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Center for Human Nutrition

Complementary Food Supplements for Reducing Childhood Undernutrition

JiVita 4 Complementary Feeding

Study Dates

September 2012 - November 2014


Gaibandha and Rangpur Districts, Bangladesh


JiVitA-4 was a cluster-randomized, controlled trial in children 6-18 months of age in rural Bangladesh that tested the effect of two local, ready-to—use foods (chickpea and rice-lentil based) and a fortified blended food (wheat-soy-blend++) compared with Plumpy’Doz, a previously tested, commercially available complementary food, and a control group that received no food on child growth. All groups received nutrition education related to infant and young child feeding. 


Growth deceleration occurred from 6 to 18 months of age but deceleration in length-for-age Z score was lower in the Plumpy'doz, rice-lentil, and chickpea groups compared to control.

Growth deceleration in weight-for-length Z score  from 6 to 18 months of age was lower only in Plumpy'doz and chickpea groups compared to control.

The prevalence of stunting was 44% in the control group at 18 months of age, but lower by 5-6% in the Plumpy'doz and chicpea groups.

Mean length and length-for-age Z score were higher in all four food groups relative to the control group at 18 months of age.


Christian P, Shaikh S, Shamim AA, Mehra S, Wu L, Mitra M, Ali H, Merrill RD, Choudhury N, Parveen M, Fuli RD, Hossain MI, Islam MM, Klemm R, Schulze K, Labrique A, de Pee S, Ahmed T, West KP Jr. Effect of fortified complementary food supplementation on child growth in rural Bangladesh: a cluster-randomized trial. Int J Epidemiol, 2015.

Evaluating complementary food supplements (CFS) to improve child growth and reduce stunting in rural Bangladesh. JiVitA Journal Brief No. 10, March 2013.