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Development and implementation of a nutrition intervention programme in North West Pakistan

A realist framework

Datos Bibliográficos

ID22944786
AutoresMonique Lhussier (0000-0001-9383-2356, Northumbria University, autor de correspondencia), Shakila Bangash, Fiona Dykes (0000-0002-2728-7967, University of Lancashire), M Zaman (0009-0002-6411-7358, Khyber Medical College), Nicola M Lowe (0000-0002-6934-2768, University of Lancashire)
Año2012
Volumen27
Número4
Páginas453-462
Fecha de publicación2012-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Promotion International (JOURNAL)
Identificadores de la revistaISSN: 0957-4824 • E-ISSN: 1460-2245
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dar067
PMID21948952
OpenAlexW2127266776
IdiomaEN
Citas recibidas4
Referencias citadas10

Maternal and infant malnutrition is prevalent in rural regions of NW Pakistan. This article reports on the use of a combination of a realist Context-Mechanism-Outcome framework and participatory appraisal methods to facilitate the development of a locally sensitive and responsive nutritional intervention programme. Data were gathered through a series of focus group (FG) discussions with local lady health workers, as well as pregnant and breastfeeding women attending an Emergency Field Hospital in North West Pakistan between May 2008 and March 2009. A nutrition intervention programme was implemented that involved cookery demonstration kitchens and free food supplements, coupled with nutrition and healthcare information and advice for pregnant and breastfeeding women. Subsequent FG discussions revealed that the programme had a positive impact on knowledge gained by women in the community and generated an openness to receiving and spreading knowledge. The framework, which rested on the use of a double feedback loop, involving local women, lady health workers, local researchers and UK-based researchers, has enabled not only the establishment of the programme, but has also given the local team the tools to apply for, and gain, further funding for the development of nutrition support services. The development of such methodological tools, which empower local researchers and service providers (wherever located) to operationalize local knowledge and assess interventions, is particularly relevant in international financially-constrained contexts.

Economic growth · Economics · Environmental health · Geography · Intervention (counseling) · Political science · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Global Maternal and Child Health · Medicine · Nursing

  • The concept of mechanism from a realist approach

    Open Access•Anthony Lacouture, Eric Breton et al.•Implementation Science•2015

  • Understanding communication pathways to foster community engagement for health improvement in North West Pakistan

    Open Access•Monique Lhussier, Nicola M Lowe et al.•BMC Public Health•2016

  • Stakeholder involvement in realist evaluation

    Open Access•Ségolène Malengreaux, Monika Martens et al.•Evaluation•2025

  • Over-preoccupation with healthy food is perceived as worship of the body”

    Open Access•Chagit Peles, Netalie Shloim et al.•Appetite•2021

  • Community based participatory research

    M W Leung•International Journal of…•2004

  • Problem and solution trees

    Open Access•Wendy Snowdon, J Schultz et al.•Health Promotion International•2008

  • Empowerment evaluation applied to public health practice

    Open Access•Susan Carr, Susan M Carr et al.•Critical Public Health•2008

  • Approaches to Participation in Evaluation

    Open Access•Béatrice Plottu, Eric Plottu•Evaluation•2009

  • In practice, the theory is different

    Open Access•Michael Scavenius, Lonneke Van Hulsel et al.•Social Science & Medicine•2007

Obras citantes distintas4
Citas por año0,36
Intervalo de citas2015 - 2025 (11)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 4
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