scholarly journals An Iterative Process for Training Design and Implementation Increased Health Workers’ Knowledge for Taking Nutrition Behavior Change to Scale

2019 ◽  
Vol 149 (Supplement_1) ◽  
pp. 2323S-2331S ◽  
Author(s):  
Wendy Gonzalez ◽  
Anabelle Bonvecchio Arenas ◽  
Armando García-Guerra ◽  
Mireya Vilar-Compte ◽  
Alejandría Villa de la Vega ◽  
...  
Keyword(s):  
Young Child ◽  
Feasibility Study ◽  
Iterative Process ◽  
Health Workers ◽  
Scale Up ◽  
Training Design ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Design And Implementation ◽  
Infant And Young Child

ABSTRACTBackgroundThe shortage of skilled, motivated, and well-supported health workers is a major barrier to scaling up nutrition interventions and services.ObjectiveThe objective of this study is to describe the process for developing and implementing a training of health personnel for the delivery of the Integrated Strategy for Attention to Nutrition (EsIAN), an evidence-based strategy for promoting infant and young child feeding through primary health care in Mexico. The specific objective is to provide a case study and highlight challenges, as well as elements to successfully mitigate these, and discuss potential applications of findings beyond the Mexican context.MethodsThe design and implementation of training followed a 5-phase process: situation analysis, formative research, large-scale feasibility study, redesign and scale up, and evaluation. We conducted document reviews, surveys, and focus groups during the first phases to inform and refine the training, as well as a pre- and posttraining telephone survey to evaluate change in knowledge.ResultsThe initial phases of the design provided a clear understanding of the opportunities and challenges for promoting infant and young child feeding, as well as health workers’ routines and practices, which informed training design. The feasibility study allowed tailoring and refinement of training. The vertical coherence and coordination between the federal and state levels during redesign and scale up facilitated compliance with training timeline and process. Evaluation results showed significant improvement in knowledge posttraining of up to 19 percentage points.ConclusionsThe EsIAN training component for health providers was developed using a systematic approach to consolidate and generate relevant evidence, following an iterative process to test, learn, and improve both design and implementation. This process allowed for flexibility to take advantage of new opportunities and respond to findings from iterations. Garnering and ensuring political support allowed for continuity and sustainability of actions.

scholarly journals Knowledge and attitude regarding complementary feeding practices among medical interns in Yenepoya medical college, Mangalore

2020 ◽  
Vol 7 (11) ◽  
pp. 2137
Author(s):  
Sowmya R. Nathan ◽  
Haleema Nuwera ◽  
Shyam Sudhir ◽  
Rasheena Shamshu
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Health Workers ◽  
Feeding Practices ◽  
Child Feeding ◽  
Medical College ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Medical Interns

Background: The health of the child depends on the attainment of the nutritional requirements, which include breast-feeding followed by complementary feeding. The mother’s knowledge on complementary feeding is greatly relied upon health workers. Therefore it is important for the health workers to know the recommended practices for Infant and Young Child Feeding practices so that they can impart the same to mothers.Methods: Cross sectional hospital based questionnaire study conducted among 120 medical interns at Yenepoya Medical College Hospital, Mangalore. A score of more than 75% was considered good, 50 -74% moderate, and less than 50% as poor. Statistical Package of social science (SPSS) software was used for analysis of data.Results: Of the 110 respondents, majority of them (88.18%) of them agreed to initiate complementary feeding at 6 months. 82% of them responded that it should be initiated with rice/cereal-based diet. Of the 110 responded 87 of them agreed that for a 6–8 month old breastfed child the frequency of feeds needed to be at least 2 times or higher. Regarding the type of complementary feeding, 89.09% were aware that it should be started with mono-cereals.Conclusions: This study concluded that majority of the medical interns had a good knowledge on the recommended feeding practices for the infant and young child. There were very few medical interns who had to be informed regarding the correct infant and young child feeding practices.

A qualitative analysis of infant and young child feeding practices in rural Rwanda

2020 ◽  
pp. 1-10 ◽  
Author(s):  
Theogene Dusingizimana ◽  
Janet L Weber ◽  
Thiagarajah Ramilan ◽  
Per O Iversen ◽  
Louise Brough
Keyword(s):  
Young Child ◽  
Health Workers ◽  
Qualitative Interviews ◽  
Feeding Practices ◽  
Classification Systems ◽  
Educational Approach ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Abstract Objective: To explore and gain an in-depth understanding of the factors influencing child feeding practices among rural caregivers in Rwanda. Design: In-depth semi-structured qualitative interviews were conducted. Purposive sampling was used to recruit participants. Interviews were audio-recorded, transcribed verbatim and coded. Data were analysed inductively using thematic analysis. Setting: Rutsiro District, Western Province, Rwanda. Participants: Participants included twenty-four mothers (median age 32 years) with children 6–23 months old. Results: We identified five key themes: (i) breast-feeding practices and role in food supply; (ii) family v. children’s food preparations; (iii) food classification systems and their influence on child feeding decisions; (iv) child feeding during diarrhoeal episodes and (v) influence of poverty on child feeding practices and child care. Conclusions: Mothers’ infant and young child feeding decisions are informed by information both from health workers and from traditional/own knowledge. Navigating through this information sometimes creates conflicts which results in less than optimal child feeding. A nutrition educational approach that is cognisant of maternal perceptions should be employed to improve child feeding practices. Efforts to improve child feeding practices must be complemented by programmes that enhance household economic opportunities and access to foods.

scholarly journals Information Diffusion and Social Norms Are Associated with Infant and Young Child Feeding Practices in Bangladesh

2019 ◽  
Vol 149 (11) ◽  
pp. 2034-2045 ◽  
Author(s):  
Phuong H Nguyen ◽  
Edward A Frongillo ◽  
Sunny S Kim ◽  
Amanda A Zongrone ◽  
Amir Jilani ◽  
...  
Keyword(s):  
Social Networks ◽  
Young Child ◽  
Social Norms ◽  
Health Workers ◽  
Dietary Diversity ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Behavior Change Interventions ◽  
Infant And Young Child ◽  
Over Time

Abstract Background Interaction within mothers’ social networks can theoretically diffuse messages from interventions and campaigns into norms and practices for infant and young child feeding (IYCF). Objectives We hypothesized that mothers’ social networks, diffusion of information, and social norms differed in intensive [intensive interpersonal counseling (IPC), community mobilization (CM), and mass media (MM)] compared with nonintensive (standard IPC and less-intensive CM and MM) intervention areas, were associated with IYCF practices, and partly explained practice improvement. Methods We conducted household surveys at endline in 2014 and follow-up in 2016 (n = ∼2000 each round). We used multiple regression to test differences and changes in networks, diffusion, and norms within intervention areas. We analyzed paths from intervention exposure to IYCF practices through networks, diffusion, and norms. Results Mothers’ networks were larger in intensive than in nonintensive areas in 2014 and increased in both areas over time [25–38 percentage points (pp)]. The prevalence of receipt of IYCF information was high, with no changes over time in intensive areas but an increase in nonintensive areas (8–16 pp). In both areas, more family members and health workers provided IYCF information over time. Sharing of information increased 17–23 pp in intensive and 11–41 pp in nonintensive areas over time. Perceived descriptive norms improved 8–16 pp in intensive and 17–28 pp in nonintensive areas. Perceived injunctive norms were high in both areas. Breastfeeding practices were associated with networks, diffusion, and norms (OR: 1.6–4.4 times larger comparing highest with lowest quartile). Minimum dietary diversity was associated with larger networks and diffusion (OR: 1.5–2.2) but not with social norms. Indirect paths from intervention exposure to practices explained 34–78% of total effects. Conclusions Diffusion of IYCF information through social networks, reinforced by positive social norms for messages promoted over time, will contribute to positive changes in IYCF practices that may be achieved and sustained through large-scale social and behavior change interventions. This trial was registered at clinicaltrials.gov as NCT0274084.

scholarly journals The Message Environment and Salience of Infant and Young Child Feeding Messages for Health Workers, HIV‐infected and HIV‐uninfected Mothers in Urban Haiti

2015 ◽  
Vol 29 (S1) ◽  
Author(s):  
Elizabeth Fox ◽  
Gretel Pelto ◽  
Vanessa Rouzier ◽  
Marie Guerda Debrosse ◽  
Kathleen Rasmussen ◽  
...  
Keyword(s):  
Young Child ◽  
Health Workers ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

scholarly journals Challenges and responses to infant and young child feeding in rural Rwanda: a qualitative study

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Laura Bouwman ◽  
Inge D. Brouwer ◽  
Eric Matsiko ◽  
Margaret Armar-Klemesu ◽  
...  
Keyword(s):  
Young Child ◽  
Community Health ◽  
Community Health Workers ◽  
Child Nutrition ◽  
Health Workers ◽  
Feeding Practices ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Abstract Background Despite different interventions to improve child nutrition conditions, chronic malnutrition is still a public health concern in Rwanda, with a high stunting prevalence of 38% among under 5-year-olds children. In Rwanda, only 18% of children aged 6–23 months are fed in accordance with the recommendations for infant and young child feeding practices. The aim of this study was to explore challenges to infant and young child feeding practices and the responses applied to overcome these challenges in Muhanga District, Southern province of Rwanda. Methods Sixteen (16) focus group discussions were held with mothers, fathers, grandmothers, and community health workers from 4 rural sectors of Muhanga District. The discussions were recorded, transcribed verbatim, and thematically analyzed using qualitative data analysis software, Atlas.ti. Results Two main themes emerged from the data. Firstly, there was a discourse on optimal infant and young child feeding (IYCF) practices that reflects the knowledge and efforts to align with early initiation of breastfeeding, exclusive breastfeeding for the first 6 months, as well as initiation of complementary foods at 6 months recommendations. Secondly, challenging situations against optimal practices and coping responses applied were presented in a discourse on struggling with everyday reality. The challenging situations that emerged as impeding appropriate IYCF practices included perceived lack of breast milk, infant cues, women’s heavy workload, partner relations and living in poverty. Family and social support from community health workers and health facility staff, financial support through casual labor, and mothers saving and lending groups, as well as kitchen gardens, were used to cope with challenges. Conclusion Factors influencing IYCF practices are multifaceted. Hence, intervention strategies to improve child nutrition should acknowledge the socially embedded nature of IYCF and address economic and social environmental constraints and opportunities, in addition and above knowledge only.

Learning from the Design and Implementation of Large-Scale Programs to Improve Infant and Young Child Feeding

2013 ◽  
Vol 34 (3_suppl2) ◽  
pp. S226-S230 ◽  
Author(s):  
Jean Baker ◽  
Tina Sanghvi ◽  
Nemat Hajeebhoy ◽  
Teweldebrhan Hailu Abrha
Keyword(s):  
Young Child ◽  
Large Scale ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Design And Implementation ◽  
Infant And Young Child

scholarly journals Use of Mobile Phones for Infant and Young Child Feeding Counseling in Sri Lankan Tea Estates: A Formative Study

2016 ◽  
Author(s):  
Manuj Weerasinghe ◽  
Upul Senerath ◽  
Sanjeeva Godakandage ◽  
Hiranya Jayawickrama ◽  
Aravinda Wickramasinghe ◽  
...  
Keyword(s):  
Young Child ◽  
Nutritional Status ◽  
Mobile Phone ◽  
Health Workers ◽  
Child Feeding ◽  
Mobile Phone Use ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Mobile Phone Usage ◽  
Nutritional Status Of Children

Despite the availability of free health services, children residing in Sri Lanka’s less developed plantation sector are more likely to be undernourished than children in urban and rural sectors. Hence, we need new approaches to improve their nutritional status. One promising approach involves mobile health initiatives, which is used effectively in other countries in primary health care settings. We studied the nature of mobile phone use in this community, and their perceptions on using m-health counseling for infant and young child feeding. Focus group discussions and in-depth interviews were the study methods. We found that mobile phone usage is common in this community hence; m-health platform could be a promising initiative to strengthen the existing face to face nutritional advice provided by the field health workers to improve the nutritional status of children.

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