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

Policy research can reveal gaps and opportunities to enhance policy impact and implementation. In this study, we use a theoretically informed qualitative approach to investigate implementation of two policies to promote breastfeeding in Vietnam. We conducted semi-structured interviews with national and local policy stakeholders (n=26) in 2017. Interviews were audio recorded and transcribed verbatim, then translated to English by certified translators. Transcript data were analyzed using an integrated conceptual framework of policy implementation. Respondents identified several positive outcomes to implementing an extended maternity leave policy (Labour Code No. 10/2012/QH13) and further restrictions on marketing of breast milk substitutes (Decree No. 100/2014/ND-CP). Decree No. 100, in particular, was said to have reduced advertising of breast milk substitutes in mass media outlets and health care settings. Key implementation actors were national-level bureaucratic actors, local organizations, and international partners. Findings reveal the importance of policy precedence and a broader set of policies to promote the rights of women and children to support implementation. Other facilitators were involvement from national level implementing agencies and healthcare personnel, and strength of government relationships and coordination with non-governmental and international organizations. Implementation challenges included insufficient funding, limited training to report violations, a cumbersome reporting process, and pervasive misinformation about breastmilk and breast milk substitutes. Limited reach for women employed in the informal labor sector and in rural communities was said to be a compatibility issue for the extended maternity leave policy in addition to the lack of impact on non-parental guardians and caretakers. Recommendations to improve policy implementation include designating a role for international organizations to support implementation, expanding maternity protections for all working women, building local-level policy knowledge to support enforcement, simplifying Decree No. 100 violation reporting processes, and continuing to invest in interventions to facilitate a supportive policy environment in Vietnam.

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“…, 2016 ; Tuan et al. , 2014 ), educational IYCF videos ( Schneider et al. , 2021 ) and mass media campaigns ( Nguyen et al.…”

Section: Discussionmentioning

confidence: 99%

Implementation of two policies to extend maternity leave and further restrict marketing of breast milk substitutes in Vietnam: a qualitative study

Payán

Zahid

Glenn

et al. 2021

Health Policy and Planning

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“…In collaboration with local families and health care professionals in Kenya, we produced a set of 47 IYCF videos based on WHO recommendations. We studied these videos in a health care‐centre setting in Kenya in 2016 (Schneider et al, 2021). The videos, which are 2–3 min long, teach correct nutrition and basic childcare through filmed depictions of families or animations.…”

Section: Methodsmentioning

confidence: 99%

“…We studied these videos in a health care-centre setting in Kenya in 2016 (Schneider et al, 2021). The videos, which are 2-3 min long, teach correct nutrition and basic childcare through filmed depictions of families or animations.…”

Section: Study Design and Implementationmentioning

confidence: 99%

“…Improving IYCF knowledge and practices requires suitable educational materials (Altobelli, 2017). Consequently, increases in the usage of mobile phones among CHWs (Agarwal et al, 2015, Braun et al, 2013, Feroz et al, 2020, Källander et al, 2013) and videos in IYCF education (Coetzee et al, 2018; Desta et al, 2014; Dougherty et al, 2016; Mutanda et al, 2016; Schneider et al, 2021) have occurred even in low‐income countries. Studies exist concerning the use of video as part of nutrition and health education in low‐income countries; however, these studies are relatively few, and the findings are inconsistent.…”

Section: Introductionmentioning

confidence: 99%

“…Studies exist concerning the use of video as part of nutrition and health education in low‐income countries; however, these studies are relatively few, and the findings are inconsistent. Videos have proven effective in improving engagement (Coetzee et al, 2018), the recall of messages (Desta et al, 2014), maternal knowledge (Schneider et al, 2021) and end results, such as responsive feeding (Dougherty et al, 2016) and hygiene (Dougherty et al, 2016; Schneider et al, 2021). However, many of the studies focus on just one area of family health, and video is often used for simultaneously targeting a larger group of individuals (Desta et al, 2014; Dougherty et al, 2016; Mutanda et al, 2016; Schneider et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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The usefulness of nutrition and health videos displayed on mobile phones in rural Uganda: Experiences of community health workers and mothers

Schneider

Ollila

Mutanen

2022

Maternal & Child Nutrition

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Improvements in community health workers' (CHWs) knowledge and practices in low-income countries increasingly involve mobile phones and videos. However, little data exists on CHWs' and mothers' experiences of using such phones and videos. In this study, educational videos on nutrition, health and hygiene were downloaded onto mobile phones, which were given to 12 CHWs in rural Uganda.In 2018, these CHWs used the videos for a period of 3 months to support their work during their visits with families. We subsequently conducted individual interviews with eight CHWs and held four focus group discussions with 16 mothers. From the inductively analysed data, we identified four key themes: impact, competence, meaningfulness and choice, which are also dimensions of the Intrinsic Task Motivation Model. The model describes the motivation of workers and has previously been used in connection with CHWs. In our study, CHWs and mothers considered that the videos had more strongly impacted their learning than traditional teaching methods, and they felt the videos improved the child feeding and caring competence of both CHWs and mothers. Furthermore, the CHWs found that the videos enhanced the meaningfulness of their work, as they felt more greatly appreciated and necessary. In addition, they experienced more freedom of choice in their ability to influence their working routines. This study shows that educational videos are well received among CHWs and mothers. Educational videos are a promising method to maintain and improve the motivation of voluntary CHWs and influence correct child feeding and hygiene practices in Uganda.

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Effects of community-based educational video interventions on nutrition, health, and use of health services in low- and middle-income countries: systematic review and meta-analysis

Boynito,

Pauwels,

Otayto

et al. 2024

Nutrition Reviews

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Context Health education using videos has been promoted for its potential to enhance community health by improving social and behavior change communication. Objective To provide stakeholders in maternal and child health with evidence that can inform policies and strategies integrating video education to improve maternal, newborn, and child health. Data sources Five databases (MEDLINE, Embase, Scopus, Web of Science, and CENTRAL) were searched on January 28, 2022, and November 10, 2022 (updated search). Quantitative and qualitative studies conducted in low- and middle-income countries on the effects of video-based interventions on nutrition, health, and health service use were eligible. There was no restriction on time or language. Study selection was done in 2 stages and in duplicate. Data extraction A total of 13 710 records were imported to EndNote. Of these, 8226 records were screened by title and abstract using Rayyan, and 76 records were included for full-text evaluation. Results Twenty-nine articles (n = 12 084 participants) were included in this systematic review, and 7 were included in the meta-analysis. Video interventions improved knowledge about newborn care (n = 234; odds ratio [OR], 1.20; 95% confidence interval [CI], 1.04–1.40), colostrum feeding (n = 990; OR, 60.38; 95%CI, 18.25–199.78), continued breastfeeding (BF; n = 1914; OR, 3.79; 95%CI, 1.14–12.64), intention to use family planning (FP) (n = 814; OR, 1.57; 95%CI, 1.10–2.23), and use of FP (n = 864; OR, 6.55; 95%CI, 2.30–18.70). Video interventions did not result in reduced prelacteal feeding or improvement in early initiation of BF. The qualitative studies showed that video interventions were acceptable and feasible, with perceived impacts on communities. Conclusion This systematic review and meta-analysis indicated that video interventions improved knowledge of newborn care, colostrum feeding, and continuing BF, and the intention to use FP. Given the high levels of heterogeneity and inconsistency in reporting, more research with stronger designs is recommended. Systematic review registration PROSPERO registration no. CRD42022292190.

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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

Cited by 3 publications

References 31 publications

Implementation of two policies to extend maternity leave and further restrict marketing of breast milk substitutes in Vietnam: a qualitative study

Implementation of two policies to extend maternity leave and further restrict marketing of breast milk substitutes in Vietnam: a qualitative study

The usefulness of nutrition and health videos displayed on mobile phones in rural Uganda: Experiences of community health workers and mothers

Effects of community-based educational video interventions on nutrition, health, and use of health services in low- and middle-income countries: systematic review and meta-analysis

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