International Union for Circumpolar Health Ministry of Public Health and Social Development of RF Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Sciences Medical Polar Fund “Science” The Northern Forum

Тезисы докладов

Место Севера в геопланетарном мире. Традиции и проблемы урбанизации

Purpose of the study: To share results of the Canada Prenatal Nutrition Program (CPNP) after 10 years in Inuit communities in Canada.

Study Design: The data was collected using various methods to evaluate if the Canada Prenatal Nutrition Program was meeting its goals. The goal of the program, which was initiated in 1994, is to improve maternal and infant nutritional health by providing a greater depth of services to women earlier in their pregnancy and for longer duration postpartum, with a particular on those at high risk. The data was collected between 1996 and 2004 in the Northwest Territories and Nunavut in Canada.

Methods: Baseline surveys (N=90) and post-implementation surveys (N=614) on maternal and infant outcomes (such as breastfeeding initiation, breastfeeding duration, birthweights, and dietary adequacy; key informant interviews (N=72).

Results and Conclusions: The Inuit component of CPNP is reaching its goal and objectives. The program is reaching its target population and women access services early in their pregnancy. At least 75% of the total number of pregnant or breastfeeding Inuit women participate. Thirty eight percent of women enter the program in the first trimester, with 82% entering by the end of second trimester. Several positive health outcomes are identified in women and infants who participate in the program. Although there is no difference in the number of babies born with healthy birthweights, more women who participate in the program breastfeed their babies at birth (77% (N=372) vs 74% (N=67)) and continue breastfeeding for at least 4 months (17% (N=309) vs 12% (N=34). The differences did not statistical significance at the P<.05 level, but the ability to attain statistical significance may have been limited by the small sample size. Improvements in dietary adequacy of women have also been observed . The capacity of participants has been positively influenced through knowledge and skill building opportunities. In conclusion, CPNP is an effective program that is well-received in communities and is making a difference. There is good evidence to support its continuation.

Примечание. Тезисы докладов публикуются в авторской редакции

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