scholarly journals Engaging family members in maternal, infant and young child nutrition activities in low‐ and middle‐income countries: A systematic scoping review

2021 ◽  
Vol 17 (S1) ◽  
Author(s):  
Stephanie L. Martin ◽  
Juliet K. McCann ◽  
Emily Gascoigne ◽  
Diana Allotey ◽  
Dadirai Fundira ◽  
...  
Keyword(s):  
Young Child ◽  
Scoping Review ◽  
Child Nutrition ◽  
Family Members ◽  
Middle Income ◽  
Middle Income Countries ◽  
Infant And Young Child ◽  
Low And Middle Income

scholarly journals Mixed-Methods Systematic Review of Behavioral Interventions in Low- and Middle-Income Countries to Increase Family Support for Maternal, Infant, and Young Child Nutrition during the First 1000 Days

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Stephanie L Martin ◽  
Juliet K McCann ◽  
Emily Gascoigne ◽  
Diana Allotey ◽  
Dadirai Fundira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Young Child ◽  
Behavioral Interventions ◽  
Child Nutrition ◽  
Family Members ◽  
Middle Income ◽  
Middle Income Countries ◽  
Quantitative Studies ◽  
Infant And Young Child

ABSTRACT Fathers, grandmothers, and other family members’ influence on maternal, infant, and young child nutrition (MIYCN) is widely recognized, yet synthesis of the effectiveness of engaging them to improve nutrition practices during the first 1000 d is lacking. We examined the impact of behavioral interventions to engage family members in MIYCN in low- and middle-income countries through a mixed-methods systematic review. We screened 5733 abstracts and included 35 peer-reviewed articles on 25 studies (16 with quantitative and 13 with qualitative data). Most quantitative studies focused on early breastfeeding, primarily engaging fathers or, less often, grandmothers. Most found positive impacts on exclusive breastfeeding rates and family members’ knowledge and support. The few quantitative studies on complementary feeding, maternal nutrition, and multiple outcomes also suggested benefits. Qualitative themes included improved nutrition behaviors, enhanced relationships, and challenges due to social norms. Interventions engaging family members can increase awareness and build support for MIYCN, but more rigorous study designs are needed. This systematic review is registered at PROSPERO as CRD42018090273, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=90273.

scholarly journals Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 722 ◽  
Author(s):  
Zohra S. Lassi ◽  
Fahad Rind ◽  
Omar Irfan ◽  
Rabia Hadi ◽  
Jai K. Das ◽  
...  
Keyword(s):  
Young Child ◽  
Data Extraction ◽  
Child Feeding ◽  
Middle Income ◽  
Young Child Feeding ◽  
Middle Income Countries ◽  
Breastfeeding Practices ◽  
Breastfeeding Education ◽  
Infant And Young Child ◽  
Low And Middle Income

Undernutrition is associated with 45% of total infant deaths, totalling 2.7 million globally per year. The vast majority of the burden is felt in low- and middle-income countries (LMICs). This review aims to assess the effectiveness of infant and young child feeding (IYCF) interventions. We searched multiple databases including Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE. Title/abstract screening and full-text screening and data extraction filtered 77 studies for inclusion. Breastfeeding education interventions (n = 38) showed 20% increase in rates of early initiation of breastfeeding, 102% increase in exclusive breastfeeding (EBF) at 3 months and 53% increase in EBF at 6 months and 24% decreases in diarrheal diseases. Complementary feeding education intervention (n=12) showed a 0.41 standard deviation (SD) increase in WAZ, and 0.25 SD in HAZ in food secure setting. Complementary food provision with or without education (n=17) showed a 0.14 SD increase in HAZ and 36% decrease in stunting. Supplementary food interventions (n=12) showed a significant 0.15 SD increase in WHZ. Subgroup analyses showed healthcare professional led interventions were largely more effective, especially on breastfeeding outcomes. We believe this is a comprehensive review of the existing literature on IYCF studies in LMICs. Though breastfeeding education is well supported in its effectiveness on breastfeeding practices, limited evidence exists for growth outcomes. Supplementation interventions seem to have better effects at improving growth. However, more research is required to reach more substantial conclusions.

Family support and family and child-related outcomes among families impacted by disability in low- and middle-income countries: A scoping review

2019 ◽  
Vol 24 (4) ◽  
pp. 637-654 ◽  
Author(s):  
Reshma Parvin Nuri ◽  
Beata Batorowicz ◽  
Heather Michelle Aldersey
Keyword(s):  
Family Support ◽  
Support Groups ◽  
Scoping Review ◽  
Parental Stress ◽  
Children With Disabilities ◽  
Family Members ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Relationship ◽  
Low And Middle Income

There is a growing interest in understanding the relationship between family support and family or child-related outcomes in high-income countries. However, this has received little attention in low- and middle-income countries. The purpose of this review was to explore the relationship between family support and family and child-related outcomes among families affected by disability in low- and middle-income countries. We conducted a scoping review of five databases using search terms related to ‘family’, ‘support’, ‘child’, and ‘disability’. A total of 13 articles met the inclusion criteria. Families of children with disabilities received most of their support from informal sources (e.g. immediate family members, friends, and parents support groups). Parental stress was most often evaluated as the family outcome and was negatively linked to emotional support and childcare assistance from immediate family members. Movement and mobility therapy offered by rehabilitation professionals was found to improve children’s walking patterns. Positive attitudes from community members were key facilitators to participation of children with disabilities in social activities. The review calls for urgent attention to research in low- and middle-income countries, particularly the extent of support families are receiving from government-led support systems.

scholarly journals Systematic Review of Behavioral Interventions to Increase Family Support for Maternal and Child Nutrition in Low- and Middle-Income Countries

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 824-824
Author(s):  
Katherine Dickin ◽  
Juliet McCann ◽  
Emily Gascoigne ◽  
Diana Allotey ◽  
Dadirai Fundira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Family Support ◽  
Scoping Review ◽  
Behavioral Interventions ◽  
Child Nutrition ◽  
Maternal Nutrition ◽  
Complementary Feeding ◽  
Family Members ◽  
Middle Income ◽  
Middle Income Countries

Abstract Objectives To examine the scope and impact of behavioral interventions to increase family support for maternal, infant, and young child nutrition (MIYCN) practices in low- and middle-income countries (LMICs). Despite the recognized influence of fathers, grandmothers, and other family members, we lack a comprehensive review of how interventions engage them and how engagement impacts MIYCN. Methods We first conducted a scoping review to identify family-focused interventions and then a mixed methods review to assess impacts. We systematically searched PubMed, Scopus, Web of Science, Global Health, and CINAHL for peer-reviewed studies of behavioral interventions to increase family support for MIYCN. We screened 5733 abstracts and evaluated 142 full-text articles. Quantitative and qualitative results were examined independently. (PROSPERO ID# CRD42018090273) Results The scoping review of intervention approaches included 48 studies; the mixed methods systematic review assessing impact included 16 comparative quantitative studies and 13 qualitative studies. A wide range of approaches were used to engage family members to support MIYCN, including multi-channel strategies with community outreach. Most comparative research relied on direct counseling and focused on breastfeeding in first 6 months, primarily engaging fathers (9) or, less often, grandmothers (2) or both (2). Most (10/13) found positive impacts on exclusive breastfeeding rates and some associated practices and on family members’ awareness and support to mothers. The 3 studies on maternal nutrition, complementary feeding, or multiple MIYCN indicators also suggested benefits of engaging family members. Qualitative themes included improved nutrition behaviors, enhanced relationships, and challenges due to social norms. Conclusions Interventions engaging family members in LMICs can increase awareness, build support for MIYCN, and improve practices. While many positive outcomes were reported, more rigorous study designs testing causal relationships, and implementation research to elucidate pathways and identify factors shaping effectiveness, are needed. Important gaps include research on interventions that support maternal nutrition and complementary feeding, include nutrition-sensitive activities, and utilize gender transformative approaches. Funding Sources USAID.

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