Implementation, utilization and influence of a community-based participatory nutrition promotion programme in rural Ethiopia: Programme impact pathway analysis

Yunhee Kang, Seungman Cha, Sarah Yeo, Parul Christian

Research output: Contribution to journalArticlepeer-review

Abstract

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<0·0001) compared with non-participants within the intervention area. 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.

Original languageEnglish (US)
Pages (from-to)2004-2015
Number of pages12
JournalPublic health nutrition
Volume20
Issue number11
DOIs
StatePublished - Aug 1 2017

Keywords

  • Child feeding and hygiene practices
  • Community-based participatory nutrition promotion
  • Process evaluation
  • Programme impact pathway
  • Undernutrition

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

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