Department of Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, University College London, London, UK
Whittington Health NHS Trust, London, UK.
BMJ Open. 2022 Jul 28;12(7):e051558. doi: 10.1136/bmjopen-2021-051558.
This interdisciplinary qualitative study aims to explore the health, education, engineering and environment factors impacting on feeding practices in rural India. The ultimate goal of the Participatory Approach for Nutrition in Children: Strengthening Health Education Engineering and Environment Linkages project is to identify challenges and opportunities for improvement to subsequently develop socioculturally appropriate, tailored, innovative interventions for the successful implementation of appropriate infant and young child feeding (IYCF) practices locally.
Qualitative research method, involving five phases: (1) identification of local feeding practices; (2) identification of the local needs and opportunities for children aged 6-24 months; and (3-5) analysis of the gathered qualitative data, intervention design, review and distribution.
Nine villages in two community development blocks, that is, Ghatol and Kushalgarh, located in the Banswara district in Rajasthan, India.
68 participants completed semistructured interviews or focus group discussions including: mothers, grandmothers, auxiliary nurse midwife, Anganwadi worker, ASHA Sahyogini, school teachers and local elected representative.
IYCF practices and the factors associated with it.
Thematic analysis.
Our results could be broadly categorised into two domains: (1) the current practices of IYCF and (2) the key drivers and challenges of IYCF. We explicate the complex phenomena and emergent model focusing on: mother's role and autonomy, knowledge and attitude towards feeding of young children, availability of services and resources that shape these practices set against the context of agriculture and livelihood patterns and its contribution to availability of food as well as on migration cycles thereby affecting the lives of 'left behind', and access to basic health, education and infrastructure services.
This interdisciplinary and participatory study explored determinants impacting feeding practices across political, village and household environments. These results shaped the process for cocreation of our context-specific intervention package.
本跨学科定性研究旨在探讨影响印度农村喂养实践的健康、教育、工程和环境因素。“儿童营养参与式方法：加强健康教育工程和环境联系”项目的最终目标是确定挑战和改进机会，以便随后为当地成功实施适当的婴幼儿喂养（IYCF）实践制定具有社会文化适应性、量身定制、创新的干预措施。
定性研究方法，涉及五个阶段：（1）确定当地喂养实践；（2）确定 6-24 个月儿童的当地需求和机会；（3-5）分析收集的定性数据、干预设计、审查和分配。
印度拉贾斯坦邦班斯瓦拉地区的两个社区发展区——加托尔和库沙尔加尔的 9 个村庄。
68 名参与者完成了半结构化访谈或焦点小组讨论，包括：母亲、祖母、助理护士助产士、安格班迪工人、ASHA Sahyogini、学校教师和当地民选代表。
IYCF 实践及其相关因素。
主题分析。
我们的结果可以大致分为两个领域：（1）IYCF 的当前实践；（2）IYCF 的主要驱动因素和挑战。我们详细阐述了复杂的现象和新兴模式，重点关注：母亲的角色和自主权、对幼儿喂养的知识和态度、塑造这些实践的服务和资源的可用性，以及农业和生计模式的背景及其对食物供应的贡献，以及移民周期如何影响“留守”人员的生活，以及获得基本的健康、教育和基础设施服务的机会。
本跨学科和参与式研究探讨了影响政治、村庄和家庭环境中喂养实践的决定因素。这些结果塑造了我们特定于情境的干预包的共同创造过程。
