Systematic review of the design, implementation and effectiveness of mass media and nutrition education interventions for infant and young child feeding

Graziose, Matthew M.; Downs, Shauna; OʼBrien, Quentin; Fanzo, Jessica

doi:10.1017/s1368980017002786

Cited by 69 publications

(85 citation statements)

References 45 publications

(351 reference statements)

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“…Our findings are consistent with other studies that have found a positive impact of mass media and BBC campaigns on IYCF practices (Graziose et al, ; Lee et al, ; Naugle & Hornik, ). Monterrosa et al () found increases in the consumption of leafy greens, thicker broth, and beef after the scripted message intervention, which was delivered by vaccination nurses and on local radios, was implemented in Mexico.…”

Section: Discussionsupporting

confidence: 93%

“…to date (Graziose et al, 2018), and those that have been conducted have primarily focused on exclusive breastfeeding (Flax et al, 2014;Jiang et al, 2014;Sellen et al, 2014).…”

Section: Very Few Mhealth Iycf Interventions Have Been Conducted In Lmentioning

confidence: 99%

“…Behaviour change communication (BCC) interventions aimed at improving IYCF practices in the first 1,000 days have shown promising results (Graziose, Downs, O'Brien, & Fanzo, ; Lee et al, ; Naugle & Hornik, ). BCC differs from traditional nutrition education by going beyond simply providing the target populations with knowledge about best practices but also provides them with the reasoning for the importance of adopting specific behaviours, as well as targeted actions to operationalize the messaging.…”

Section: Introductionmentioning

confidence: 99%

“…The majority of mHealth interventions in LMICs have targeted HIV/AIDs and family planning/pregnancy, with inconsistent results (Gurman et al, ). Very few mHealth IYCF interventions have been conducted in LMICs to date (Graziose et al, ), and those that have been conducted have primarily focused on exclusive breastfeeding (Flax et al, ; Jiang et al, ; Sellen et al, ).…”

Section: Introductionmentioning

confidence: 99%

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An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal

Downs

Sackey

Kalaj

et al. 2019

Maternal & Child Nutrition

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Mobile health (mHealth) interventions have the potential to improve infant and young child feeding (IYCF) practices; however, gaps in the literature remain regarding their design, implementation, and effectiveness. The aims of this study were to design an mHealth voice messaging intervention delivered to mothers and fathers targeting IYCF practices and examine its implementation and impact in households with children 6–23 months in three rural villages in Senegal. We conducted focus groups (n = 6) to inform the intervention development. We then conducted a pilot study (n = 47 households) to examine the impact of the intervention on IYCF practices of children 6–23 months. Voice messages were sent to the children's mothers and fathers over a period of 4 weeks (two messages per week; eight messages in total), and 24‐hr dietary recalls and food frequency questionnaires (FFQs) were conducted before and immediately after the implementation of the mHealth intervention to examine its impact on IYCF practices. Overall, three of the eight behaviours increased and one decreased. There was a significant increase in the number of children that consumed fish (60% vs. 94%; p = .008) as measured by the 24‐hr recall after the completion of the intervention. We also found significantly higher frequency of egg (p = .026), fish (p = .004), and thick porridge (p = .002) consumption in the previous 7 days measured by the FFQ. Our findings suggest that voice messaging IYCF interventions in Senegal have the potential to improve IYCF behaviours among young children in the short term. Future research should entail scaling‐up the intervention and examining its sustainability over the long‐term.

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Section: Discussionsupporting

confidence: 93%

“…to date (Graziose et al, 2018), and those that have been conducted have primarily focused on exclusive breastfeeding (Flax et al, 2014;Jiang et al, 2014;Sellen et al, 2014).…”

Section: Very Few Mhealth Iycf Interventions Have Been Conducted In Lmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal

Downs

Sackey

Kalaj

et al. 2019

Maternal & Child Nutrition

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“…In Nepal, hearing the MNP radio messages likely served as a cue to action to remind mothers to pick‐up MNP, as demonstrated by the association between hearing the radio messages and coverage indicators; however, the brevity of the radio messages was likely insufficient to support mothers in establishing and maintaining a daily routine for feeding their child MNP. A recent systematic review of nutrition education and mass media interventions found that of the 18 studies identified, only three directly assessed the impact of mass media alone, and none showed significant changes in behaviour; however, when mass media was combined with individual or group education, several interventions were able to improve IYCF practices (Graziose, Downs, O'Brien, & Fanzo, ). Other studies have also documented the importance of group counselling for improving IYCF practices generally (Flax et al, ; Nguyen et al, ; White et al, ), and one study from Peru showed that the positive encouragement from neighbours and relatives encouraged mothers to use MNPs (Creed‐Kanashiro, Bartolini, Abad, & Arevalo, ).…”

Section: Discussionmentioning

confidence: 99%

Predictors of micronutrient powder (MNP) knowledge, coverage, and consumption during the scale‐up of an integrated infant and young child feeding (IYCF‐MNP) programme in Nepal

Locks

Dahal²,

Pokharel

et al. 2019

Maternal & Child Nutrition

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Large‐scale programmes using micronutrient powders (MNPs) may not achieve maximum impact due to limited/inappropriate MNP coverage, consumption, and use. We identify predictors of MNP coverage, maternal knowledge of appropriate use, and child MNP consumption in Nepal. A cross‐sectional survey was conducted in 2,578 mother–child pairs representative of children 6–23 months in two districts that were part of the post‐pilot, scale‐up of an integrated infant and young child feeding‐MNP (IYCF‐MNP) programme. Children aged 6–23 months were expected to receive 60 MNP sachets every 6 months from a female community health volunteer (FCHV) or health centre. Outcomes of interest were MNP coverage (ever received), maternal knowledge of appropriate use (correct response to seven questions), repeat coverage (receipt ≥ twice; among children 12–23 months who had received MNP at least once, n = 1342), and high intake (child consumed ≥75% of last distribution, excluding those with recent receipt/insufficient time to use 75% at recommended one‐sachet‐per‐day dose, n = 1422). Multivariable log‐binomial regression models were used to identify predictors of the four outcomes. Coverage, knowledge of appropriate use, and repeat coverage were 61.3%, 33.5%, and 45.9%, respectively. Among MNP receivers, 97.9% consumed MNP at least once and 38.9% of eligible children consumed ≥75% of last distribution. FCHV IYCF‐MNP counselling was positively associated with knowledge, coverage, repeat coverage, and high intake; health worker counselling with knowledge and coverage indicators; and radio messages with coverage indicators only. FCHV counselling had the strongest association with knowledge, coverage, and high intake. Community‐based counselling may play a vital role in improving coverage and intake in MNP programmes.

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Mega‐map of systematic reviews and evidence and gap maps on the interventions to improve child well‐being in low‐ and middle‐income countries

Saran

White

Albright³

et al. 2020

Campbell Systematic Reviews

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Background: Despite a considerable reduction in child mortality, nearly six million children under the age of five die each year. Millions more are poorly nourished and in many parts of the world, the quality of education remains poor. Children are at risk from multiple violations of their rights, including child labour, early marriage, and sexual exploitation. Research plays a crucial role in helping to close the remaining gaps in child well-being, yet the global evidence base for interventions to meet these challenges is mostly weak, scattered and often unusable by policymakers and practitioners. This mega-map encourages the generation and use of rigorous evidence on effective ways to improve child well-being for policy and programming. Objectives: The aim of this mega-map is to identify, map and provide an overview of the existing evidence synthesis on the interventions aimed at improving child well-being in low-and middle-income countries (LMICs). Methods: Campbell evidence and gap maps (EGMs) are based on a review of existing mapping standards (Saran & White, 2018) which drew in particular of the approach developed by 3ie (Snilstveit, Vojtkova, Bhavsar, & Gaarder, 2013). As defined in the Campbell EGM guidance paper; "Mega-map is a map of evidence synthesis, that is, systematic reviews, and does not include primary studies" (Campbell Collaboration, 2020). The mega-map on child well-being includes studies with participants aged 0-18 years, conducted in LMICs, and

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Systematic review of the design, implementation and effectiveness of mass media and nutrition education interventions for infant and young child feeding

Abstract: Despite evidence of effectiveness, few common elements in the design of interventions were identified. Future research should consistently report these details to open the 'black box' of IYCF interventions, identify effective design components and ensure replicability.

Cited by 69 publications

References 45 publications

An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal

An mHealth voice messaging intervention to improve infant and young child feeding practices in Senegal

Predictors of micronutrient powder (MNP) knowledge, coverage, and consumption during the scale‐up of an integrated infant and young child feeding (IYCF‐MNP) programme in Nepal

Mega‐map of systematic reviews and evidence and gap maps on the interventions to improve child well‐being in low‐ and middle‐income countries

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