Purpose – The purpose of this paper is to examine a national sexual health and relationships education (SHARE) educational package for behaviour change techniques (BCTs) utilised in order to make recommendations for further improvements. Design/methodology/approach – Using BCTs taxonomy (BCT V1), two coders independently examined the 22 session plans within SHARE for their utilisation of BCTs. All three authors then examined the results, and agreed on any discrepancies. Findings – The SHARE package utilises only a small range of BCTs detailed in BCT V1. SHARE makes use of a range of techniques which may impact on the distal factors that influence sexual risk taking, such as self-esteem and building confidence to say “no” to sex. Practical implications – SHARE – and perhaps other sexual health education programmes – may need to draw on more BCTs, particularly those supported by evidence, in order to effectively reduce risky sexual behaviours among young people. Programmes may also benefit from including broader elements around pleasure, self-examination and screening behaviour. Originality/value – Sexual health packages rarely encounter such scrutiny, particularly being examined in relation to the BCTs. The new and rigorous way of rating the SHARE package has enabled a range of recommendations relating to BCTs to be made both for improving the package and other sexual health education programmes.
Malnutrition in women and children in Bangladesh is one of the highest in the world with 33% of <5 children underweight and 36% stunted (NIPORT 2014). Imbalanced diet and inappropriate feeding practices are the major determinants of child undernutrition. Poverty, low income, and price hikes restrict poor families from accessing sufficient and diversified nutritious foods, which leads to their food and nutrition insecurity (Ghose 2014). To generate positive impacts on nutritional outcomes, agricultural interventions require more focus on nutrition and need to be linked to nutrition specific interventions (Haselow et al 2016). Improving homestead fruit and vegetable production integrating with enhanced communications about nutrition would lead to improved dietary diversity and nutritional status of children (Mulmi 2017). Combining agriculture with behaviour change communication and nutrition-sensitive interventions would improve diet and feeding quality to reduce child undernutrition. Such integrated intervention requires rigorous design and implementation strategy to generate an impact.This study aims to assess the feasibility and acceptability of an intervention package that combines nutrition-specific (nutrition counselling) and nutrition-sensitive (counselling and support for agriculture, and unconditional cash transfers) delivered on a mobile phone platform for improving maternal and child feeding behaviours among low-income families in rural Bangladesh. We conducted a mixed-methods feasibility study. The intervention included counselling on homestead gardening techniques and infant feeding by agriculture and nutrition workers using smartphone apps. Women received weekly individual counselling at home and group counselling fortnightly. Each participating woman received an unconditional monthly incentive of BDT 1200 cash transfer through a mobile banking system called bKash. The intervention took place for 6 months. We collected data through in-depth interviews and a cross sectional surveys of the participants and their family members.The women were interested in both agriculture and nutrition counselling and understood the messages clearly.They established homestead garden of seasonal vegetables successfully that included preparing beds, planting seedlings, nurturing the plans, and harvesting. Seasonal rainfall and damage by hens and ducks were major challenges but most of the families were able to find a solution. Most of the women preferred to consume own produced vegetables and spending the cash provided on purchasing nutritious foods such as fruits, egg, and milk for their children as advised in the counselling. The project implementation staff and the bKash agent did not report any difficulties in using the mobile banking system for cash transfer. Combining nutrition-specific and nutrition-sensitive interventions is a feasible and acceptable approach to the community to improve maternal and infant feeding practices. Using mobile phone technologies can provide additional benefit for the intervention to rea...
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