A presentation given by Lensse Gobu at the Transform Nutrition regional meeting 'Using evidence to inspire action in East Africa' Nairobi, Kenya 8 June 2017.
Hospital Practices And Womens Likelihood Of Fulfilling Their Intention To Exc...Biblioteca Virtual
ย
This study examined the relationship between hospital practices and mothers' ability to exclusively breastfeed according to their intentions. The researchers analyzed data from a national survey of over 1500 mothers who gave birth in 2005. They found that primiparas (first time mothers) reported a substantial gap between their intention to exclusively breastfeed (70%) and actually doing so at 1 week postpartum (50%). Primiparas reported hospital practices like supplementation (49%) and pacifier use (45%) that conflict with the Baby-Friendly Hospital Initiative's Ten Steps. Primiparas who delivered at hospitals implementing 6-7 of the Ten Steps were 6 times more likely to achieve their exclusive breastfeeding intention compared to those at hospitals implementing 0-
Childrenโs diets, nutrition knowledge and access to marketsessp2
ย
This study examines the impact of improved nutrition knowledge on children's diets in Ethiopia and whether this impact varies depending on access to food markets. The study finds that improving nutrition knowledge leads to more diverse children's diets, but only in areas with relatively good market access. The results suggest that to improve children's diets in Ethiopia, policymakers need to address both demand-side constraints like nutrition knowledge as well as supply-side constraints like ensuring access to foods, which is more difficult to achieve. In remote areas with poor market access, households may need to diversify their own production in the short-term.
The document summarizes a study on the impact of a biofortification program in Mozambique and Uganda that promoted the adoption of orange-fleshed sweet potato (OFSP). The study found large impacts on OFSP adoption but more modest effects on nutrition knowledge. Dietary vitamin A intake increased among children in both countries by around the recommended daily amount. Causal analysis found that adoption, rather than demand creation messages, best explained increased vitamin A consumption. The conclusion discusses implications for integrating marketing to develop value chains for biofortified crops.
Do Baby Friendly Hospitals Influence Breastfeeding Duration On ABiblioteca Virtual
ย
This study examined the influence of Baby-Friendly Hospital Initiative (BFHI) compliance on breastfeeding rates and duration in Switzerland. The authors conducted a national survey in 2003 of over 2800 mothers who had given birth in the previous 9 months. They collected data on breastfeeding practices and the hospital of delivery. They found that infants born in hospitals with high BFHI compliance had significantly longer durations of exclusive, full, and any breastfeeding compared to other hospitals, even after controlling for other factors. This supports the hypothesis that increased BFHI implementation in Switzerland has contributed to improved national breastfeeding outcomes since 1994. However, the authors note mothers choosing BFHI hospitals may also breastfeed longer regardless of the hospital practices.
"The Own Mother's Milk (OMM) Economic Value Calculator": A New Tool to Save L...Leith Greenslade
ย
Tricia Johnson, Professor of Health Systems Management at Rush University and a health economist, shows how the
โOwn Mother's Milk (OMM) Economic Value Calculator" can help hospitals calculate reductions in morbidities and associated cost savings from increasing the dose of motherโs milk among very low birth weight infants (<1,500g) in NICUs.
A STUDY OF THE PERCEPTION ON EXCLUSIVE BREASTFEEDING AMONG POSTNATAL MOTHERS ...edianbiir
ย
This document presents a study on the perception of exclusive breastfeeding among postnatal mothers at Legon Hospital in Ghana. It provides background information on the benefits of exclusive breastfeeding for six months and highlights breastfeeding rates in Ghana. While nearly all Ghanaian mothers initiate breastfeeding, exclusive breastfeeding rates drop significantly after the first few months. The study aims to address the lack of record keeping on exclusive breastfeeding and mother support groups at Legon Hospital.
Beyond survival: Improving long-term outcomes for survivors of serious newborn illness in Asia and the Pacific
Dr Kate Milner
Centre for International Child Health, Department of Paediatrics
University of Melbourne
โOwn Mother's Milk (OMM) Economic Value Calculator": increasing access to hum...Leith Greenslade
ย
Paula Meier, a Professor of Pediatrics and Nursing at Rush University, is a clinician and researcher specializing in own mother's milk for vulnerable infants and optimal lactation care for their mothers, and an expert in the dose-response relationship of own mother's milk and various health outcomes. Here she presents a new tool, the โOwn Mother's Milk (OMM) Economic Value Calculator", that enables hospitals to calculate the reductions in morbidities and associated cost savings by increasing the dose of motherโs milk among very low birth weight infants (<1,500g) in NICUs.
Hospital Practices And Womens Likelihood Of Fulfilling Their Intention To Exc...Biblioteca Virtual
ย
This study examined the relationship between hospital practices and mothers' ability to exclusively breastfeed according to their intentions. The researchers analyzed data from a national survey of over 1500 mothers who gave birth in 2005. They found that primiparas (first time mothers) reported a substantial gap between their intention to exclusively breastfeed (70%) and actually doing so at 1 week postpartum (50%). Primiparas reported hospital practices like supplementation (49%) and pacifier use (45%) that conflict with the Baby-Friendly Hospital Initiative's Ten Steps. Primiparas who delivered at hospitals implementing 6-7 of the Ten Steps were 6 times more likely to achieve their exclusive breastfeeding intention compared to those at hospitals implementing 0-
Childrenโs diets, nutrition knowledge and access to marketsessp2
ย
This study examines the impact of improved nutrition knowledge on children's diets in Ethiopia and whether this impact varies depending on access to food markets. The study finds that improving nutrition knowledge leads to more diverse children's diets, but only in areas with relatively good market access. The results suggest that to improve children's diets in Ethiopia, policymakers need to address both demand-side constraints like nutrition knowledge as well as supply-side constraints like ensuring access to foods, which is more difficult to achieve. In remote areas with poor market access, households may need to diversify their own production in the short-term.
The document summarizes a study on the impact of a biofortification program in Mozambique and Uganda that promoted the adoption of orange-fleshed sweet potato (OFSP). The study found large impacts on OFSP adoption but more modest effects on nutrition knowledge. Dietary vitamin A intake increased among children in both countries by around the recommended daily amount. Causal analysis found that adoption, rather than demand creation messages, best explained increased vitamin A consumption. The conclusion discusses implications for integrating marketing to develop value chains for biofortified crops.
Do Baby Friendly Hospitals Influence Breastfeeding Duration On ABiblioteca Virtual
ย
This study examined the influence of Baby-Friendly Hospital Initiative (BFHI) compliance on breastfeeding rates and duration in Switzerland. The authors conducted a national survey in 2003 of over 2800 mothers who had given birth in the previous 9 months. They collected data on breastfeeding practices and the hospital of delivery. They found that infants born in hospitals with high BFHI compliance had significantly longer durations of exclusive, full, and any breastfeeding compared to other hospitals, even after controlling for other factors. This supports the hypothesis that increased BFHI implementation in Switzerland has contributed to improved national breastfeeding outcomes since 1994. However, the authors note mothers choosing BFHI hospitals may also breastfeed longer regardless of the hospital practices.
"The Own Mother's Milk (OMM) Economic Value Calculator": A New Tool to Save L...Leith Greenslade
ย
Tricia Johnson, Professor of Health Systems Management at Rush University and a health economist, shows how the
โOwn Mother's Milk (OMM) Economic Value Calculator" can help hospitals calculate reductions in morbidities and associated cost savings from increasing the dose of motherโs milk among very low birth weight infants (<1,500g) in NICUs.
A STUDY OF THE PERCEPTION ON EXCLUSIVE BREASTFEEDING AMONG POSTNATAL MOTHERS ...edianbiir
ย
This document presents a study on the perception of exclusive breastfeeding among postnatal mothers at Legon Hospital in Ghana. It provides background information on the benefits of exclusive breastfeeding for six months and highlights breastfeeding rates in Ghana. While nearly all Ghanaian mothers initiate breastfeeding, exclusive breastfeeding rates drop significantly after the first few months. The study aims to address the lack of record keeping on exclusive breastfeeding and mother support groups at Legon Hospital.
Beyond survival: Improving long-term outcomes for survivors of serious newborn illness in Asia and the Pacific
Dr Kate Milner
Centre for International Child Health, Department of Paediatrics
University of Melbourne
โOwn Mother's Milk (OMM) Economic Value Calculator": increasing access to hum...Leith Greenslade
ย
Paula Meier, a Professor of Pediatrics and Nursing at Rush University, is a clinician and researcher specializing in own mother's milk for vulnerable infants and optimal lactation care for their mothers, and an expert in the dose-response relationship of own mother's milk and various health outcomes. Here she presents a new tool, the โOwn Mother's Milk (OMM) Economic Value Calculator", that enables hospitals to calculate the reductions in morbidities and associated cost savings by increasing the dose of motherโs milk among very low birth weight infants (<1,500g) in NICUs.
Food and Nutrition Security in Africa, Investigating the role of local biodiversity in meeting nutritional requirements for complementary foods of infants and young children in Southern Benin, Celine Termote, Bioversity International
Childrenโs diets, nutrition knowledge and access to marketsessp2
ย
1) A study of 775 households in rural Ethiopia found that children's diets consist of few food groups, indicating low dietary diversity.
2) Improving household nutrition knowledge through programs like behavioral change communication can significantly increase children's dietary diversity by 0.7 food groups on average.
3) However, this positive impact of better nutrition knowledge on children's diets is only seen in households with relatively good access to markets. For more remote households, both improving nutrition knowledge and ensuring access to diverse foods are needed to enhance children's nutrition.
Sustainable Undernutrition Reduction in Ethiopia (SURE): Evaluation studies essp2
ย
The SURE program is a government-led multisectoral intervention in Ethiopia that aims to reduce undernutrition through a package of interventions like joint household visits, cooking demonstrations, and media campaigns. Evaluation studies of SURE used a quasi-experimental design and found that children's dietary diversity is positively associated with reduced stunting, and that household production of fruits and vegetables was linked to increased child dietary diversity and reduced stunting. However, the studies also found variability in the delivery of nutrition messages across households and limited awareness of nutrition guidelines among local officials.
Agriculture and Nutrition in Ethiopia: Syntheses of Results (AGP and FTF surv...essp2
ย
This document summarizes research on the link between agriculture and nutrition in Ethiopia. It finds that increasing agricultural production diversity is associated with better child nutrition outcomes. Ownership of cows also improves child nutrition by increasing milk consumption. The existence of food markets can partially substitute for own production. Empowering women, such as through control over income and group membership, positively impacts child and women's nutrition. However, improving nutrition requires a holistic approach addressing agricultural productivity, market access, asset building, women's empowerment, and incorporating nutrition into social protection programs.
The impact of social protection programs in Ethiopia on childrenโs nutritiona...TogetherForNutrition
ย
This document summarizes research on the impacts of social protection programs in Ethiopia on child nutrition. It finds that while the Productive Safety Nets Programme (PSNP) and social cash transfer pilot program in Tigray improved household food security, neither program improved child nutrition outcomes. This is because they did not effectively provide nutrition information and education to mothers. Child diet quality remains poor in Ethiopia and many children face chronic undernutrition from a very young age. The document concludes that while the programs addressed food availability, other critical conditions like nutrition knowledge and hygiene practices were missing to fully impact child growth.
The impact of social protection programs in Ethiopia on childrenโs nutritiona...essp2
ย
This document summarizes research on the impacts of social protection programs in Ethiopia on child nutrition. It finds that while the Productive Safety Nets Programme (PSNP) and social cash transfer pilot program in Tigray improved household food security, neither program improved child nutrition outcomes. Child malnutrition levels remained high, likely because the programs did not effectively integrate nutrition education and interventions. Maternal education had limited impact on child nutrition, and many children faced chronic undernutrition from a very young age. Improving nutrition knowledge and hygiene practices is needed for social protection to fully address child malnutrition in Ethiopia.
Dr. Zulfiqar A Bhutta, Emily Keats & Team
POLICY SEMINAR
Tackling child undernutrition at scale: Insights from national and subnational success cases
Co-Organized by IFPRI and Exemplars in Global Health
APR 1, 2021 - 09:30 AM TO 11:00 AM EDT
Nutrition and Health: Improving Complementary Foods In Ethiopia By Adding Loc...IFSD14
ย
1) Two studies in Ethiopia found that providing nutrition education on adding pulses to complementary foods improved mothers' knowledge and practices and positively impacted children's nutritional status.
2) Specifically, the Wolayita study found that education sessions covering recipes, demonstrations, and home visits significantly increased mothers' knowledge, attitudes, and practices of complementary feeding and led to greater weight gain and improved weight-for-age in young children.
3) Providing continued lessons, interactive discussions, repeated demonstrations and follow-ups was an effective approach for the nutrition education intervention.
This document outlines a study on exclusive breastfeeding practices among first-time mothers in Abofour, Ghana. The study aims to identify factors influencing exclusive breastfeeding, including social, family, and health-related factors. It will use a descriptive cross-sectional design involving questionnaires administered to 80 mothers with infants aged 0-6 months. The results could help understand barriers to exclusive breastfeeding and design interventions to promote it.
The document summarizes a study on the feeding habits and nutritional status of young children and mothers in cocoa producing households in southwest Cรดte d'Ivoire. The study found that dietary diversity was low, with 80% of women and 94% of children consuming less than 3 food groups. Chronic malnutrition rates in children were high at 48.7% while 35.4% of households experienced food insecurity. The conclusions recommend adopting sustainable food production systems to address malnutrition and food insecurity in the region.
This document summarizes the benefits of breastfeeding for public health. It discusses how breastfeeding improves infant and maternal health outcomes, provides economic benefits, and is environmentally friendly. It also reviews barriers to breastfeeding and policies to support breastfeeding, such as at worksites, in healthcare settings, and through legislation. The document presents breastfeeding rates in the US and goals to increase rates.
CORE Group Fall Meeting 2010. The Essential Nutrition Actions Framework: More than Just Seven Actions. (Part 1 of 3) - Agnes Guyon, JSI Research and Training & Victoria Quinn, Helen Keller International
Local Determinants of Malnutrition: An Expanded Positive Deviance Studyjehill3
ย
Local Determinants of Malnutrition: An Expanded Positive Deviance Study
Julie Hettinger, Food for the Hungry
Nutrition Working Group Showcase
CORE Group Spring Meeting, April 29, 2010
This document summarizes a study that used multilevel logistic regression to identify individual and community level factors associated with exclusive breastfeeding among infants under six months in Ethiopia. The study used 2016 Ethiopian Demographic and Health Survey data including 1,185 infants. Results found that at the individual level, factors like infant age, sex, health issues, household wealth, and antenatal care were associated with exclusive breastfeeding. At the community level, region, postnatal care visits, and maternal employment were associated factors. Both individual and community factors explained around 47% of the variation in exclusive breastfeeding.
Nutrition and Health: Harnessing pulses for linking agriculture and nutrition...IFSD14
ย
This document summarizes research on linking agriculture and nutrition to ensure food security in Ethiopia. It finds that while legumes play an important role in diets, challenges include persistent hunger, population growth, and climate change. Studies examined the relationship between socioeconomics, gender, and nutrition, finding that women's roles in pulse production are less valued culturally. Workshops increased knowledge of pulses' importance for productivity and nutrition. Research also found that processing techniques like soaking and germination helped retain minerals in dishes. Moving forward, the document recommends further evaluating and scaling nutrition interventions, engaging farmers, and fostering links between agriculture, nutrition, and health.
Nutrition and Health: Harnessing pulse for linking agriculture and nutrition ...IFSD14
ย
This document summarizes research on linking agriculture and nutrition to ensure food security in Ethiopia. It finds that while legumes play an important role in diets, challenges include persistent hunger, population growth, and climate change. Studies examined the relationship between socioeconomics, gender, and nutrition, finding that women's roles in pulse production are less valued. Other research optimized pulse varieties and cultivation techniques, investigated mineral and nutrient levels in processed pulses, and developed nutrition education tools. The document advocates scaling interventions shown to improve diets through increased pulse production and consumption.
A review on facilitators and barriers to exclusive breastfeeding in west africaAlexander Decker
ย
This document summarizes a review on facilitators and barriers to exclusive breastfeeding in West Africa. It finds that mothers who are aware of the benefits of exclusive breastfeeding, have more education, receive antenatal care and lactation counseling are more likely to exclusively breastfeed. However, barriers include beliefs that breastfeeding will cause breast sagging, socio-cultural beliefs that breast milk alone is insufficient, lack of education, home births, and nipple problems. The review concludes that exclusive breastfeeding for six months is best for infant health but rates remain low, so interventions are needed to address misconceptions and promote awareness of benefits.
A review on facilitators and barriers to exclusive breastfeeding in west africaAlexander Decker
ย
This document summarizes a review on facilitators and barriers to exclusive breastfeeding in West Africa. It finds that mothers who are aware of the benefits of exclusive breastfeeding, have higher education levels, access antenatal care services, deliver at health facilities, and receive lactation counselling are more likely to practice exclusive breastfeeding. However, barriers include beliefs about breast sagging, socio-cultural beliefs promoting early introduction of water or foods, lack of education, home deliveries, and breast issues like cracked nipples or engorgement. The review concludes that exclusive breastfeeding for six months is best for infant health but rates remain low, so interventions are needed to address misconceptions and promote awareness of benefits.
This presentation by Kenda Cunningham, Helen Keller International was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Welcome and overview of Transform Nutrition in South Asia Transform Nutrition
ย
The document discusses undernutrition around the world and strategies to address it. Most stunting occurs in South Asia and Sub-Saharan Africa. Undernutrition leads to increased child mortality, disease burden, cognitive impairment and lost economic potential. The Transform Nutrition Consortium aims to generate evidence on effective direct nutrition interventions and ways to maximize nutrition outcomes through agriculture, social protection and building commitment. The goal is to accelerate reductions in undernutrition.
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Childrenโs diets, nutrition knowledge and access to marketsessp2
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1) A study of 775 households in rural Ethiopia found that children's diets consist of few food groups, indicating low dietary diversity.
2) Improving household nutrition knowledge through programs like behavioral change communication can significantly increase children's dietary diversity by 0.7 food groups on average.
3) However, this positive impact of better nutrition knowledge on children's diets is only seen in households with relatively good access to markets. For more remote households, both improving nutrition knowledge and ensuring access to diverse foods are needed to enhance children's nutrition.
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The SURE program is a government-led multisectoral intervention in Ethiopia that aims to reduce undernutrition through a package of interventions like joint household visits, cooking demonstrations, and media campaigns. Evaluation studies of SURE used a quasi-experimental design and found that children's dietary diversity is positively associated with reduced stunting, and that household production of fruits and vegetables was linked to increased child dietary diversity and reduced stunting. However, the studies also found variability in the delivery of nutrition messages across households and limited awareness of nutrition guidelines among local officials.
Agriculture and Nutrition in Ethiopia: Syntheses of Results (AGP and FTF surv...essp2
ย
This document summarizes research on the link between agriculture and nutrition in Ethiopia. It finds that increasing agricultural production diversity is associated with better child nutrition outcomes. Ownership of cows also improves child nutrition by increasing milk consumption. The existence of food markets can partially substitute for own production. Empowering women, such as through control over income and group membership, positively impacts child and women's nutrition. However, improving nutrition requires a holistic approach addressing agricultural productivity, market access, asset building, women's empowerment, and incorporating nutrition into social protection programs.
The impact of social protection programs in Ethiopia on childrenโs nutritiona...TogetherForNutrition
ย
This document summarizes research on the impacts of social protection programs in Ethiopia on child nutrition. It finds that while the Productive Safety Nets Programme (PSNP) and social cash transfer pilot program in Tigray improved household food security, neither program improved child nutrition outcomes. This is because they did not effectively provide nutrition information and education to mothers. Child diet quality remains poor in Ethiopia and many children face chronic undernutrition from a very young age. The document concludes that while the programs addressed food availability, other critical conditions like nutrition knowledge and hygiene practices were missing to fully impact child growth.
The impact of social protection programs in Ethiopia on childrenโs nutritiona...essp2
ย
This document summarizes research on the impacts of social protection programs in Ethiopia on child nutrition. It finds that while the Productive Safety Nets Programme (PSNP) and social cash transfer pilot program in Tigray improved household food security, neither program improved child nutrition outcomes. Child malnutrition levels remained high, likely because the programs did not effectively integrate nutrition education and interventions. Maternal education had limited impact on child nutrition, and many children faced chronic undernutrition from a very young age. Improving nutrition knowledge and hygiene practices is needed for social protection to fully address child malnutrition in Ethiopia.
Dr. Zulfiqar A Bhutta, Emily Keats & Team
POLICY SEMINAR
Tackling child undernutrition at scale: Insights from national and subnational success cases
Co-Organized by IFPRI and Exemplars in Global Health
APR 1, 2021 - 09:30 AM TO 11:00 AM EDT
Nutrition and Health: Improving Complementary Foods In Ethiopia By Adding Loc...IFSD14
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1) Two studies in Ethiopia found that providing nutrition education on adding pulses to complementary foods improved mothers' knowledge and practices and positively impacted children's nutritional status.
2) Specifically, the Wolayita study found that education sessions covering recipes, demonstrations, and home visits significantly increased mothers' knowledge, attitudes, and practices of complementary feeding and led to greater weight gain and improved weight-for-age in young children.
3) Providing continued lessons, interactive discussions, repeated demonstrations and follow-ups was an effective approach for the nutrition education intervention.
This document outlines a study on exclusive breastfeeding practices among first-time mothers in Abofour, Ghana. The study aims to identify factors influencing exclusive breastfeeding, including social, family, and health-related factors. It will use a descriptive cross-sectional design involving questionnaires administered to 80 mothers with infants aged 0-6 months. The results could help understand barriers to exclusive breastfeeding and design interventions to promote it.
The document summarizes a study on the feeding habits and nutritional status of young children and mothers in cocoa producing households in southwest Cรดte d'Ivoire. The study found that dietary diversity was low, with 80% of women and 94% of children consuming less than 3 food groups. Chronic malnutrition rates in children were high at 48.7% while 35.4% of households experienced food insecurity. The conclusions recommend adopting sustainable food production systems to address malnutrition and food insecurity in the region.
This document summarizes the benefits of breastfeeding for public health. It discusses how breastfeeding improves infant and maternal health outcomes, provides economic benefits, and is environmentally friendly. It also reviews barriers to breastfeeding and policies to support breastfeeding, such as at worksites, in healthcare settings, and through legislation. The document presents breastfeeding rates in the US and goals to increase rates.
CORE Group Fall Meeting 2010. The Essential Nutrition Actions Framework: More than Just Seven Actions. (Part 1 of 3) - Agnes Guyon, JSI Research and Training & Victoria Quinn, Helen Keller International
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This document summarizes a study that used multilevel logistic regression to identify individual and community level factors associated with exclusive breastfeeding among infants under six months in Ethiopia. The study used 2016 Ethiopian Demographic and Health Survey data including 1,185 infants. Results found that at the individual level, factors like infant age, sex, health issues, household wealth, and antenatal care were associated with exclusive breastfeeding. At the community level, region, postnatal care visits, and maternal employment were associated factors. Both individual and community factors explained around 47% of the variation in exclusive breastfeeding.
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This document summarizes research on linking agriculture and nutrition to ensure food security in Ethiopia. It finds that while legumes play an important role in diets, challenges include persistent hunger, population growth, and climate change. Studies examined the relationship between socioeconomics, gender, and nutrition, finding that women's roles in pulse production are less valued culturally. Workshops increased knowledge of pulses' importance for productivity and nutrition. Research also found that processing techniques like soaking and germination helped retain minerals in dishes. Moving forward, the document recommends further evaluating and scaling nutrition interventions, engaging farmers, and fostering links between agriculture, nutrition, and health.
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This document summarizes research on linking agriculture and nutrition to ensure food security in Ethiopia. It finds that while legumes play an important role in diets, challenges include persistent hunger, population growth, and climate change. Studies examined the relationship between socioeconomics, gender, and nutrition, finding that women's roles in pulse production are less valued. Other research optimized pulse varieties and cultivation techniques, investigated mineral and nutrient levels in processed pulses, and developed nutrition education tools. The document advocates scaling interventions shown to improve diets through increased pulse production and consumption.
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This document summarizes a review on facilitators and barriers to exclusive breastfeeding in West Africa. It finds that mothers who are aware of the benefits of exclusive breastfeeding, have more education, receive antenatal care and lactation counseling are more likely to exclusively breastfeed. However, barriers include beliefs that breastfeeding will cause breast sagging, socio-cultural beliefs that breast milk alone is insufficient, lack of education, home births, and nipple problems. The review concludes that exclusive breastfeeding for six months is best for infant health but rates remain low, so interventions are needed to address misconceptions and promote awareness of benefits.
A review on facilitators and barriers to exclusive breastfeeding in west africaAlexander Decker
ย
This document summarizes a review on facilitators and barriers to exclusive breastfeeding in West Africa. It finds that mothers who are aware of the benefits of exclusive breastfeeding, have higher education levels, access antenatal care services, deliver at health facilities, and receive lactation counselling are more likely to practice exclusive breastfeeding. However, barriers include beliefs about breast sagging, socio-cultural beliefs promoting early introduction of water or foods, lack of education, home deliveries, and breast issues like cracked nipples or engorgement. The review concludes that exclusive breastfeeding for six months is best for infant health but rates remain low, so interventions are needed to address misconceptions and promote awareness of benefits.
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This presentation by Kenda Cunningham, Helen Keller International was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
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Behavioural change for improved nutrition among pastoralists by lensse gobu
1. Behavioral Change for Improved Nutrition
among pastoralists in Ethiopia (BCIN)
06/29/17 BCIN_VSF-Suisse, Ethiopia 1
2. Behavioral Change for Improved Nutrition
among pastoralists in Ethiopia (BCIN)
Lensse Gobu (BSc, MPH)
June 8 2017,
Southern Sun hotel
Nairobi, Kenya
06/29/17 2
3. Presentation outline
โข Background, the context
โข Methodology of the research
โข Main findings
โข Conclusion and recommendation
โข Initiatives that were already taken up
06/29/17 BCIN_VSF-Suisse, Ethiopia 3
4. Background
โข Ethiopia- striving to decrease malnutrition, yet
challenged by climate change driven
catastrophe
โข Somali region of Ethiopia is one of the
pastoralist areas frequently affected by
Emergency nutrition situation.
06/29/17 BCIN_VSF-Suisse, Ethiopia
4
5. Somali Region of Ethiopia..
โข Stunting (chronic malnutrition) prevalence is 27.4% (National-
38.4%)
โข Wasting (acute malnutrition)- 22.7% (the highest from all
regions) National- 10%
โข The highest prevalence of anaemia in children -82.6% (national
prevalence- 56%).
โข The highest prevalence of severe anaemia in children- 12.8%
(national prevalence- 2.9%)
โข The highest prevalence of anaemia in women - 59% (national
prevalence- 23%)
Source: EDHS 2016
06/29/17 BCIN_VSF-Suisse, Ethiopia
5
6. The BCIN- Objectives
โข General Objective : to assess the role of
pastoral community platforms (PFS &
VICOBA) in increasing community awareness
on key Maternal Infant andYoung Child
Nutrition (MIYCN) practices, and through this
to effect positive behavioural changes.
06/29/17 BCIN_VSF-Suisse, Ethiopia
6
7. Specific Objectives
โข To identify and analyse the limiting factors to behavioural
change in MIYCN in pastoral communities.
โข To measure the feasibility and effectiveness of integrating
SBCC for MIYCN into existing pastoral community platforms.
โข To provide evidence-based recommendations for efficient
nutrition-related SBCC approaches for rural agricultural and
pastoralist communities.
06/29/17 BCIN_VSF-Suisse, Ethiopia
7
8. 8
Intervention Group
Arda Ola, Katama, El-dher &
Majire in Moyale and Mubarek
02 Kebeles
-PFS and VICOBA are active
Intervention Group
Arda Ola, Katama, El-dher &
Majire in Moyale and Mubarek
02 Kebeles
-PFS and VICOBA are active
Intervention Study
(7 months)
Intervention Study
(7 months)
Comparison Group
Meleb, El-gof, Kajowa and Raro in
Moyale and Jara Kebeles in Mubarek.
-No PFS and VICOBA
Comparison Group
Meleb, El-gof, Kajowa and Raro in
Moyale and Jara Kebeles in Mubarek.
-No PFS and VICOBA
Documentation and
dissemination of results
Documentation and
dissemination of results
End line StudyEnd line Study
Baseline StudyBaseline Study
No intervention other than
the health facility based
routine behavioral
interventions
No intervention other than
the health facility based
routine behavioral
interventions
Cascaded Training for PFS
and VICOBA
Cascaded Training for PFS
and VICOBA
471 471
9. Main Findings of the research- Exclusive
Breastfeeding
โข # of mothers who
heard about EBF
message promoted by
the intervention was
27% higher for the
intervention
communities compared
to the comparison
communities (P<0.001).
06/29/17 BCIN_VSF-Suisse, Ethiopia 9
Reported source of information on EBF
11. Main Findings- Food safety and personal
Hygiene
06/29/17 BCIN_VSF-Suisse, Ethiopia
11
Difference 54.8 48.3
There is 54.8% difference between the study and comparison
groups in knowledge
48.3% of the change has its origin in PFS/VICOBA
Knowledge on five critical times of hand-washing
12. Conclusion and Recommendation
โข The use of these platforms should be considered for
scale-up in other pastoral areas where use of the usual
health extension package can be challenging.
โข Income is one of the factors that can influence optimal
MIYCN practices.
โ VICOBA, as a means to promote optimal nutrition
through improved household income, with explicit
nutrition objectives incorporated
โข Minimum DD for children 6โ23 months was low for both
groups even after the intervention
โ Addressing it through issues beyond BCC
06/29/17 BCIN_VSF-Suisse, Ethiopia
12
13. Initiatives already taken- up byVSF-
Suisse
โข Using these community platforms for
โ BCC interventions for other issues
โ Referral of cases with SAM and MAM to CMAM
program
โ Training and equipping them with food
preservation
06/29/17 BCIN_VSF-Suisse, Ethiopia
13