Improving maternal, infant and young child nutrition in Nepal via peer mobilization.

Abstract:

OBJECTIVE:To evaluate the impact of a peer facilitator (PF) approach for improving mothers' knowledge and practices relating to maternal and child nutrition. DESIGN:A quasi-experimental design nested within a large-scale integrated nutrition programme, Suaahara, in Nepal. Suaahara interventions were implemented in all study sites, but peer facilitators were used in only half of the study sites. SETTING:Rural, disadvantaged villages in three districts of Nepal: Bhojpur, Bajhang and Rupandehi. SUBJECTS:Mothers of children aged 6-23·9 months (n 1890). RESULTS:Differences over time between comparison (C) and intervention (I) groups show that the PF approach had a significant positive impact on several indicators of mothers' knowledge and practices relating to maternal and child nutrition: (i) knowing that fruits and vegetables are good for children 6-23·9 months (C: -0·7, I: 10·6; P=0·03); (ii) child dietary diversity (C: 0·02, I: 0·04; P=0·02); (iii) child minimum dietary diversity (≥4 of 7 food groups; (C: 6·9, I: 16·0; P=0·02); (iv) maternal dietary diversity (C: 0·1, I: 0·4; P=0·01); and (v) maternal minimum dietary diversity (≥4 food groups; C: 3·6, I: 14·0; P=0·03). Additionally, exposure to a PF three or more times in the past 6 months was positively associated with a small improvement in maternal (β=0·06, P=0·04) and child (β=0·06, P=0·02) dietary diversity scores. Improvements were not observed in maternal health-seeking behaviours such as number of antenatal care visits. CONCLUSIONS:Peer mobilization is a potential approach for improving health- and nutrition-related knowledge and behaviours among women in hard-to-reach communities of Nepal.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Singh A,Klemm RDW,Mundy G,Pandey Rana P,Pun B,Cunningham K

doi

10.1017/S1368980017002993

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

796-806

issue

4

eissn

1368-9800

issn

1475-2727

pii

S1368980017002993

journal_volume

21

pub_type

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