Choufani Jowel, Kim Sunny S, Nguyen Phuong Hong, Heidkamp Rebecca, Grummer-Strawn Laurence, Saha Kuntal Kumar, Hayashi Chika, Mehra Vrinda, Alayon Silvia, Menon Purnima
International Food Policy Research Institute, Washington, District of Columbia, USA.
Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Matern Child Nutr. 2020 Oct;16(4):e13001. doi: 10.1111/mcn.13001. Epub 2020 Apr 15.
Most countries implement nutrition counselling interventions as part of programmes to support breastfeeding and complementary feeding. However, data to track coverage of counselling interventions are rarely available. As a result, little is known about the coverage of counselling on infant and young child feeding (IYCF). Survey-based data collection systems generally collect data on IYCF practices but do not collect data on coverage of interventions to support IYCF, and those surveys that do collect this information do not do so consistently. We present a framework to guide the design of survey questions to measure IYCF counselling coverage. We provide examples of how large-scale surveys for programme evaluation and national monitoring have included survey questions to address these data gaps. Our review suggests that elements relevant to designing survey questions to capture coverage of counselling interventions include timing of contact, target behaviour and message content, place of contact, type of service provider, frequency of contact and mode of intervention. Application of this framework may help strengthen harmonized measurement of IYCF counselling coverage to enable better tracking of programme investments, document progress in scaling up nutrition services and allow for cross-country comparisons. Thus, improving measurement of counselling coverage may lead to improved reach of programmes to support optimal IYCF practices.
大多数国家将营养咨询干预措施作为支持母乳喂养和辅食喂养项目的一部分来实施。然而，跟踪咨询干预措施覆盖情况的数据却很少能获取到。因此，关于婴幼儿喂养（IYCF）咨询的覆盖情况鲜为人知。基于调查的数据收集系统通常收集有关IYCF做法的数据，但不收集支持IYCF干预措施覆盖情况的数据，而那些确实收集此类信息的调查也并非始终如此。我们提出了一个框架，以指导测量IYCF咨询覆盖情况的调查问题设计。我们举例说明了用于项目评估和国家监测的大规模调查是如何纳入调查问题以填补这些数据空白的。我们的综述表明，与设计用于获取咨询干预措施覆盖情况的调查问题相关的要素包括接触时间、目标行为和信息内容、接触地点、服务提供者类型、接触频率和干预方式。应用这一框架可能有助于加强对IYCF咨询覆盖情况的统一测量，以便更好地跟踪项目投资、记录扩大营养服务方面的进展并进行跨国比较。因此，改进咨询覆盖情况的测量可能会使支持最佳IYCF做法的项目覆盖面得到改善。
