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Engaging Community Members to Adopt Effective WASH Practices for Nutrition (SPRING brief, 2017)

18 февраля, 2019

The first 1,000 days, the period from pregnancy to two years of age, are critical for early childhood development. During this time, children are especially vulnerable to stunting, an irreversible condition that can result in lifelong cognitive and physical deficits. In 2011, stunting, or low height-for-age, affected more than 165 million children worldwide (Black et al. 2013). Mounting evidence indicates that poor water, sanitation, and hygiene (WASH) practices contribute significantly to stunting. Improving WASH practices reduces diarrheal disease, environmental enteric
dysfunction, and soil-transmitted helminth (parasitic worm) infections. Combined, these reductions contribute to decreases in stunting.

In Ghana, stunting is a particularly serious challenge. According to the 2014 Ghana Demographic and Health Survey (GDHS), 19 percent of Ghanaian children under the age of 5 are stunted. Among the regions with the highest rates of stunting is the Northern Region, where the prevalence is 33 percent (GDHS 2014). WASH practices in many parts of the country contribute to this problem. The majority of households (93 percent) do not treat their drinking water by any method (GDHS 2014), while only 14 percent use an improved toilet facility that is not shared with other
households (GDHS 2014). In the two weeks preceding the 2014 GDHS survey, the overall rate of diarrhea reported among children under five was 12 percent, a figure which tends to vary seasonally.

The SPRING project is a seven-year USAID-funded cooperative agreement to strengthen global and country efforts to scale up high-impact nutrition practices and policies and improve maternal and child nutrition outcomes. SPRING has worked for three years in Ghana, where USAID has tasked it with helping to prevent stunting and reduce anemia in the Feed the Future Zone of Influence in 15 districts in the Upper East and Northern Regions.

SPRING’s “WASH 1,000” strategy promotes focused, evidence-based WASH behaviors to eliminate common fecal-oral contamination pathways in children during the first 1,000 days. The strategy takes an integrated, multi-sectoral approach, simultaneously delivering products, services, and information to households with pregnant and lactating women and those with children under two (i.e., 1,000-day households).

Click here for full brief.

Раздел: Awareness Raising, Behaviour Change Communication, Early Childhood Development (ECD), Early Childhood Development Highlights, Ghana, Health, Nutrition, Publications (published in print and/or online), Social Behaviour Change Communication (SBCC), WASH (Water, Sanitation and Hygiene) Метки: 1000 days, Anemia, Stunting

Adding a Nutrition Behavior Change Communication Component to an Early Childhood Development Intervention in Malawi (IFPRI Discussion Paper 01804, 2019)

18 февраля, 2019

In Africa south of the Sahara, including Malawi, an estimated 61 percent of children below the age of five are developmentally challenged as a result of poverty, malnutrition, and lack of early stimulation and learning opportunities. Early-childhood development (ECD) programmes, which aim to improve young children’s survival, health and development are considered one of the most cost-effective human capital investments that can be provided by governments particularly when compared to subsequent schooling interventions. Community-based Childcare Centres (CBCCs) are a key element of ECD programs in Malawi. CBCCs serve 3–5-year-olds by promoting holistic child development through provision of safe and stimulating environments, access to health and nutrition services, and capacity building for parents and caregivers. In Malawi, there are an estimated 11,000 CBCCs across the country, but many are not functional. Lack of food provision at the CBCC leads to high rates of absenteeism and is considered one of the main reasons for the closing of CBCCs. To address this, Save the Children in partnership with Chancellor College-University of Malawi developed an integrated agriculture-nutrition package that was implemented alongside the standard ECD component. This included activities to promote nutritious food production and consumption, promotion of optimal feeding and caring practices, and engagement with parents in pre-school meal planning and preparation.

The Nutrition Embedded Evaluation Program Impact Evaluation (NEEP-IE) cluster randomized control trial aimed to assess the effectiveness of implementing an agriculture and nutritional intervention through CBCCs in Malawi. This newly published paper presents the impact results of this control trial, focusing on child development outcomes of pre-school children during a 12 months intervention period.

Click here for full paper.

Раздел: Behaviour Change Communication, Early Childhood Development (ECD), Malawi, Nutrition, Research Papers Метки: Community Involvement

Large-Scale Social and Behavior Change Communication Interventions Have Sustained Impacts on Infant and Young Child Feeding Knowledge and Practices — Results of a 2-Year Follow-Up Study in Bangladesh (The Journal of Nutrition, 148:10, 2018)

4 февраля, 2019

Sustained improvements in infant and young child feeding (IYCF) require continued implementation of effective interventions. From 2010–2014, Alive & Thrive (A&T) provided intensive interpersonal counseling (IPC), community mobilization (CM), and mass media (MM) in Bangladesh, demonstrating impact on IYCF practices. Since 2014, implementation has been continued and scaled up by national partners with support from other donors and with modifications such as added focus on maternal nutrition and reduced program intensity.

The authors assessed changes in intervention exposure and IYCF knowledge and practices in the intensive (IPC + CM + MM) compared with nonintensive areas (standard nutrition counseling + less intensive CM and MM) 2 y after termination of initial external donor support.

Conclusions: Continued IPC exposure and sustained impacts on IYCF knowledge and practices in intensive areas indicated lasting benefits from A&T’s interventions as they underwent major scale-up with reduced intensity.
Click here for full article.

Раздел: *INTER-PERSONAL ROUTES, *MASS MEDIA ROUTES, Awareness Raising, Bangladesh, Behaviour Change Communication, Children, Early Childhood Development (ECD), Health, Nutrition, Research Papers, Social Behaviour Change Communication (SBCC) Метки: Breastfeeding, Infant and Young Child Feeding (IYCF), Maternal nutrition, Monitoring and Evaluation

Let’s Make it Work! Breastfeeding in the Workplace — Using C4D to make breastfeeding possible among working mothers (UNICEF, 2018)

29 октября, 2018

In 2016, with support from the Bill and Melinda Gates Foundation, UNICEF launched two country-level initiatives to improve breastfeeding practices of infants of working mothers, in partnership with businesses operating in two distinct settings:

• Ready-made garment (RMG) factory sites located in the urban and peri-urban areas of Dhaka, Bangladesh.
• A vast tea estate situated in Kericho County, Kenya.

The objective of the mother- and babyfriendly workplace initiatives is to increase working mothers’ demand for and access to facilities and services that support appropriate breastfeeding practices and care in the workplace.” In doing so, the initiatives aim to generate evidence on the operational feasibility, effectiveness and cost-effectiveness of supporting breastfeeding in the workplace, and to showcase its benefits for children, families, communities and businesses. UNICEF applied the Communication for Development (C4D) process to design social and behavioural change communication strategies to increase acceptance of, and demand for, workplace breastfeeding programmes in each context.

This document presents accomplishments to date and conceptual thinking in C4D for promoting breastfeeding support in the workplace, emanating from these two experiences and building upon available evidence and lessons learned from former experiences. The document
is intended for programme planners within UNICEF as well as UNICEF partner organizations.

Click here for full report.

Раздел: Bangladesh, Behaviour Change Communication, Kenya, Nutrition, Publications (published in print and/or online), Social Behaviour Change Communication (SBCC) Метки: Breastfeeding, Infant and Young Child Feeding (IYCF)

2018 Global Food Policy Report (IFPRI, 2018)

8 мая, 2018

IFPRI’s flagship report reviews the major food policy issues, developments, and decisions of 2017, and highlights challenges and opportunities for 2018 at the global and regional levels. This year’s report looks at the impacts of greater global integration—including the movement of goods, investment, people, and knowledge—and the threat of current antiglobalization pressures. Drawing on recent research, IFPRI researchers and other distinguished food policy experts consider a range of topics including:

■ How can the global food system deliver food security for all in the face of the radical changes taking place today?

■ Do voluntary and involuntary migration increase or decrease food security in source countries and host countries?

■ How can global governance structures better address problems of food security and nutrition?

Click here for full report

Раздел: *REGION: Global, Nutrition, Publications (published in print and/or online) Метки: Governance, Migration

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