Identifying determinants of effective complementary feeding behaviour change interventions in developing countries
Cecilia S Fabrizio1, Marti van Liere, Gretel Pelto
1Global Health Associates, Hong Kong.
Maternal & Child Nutrition
|May 7, 2014
Summary
Behavior change interventions (BCI) can improve infant feeding, but national impact is limited. Effective BCI utilize formative research and assess impact pathways for better infant growth outcomes.
Area of Science:
- Global Health
- Nutrition Science
- Behavioral Science
Background:
- Stunting is a global health concern.
- Behavior Change Interventions (BCI) show promise for improving infant feeding practices and growth.
- National-level impact of BCI is limited due to insufficient understanding of effective implementation.
Purpose of the Study:
- To identify generalizable determinants of effective complementary feeding Behavior Change Interventions (BCI).
- To examine the design and implementation of BCI from the peer-reviewed literature.
Main Methods:
- Systematic review of 29 studies evaluating BCI efficacy/effectiveness in developing countries for children aged 6-24 months.
- Analysis focused on identifying key determinants in study design and implementation.
Main Results:
- Effective BCI utilized formative research to tailor strategies, messages, and delivery methods based on cultural context.
- Effective BCI clearly defined the impact pathway to behavior change and assessed intermediate changes.
- BCI effectiveness was observed despite varied approaches, highlighting the importance of these processes.
Conclusions:
- Formative research and clear impact pathway assessment are key determinants for effective complementary feeding BCI.
- Limited published data on cost-effectiveness, sustainability, and scalability hinders broader application.
- A comprehensive reporting process and strategic research agenda are needed to build generalizable evidence.
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