scholarly journals Behaviour change communication in programmes to enhance infant and young child feeding: lessons from the field

2016 ◽  
Vol 12 (2) ◽  
pp. 191-192
Author(s):  
Miriam S. Chaiken
Keyword(s):  
Young Child ◽  
Behaviour Change ◽  
Behaviour Change Communication ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Change Communication ◽  
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 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 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.

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