Using an Evidence-Based Approach to Design Large-Scale Programs to Improve Infant and Young Child Feeding

Baker, Jean; Sanghvi, Tina; Hajeebhoy, Nemat; Martin, Luann; Lapping, Karin

doi:10.1177/15648265130343s202

Cited by 59 publications

(62 citation statements)

References 10 publications

(7 reference statements)

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“…The BabyFriendly Community Initiative expands the tenth step via combination of mother and community support groups and home visits by community health volunteers throughout the first year of life to provide support for EBF (89) . The success of large-scale IYCF programmes lies in the importance of IYCF counselling and community support, in tandem with community awareness (90) . Several randomized controlled trials have demonstrated that community-led interventions, with an attention to quality, content and frequency of counselling, show positive effects on EBF (91,92) .…”

Section: Promising Interventions and Programmatic Implications Of Thementioning

confidence: 99%

Addressing barriers to exclusive breast-feeding in low- and middle-income countries: a systematic review and programmatic implications

Kavle¹,

LaCroix²,

Dau³

et al. 2017

Public Health Nutr.

147

141

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Objective: Despite numerous global initiatives on breast-feeding, trend data show exclusive breast-feeding (EBF) rates have stagnated over the last two decades. The purpose of the present systematic review was to determine barriers to exclusive breast-feeding in twenty-five low-and middle-income countries and discuss implications for programmes. Design: A search of Scopus, MEDLINE, CINAHL and PsychINFO was conducted to retrieve studies from January 2000 to October 2015. Using inclusion criteria, we selected both qualitative and quantitative studies that described barriers to EBF. Setting: Low-and middle-income countries. Subjects: Following application of systematic review criteria, forty-eight articles from fourteen countries were included in the review. Results: Sixteen barriers to EBF were identified in the review. There is moderate evidence of a negative association between maternal employment and EBF practices. Studies that examined EBF barriers at childbirth and the initial 24 h postdelivery found strong evidence that caesarean section can impede EBF. There is moderate evidence for early initiation of breast-feeding and likelihood of practising EBF. Breast-feeding problems were commonly reported from crosssectional or observational studies. Counselling on EBF and the presence of family and/or community support have demonstrated improvements in EBF. Conclusions: Improving the counselling skills of health workers to address breastfeeding problems and increasing community support for breast-feeding are critical components of infant and young child feeding programming, which will aid in attaining the 2025 World Health Assembly EBF targets. Legislation and regulations on marketing of breast-milk substitutes, paid maternity leave and breast-feeding breaks for working mothers require attention in low-and middle-income countries.

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Section: Promising Interventions and Programmatic Implications Of Thementioning

confidence: 99%

Addressing barriers to exclusive breast-feeding in low- and middle-income countries: a systematic review and programmatic implications

Kavle¹,

LaCroix²,

Dau³

et al. 2017

Public Health Nutr.

147

141

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“…The approach used enables greater ownership by the beneficiaries and is more likely to lead to sustainable results. A similar approach has been used in other settings to improve IYCF practices [8,9].…”

Section: Discussionmentioning

confidence: 99%

Towards Improving Child Feeding Practices for Optimal Nutrition Outcomes in Burkina Faso

Sodjinou¹

2016

F Nutr Reprt

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“…exclusive breastfeeding rate of 10-20%; Nguyen, Menon, Ruel, & Hajeebhoy, 2011;Vietnam National Institute of Nutrition, 2012b). The project is described later (Baker, Sanghvi, Hajeebhoy, Martin, & Lapping, 2013;. To summarise, A&T is an initiative funded by the Bill & Melinda Gates Foundation to reduce undernutrition and death caused by suboptimal IYCF practices in Vietnam, Bangladesh and Ethiopia.…”

Section: Background On Aandt and Its Franchise Modelmentioning

confidence: 99%

“…Starting in 2011, MTBT franchises offer a package of services that comprise individual and group counselling sessions, which cover 15 topics related to IYCF for women who are pregnant or with children under 24 months. Currently, almost 800 franchises are operational in 15 of Vietnam's 63 provinces (Baker et al, 2013;. A&T was challenged to develop robust programme monitoring within the public health system, to create a streamlined and user-friendly system and to use the findings in a timely manner to facilitate evidence-based decision-making to improve quality.…”

Section: Background On Aandt and Its Franchise Modelmentioning

confidence: 99%

“…To summarise, A&T is an initiative funded by the Bill & Melinda Gates Foundation to reduce undernutrition and death caused by suboptimal IYCF practices in Vietnam, Bangladesh and Ethiopia. Key strategies of A&T in Vietnam include policy dialogue, partnerships with national and international stakeholders and a social-andbehaviour-change-communication strategy that includes the delivery of interpersonal IYCF counselling and a mass media campaign (Baker et al, 2013;.…”

Section: Background On Aandt and Its Franchise Modelmentioning

confidence: 99%

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Integrating a project monitoring system into a public health network: Experiences from Alive & Thrive Vietnam

Nguyen¹,

Alayón

Thanh

et al. 2014

Global Public Health

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Little information is available about how to build a monitoring system to measure the output of preventive nutrition interventions, such as counselling on infant and young child feeding. This paper describes the Alive & Thrive Vietnam (A&T) project experience in nesting a large-scale project monitoring system into the existing public health information system (e.g. using the system and resources), and in using monitoring data to strengthen service delivery in 15 provinces with A&T franchises. From January 2012 to April 2014, the 780 A&T franchises provided 1,700,000 counselling contacts (~3/4 by commune franchises). In commune franchises in April 2014, 80% of mothers who were pregnant or with children under two years old had been to the counselling service at least one time, and 87% of clients had been to the service earlier. Monitoring data are used to track the progress of the project, make decisions, provide background for a costing study and advocate for the integration of nutrition counselling indicators into the health information system nationwide. With careful attention to the needs of stakeholders at multiple levels, clear data quality assurance measures and strategic feedback mechanisms, it is feasible to monitor the scale-up of nutrition programmes through the existing routine health information system.

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Using an Evidence-Based Approach to Design Large-Scale Programs to Improve Infant and Young Child Feeding

Abstract: Background. Global interest in scaling up nutrition outcomes has focused attention on the need for more effective programs to improve infant and young child feeding (IYCF

Cited by 59 publications

References 10 publications

Addressing barriers to exclusive breast-feeding in low- and middle-income countries: a systematic review and programmatic implications

Addressing barriers to exclusive breast-feeding in low- and middle-income countries: a systematic review and programmatic implications

Towards Improving Child Feeding Practices for Optimal Nutrition Outcomes in Burkina Faso

Integrating a project monitoring system into a public health network: Experiences from Alive & Thrive Vietnam

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