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Physical and sociocultural facilitators and barriers to access and utilization of a nutrition program in rural
Julie Ruel-Bergeron1, Kristen Hurley1, Nandita Kapadia-Kundu2
1a Department of International Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
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.
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