Effectiveness of peer-counseling for promoting optimal complementary feeding practices among infants belonging to urban slums of Delhi

Sabharwal, Vandana; Jain, Passi Santosh

doi:10.5958/j.2319-5886.3.2.062

Cited by 3 publications

(25 citation statements)

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“…Although there were few differences in maternal knowledge regarding MIYCN, the mean diet diversity score and percentage of mothers and children who ate at least four out of seven food groups in the past 24 h were significantly higher in the PF group compared with the comparison group. First, the result that peer mobilization improved child nutrition is similar to that found by a small but growing body of literature on improvements in breast-feeding, and timely initiation of complementary feeding, as a result of exposure to peer educators ( 16 , 19 ) . Our findings show that in addition to breast-feeding and initiation of complementary feeding, peers can also be mobilized to improve the variety of maternal and child diets.…”

Section: Discussionsupporting

confidence: 65%

“…A recent systematic review (n 47) highlighted the effectiveness of peer support models for improving health outcomes (14) . Global evidence also shows the effectiveness of peer support in nutrition programming, particularly for promotion of optimal breast-feeding practices (15)(16)(17) and increasingly for complementary feeding as well (18,19) . In Nepal, HIV/AIDS and adolescent health programmes have used peer support, but the mobilization of peers to provide support for MIYCN has yet to be explored or studied (20) .…”

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confidence: 99%

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Improving maternal, infant and young child nutrition in Nepal via peer mobilization

Singh

Klemm

Mundy

et al. 2017

Public Health Nutr.

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Section: Discussionsupporting

confidence: 65%

mentioning

confidence: 99%

Improving maternal, infant and young child nutrition in Nepal via peer mobilization

Singh

Klemm

Mundy

et al. 2017

Public Health Nutr.

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“…Only 6 studies met the inclusion criteria outlined above. Among the selected studies, 2 were conducted in Bangladesh [ 27 , 28 ], 2 in India [ 29 , 30 ], 1 in Nepal [ 31 ] and 1 study in Somalia [ 32 ]. Characteristics of the included studies are given in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…In 5 out of 6 studies, interventions were delivered by community-based peer counsellors [ 27 – 29 , 31 , 32 ], and in the other study the intervention was provided by a dual approach, where the intervention was delivered using both community health workers and a nutrition professional who fulfilled the definition of peer counselling as described above [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

Peer counselling as an approach to improve complementary feeding practices: a narrative review

Haque

Mihrshahi

Haider³

2023

J Health Popul Nutr

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Background Appropriate complementary feeding can help reduce the risk of malnutrition and is especially important in Asian and African countries. Peer counselling has been used as an approach to improve complementary feeding practices and is often combined with other interventions, like food fortification or supplements, or as a part of broader nutrition education program. The aim of this narrative review is to assess the effectiveness of peer counselling on improving complementary feeding practices in Asian and African countries. Methods We searched through seven electronic databases: CINAHL, MEDLINE (OVID), PubMed, Embase, Web of Science, the Cochrane Library and WHO Global Health library from 2000 to April 2021, and had the following inclusion criteria. Studies were included if they were community- or hospital-based, had infants aged 5–24 months old, had individual or group peer counselling, and the effects of peer counselling on complementary feeding practices were measured. Methodological quality was assessed using the Joanna Briggs Institute’s critical appraisal checklist for evidence studies. Results Out of 6 studies that met the above criteria, 3 studies were randomised controlled trials and 3 were quasi-experimental studies. In Bangladesh, India, Nepal and Somalia, peer counselling was found to be effective in improving timely initiation of complementary feeding, minimum meal frequency and minimum dietary diversity in all of our selected studies. In addition, improvement in breastfeeding practices, complementary foods preparation, hygiene, psychological stimulation for cognitive development of children and mothers’ understanding of hunger cues were observed in some of our selected studies. Conclusions This review evaluates the effectiveness of peer counselling to improve complementary feeding practices in Asian and African countries. Peer counselling improves timely complementary feeding and ensures the correct proportions and consistency of foods including adequate amounts of food is given. Other important complementary feeding indicators like minimum dietary diversity, minimum meal frequency and minimum acceptable diet can also be increased through peer-counselling interventions. Peer counselling is well known to enhance the rate of breastfeeding practices, but this review suggests it is also effective for complementary feeding and may inform future nutrition programs to extend the length of peer counselling for mothers.

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“…The positive change in practices were nearly similar in groups counselled by the nutrition professional and the peer counsellors. (34) Community-based health education intervention on the awareness level of mothers, has been proved to be effective even in malnourished children, in a study done at Puducherry. There was an increase in protein intake, calories intake, and weight gain in the intervention group.…”

Section: Health Education Interventionsmentioning

confidence: 99%

Complementary Feeding Practices in Indiaand Improvement Strategies

Fatima¹,

Suryavanshi²,

Rathoria

et al. 2021

ijsr

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Proper nutrition is essential in the rst two years of life to sustain the rapid growth which occurs in this period otherwise it can lead to malnutrition. Appropriate complementary feeding practices are important, as malnutrition in this phase of life can affect the developmental process and also increase the risk of adulthood metabolic diseases. The present article is aimed to discuss the complementary feeding practices in India, determinants inuencing it and strategies for improving it. The recent data was collected and analyzed from Pubmed, MedLine and Google Scholar. The timely initiation of complementary feeding varied widely across the country (42.7-84%). There were limited studies on the adequacy of complementary feeding. Many factors which inuenced complementary feeding practices were identied and can be utilized in formulating intervention programs. Interventional studies showed nutrition counselling of mothers is benecial. Strengthening public nutrition programs require micro-planning, focusing on local factors, motivated healthcare staff and continuous monitoring. Culturally acceptable, economical and locally available cuisine of nutritionally rich complementary food need to be developed and the skills of hygienic preparation and responsive feeding should be imparted to mothers.

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Effectiveness of peer-counseling for promoting optimal complementary feeding practices among infants belonging to urban slums of Delhi

Cited by 3 publications

References 0 publications

Improving maternal, infant and young child nutrition in Nepal via peer mobilization

Improving maternal, infant and young child nutrition in Nepal via peer mobilization

Peer counselling as an approach to improve complementary feeding practices: a narrative review

Complementary Feeding Practices in Indiaand Improvement Strategies

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