scholarly journals Strengthening health services to deliver nutrition education to promote complementary feeding and healthy growth of infants and young children: formative research for a successful intervention in peri-urban Trujillo, Peru

2016 ◽  
Vol 13 (2) ◽  
pp. e12264 ◽  
Author(s):  
Rebecca C. Robert ◽  
Hilary M. Creed-Kanashiro ◽  
Ruben Villasante ◽  
M. Rocio Narro ◽  
Mary E. Penny
2019 ◽  
Vol 40 (2) ◽  
pp. 221-230 ◽  
Author(s):  
Richard B. Kajjura ◽  
Frederick J. Veldman ◽  
Susanna M. Kassier

Background: Inappropriate infant and young child complementary feeding practices related to a lack of maternal knowledge contributes to an increased risk of malnutrition, morbidity, and mortality. There is a lack of data regarding the effect of nutrition education on maternal knowledge, feeding, and hygiene practices as part of a supplementary feeding intervention targeting infants and young children with moderate acute malnutrition in low-income countries like Uganda. Objective: To determine whether nutrition education improves knowledge, feeding, and hygiene practices of mothers with infants and young children diagnosed with moderate acute malnutrition. Methods: A cross-sequential study using a pretest–posttest design included 204 mother–infant pairs conveniently sampled across 24 randomly selected clusters. Weekly nutrition education sessions were embedded in a supplementary porridge intervention for 3 months. Mean scores and proportions for knowledge, feeding, and hygiene practices were determined at baseline and end line. The difference between mean scores at the 2 time points were calculated with the paired t test analysis, while the proportions between baseline and end line were calculated using a z test analysis. Results: Mean scores for knowledge, dietary diversity, and meal frequency were higher at end line compared to baseline ( P < .001). Handwashing did not improve significantly ( P = .183), while boiling water to enhance water quality improved ( P < .001). Conclusion: Nutrition education in conjunction with a supplementary feeding intervention targeting infants and young children with moderate acute malnutrition improved meal frequency, dietary diversity and water quality.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Rebecca Robert ◽  
Rosario Bartolini ◽  
Hilary Creed-Kanashiro ◽  
Deodatus Kakoko ◽  
Laureta Lucas ◽  
...  

Abstract Objectives A diverse diet including animal source foods (ASF) is essential for pregnant and lactating women, as well as infants and young children (IYC) 6–23 months to promote healthy growth. In rural impoverished areas of Tanzania, where stunting prevalence is high and dietary diversity low, the Enhancing Nutrition Services to Improve Maternal and Child Health (ENRICH) project aims to improve the health and nutrition of women and IYC. To identify nutritious priority foods and behaviors to promote in this context, formative research was conducted. Our objective was to identify priority ASF to promote increased dietary diversity and improved maternal and IYC nutrition within the local context. Methods Using a social-ecological framework and an ethnographic approach, we employed qualitative methods to collect data from purposive samples on potential key foods and behaviors. Food attributes, market surveys, household food stock, in-depth interviews, 24-hour dietary recalls and home observations were conducted. Analysis of each method and triangulation of results led to selected ASF foods and behaviors, which were tested in household trials for final recommendations. Results Among the various ASF explored, eggs and small fish emerged with the greatest potential for increased consumption. Many positive attributes of eggs were voiced, but some negative attributes, primarily related to traditional cultural views, were also expressed. Small fish were associated with mostly positive attributes. Compared with other ASF, eggs and small fish were commonly available and considered inexpensive. Interviews with pregnant women and parents of IYC demonstrated links among nutritious foods, healthy growth and future aspirations, yet dietary recalls showed poor dietary quality and low ASF intake. Results from household trials found eggs available, easy to prepare and acceptable by women and IYC. Similar results were found for small fish. Conclusions Formative research provided context rich data from multiple perspectives to select priority ASF. Household trials provided further evidence of practical feasibility and acceptability, as well as improved understanding of how to promote egg and small fish consumption. This research informed the development of messaging and a behavior change strategy for this setting. Funding Sources Global Affairs Canada, World Vision Canada, Nutrition International.


Nutrients ◽  
2018 ◽  
Vol 10 (4) ◽  
pp. 466 ◽  
Author(s):  
Myriam Afeiche ◽  
Salvador Villalpando-Carrión ◽  
Kathleen Reidy ◽  
Lisa Fries ◽  
Alison Eldridge

2013 ◽  
Vol 89 (4) ◽  
pp. 709-716 ◽  
Author(s):  
Francis M. Ngure ◽  
Florence Majo ◽  
Mduduzi N. N. Mbuya ◽  
Jean H. Humphrey ◽  
Margaret Govha ◽  
...  

2014 ◽  
Vol 35 (4) ◽  
pp. 480-486 ◽  
Author(s):  
Canaan Negash ◽  
Tefera Belachew ◽  
Carol J. Henry ◽  
Afework Kebebu ◽  
Kebede Abegaz ◽  
...  

Background Nutritious complementary foods are needed in countries where undernutrition and stunting are major problems, but mothers may be reluctant to change from traditional gruels. Objective To test whether a recipe-based complementary feeding education intervention would improve knowledge and practice of mothers with young children in Hula, Ethiopia. Methods A baseline survey of 200 eligible, randomly selected mother—child pairs gathered data on sociodemographic characteristics, food security status, knowledge and practices concerning complementary feeding, food group intakes of children aged 6 to 23 months by 24-hour recalls, and children's anthropometric measurements. Twice a month for 6 months, women in the intervention group received an education session consisting of eight specific messages using Alive and Thrive posters and a demonstration and tasting of a local barley and maize porridge recipe containing 30% broad beans. The control group lived in a different area and had no intervention. Results At 6 months, knowledge and practice scores regarding complementary feeding were significantly improved ( p < .001) in the intervention group but not in the control group. The intervention resulted in improvement of children's dietary diversity, as well as mean intake of energy and selected nutrients, compared with children in the control group. Changes in height and weight did not differ between the two groups. Conclusions Community-based nutrition education over 6 months that included demonstration of a local porridge recipe with broad beans added improved the complementary feeding practices of caregivers and the nutritional status of their young children.


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