessment questions at baseline, which increased to 86.6% at 12\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We observed a reduction in the prevalence of mild to moderate anaemia among study participants in this vulnerable population and conclude that multi\u2010modal intervention programmes providing nutrition education in conjunction with low\u2010cost iron supplementation and easy\u2010to\u2010use Lucky Iron Fish<jats:sup>\u00ae<\/jats:sup> cooking tools may reduce and prevent anaemia in children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13564","type":"journal-article","created":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T08:26:01Z","timestamp":1613723161000},"page":"680-686","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Impact of a collaborative childhood anaemia intervention programme in Peru"],"prefix":"10.1111","volume":"26","author":[{"given":"Rachel","family":"Whitney","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine and Pediatrics Icahn School of Medicine at Mount Sinai New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne A.","family":"Centrone","sequence":"additional","affiliation":[{"name":"Health Bridges International Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoover Supo","family":"Mamani","sequence":"additional","affiliation":[{"name":"Ministerio de Salud de la Rep\u00fablica del Per\u00fa Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Falkenstein","sequence":"additional","affiliation":[{"name":"Health Bridges International Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S.","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaden","family":"Harris","sequence":"additional","affiliation":[{"name":"Echo Medical Group Bearsville NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Hazlitt","sequence":"additional","affiliation":[{"name":"Echo Medical Group Bearsville NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Czer Anthoney","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Pediatrics Icahn School of Medicine at Mount Sinai New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,16]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"The global prevalence of anaemia in 2011","author":"WHO","year":"2015"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2013-06-508325"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(13)70001-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/17474086.2017.1354696"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-2576"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(16)00085-1"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0379572116676427"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.21.2563"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1301\/002966402320285056"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1182\/bloodadvances.2016000521"},{"key":"e_1_2_7_12_1","first-page":"148","article-title":"Iron release from the Lucky Iron Fish(R): safety considerations","volume":"26","author":"Armstrong GR","year":"2017","journal-title":"Asia Pac J Clin Nutr."},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0221094"},{"key":"e_1_2_7_14_1","unstructured":"Estado Nutricional en ni\u00f1os y gestantes de los establecimientos de salud del Ministerio de Salud. Informe Gerencial Nacional.Ministerio de Salud Vice ministerio de Salud Publica Oficina General de Tecnologias de las Informacion\u2010Hoja Informacion de Salud;2019."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0226846"},{"key":"e_1_2_7_16_1","unstructured":"luckyironfish.com[cited 2020]."},{"key":"e_1_2_7_17_1","unstructured":"Manejo Terapeutico y Preventivo de la Anemia. Ministerio de Salud;2017."},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2008.02143.x"},{"key":"e_1_2_7_19_1","volume-title":"Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity","author":"WHO","year":"2011"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_7_22_1","unstructured":"Pacto Regional para la Reducci\u00f3n de la Anemia y Desnutrici\u00f3n Cr\u00f3nica Infantil;2017."},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.3.613"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.117.152785"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.4172\/2329-9088.1000195"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-017-2604-x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14167"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.24932"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.13564","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/tmi.13564","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.13564","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T03:11:13Z","timestamp":1693365073000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tmi.13564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,16]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1111\/tmi.13564"],"URL":"https:\/\/doi.org\/10.1111\/tmi.13564","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,16]]},"assertion":[{"value":"2021-03-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}