Strengthening Systems to Support Mothers in Infant and Young Child Feeding at Scale

Sanghvi, Tina; Martin, Luann; Hajeebhoy, Nemat; Abrha, Teweldebrhan Hailu; Abebe, Yewelsew; Haque, Raisul; Tran, Ha T.hi Thu; Roy, Sumitro

doi:10.1177/15648265130343s203

Cited by 47 publications

(57 citation statements)

References 10 publications

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“…However, the result was much lower than the findings from Kohat district Pakistan 18.2% Sirlinka, Zambia and Bangladesh where the prevalence of ACFP was above 20% [8,[11][12][13]. The disparity might be due to the fact that previous studies were used three indicators to calculate ACFP, whereas this study used four indicators [14,15]. About 74.2% of mothers had started complementary foods at 6 months of child's age, as recommended.…”

Section: Discussioncontrasting

confidence: 50%

Determinants of appropriate complementary feeding practice among mothers having children 6–23 months of age in rural Damot sore district, Southern Ethiopia; a community based cross sectional study

2017

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Section: Discussioncontrasting

confidence: 50%

Determinants of appropriate complementary feeding practice among mothers having children 6–23 months of age in rural Damot sore district, Southern Ethiopia; a community based cross sectional study

2017

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“…The Alive & Thrive project in Vietnam also report application of supportive supervision and accreditation of facilities in their model of social franchising of IYC services to improve the quality and consistency counselling (Sanghvi et al . ). Furthermore, Baker et al .…”

Section: Discussionmentioning

confidence: 97%

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

Robert

Creed-Kanashiro

Villasante

et al. 2016

Maternal & Child Nutrition

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Formative research is critical for developing effective nutrition-specific interventions to improve infant and young child (IYC) feeding practices and promote healthy growth. Health workers interact with caregivers during health facility visits, yet there is limited research about how to optimize delivery of such interventions during these visits. The extensive reach of IYC health services globally calls for research to address this gap. In Trujillo, Peru, formative research was conducted to explore complementary feeding practices with caregivers as well as health worker routines and interactions with caregivers related to feeding and healthy growth; results informed the development and delivery of an educational intervention. Multiple qualitative methods were used to collect data on a purposive sample of health workers and caregivers from three health facilities and communities: household trials followed. Complementary feeding messages with doable behaviours were developed, and three were selected as key to promote based on their nutritional impact and cultural acceptability. In the health facilities, medical consultation, well-child visits and nutrition consultation all dealt with aspects of IYC nutrition/growth during their interactions with caregivers but were independent and inconsistent in approach. A nutrition education strategy was developed based on consistency, quality and coverage in the IYC health services. We conclude that formative research undertaken in the community and IYC health services was critical to developing a successful and culturally relevant intervention to promote optimal complementary feeding practices and healthy growth during interactions between health workers and caregivers at routine health facility visits. © 2016 John Wiley & Sons Ltd.

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“…Extensive formative research was used to develop the behavior change interventions, including the IPC service package, the franchise brand, educational materials, and MM. The roll-out and scale-up of the franchise operations were carried out in conjunction with routine monitoring of quality and coverage, supervisory, and management approaches that supported implementation (39, 40). …”

Section: Discussionmentioning

confidence: 99%

Social Franchising and a Nationwide Mass Media Campaign Increased the Prevalence of Adequate Complementary Feeding in Vietnam: A Cluster-Randomized Program Evaluation

Raj

Nguyen

Tran

et al. 2017

The Journal of Nutrition

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Background: Rigorous evaluations of health system–based interventions in large-scale programs to improve complementary feeding (CF) practices are limited. Alive & Thrive applied principles of social franchising within the government health system in Vietnam to improve the quality of interpersonal counseling (IPC) for infant and young child feeding combined with a national mass media (MM) campaign and community mobilization (CM).Objective: We evaluated the impact of enhanced IPC + MM + CM (intensive) compared with standard IPC + less-intensive MM and CM (nonintensive) on CF practices and anthropometric indicators.Methods: A cluster-randomized, nonblinded evaluation design with cross-sectional surveys (n = ∼500 children aged 6–23.9 mo and ∼1000 children aged 24–59.9 mo/group) implemented at baseline (2010) and endline (2014) was used. Difference-in-difference estimates (DDEs) of impact were calculated for intent-to-treat (ITT) analyses and modified per-protocol analyses (MPAs; mothers who attended the social franchising at least once: 62%).Results: Groups were similar at baseline. In ITT analyses, there were no significant differences between groups in changes in CF practices over time. In the MPAs, greater improvements in the intensive than in the nonintensive group were seen for minimum dietary diversity [DDE: 6.4 percentage points (pps); P < 0.05] and minimum acceptable diet (8.0 pps; P < 0.05). Significant stunting declines occurred in both intensive (7.1 pps) and nonintensive (5.4 pps) groups among children aged 24–59.9 mo, with no differential decline.Conclusions: When combined with MM and CM, an at-scale social franchising approach to improve IPC, delivered through the existing health care system, significantly improved CF practices, but not child growth, among mothers who used counseling services at least once. A greater impact may be achieved with strategies designed to increase service utilization. This trial was registered at clinicaltrials.gov as NCT01676623.

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Strengthening Systems to Support Mothers in Infant and Young Child Feeding at Scale

Cited by 47 publications

References 10 publications

Determinants of appropriate complementary feeding practice among mothers having children 6–23 months of age in rural Damot sore district, Southern Ethiopia; a community based cross sectional study

Determinants of appropriate complementary feeding practice among mothers having children 6–23 months of age in rural Damot sore district, Southern Ethiopia; a community based cross sectional study

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

Social Franchising and a Nationwide Mass Media Campaign Increased the Prevalence of Adequate Complementary Feeding in Vietnam: A Cluster-Randomized Program Evaluation

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