scholarly journals Achieving behaviour change at scale: Alive & Thrive's infant and young child feeding programme in Bangladesh

2016 ◽  
Vol 12 ◽  
pp. 141-154 ◽  
Author(s):  
Tina Sanghvi ◽  
Raisul Haque ◽  
Sumitro Roy ◽  
Kaosar Afsana ◽  
Renata Seidel ◽  
...  
Keyword(s):  
Young Child ◽  
Behaviour Change ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

scholarly journals Systematic review of the design, implementation and effectiveness of mass media and nutrition education interventions for infant and young child feeding

2017 ◽  
Vol 21 (2) ◽  
pp. 273-287 ◽  
Author(s):  
Matthew M Graziose ◽  
Shauna M Downs ◽  
Quentin O’Brien ◽  
Jessica Fanzo
Keyword(s):  
Young Child ◽  
Mass Media ◽  
Nutrition Education ◽  
Psychosocial Factors ◽  
Behaviour Change ◽  
Text Messages ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Education Interventions

AbstractObjectiveTo systematically review the design, implementation and effectiveness of mass media and nutrition education interventions for improving infant and young child feeding (IYCF) practices and related psychosocial factors.DesignA search of PubMed, Embase and PsycINFO databases, a Google search, and a consultation with experts in the field of IYCF performed in July 2016.SettingLow- and middle-income countries, as defined by the World Bank Group.SubjectsEligible studies: included a mass media component (with or without nutrition education); conducted a pre–post evaluation (with or without a control group); assessed IYCF knowledge, attitudes, beliefs and/or practices; and were published in English between 2000 and present.ResultsEighteen unique studies were identified that examined the effect of mass media (types included: television; print; voice and/or SMS (text) messages; radio; megaphones/loudspeakers; videos; social media; songs/dramas) and nutrition education interventions on IYCF practices within thirteen countries. Of these, fifteen studies reported improvements in breast- and/or complementary feeding practices, using indicators recommended by the WHO, and six studies reported improvements in related psychosocial factors. However, little detail was provided on the use of formative research, a formal behaviour change theory and behaviour change techniques. Few studies reported both dose delivered and participants’ exposure to the intervention.ConclusionsDespite evidence of effectiveness, few common elements in the design of interventions were identified. Future research should consistently report these details to open the ‘black box’ of IYCF interventions, identify effective design components and ensure replicability.

scholarly journals Perspectives and reflections on the practice of behaviour change communication for infant and young child feeding

2015 ◽  
Vol 12 (2) ◽  
pp. 245-261 ◽  
Author(s):  
Gretel H. Pelto ◽  
Stephanie L. Martin ◽  
Marti J. van Liere ◽  
Cecilia S. Fabrizio
Keyword(s):  
Young Child ◽  
Behaviour Change ◽  
Behaviour Change Communication ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Change Communication ◽  
Infant And Young Child

scholarly journals Using formative research to design a context-specific behaviour change strategy to improve infant and young child feeding practices and nutrition in Nepal

2013 ◽  
Vol 11 (4) ◽  
pp. 882-896 ◽  
Author(s):  
Lindsey M. Locks ◽  
Pooja R. Pandey ◽  
Akoto K. Osei ◽  
David S. Spiro ◽  
Debendra P. Adhikari ◽  
...  
Keyword(s):  
Young Child ◽  
Behaviour Change ◽  
Formative Research ◽  
Child Feeding ◽  
Change Strategy ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Specific Behaviour ◽  
Infant And Young Child ◽  
Context Specific

scholarly journals The fidelity and dose of message delivery on infant and young child feeding practice and nutrition sensitive agriculture in Ethiopia: a qualitative study from the Sustainable Undernutrition Reduction in Ethiopia (SURE) programme

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Mihretab M. Salasibew ◽  
Cami Moss ◽  
Girmay Ayana ◽  
Desalegn Kuche ◽  
Solomon Eshetu ◽  
...  
Keyword(s):  
Young Child ◽  
Qualitative Study ◽  
Behaviour Change ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practice ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Nutrition Sensitive

Abstract Background In Ethiopia, 38% of children under 5 years of age are stunted (low height for age). A novel government-led intervention called the Sustainable Undernutrition Reduction in Ethiopia (SURE) aims to tackle the burden of stunting by improving complementary feeding and dietary diversity among young children. The SURE programme design applies a transtheoretical model of behaviour change, whereby exposure to recommended infant and young child feeding (IYCF) and nutrition-sensitive agriculture messages is a first stage to adopting key behaviours. This qualitative study explored the fidelity and dose of the IYCF and nutrition-sensitive agriculture messages delivered by extension workers. Methods A qualitative study was conducted across four regions in Ethiopia (Oromiya, Amhara, SNNP and Tigray) between April and October 2017. Across the four regions, 81 key informant interviews, 90 FGDs and 81 observations were conducted with 180 extension workers, 18 development agents and 54 mother-father pairs. Digitally recorded audio files were transcribed verbatim, and the data were analysed based on a framework analysis approach using NVivo (version 12) by coding and categorising texts into major themes and sub-themes. Results SURE target households had the intended exposure to messages about exclusive breastfeeding, timing of initiation of complementary feeding, food groups, diversified food consumption, irrigation, rearing small animals and vegetables. Few households reported receiving messages on the content or frequency of complementary feeding of a child beyond 6 months of age. Frequency of household visits and hence exposure to SURE messages was also variable. Agricultural messages delivered during household visits focussed on improving standard agricultural practices and rarely covered the importance of nutrition-sensitive agriculture to improve household or child nutrition. Conclusion Despite variability observed in the breadth and depth of messages delivered, large-scale behaviour change communication programmes can achieve moderate to good message exposure among target groups. Qualitative data provide an in-depth insight into fidelity and may supplement our understanding of programme roll-out and implementation. Further research is required to understand longer-term message saturation including frequency and reach.

Off to the best start: The importance of infant and young child feeding

2016 ◽  
Author(s):  
International Food Policy Research Institute (IFPRI)
Keyword(s):  
Young Child ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

scholarly journals Qualitative, longitudinal exploration of coping strategies and factors facilitating infant and young child feeding practices among mothers in rural Rwanda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen
Keyword(s):  
Social Support ◽  
Young Child ◽  
Coping Strategies ◽  
Low Income ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Personal Factors ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.

scholarly journals Mothers’ perceptions on and learning from infant and young child feeding videos displayed in Mother and Child Health Centers in Kenya - a qualitative and quantitative approach

2021 ◽  
pp. 1-38
Author(s):  
Lauriina Schneider ◽  
Mikko Kosola ◽  
Kerttu Uusimäki ◽  
Sari Ollila ◽  
Crippina Lubeka ◽  
...  
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Health Centers ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health ◽  
Child Health Centers

Abstract Objective The objective was to explore mothers’ perceptions of educational videos on infant and young child feeding practices, and to assess whether viewing frequencies would influence maternal knowledge, attitudes and feeding practices (KAPs). Design A set of 47 videos were displayed in health centers for 6 months. At three months, we conducted focus group discussions (FGDs) with mothers and at six months, administered KAP-questionnaire-based interviews to mothers. Using a quasi-experimental design we compared groups according to video viewing frequencies. Setting The study was conducted in a slum in Nairobi and a rural area in Machakos, Kenya. We installed TV screens in waiting rooms of six Mother and Child Health Centers, where mothers could choose to watch them. Participants Forty-three mothers with children aged 0 to 48 months participated in six FGDs and 547 mothers of children aged 0 to 23 months in KAP interviews. Results The mothers from the FGDs found the videos acceptable and beneficial. Videos enhanced mothers’ learning and empowered them to support others in learning. The KAP data showed that after adjustments, breastfeeding (p=0.06) and complementary feeding knowledge (p=0.01), complementary feeding attitudes (p=0.08), as well as hygiene knowledge and practices (p=0.003) were better among mothers who had seen videos three to four times, or five or more times, compared to mothers who had seen the videos once or twice. Conclusions Videos were an accepted form of education and were beneficial when watched repeatedly. The videos could be a good addition to current IYCF education efforts in Kenya.

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