Corus International/IMA World Health, 1730 M St NW #1100, Washington, DC 20036, USA.
Corus International/IMA World Health, Nyalali Curve, Plot 1657, Dar es Salaam P.O. Box 9260, Tanzania.
Int J Environ Res Public Health. 2023 Jan 10;20(2):1214. doi: 10.3390/ijerph20021214.
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.
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.
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.
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.
大规模的社会和行为改变沟通（SBCC）方法可以有助于改善知识、态度和实践（KAP）。坦桑尼亚早期解决发育迟缓问题（ASTUTE）包括一个重要的 SBCC 组成部分，针对发育迟缓的前因，包括与母婴健康、产前护理、WASH、儿童发展和男性参与有关的 KAP。
在坦桑尼亚湖地区进行了基线、中程和终线调查，共有 14996 名女性照顾者和 6726 名男性户主参加。回归分析用于估计从基线到中程和基线到终线的 KAP 差异。
女性对手卫生和婴儿/儿童喂养实践的知识，以及与男性参与有关的态度，从基线到中程和基线到终线持续改善。女性与产前护理、母乳喂养和儿童早期发展有关的实践从基线到中程和基线到终线有所改善。男性户主的 KAP 变化指标各不相同，与儿童喂养实践有关的实践从基线到中程和基线到终线持续改善。
从基线到中程和基线到终线，观察到 KAP 的许多变化，这与该地区的 SBCC 规划相对应。这些结果为大规模 SBCC 干预的价值提供了支持。坦桑尼亚等环境中的公共卫生工作可能受益于采用这些方法。
