Impact of Behavior Change Communication Among Pregnant Women Regarding Neonatal Care

2013 ◽  
Vol 80 (10) ◽  
pp. 804-808 ◽  
Author(s):  
Mohd. Haroon Khan ◽  
Najam Khalique ◽  
Abdul Razzaque Siddiqui ◽  
Ali Amir
Author(s):  
Aravind Gandhi Periyasamy ◽  
Nairita Dalui ◽  
Arun K. Aggarwal ◽  
Sanjeev Goyal ◽  
Rupa Jain

In India, only 41.6% of the children are breastfed within 1 hour and 54.9% of the children are exclusively breastfed till 6 months. In order to promote breastfeeding, the first week of August is being observed as World Breastfeeding week. We organized a brainstorming session followed by an Interactive, audio-visual health education event on breastfeeding for the pregnant women and their household members at a Community Health Centre (CHC) in Haryana, during that week. A behavior change communication (BCC) session was held on 1st August 2019 at the Antenatal clinic of the CHC. Target population was the pregnant, lactating mothers and their household members. Needs assessment was done to assess their current knowledge, attitude and needs about the breastfeeding and breast milk, by interacting with them and posing questions. Based on the above needs assessment exercise, we delivered a health education session. The household members were enlightened about their role in breastfeeding. The behavior change communication exercise, tailored to local population and conducted by us would have improved the knowledge, attitude of the pregnant women and their family members towards breastfeeding, and in turn will improve the practice in near future. The exercise is replicable in other settings, by tailoring it according to the local needs.


2021 ◽  
Vol 7 ◽  
pp. 205520762110005
Author(s):  
Cynthia Afedi Hazel ◽  
Sheana Bull ◽  
Elizabeth Greenwell ◽  
Maya Bunik ◽  
Jini Puma ◽  
...  

Objective Evidence backing the effectiveness of mobile health technology is growing, and behavior change communication applications (apps) are fast becoming a useful platform for behavioral health programs. However, data to support the cost-effectiveness of these interventions are limited. Suggestions for overcoming the low output of economic data include addressing the methodological challenges for conducting cost-effectiveness analysis of behavior change app programs. This study is a systematic review of cost-effectiveness analyses of behavior change communication apps and a documentation of the reported challenges for investigating their cost-effectiveness. Materials and methods Four academic databases: Medline (Ovid), CINAHL, EMBASE and Google Scholar, were searched. Eligibility criteria included original articles that use a cost-effectiveness evaluation method, published between 2008 and 2018, and in the English language. Results Out of the 60 potentially eligible studies, 6 used cost-effectiveness analysis method and met the inclusion criteria. Conclusion The evidence to support the cost-effectiveness of behavior change communication apps is insufficient, with all studies reporting significant study challenges for estimating program costs and outcomes. The main challenges included limited or lack of cost data, inappropriate cost measures, difficulty with identifying and quantifying app effectiveness, representing app effects as Quality-adjusted Life Years, and aggregating cost and effects into a single quantitative measure like Incremental Cost Effectiveness Ratio. These challenges highlight the need for comprehensive economic evaluation methods that balance app data quality issues with practical concerns. This would likely improve the usefulness of cost-effectiveness data for decisions on adoption, implementation, scalability, sustainability, and the benefits of broader healthcare investments.


2019 ◽  
Vol 101 (5) ◽  
pp. 865-877 ◽  
Author(s):  
Shalini Roy ◽  
Melissa Hidrobo ◽  
John Hoddinott ◽  
Akhter Ahmed

Transfer programs have been shown to reduce intimate partner violence (IPV), but little evidence exists on how activities linked to transfers affect IPV or what happens when programs end. We assess postprogram impacts on IPV of randomly assigning women in Bangladesh to receive cash or food, with or without nutrition behavior change communication (BCC). Six to ten months postprogram, IPV did not differ between women receiving transfers and a control group; however, women receiving transfers with BCC experienced 26% less physical violence. Evidence on mechanisms suggests sustained effects of BCC on women's “threat points,” men's social costs of violence, and household well-being.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Shivani Kachwaha ◽  
Phuong Nguyen ◽  
Michelle DeFreese ◽  
Shruthi Cyriac ◽  
Amy Webb Girard ◽  
...  

Abstract Objectives Uttar Pradesh (UP) is the most populous state with the highest burden of undernutrition in India. Alive & Thrive is working to strengthen behavior change communication (BCC) on diet diversity and quantity, using health systems platforms to deliver maternal nutrition intervention. However, evidence on the accessibility and affordability associated with recommended diets is limited. This study aims to: 1) examine the costs of nutritious foods in local markets, 2) identify inexpensive sources of essential micronutrients which could be promoted through BCC interventions. Methods Data collection included 24 market surveys and 125 household interviews to obtain food prices and consumption patterns. Cost of Diet (CotD), a linear programing software, was used to estimate the lowest cost for meeting nutrient requirements of 4 types of diet: 1) energy only diet (EO), 2) energy and macronutrient diets (MAC); 3) nutritious diet (NUT-meets recommended intakes for energy and nutrients), and 4) a food habits diet (FHAB-meet energy and nutrient requirements based upon local dietary habits). The diets were compared to identify relative costs and nutrient requirements met. Results The FHAB diet (USD 90/month for a household of 6 people) was over twice as expensive compared to the energy only diet. EO and MAC diets were affordable for all households, but they indicated inadequate nutrient intakes for vitamins A, C, B-12, folic acid, calcium, and iron. NUT and FHAB diets met all nutrient requirements but were not affordable for the lowest quartile of households. Recommended intakes of Vitamins A, C, B12, and calcium were most difficult to meet. Key foods identified which provided majority of essential macro and micronutrients included wheat flour, buffalo milk, soybean, and spinach. Multiple sources of iron and calcium were identified as affordable and accessible in local markets. Conclusions Foods available in local market are sufficient for households to obtain recommended intakes of macro- and micronutrients. Economic constraints and dietary habits are key barriers to achieve a nutritious diet. Practical, habitual diet-related behavior change communication to middle and high-income households and additional social protection for poorer households could improve optimal nutrient intakes. Funding Sources Bill & Melinda Gates Foundation through POSHAN, led by International Food Policy Research Institute.


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