@article{f83395d3b42d4c5aa8fbf56b6a00e05d,
title = "Physical and sociocultural facilitators and barriers to access and utilization of a nutrition program in rural Malawi: a qualitative study",
abstract = "Childhood stunting holds consequences for child development. A nutrition program delivering small-quantity lipid based nutrient supplements (SQ-LNS) to children 6-23 months and child feeding messages was implemented in Malawi to reduce stunting. This study sought to understand the facilitators and barriers to program participation using in-depth interviews, pile sorts, direct observations, and focus group discussions with caretakers, village leaders and program volunteers. Perceptions of the LNS were positive, and visible changes in child health contributed to program participation. Conflicting priorities that prevented monthly collection of SQ-LNS and limited knowledge of child feeding messages constituted barriers to program participation.",
keywords = "Malawi, barriers, facilitators, nutrition, qualitative",
author = "Julie Ruel-Bergeron and Kristen Hurley and Nandita Kapadia-Kundu and Rachel Oemcke and Ephraim Chirwa and Mutinta Hambayi and Nancy Aburto and Parul Christian",
note = "Funding Information: In 2011, Malawi was the first country to join the Scaling Up Nutrition Movement (Scaling Up Nutrition 2011; The World Food Programme (WFP) 2015). Under the country-wide effort to reduce child stunting across the country, the Government of Malawi, with technical, logistical, and financial support from the World Food Programme (WFP), World Vision, and the Children{\textquoteright}s Investment Fund Foundation (CIFF), respectively, has been implementing a large-scale nutrition program in the district of Ntchisi since 2014. The program package includes, among other activities, a social and behavior change communications (SBCCs) campaign that promotes optimal infant and young child feeding (IYCF) and hygiene practices, and the monthly provision of a daily small-quantity lipid-based nutrient supplement (SQ-LNS), Nutributter (Nutriset, Malaunay, France). Publisher Copyright: {\textcopyright} 2018, {\textcopyright} 2018 Taylor & Francis.",
year = "2018",
month = sep,
day = "3",
doi = "10.1080/03670244.2018.1518221",
language = "English (US)",
volume = "57",
pages = "405--424",
journal = "Ecology of Food and Nutrition",
issn = "0367-0244",
publisher = "Taylor and Francis Ltd.",
number = "5",
}