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Association of BCC Module Roll-Out in SHG meetings with changes in complementary feeding and dietary diversity among
Sudipta Mondal1, William Joe2, Santosh Akhauri1
1Monitoring Learning and Evaluation, Project Concern International, Bihar, India.
Insights
Behavior Change Communication (BCC) modules delivered through Self-Help Groups (SHGs) significantly improved child dietary diversity in rural Bihar. Direct exposure to BCC modules yielded the greatest positive impact on infant and young child nutrition.
Area of Science:
- Public Health Nutrition
- Behavioral Science
- Maternal and Child Health
Background:
- Child dietary diversity is critically low in rural Bihar, impacting infant and young child nutrition.
- Behavior Change Communication (BCC) strategies are being explored to address nutritional deficiencies.
Purpose of the Study:
- To assess the impact of a BCC module intervention on child dietary diversity in rural Bihar.
- To evaluate the effectiveness of Self-Help Group (SHG) sessions as a platform for delivering BCC modules.
Main Methods:
- A pre-post study design involving 300 children (6-23 months) across 60 village organizations.
- Comparison between mothers directly exposed to BCC modules and those with indirect exposure.
- Econometric analysis, including logistic regression and propensity score matching, was employed.
Main Results:
- Adequate dietary diversity increased from 19% pre-intervention to 49% in the directly exposed group.
- The exposed group showed an odds ratio of 3.81 for consuming a diverse diet.
- Propensity score matching indicated a 33% average treatment effect on the treated for BCC participants.
Conclusions:
- Behavior Change Communication (BCC) roll-out via Self-Help Group (SHG) members is an effective strategy to enhance child dietary diversity.
- Direct maternal exposure to BCC modules resulted in significantly greater improvements in child dietary diversity.
- The BCC module positively influenced knowledge and awareness regarding complementary feeding practices.
Objectives:
Child dietary diversity is very low across rural communities in Bihar. Based on the experience of behavior change communication (BCC) module roll out in self-help group (SHG) sessions in rural Bihar, this study aims to assess the impact of the intervention on child dietary diversity levels in the beneficiary groups.
Methods:
The study is based on a pre-post study design whereby child dietary diversity is examined for a sample of 300 children (6-23 months old from 60 village organizations) during both pre-intervention as well as post-intervention phase. The latter consists of two types of group viz. a) children whose mothers were directly exposed to BCC module in SHGs sessions and b) those who were non-participants but may have indirect exposure through spillovers of BCC activities. Econometric analysis including logistic regression as well as propensity score matching techniques are applied for estimating the changes in dietary diversity in the post-intervention phase.
Results:
During the pre-intervention phase, 19% of the children (6-23 months) had adequate dietary diversity (eating from at least 4 out of 7 different food groups) and this increased to 49% among the exposed group and to 28% among the non-exposed group in the post-intervention phase. The exposed group have an odds ratio of 3.81 (95% CI: 2.03, 7.15) for consuming diverse diet when compared to the pre-intervention group. The propensity score matching analysis finds a 33% average treatment effect on the treated (ATT) for the group participating in BCC sessions at SHG events.
Conclusion:
BCC roll out among SHG members is an effective mode to increase dietary diversity among infants and young children. The impact on child dietary diversity was significantly higher among mothers directly exposed to BCC modules. The BCC module also improved knowledge and awareness levels on complementary feeding and child dietary diversity.
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