Exploring barriers and enablers for scaling up a community‐based grain bank intervention for improved infant and young child feeding in Ethiopia
A qualitative process evaluation
Bibliographic Data
| ID | 15535692 |
|---|---|
| Authors | Binta Sako (Oldham Council), Joanne N Leerlooijer (University of Applied Sciences Utrecht), Azeb Lelisa (International Trachoma Initiative), Abebe Hailemariam (0000-0002-4140-7769), Inge D Brouwer (0000-0002-2554-7227, Wageningen University & Research), Amal Tucker Brown (0000-0002-8580-8732), Saskia Osendarp (0000-0002-3847-5584, Nutrition International, corresponding author) |
| Year | 2017 |
| Volume | 14 |
| Issue | 2 |
| Pages | e12551-e12551 |
| Publication date | 2017-10-24 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.12551 |
| PMID | 29063698 |
| OpenAlex | W2766664232 |
| Language | EN |
| Citations received | 1 |
| References cited | 10 |
Child malnutrition remains high in Ethiopia, and inadequate complementary feeding is a contributing factor. In this context, a community-based intervention was designed to provide locally made complementary food for children 6-23 months, using a bartering system, in four Ethiopian regions. After a pilot phase, the intervention was scaled up from 8 to 180 localities. We conducted a process evaluation to determine enablers and barriers for the scaling up of this intervention. Eight study sites were selected to perform 52 key informant interviews and 31 focus group discussions with purposely selected informants. For analysis, we used a framework describing six elements of successful scaling up: socio-political context, attributes of the intervention, attributes of the implementers, appropriate delivery strategy, the adopting community, and use of research to inform the scale-up process. A strong political will, alignment of the intervention with national priorities, and integration with the health care system were instrumental in the scaling up. The participatory approach in decision-making reinforced ownership at community level, and training about complementary feeding motivated mothers and women's groups to participate. However, the management of the complex intervention, limited human resources, and lack of incentives for female volunteers proved challenging. In the bartering model, the barter rate was accepted, but the bartering was hindered by unavailability of cereals and limited financial and material resources to contribute, threatening the project's sustainability. Scaling up strategies for nutrition interventions require sufficient time, thorough planning, and assessment of the community's capacity to contribute human, financial, and material resources
Environmental health · Intervention (counseling · Process (computing · Qualitative research · Social science · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Nursing · Poverty, Education, and Child Welfare
Human resources for health
The politics of reducing malnutrition
Evidence-based interventions for improvement of maternal and child nutrition
Community‐based grain banks using local foods for improved infant and young child feeding in Ethiopia
Achieving behaviour change at scale
Assessing implementation fidelity of a community-based infant and young child feeding intervention in Ethiopia identifies delivery challenges that limit reach to communities
Strengthening monitoring and evaluation (M&E) and building sustainable health information systems in resource limited countries
Integration of targeted health interventions into health systems
Community case management in Nicaragua
A Women’s Development Army
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |