Implementation, utilization and influence of a community-based participatory nutrition promotion programme in rural Ethiopia
Programme impact pathway analysis
Bibliographic Data
| ID | 15091323 |
|---|---|
| Authors | Yunhee Kang (0000-0002-8184-9166, Johns Hopkins University, corresponding author), Seungman Cha (0000-0003-1264-3313, London School of Hygiene & Tropical Medicine), Sarah Yeo (0000-0001-5814-4187), Polly Christian (0000-0002-2908-1030, Gates Foundation), Parul Christian |
| Year | 2017 |
| Volume | 20 |
| Issue | 11 |
| Pages | 2004-2015 |
| Publication date | 2017-08-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980017000660 |
| PMID | 28414008 |
| OpenAlex | W2606817196 |
| Language | EN |
| Citations received | 3 |
| References cited | 15 |
Objective A community-based participatory nutrition promotion (CPNP) programme, involving a 2-week group nutrition session, attempted to improve child feeding and hygiene. The implementation, utilization and influence of the CPNP programme were examined by programme impact pathway (PIP) analysis. Design Five CPNP programme components were evaluated: (i) degree of implementation; (ii) participants’ perception of the nutrition sessions; (iii) participants’ message recall; (iv) utilization of feeding and hygiene practices at early programme stage; and (v) participants’ engagement in other programmes. Setting Habro and Melka Bello districts, Ethiopia. Subjects Records of 372 nutrition sessions, as part of a cluster-randomized trial, among mothers ( n 876 in intervention area, n 914 in control area) from a household survey and CPNP participants ( n 197) from a recall survey. Results Overall, most activities related to nutrition sessions were successfully operated with high fidelity (>90 %), but a few elements of the protocol were only moderately achieved. The recall survey among participants showed a positive perception of the sessions (~90 %) and a moderate level of message recall (~65 %). The household survey found that the CPNP participants had higher minimum dietary diversity at the early stage (34·0 v . 19·9 %, P =0·01) and a higher involvement in the Essential Nutrition Action (ENA) programme over a year of follow-up (28·2 v . 18·3 %; P Conclusions Our PIP analysis suggests that CPNP was feasibly implemented, promoted a sustained utilization of proper feeding behaviours, and enhanced participation in the existing ENA programme. These findings provide a possible explanation to understanding CPNP’s effectiveness
Environmental health · Family medicine · Hygiene · Intervention (counseling · Promotion (chess · Recall · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Nursing · Psychology · Gerontology
Process evaluation in randomised controlled trials of complex interventions
Worldwide Timing of Growth Faltering
Developing a Process-Evaluation Plan for Assessing Health Promotion Program Implementation
Effectiveness of a community‐based nutrition programme to improve child growth in rural Ethiopia
Exposure to mass media and interpersonal counseling has additive effects on exclusive breastfeeding and its psychosocial determinants among Vietnamese mothers
Assessing implementation fidelity of a community-based infant and young child feeding intervention in Ethiopia identifies delivery challenges that limit reach to communities
Effects of a community-based nutrition promotion programme on child feeding and hygiene practices among caregivers in rural Eastern Ethiopia
| Citations per year | 1 |
|---|---|
| Citation span | 2023 - 2026 (4) |
| Highly cited | No |