دورية أكاديمية
أعرض في EDS

Unintended consequences of programmatic changes to infant and young child feeding practices in Bangladesh.

التفاصيل البيبلوغرافية
العنوان: Unintended consequences of programmatic changes to infant and young child feeding practices in Bangladesh.
المؤلفون: Tariqujjaman M; Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh., Rahman M; Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh., Luies SK; Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh., Karmakar G; Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh., Ahmed T; Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh., Sarma H; Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.; Research School of Population Health, The Australian National University, Acton, Australia.
المصدر: Maternal & child nutrition [Matern Child Nutr] 2021 Apr; Vol. 17 (2), pp. e13077. Date of Electronic Publication: 2020 Oct 16.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101201025 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1740-8709 (Electronic) Linking ISSN: 17408695 NLM ISO Abbreviation: Matern Child Nutr Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford, UK : Wiley-Blackwell
Original Publication: Oxford, UK : Blackwell Pub., c2005-
مواضيع طبية MeSH: Feeding Behavior* , Infant Nutritional Physiological Phenomena*, Bangladesh/epidemiology ; Breast Feeding ; Child ; Cross-Sectional Studies ; Female ; Humans ; Infant ; Micronutrients
مستخلص: BRAC, an international development organization, implemented a home-fortification programme from 2014 to 2018 in Bangladesh. This study aimed to understand the unintended consequences of programmatic changes that occurred during the implementation of the programme on the prevalence of good infant and young child feeding (IYCF) practices and other associated factors. We used pooled data from eight cross-sectional surveys and data from a series of qualitative investigations carried out as part of a mixed-methods evaluation approach. A total of 6,479 caregivers of children aged 6 to 23 months participated in the surveys. The prevalence of good IYCF practices increased from baseline (42.1%) to midline (45.3%), but it decreased at the endline survey (31.9%). Qualitative investigations identified several reasons for low IYCF practices at the programme level, such as the withdrawal of community health worker (CHW) incentives for promoting IYCF, providing incentives for the home-fortification of micronutrient powder (MNP) and changing the focus from IYCF promotion to MNP promotion. A multivariable generalized estimating equation model for pooled data revealed that caregivers were 28% (adjusted risk ratio [ARR]: 0.72, 95% CI [0.67, 0.78]) less likely to maintain good IYCF practices during the period when CHWs were not incentivized to promote IYCF compared to the period when CHWs were incentivized to promote it. The prevalence of good IYCF practices decreased from both baseline and midline to the endline survey due to the unintended consequences of the programmatic changes. An integrated intervention strategy to promote the home-fortification of MNP and IYCF could be helpful to avoid unintended negative consequences of programmatic changes.
(© 2020 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: Bangladesh; community health workers; infant and young child feeding; micronutrient powder; unintended consequences
المشرفين على المادة: 0 (Micronutrients)
تواريخ الأحداث: Date Created: 20201016 Date Completed: 20210728 Latest Revision: 20210728
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC7988846
DOI: 10.1111/mcn.13077
PMID: 33063946
قاعدة البيانات: MEDLINE
الوصف
تدمد:1740-8709
DOI:10.1111/mcn.13077