通过大规模实施的社会和行为改变干预措施,改变母亲,婴儿和幼儿营养实践:从Alive & Thrive学到的教训
Valerie L Flax1, Sujata Bose2, Jessica Escobar-DeMarco3
1RTI International, Research Triangle Park, North Carolina, USA.
活着和繁荣 (A&T) 先进的孕产妇,婴儿和幼儿营养 (MIYCN) 社会和行为变化 (SBC) 全球. 关键战略包括多道沟通和政府合作,改善关键营养实践.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 行为科学 行为科学
背景情况:
- 活着和繁荣 (A&T) 是一项全球倡议,重点是改善母婴和幼儿营养 (MIYCN).
- 社会和行为变化 (SBC) 沟通是有效MIYCN干预的关键组成部分.
- 扩大SBC干预需要了解实施过程和经验教训.
研究的目的:
- 描述SBC实施过程和A&T倡议的影响.
- 确定从A&T员工和利益相关者那里学到的关于大规模MIYCN SBC.的教训.
- 为适应和复制成功的MIYCN SBC战略提供见解.
主要方法:
- 审查程序文件和同行评审的出版物.
- 与六个国家的 A&T 工作人员和利益相关者进行了关键信息人采访 (N=23).
- 对实施战略,挑战和成功的定性分析.
主要成果:
- 为了MIYCN SBC,A&T利用了人际沟通,社区动员和大众媒体.
- 该倡议对纯母乳养,最低饮食频率和铁叶酸片使用产生了积极影响.
- 在早期开始母乳养和饮食多样性方面观察到不同的结果;多个道和频繁的接触增强了影响.
结论:
- 大规模的MIYCN SBC实施是可行的,可以改善关键营养实践.
- 有效的策略包括利用现有平台,增强卫生工作者技能,使用定制的信息,吸引影响者和优化大众媒体.
- 学到的经验教训为寻求扩大MIYCN干预的政府和组织提供了宝贵的指导.
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