The Impact of a Large-Scale Social and Behavior Change Communication Intervention in the Lake Zone Region of Tanzania on Knowledge, Attitudes, and Practices Related to Stunting Prevention

Abstract

Background: Large-scale social and behavioral change communication (SBCC) approaches can be beneficial to achieve improvements in knowledge, attitudes, and practices (KAP). Addressing Stunting in Tanzania Early (ASTUTE) included a significant SBCC component and targeted precursors to stunting including KAP related to maternal and child health, antenatal care, WASH, childhood development, and male involvement. METHODS: Baseline, midline, and endline surveys were conducted for a total of 14,996 female caregivers and 6726 male heads of household in the Lake Zone region of Tanzania. Regression analyses were used to estimate differences in KAP from baseline to midline and endline. Results: Women’s knowledge of handwashing and infant/child feeding practices, and attitudes related to male involvement, consistently improved from baseline to midline and baseline to endline. Women’s practices related to antenatal care, breastfeeding, and early child development improved from baseline to midline and baseline to endline. Improvements in KAP among male heads of household were varied across indicators with consistent improvement in practices related to child feeding practices from baseline to midline and baseline to endline. Conclusion: Many changes in KAP were observed from baseline to midline and baseline to endline and corresponded with SBCC programming in the region. These results provide support for the value of large SBCC interventions. Public health efforts in settings such as Tanzania may benefit from adopting these approaches.

Acceptance of the Advocacy Core Group approach in promoting integrated social and behaviour change for MNCH+N in Nigeria: a qualitative study

“…These findings echo those from other SBC interventions. For example, a Tanzania study that explored the impact of social behaviour change interventions on knowledge, attitude and practice related to key MNCH+N indicators identified many changes that corresponded with SBC programming in the region and also provided support for the value of large social behaviour change interventions 32. Similarly, a study in Ghana found that SBC intervention increased knowledge on maternal health 33…”

Pemberdayaan Kader Posyandu Tentang Praktik Pembuatan MPASI-Lokal ”Ikan Kembung Como” di Wilayah RW021 Serua-Ciputat

“…Intervensi dalam perubahan perilaku tidak hanya terbatas dari pemberian edukasi saja, namun diperlukan adanya komunikasi atau konseling, dan praktik langsung yang dilakukan pada sebuah kegiatan (Darajat et al, 2022). Melalui media komunikasi edukasi, pesan kesehatan dapat tersampaikan secara optimal (Dearden et al, 2023;Triatmaja et al, 2023). Selanjutnya praktik diperlukan untuk meningkatkan keterampilan seseorang.…”

Social and Behavior Change Communication Framework

“…To achieve the goals outlined, the SBCC stunting strategy must be implemented through a staged method based on the SBCC model and planning principles [35]. This method is founded on evidence and a vision for a participative and long-term effort that incorporates all parties involved in dealing with stunting [36]. The steps that can be taken can be seen in Table 1 below:…”