Measuring coverage of infant and young child feeding counselling interventions: A framework and empirical considerations for survey question design

Jowel Choufani, Sunny S. Kim, Phuong Hong Nguyen, Rebecca Heidkamp, Laurence Grummer-Strawn, Kuntal Kumar Saha, Chika Hayashi, Vrinda Mehra, Silvia Alayon, Purnima Menon

Research output: Contribution to journalArticle

Abstract

Most countries implement nutrition counselling interventions as part of programmes to support breastfeeding and complementary feeding. However, data to track coverage of counselling interventions are rarely available. As a result, little is known about the coverage of counselling on infant and young child feeding (IYCF). Survey-based data collection systems generally collect data on IYCF practices but do not collect data on coverage of interventions to support IYCF, and those surveys that do collect this information do not do so consistently. We present a framework to guide the design of survey questions to measure IYCF counselling coverage. We provide examples of how large-scale surveys for programme evaluation and national monitoring have included survey questions to address these data gaps. Our review suggests that elements relevant to designing survey questions to capture coverage of counselling interventions include timing of contact, target behaviour and message content, place of contact, type of service provider, frequency of contact and mode of intervention. Application of this framework may help strengthen harmonized measurement of IYCF counselling coverage to enable better tracking of programme investments, document progress in scaling up nutrition services and allow for cross-country comparisons. Thus, improving measurement of counselling coverage may lead to improved reach of programmes to support optimal IYCF practices.

Original languageEnglish (US)
JournalMaternal and Child Nutrition
DOIs
StateAccepted/In press - 2020

Keywords

  • coverage measurement
  • infant and young child feeding
  • nutrition counselling

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

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