1
|
Broadbent E, McConkie M, Aleson E, Kim L, Stewart R, Mulokozi G, Dearden KA, Linehan M, Cherian D, Torres S, Crookston BT, Hall PC, West JH. Promoting Caregiver Early Childhood Development Behaviors through Social and Behavioral Change Communication Program in Tanzania. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095149. [PMID: 35564545 PMCID: PMC9103222 DOI: 10.3390/ijerph19095149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 04/15/2022] [Accepted: 04/20/2022] [Indexed: 12/04/2022]
Abstract
Objectives: Stunting remains a prevalent issue in Tanzania. The consequences of stunting include reduced height, greater susceptibility to disease, and diminished cognitive ability throughout the lifespan. Lack of psychosocial stimulation is associated with increased stunting, particularly in terms of its cognitive impact. The Addressing Stunting in Tanzania Early (ASTUTE) program was a large social and behavior change communication (SBCC) intervention that aimed to reduce childhood stunting in the region by targeting early childhood development (ECD) behaviors. The purpose of this study is to report on the extent to which exposure to ASTUTE might be related to ECD behaviors. Methods: ASTUTE disseminated program messages via a mass media campaign and interpersonal communication (IPC). Logistic regression models were used to explore the relationship between exposure to TV, radio, IPC messages, and key ECD behaviors of female primary caregivers and male heads of household. Results: Among primary caregivers, IPC was positively associated with all ECD behaviors measured. Radio was associated with all behaviors except drawing with their child. TV was associated with all behaviors except playing with their child. Among heads of household, only the radio was positively associated with the ECD behaviors measured. Conclusions for practice: Findings indicate that SBCC interventions that include mass media and IPC components may be effective at promoting parental engagement in ECD behaviors. Significance: We know that ECD is important for a child’s development. We know that parents play a critical role in promoting ECD behaviors. We are still exploring ways to influence parents so that they are more involved in ECD behaviors. The results presented here provide evidence for successful mass media and IPC efforts to improve parents’ ECD behaviors. We hope this study will add more evidence for large interventions such as these to the literature, and we are very hopeful that governments and large international NGOs will prioritize SBCC approaches in the future, especially in locations where face-to-face interventions may be challenging.
Collapse
Affiliation(s)
- Eliza Broadbent
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA; (E.B.); (M.M.); (E.A.); (L.K.); (R.S.); (B.T.C.); (P.C.H.)
| | - McKayla McConkie
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA; (E.B.); (M.M.); (E.A.); (L.K.); (R.S.); (B.T.C.); (P.C.H.)
| | - Emily Aleson
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA; (E.B.); (M.M.); (E.A.); (L.K.); (R.S.); (B.T.C.); (P.C.H.)
| | - Lily Kim
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA; (E.B.); (M.M.); (E.A.); (L.K.); (R.S.); (B.T.C.); (P.C.H.)
| | - Rebekah Stewart
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA; (E.B.); (M.M.); (E.A.); (L.K.); (R.S.); (B.T.C.); (P.C.H.)
| | | | - Kirk A. Dearden
- Corus International, Washington, DC 20036, USA; (K.A.D.); (M.L.); (D.C.)
| | - Mary Linehan
- Corus International, Washington, DC 20036, USA; (K.A.D.); (M.L.); (D.C.)
| | - Dennis Cherian
- Corus International, Washington, DC 20036, USA; (K.A.D.); (M.L.); (D.C.)
| | | | - Ben T. Crookston
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA; (E.B.); (M.M.); (E.A.); (L.K.); (R.S.); (B.T.C.); (P.C.H.)
| | - Parley C. Hall
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA; (E.B.); (M.M.); (E.A.); (L.K.); (R.S.); (B.T.C.); (P.C.H.)
| | - Joshua H. West
- Department of Public Health, Brigham Young University, Provo, UT 84602, USA; (E.B.); (M.M.); (E.A.); (L.K.); (R.S.); (B.T.C.); (P.C.H.)
- Correspondence: ; Tel.: +1-801-422-3444
| |
Collapse
|
2
|
Huo S, Wang K, Liu Z, Yang Y, Hee JY, He Q, Takesue R, Tang K. Influence of Maternal Exposure to Mass Media on Growth Stunting Among Children Under Five: Mediation Analysis Through the Water, Sanitation, and Hygiene Program. JMIR Public Health Surveill 2022; 8:e33394. [PMID: 35384848 PMCID: PMC9021946 DOI: 10.2196/33394] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 12/24/2021] [Accepted: 12/28/2021] [Indexed: 11/27/2022] Open
Abstract
Background The issue of malnutrition in the Democratic Republic of Congo is severe. Meanwhile, the Water, Sanitation, and Hygiene program has been demonstrated to be effective in reducing the rates of growth stunting among children. Objective We aimed to explore the association between maternal exposure to mass media and stunting in children through water, sanitation, and hygiene behaviors. Methods Mediation analysis was conducted using data from the 2018 Multiple Indicators Cluster Surveys. Results Mothers’ exposures to television and the internet in the Democratic Republic of Congo significantly decreases the risk of stunting in children by 5% and 10%, respectively, mediated by household water, sanitation, and hygiene facilities and practices. Conclusions These findings could inform interventions and policies to reduce the rate of stunting rate children by promoting water, sanitation, and hygiene through mass media, especially through the internet and television.
Collapse
Affiliation(s)
- Shutong Huo
- Vanke School of Public Health, Tsinghua University, Beijing, China.,Program in Public Health, University of California, Irvine, CA, United States
| | - Kai Wang
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Zongchao Liu
- Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, United States
| | - Yuao Yang
- Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, United States
| | - Jia Yi Hee
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Qiwei He
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Rie Takesue
- Health Section Programme Division, UNICEF Headquarters, New York, NY, United States
| | - Kun Tang
- Vanke School of Public Health, Tsinghua University, Beijing, China.,Institute of Healthy China, Tsinghua University, Beijing, China
| |
Collapse
|
3
|
Sources of nutrition information for Indonesian women during pregnancy: how is information sought and provided? Public Health Nutr 2021; 24:3859-3869. [PMID: 34034850 DOI: 10.1017/s1368980021002317] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Adequate and appropriate nutrition education is expected to contribute towards preventing risk of child stunting and maternal overweight/obesity. Understanding women's information-seeking behaviours is an important key step for health professionals and departments of health in order to improve the development of optimal and targeted nutrition education during pregnancy. This study investigated the experience of Indonesian women in seeking and receiving nutritional information during pregnancy and its relationship to women's socio-demographic and pregnancy characteristics. DESIGN An online cross-sectional study. SETTING Malang City, Indonesia. PARTICIPANTS Women who had given birth within the past 2 years (n 335). RESULTS All women in this study sought or received food and nutrition information from multiple sources, including social and health professional contacts and media sources. The women frequently discussed nutrition issues with their family, particularly their husband (98·2 %) and mother or mother-in-law (91·6 %). This study identified four groups of sources based on women's search habits. Women from high socio-economic strata were more likely to discuss food and nutrition issues or received nutrition information from obstetricians, their family or online sources (adjusted R2 = 26·3 %). Women from low socio-economic strata were more likely to receive nutrition information from midwives, health volunteers or Maternal and Child Health books (adjusted R2 = 14·5 %). CONCLUSIONS A variety of nutrition information sources needs to be provided for women from different socio-economic strata. Involvement of family members in antenatal nutrition education may improve the communication and effectiveness of young mothers' dietary and nutrition education.
Collapse
|
4
|
A National Communication Campaign in Indonesia Is Associated with Improved WASH-Related Knowledge and Behaviors in Indonesian Mothers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103727. [PMID: 32466193 PMCID: PMC7277176 DOI: 10.3390/ijerph17103727] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 05/18/2020] [Accepted: 05/19/2020] [Indexed: 01/18/2023]
Abstract
Background: Water, sanitation, and hygiene (WASH) behaviors play a significant role in stunting. Knowledge and behaviors regarding WASH among caregivers are critical to providing children with chances to survive and thrive. The purpose of this study is to determine if exposure to a national communication campaign using media and interpersonal communication (IPC) is associated with WASH-related knowledge and behaviors among Indonesian mothers with children under the age of two. Methods: Data came from a cross-sectional survey of 1734 mothers with children under the age of two. The measures included exposure to two different interventions: media messages (media) and interpersonal communication strategies (IPC) and WASH-related knowledge and behavior. Multiple logistic regression was used to examine the association between intervention exposure and study variables. Results: Exposure to both media and IPC interventions was associated with participants having a higher knowledge of appropriate defecation practices (p < 0.001), higher knowledge of proper handwashing practices (p < 0.001), and higher self-reported handwashing at critical times (p < 0.001) but was not associated with reported practicing of appropriate defecation (OR = 0.780, 95% CI: 0.566–1.101). Mothers exposed to only media interventions were more likely to have knowledge of appropriate defecation practices (p < 0.001) and to have reported practicing appropriate defecation behaviors (OR = 1.539, 95% CI: 1.173–2.019). Mothers exposed to only IPC interventions were more likely to have reported handwashing at critical times (p = 0.009). Conclusions: Exposure to both media and IPC interventions was associated with increased knowledge and optimal behaviors related to WASH. These findings demonstrate the value of communications campaigns that use mass media coupled with IPC to improve WASH knowledge and behavior.
Collapse
|