Implementation, utilization and influence of a community-based participatory nutrition promotion programme in rural Ethiopia: programme impact pathway analysis

Abstract

Our PIP analysis suggests that CPNP was feasibly implemented, promoted a sustained utilization of proper feeding behaviours, and enhanced participation in the existing ENA programme. These findings provide a possible explanation to understanding CPNP's effectiveness.

Sociocultural Influences on Dietary Practices and Physical Activity Behaviors of Rural Adolescents—A Qualitative Exploration

“…As lack of knowledge regarding the importance of balanced, diversified diet for adolescents was unmasked, future interventions need to address this gap. Moreover, willingness of mothers to ensure healthy diet for their adolescent children, their prominent role in feeding them and shifting body image ideals can be channeled toward better dietary practices by designing community-based, participatory nutrition interventions focusing on mother-adolescent dyads, somewhat similar to a program implemented in rural Ethiopia [75]. Broadening their perception to take advantage of locally available ingredients for improving adolescents' diet is highly relevant for a low-income setting like Matlab.…”

Behaviour change interventions improve maternal and child nutrition in sub-Saharan Africa: a systematic review

“…The 71 articles were published between 2004-2022 and included cluster randomised control trials (RCT)(n=38) (20, 39–75) , study evaluations(n=13) (52, 56, 68, 76–86) , quantitative studies(n=11) (87–100) , mixed methods studies(n=5) (88, 89, 101–103) , qualitative studies(n=3) (104–106) , and national case studies(n=2) (107, 108) . Behaviour change interventions were identified from 18 sub-Saharan African countries: Ethiopia(n=18) (42, 58, 59, 62, 64, 67, 68, 70, 79–81, 92–95, 100) , South Africa(n=8) (40, 41, 45, 46, 66, 87–89) , Malawi(n=8) (43, 44, 71, 77, 78, 82, 85, 106) , Kenya(n=5) (39, 96, 101, 102, 104) , Burundi(n=5) (48–52) , Nigeria(n=5) (73, 90, 97, 99, 105) , Burkina Faso(n=5) (48, 54, 56, 74, 109) , Ghana(n=4) (84, 91, 108) , Madagascar(n=2) (20, 75) , Zambia(n=2) (83, 110) ,Tanzania(n=2) (47, 72) and one each from, Central African Republic (107) , Mali (63) , Mozambique (65) , Rwanda (69) , Senegal (103) , Togo (61) , and Uganda (53) . A total of 30 studies were graded as low risk of bias, 30 as medium, and 11 as high (Table 2) .…”

“…(28) . Functions (Appendix C) included education(n=51) (20, 39–41, 44–47, 49, 51–54, 56, 58, 69–75, 79–81, 83–89, 91, 92, 95, 97–102, 105–109, 111) , enablement(n=50) (20, 39, 44–47, 49, 51–54, 56, 59–71, 74–83, 85, 87–90, 93, 94, 97–99, 103–105, 108–111) , persuasion(n=38) (39, 49, 51, 52, 54, 56, 60–64, 67–72, 74, 76–78, 82, 83, 86, 96–98, 100, 103, 108–111) , training(n=36) (20, 39–42, 45–47, 54, 56, 59, 61, 65, 66, 69, 70, 72, 74, 75, 77, 78, 82, 84, 87, 90–94, 99, 101–105,…”

“…Yet another similar intervention graded as medium quality in Malawi found significant increases in dietary diversity of infants at 18 months follow up (85) . Two low-medium rated quality psychosocial interventions increased pregnant women's and mothers' dietary diversity, and household food consumption in the Central African Republic (107) and Ethiopia (79)(80)(81) . One intervention underpinned by Social Cognitive Theory and the Theory of Planned Behaviour, graded high-quality, had school children in South Africa meeting 5-a-day fruit and vegetable guidelines (45,46) .…”

“…A quality assessment tool was adapted from a systematic review on digital interventions using mixed methods and tailored for use in this review (Appendix D & Figure 3. Flowchart of study selection PRISMA diagram The 71 articles were published between 2004-2022 and included cluster randomised control trials (RCT)(n=38) (20, , study evaluations(n=13) (52,56,68,(76)(77)(78)(79)(80)(81)(82)(83)(84)(85)(86) , quantitative studies(n=11) (87)(88)(89)(90)(91)(92)(93)(94)(95)(96)(97)(98)(99)(100) , mixed methods studies(n=5) (88,89,(101)(102)(103) , qualitative studies(n=3) (104)(105)(106) , and national case studies(n=2) (107,108) . Behaviour change interventions were identified from 18 sub-Saharan African countries: Ethiopia(n=18) (42, 58, 59, 62, 64, 67, 68, 70, 79-81, 92-95, 100) , South Africa(n=8) (40,41,45,46...…”