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Psychosocial factors on women's behavior towards infant and young child feeding

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EFFECT OF PSYCHOSOCIAL FACTORS ON WOMEN’S BEHAVIOR TOWARDS INFANT & YOUNG CHILD FEEDING

THE CASE OF HOMA BAY COUNTY, KENYA

Published in: Education
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Psychosocial factors on women's behavior towards infant and young child feeding

  1. 1. EFFECT OF PSYCHOSOCIAL FACTORS ON WOMEN’S BEHAVIOR TOWARDS INFANT & YOUNG CHILD FEEDING THE CASE OF HOMA BAY COUNTY, KENYA Janet Mwende, Carl Johan Lagerkvist, Julius Okello, Penina Muoki & Willis Oluoch Kosura
  2. 2. Introduction § Vitamin A deficiency (VAD) is a major problem in developing countries. § Children < 5yrs are most vulnerable to VAD § Inadequate dietary intake is the leading cause of VAD. ü Their diets consist mainly staple cereals ü Only 1/5th of kids < 6 months are exclusively breastfed ü < 1/4 of kids 6-23 months receive MAD
  3. 3. Introduction contd… §The poor feeding practices has led to efforts to change women’s behavior towards infant and young child feeding (IYCF) practices §Several studies have examined the factors influencing IYCF practices §Some of these studies have specifically focused on how to change behavior towards IYCF §However, most of these studies normally focus on socioeconomic factors §Therefore, little is known about the role of psychosocial factors on behavior change relating to IYCF practices
  4. 4. Study goal (general) •In this study, we use the data collected from 764 women to examine the role psychosocial factors play in women’s behavior towards IYCF •Behavior is proxied by the intention to undertake a practice (i.e., IYCF). •The literature suggests that behavior intention is the most proximal predictor or actual behavior •The study involved women targeted by SUSTAIN project •The project has been promoting activities aimed at changing behavior of women relating to IYCF practices
  5. 5. Research Questions & hypotheses §RQ#1: What is the effect of psychosocial factors on behavioral intention to perform exclusive breastfeeding? §RQ #2: What is the effect of psychosocial factors on complementary feeding incorporating OFSP? §The study tested 2 hypotheses: •H1: Psychosocial factors have no effect on behavioral intention to undertake exclusive breastfeeding •H2: Psychosocial factors have no effect on behavioral intention to undertake complementary feeding incorporating OFSP
  6. 6. Theory >>> Augmented Model of Goal-Directed Behavior
  7. 7. The experiment § This study was conducted as a field experiment §Respondent were randomly recruited and assigned to into two treatments üTreatment 0 (Control): Received information about baby foods made from OFSP and other local foods üTreatment 1: In addition to information about OFSP- based foods, they were shown actual samples of such foods
  8. 8. 1. Mashed OFSP (125g) 2. Mix/mash: boiled OFSP root + eggs + pumpkin leaves + boiled water into a fine/uniform mix/blend and then feed to the child. 3. Mix/mash: boiled OFSP root +avocado +milk into a fine/uniform mix/blend and then feed to child 4. Mix/mash: boiled OFSP root + beans (de-hulled) + pumpkin leaves + boiled water into a fine/uniform mix/blend The foods shown were
  9. 9. Sampling & data §The study focused on Homa bay county where SUSTAIN has implemented BCC activities since 2014. § Nine CUs were purposively selected §In each CU, villages were randomly selected using probability proportion to size (PPS) sampling §Within each village, a list of women stratified status of the woman was obtained, and a random sample drawn from each stratum using PPS sampling
  10. 10. Sampling & Data continued § The stratification status were: üPregnant women üWomen with 0-5 month-old child üWomen with 6-23 month-old child üPotential mother (16-49 yrs, but not in above strata) §Data was collected on: demographics, attitudes, knowledge, behavioral aspects, norms (subjective & and descriptive), self-efficacy, habits, motivational factors, perceived behavior control as well as participation in project and other BCC activities
  11. 11. Study area
  12. 12. Estimation models: § The models were estimated using Partial Least Squares Path Modelling (PLS-PM) technique § PLS-PM is variance-based structural equation modeling technique § Involves estimation of: ü A measurement model (inner model) and, ü structural model (outer model)
  13. 13. Empirical estimation models contd….
  14. 14. Measuring perceived behavior control: An example Response
  15. 15. • So what did we find?
  16. 16. Characteristics of respondents
  17. 17. Effect of psychosocial factors on exclusive breastfeeding
  18. 18. Effect of psychosocial factors on complementary feeding incorporating OFSP
  19. 19. Treatment effects on model estimates
  20. 20. Effect of psychosocial factors on complementary feeding with OFSP: by women categories
  21. 21. Conclusion §Exclusive breastfeeding and complementary feeding incorporating OFSP are strongly affected by: üSelf-efficacy üSubjective norms üGoal-setting pursuit § Findings therefore indicate the psychosocial factors do influence IYCF practices
  22. 22. Implications 1. Wrt goal-setting: Promotion of changes in IYCF practices should involve: üEquipping women with various planning tools and/or strategies, e.g., planning cards üGoals broken into smaller tasks 2. Wrt Self-efficacy: Peer modelling should be incorporated in efforts to promote improved IYCF >> Mom-to-Mom clubs a good case, imparts skills 3. Wrt Subjective norms: Spouses and in-laws need to be incorporated in BCC & promotion of benefits of: üOFSP in complementary feeding, and üExclusive breastfeeding
  23. 23. • Thank you!!!

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