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Faculty
Steven LeClerq
Research Associate
Field Director/JHU Representative
Academic Degrees
BA
Departmental Affiliation
International Health
Human Nutrition
Departmental Address
615 North Wolfe St.
Baltimore, MD 21225
Phone: 977-1-4261829
Fax: 977-1-4261805
Research and Professional Experience

My research interests are focused on identifying effective, low-cost interventions to improve infant, child and maternal nutrition, health and survival in developing country contexts.

This research has been carried out through the Nepal Nutrition Intervention Project - Sarlahi (NNIPS) in the lowlands of Nepal, near the border with the Indian state of Bihar in a series of large community trials of micronutrient supplementation, with nested studies also investigating the effects of chlorhexadine wiping and cord care on infant survival, as well as ethnographic studies of local beliefs and practices relating to development of micronutrient deficiencies.

Keywords

International Health, Human Nutrition, Nepal Nutrition Intervention Project, Vitamin A deficiency; micronutrient deficiency; nutritional epidemiology; clinical and community trials; intervention program evaluation.

Selected Publications

Katz J, West KP Jr., Pradhan EK, LeClerq SC, Khatry SK, Shrestha SR. The impact of a small steady stream of income for women on family health and economic well-being. Global Public Health 2007;2(1):35-52.

Mullany LC, Darmstadt GL, Katz J, Khatry SK, LeClerq SC, Tielsch JM. Risk factors for umbilical cord infection among newborns of southern Nepal. American Journal of Epidemiology (accepted for publication).

Mullany LC, Darmstadt GL, Khatry SK, LeClerq SC, Katz J, Tielsch JM. Impact of umbilical cord cleansing with 4.0% chlorhexidine on time to cord separation among newborns of southern Nepal: a cluster-randomized, community-based trial. Pediatrics 2006;118:1864-1871.

Tielsch JM, Darmstadt GL, Mullany LC, Khatry SK, Katz J, LeClerq SC, Shresta S, Adhikari R. Impact of newborn skin cleansing with chlorhexidine on neonatal mortality in southern Nepal: a community-based, cluster-randomized trial. Pediatrics (accepted for publication).

Mullany LC, Darmstadt GL, Khatry SK, LeClerq SC, Tielsch JM. Relationship between the surrogate anthropometric measures, foot length and chest circumference, and birth weight among newborns of Sarlahi, Nepal. European Journal of Clinical Nutrition (accepted for publication).

Katz J, West KP Jr, LeClerq SC, Khatry SK, Shrestha SR: The impact of a small steady stream of income for women on family health and economic well-being. Global Public Health 2006 (accepted for publication)

Siegel EH, Stoltzfus RJ, Khatry SK, LeClerq SC, Katz J, Tielsch JM: Epidemiology of anemia among 4-to 17-month-old children living in south central Nepal. European Journal of Clinical Nutrition 2006;60:228-235

Christian P, Shrihari SB, Thorne-Lyman A, Khatry SK, LeClerq SC, Shrestha SR. Eating down in pregnancy: Exploring food-related beliefs and practices of pregnancy in rural Nepal. Ecology of Food and Nutrition 2006 (accepted for publication).

Mullany LC, Darmstadt GL, Khatry SK, LeClerq SC, Tielsch JM. Safety of neonatal skin cleansing in rural Nepal. Indian Pediatrics 2006;43:117-124.

Tielsch JM, Darmstadt GL, Mullany LC, Khatry SK, Katz J, LeClerq SC, Shrestha SR, Adhikari RK. Newborn skin cleansing with a dilute chlorhexadine solution reduces neonatal mortality in southern Nepal: A community-based, cluster-randomized trial. Lancet 2006 (under revision).

Mullany LC, Darmstadt GL, Khatry SK, Katz J, LeClerq SC, Shrestha SR, Adhikari RK, Tielsch JM. Topical applications of chlorhexadine to the umbilical cord prevent omphalitis and reduce neonatal mortality in southern Nepal: A community-based, cluster-randomized trial. Lancet 2006;367:910-918.

Mullany LC, Darmstadt GL, Coffey P, Khatry SK, LeClerq SC, Tielsch JM. A low-cost, color-coded, hand-held spring scale accurately categorises birth weight in low-resource settings. Archives of Disease in Childhood 2006; 91:410-413.

Mullany LC, Darmstadt GL, Katz J, Khatry SK, LeClerq SC, Adhikari RK, and Tielsch JM. Development of clinical sign-based algorithms for community-based assessment of omphalitis. Archives of Disease in Childhood, (Fetal Neonatal Edition) 2006;91:F99-F104. . Oct. 13: Epub ahead of print.

Christian P, Jiang T, Khatry SK, LeClerq SC, Shrestha SR, West KP Jr.: Antenatal supplementation with micronutrients and biochemical indicators of status and sub-clinical infection in rural Nepal. Am J Clin Nutr 2006;83(4):788 -.

Pradhan EK, West KP, Jr, Katz J, LeClerq SC, Khatry SK, Shrestha. Risk Factors for Flood-related Mortality in Nepal. Disasters 2006 (accepted for publication).

Tielsch JM, Khatry SK, Stoltzfus RJ, Katz J, LeClerq SC, Adhikari R, Mullany LC, Shrestha SR, Black RE. Effect of routine prophylactic supplementation with iron and folic acid on preschool child mortality in southern Nepal: A community-based, cluster-randomized, placebo-controlled trial. Lancet 2006; 367: 144-52

Mullany LC, Darmstadt GL, Khatry SK, LeClerq SC, Tielsch JM: Relationship between the surrogate anthropometric measures, foot length and chest circumference, and birth weight among newborns of Sarlahi, Nepal. European Journal of Clinical Nutrition 2006 (submitted for publication).

Siegel EH, Stoltzfus RJ, Kariger P, Katz J, Khatry SK, LeClerq SC, Pollitt E, Tielsch JM: Growth indices, anemia, and diet independently predict motor milestone acquisition of infants in south central Nepal. Journal of Nutrition 2005;135:2840-2844.

Freeman JV, Christian P, Khatry SK, Adhikari RK, LeClerq SC, Katz J, Darmstadt GL: Evaluation of neonatal verbal autopsy using physician review versus algorithm-based cause-of-death assignment in rural Nepal. Paediatric and Perinatal Epidemiology 2005; 19, 323-331.

Christian P, Khatry SK, LeClerq SC, Roess AA, Wu L, Yuenger JD, Zenilman JM: Prevalence and risk factors of chlamydia and gonorrhea among rural Nepali women. Sex Transm Infect 2005;81:254-258

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