USAID Advancing Nutrition, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
JSI Research and Training Institute, 44 Farnsworth Street, Boston, MA02210, USA.
Public Health Nutr. 2024 Oct 8;27(1):e202. doi: 10.1017/S1368980024001642.
To assess changes in caregiver practices for young children after integrating the package into nutrition services after 10 months of implementation.
We measured changes in RCEL practices through a pre- and post-intervention assessment comprising a household survey and observations. To implement the intervention, we trained health service staff and community volunteers to deliver RCEL counselling to caregivers of children 0-23 months of age through existing community and facility-level platforms.
Jalal-Abad and Batken regions in the Kyrgyz Republic.
Caregivers of children aged 0-23 months at baseline.
We found statistically significant increases in RCEL practices, availability of early learning opportunities in the home, decreases in parenting stress and improvements in complementary feeding practices after the intervention implementation period.
Findings show that delivery of RCEL counselling using the was associated with improved responsive care practices and early learning opportunities. We also found that integration of RCEL with infant and young child feeding counselling did not disrupt nutrition service delivery or negatively affect complementary feeding outcomes, but rather suggest synergistic benefits. Given the importance of providing holistic care to support optimal early childhood development, these findings provide new evidence on how to strengthen the delivery of nurturing care services in the Kyrgyz Republic.
在实施 10 个月后，将该包整合到营养服务中，评估对幼儿照顾者实践的变化。
我们通过预干预和后干预评估来衡量 RCEL 实践的变化，评估包括家庭调查和观察。为了实施干预，我们培训了卫生服务人员和社区志愿者，通过现有的社区和机构平台向 0-23 个月大的儿童的照顾者提供 RCEL 咨询。
吉尔吉斯斯坦的贾拉拉巴德州和巴特肯州。
基线时 0-23 个月大儿童的照顾者。
我们发现，在干预实施期间，RCEL 实践、家庭中早期学习机会的可用性、育儿压力的降低以及补充喂养实践的改善均有统计学意义的增加。
研究结果表明，使用 提供 RCEL 咨询与改善反应性护理实践和早期学习机会有关。我们还发现，将 RCEL 与婴幼儿喂养咨询相结合，并没有扰乱营养服务的提供，也没有对补充喂养结果产生负面影响，反而表明存在协同效益。鉴于提供全面护理以支持最佳幼儿期发展的重要性，这些发现为如何在吉尔吉斯斯坦加强养育护理服务的提供提供了新的证据。
