Improving maternal, infant and young child nutrition in Nepal via peer mobilization

Akriti Singh, Rolf Klemm, Gary Mundy, Pooja Pandey Rana, Bhim Pun, Kenda Cunningham

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate the impact of a peer facilitator (PF) approach for improving mothers’ knowledge and practices relating to maternal and child nutrition. Design: A quasi-experimental design nested within a large-scale integrated nutrition programme, Suaahara, in Nepal. Suaahara interventions were implemented in all study sites, but peer facilitators were used in only half of the study sites. Setting: Rural, disadvantaged villages in three districts of Nepal: Bhojpur, Bajhang and Rupandehi. Subjects: Mothers of children aged 6–23·9 months (n 1890). Results: Differences over time between comparison (C) and intervention (I) groups show that the PF approach had a significant positive impact on several indicators of mothers’ knowledge and practices relating to maternal and child nutrition: (i) knowing that fruits and vegetables are good for children 6–23·9 months (C: −0·7, I: 10·6; P=0·03); (ii) child dietary diversity (C: 0·02, I: 0·04; P=0·02); (iii) child minimum dietary diversity (≥4 of 7 food groups; (C: 6·9, I: 16·0; P=0·02); (iv) maternal dietary diversity (C: 0·1, I: 0·4; P=0·01); and (v) maternal minimum dietary diversity (≥4 food groups; C: 3·6, I: 14·0; P=0·03). Additionally, exposure to a PF three or more times in the past 6 months was positively associated with a small improvement in maternal (β=0·06, P=0·04) and child (β=0·06, P=0·02) dietary diversity scores. Improvements were not observed in maternal health-seeking behaviours such as number of antenatal care visits. Conclusions: Peer mobilization is a potential approach for improving health- and nutrition-related knowledge and behaviours among women in hard-to-reach communities of Nepal.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalPublic Health Nutrition
DOIs
StateAccepted/In press - Nov 6 2017

Fingerprint

Nepal
Mothers
Peer Group
Food
Prenatal Care
Vulnerable Populations
Vegetables
Fruit
Research Design
Health

Keywords

  • Child nutrition
  • Hard-to-reach
  • Infant and young child feeding
  • Maternal nutrition
  • Peer mobilization

ASJC Scopus subject areas

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

Cite this

Improving maternal, infant and young child nutrition in Nepal via peer mobilization. / Singh, Akriti; Klemm, Rolf; Mundy, Gary; Pandey Rana, Pooja; Pun, Bhim; Cunningham, Kenda.

In: Public Health Nutrition, 06.11.2017, p. 1-11.

Research output: Contribution to journalArticle

Singh, Akriti ; Klemm, Rolf ; Mundy, Gary ; Pandey Rana, Pooja ; Pun, Bhim ; Cunningham, Kenda. / Improving maternal, infant and young child nutrition in Nepal via peer mobilization. In: Public Health Nutrition. 2017 ; pp. 1-11.
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AB - Objective: To evaluate the impact of a peer facilitator (PF) approach for improving mothers’ knowledge and practices relating to maternal and child nutrition. Design: A quasi-experimental design nested within a large-scale integrated nutrition programme, Suaahara, in Nepal. Suaahara interventions were implemented in all study sites, but peer facilitators were used in only half of the study sites. Setting: Rural, disadvantaged villages in three districts of Nepal: Bhojpur, Bajhang and Rupandehi. Subjects: Mothers of children aged 6–23·9 months (n 1890). Results: Differences over time between comparison (C) and intervention (I) groups show that the PF approach had a significant positive impact on several indicators of mothers’ knowledge and practices relating to maternal and child nutrition: (i) knowing that fruits and vegetables are good for children 6–23·9 months (C: −0·7, I: 10·6; P=0·03); (ii) child dietary diversity (C: 0·02, I: 0·04; P=0·02); (iii) child minimum dietary diversity (≥4 of 7 food groups; (C: 6·9, I: 16·0; P=0·02); (iv) maternal dietary diversity (C: 0·1, I: 0·4; P=0·01); and (v) maternal minimum dietary diversity (≥4 food groups; C: 3·6, I: 14·0; P=0·03). Additionally, exposure to a PF three or more times in the past 6 months was positively associated with a small improvement in maternal (β=0·06, P=0·04) and child (β=0·06, P=0·02) dietary diversity scores. Improvements were not observed in maternal health-seeking behaviours such as number of antenatal care visits. Conclusions: Peer mobilization is a potential approach for improving health- and nutrition-related knowledge and behaviours among women in hard-to-reach communities of Nepal.

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