A5035706501- Child Nutrition and Water Access
- Breastfeeding Practices and Influences
- Food Security and Health in Diverse Populations
- Global Maternal and Child Health
- Child Nutrition and Feeding Issues
- Obesity, Physical Activity, Diet
- Iron Metabolism and Disorders
- Nutritional Studies and Diet
- Agricultural risk and resilience
- Poverty, Education, and Child Welfare
- Bangladesh Politics, Society, and Development
- Focus Groups and Qualitative Methods
- Educational Methods and Impacts
- Public Health and Nutrition
- Folate and B Vitamins Research
- Human Health and Disease
- COVID-19 and Mental Health
- Erythropoietin and Anemia Treatment
- Interprofessional Education and Collaboration
- Community Health and Development
- Birth, Development, and Health
- COVID-19 Digital Contact Tracing
- ICT in Developing Communities
- Family and Disability Support Research
- Hemoglobinopathies and Related Disorders
Center for Advancing Health
2022-2024
Save the Children
2014-2024
Food and Agriculture Organization of the United Nations
2022
Emory University
2022
Imperial College London
2022
Micron (United States)
2022
United States Agency for International Development
2021
John Snow (United States)
2019
Family Health International 360
2016-2018
Thrive
2014-2016
Micronutrient deficiencies compromise immune systems, hinder child growth and development, affect human potential worldwide. Yet, to our knowledge, the only existing estimate of global prevalence micronutrient is from over 30 years ago based on anaemia. We aimed regional deficiency in at least one three micronutrients among preschool-aged children (aged 6-59 months) non-pregnant women reproductive age 15-49 years).
Background Despite recommendations supporting optimal breastfeeding, the number of women practicing exclusive breastfeeding (EBF) remains low, and few interventions have demonstrated implementation impact at scale. Alive & Thrive was implemented over a period 6 y (2009–2014) aimed to improve practices through intensified interpersonal counseling (IPC), mass media (MM), community mobilization (CM) intervention components delivered scale in context policy advocacy (PA) Bangladesh Viet Nam. In...
Anemia prevalence estimates reported in population surveys can vary based on the blood-specimen source (capillary or venous) and analytical device (haematology auto-analyzers portable hemoglobinometers) used for hemoglobin (Hb) determination. This multi-site (Cambodia, Ethiopia, Guatemala, Lebanon, Nigeria, Tanzania) study assessed Hb measurements paired venous capillary from apparently healthy women (15–49 years) children (12–59 months) using three HemoCue® models (201+, 301, 801)....
Background Traditionally, impact evaluations have focused primarily on answering what programs or interventions have, with less attention to how why impacts are achieved, not achieved. The Alive & Thrive initiative, a 6-year program that aims improve infant and young child feeding (IYCF) practices reduce stunting in Bangladesh, Ethiopia, Vietnam, has specific objective generate learning achieve replicate Thrive's impact. Objective In Thrive, theory-driven process evaluation methods the...
Abstract The pathways through which behavior change interventions impact breastfeeding practices have not been well studied. This study aimed to examine: (1) the effects of exposure mass media and interpersonal counseling on exclusive (EBF) hypothesized psychosocial determinants (i.e. knowledge, intention, beliefs, social norms, self‐efficacy); (2) are associated with EBF. We used survey data from mothers children < 2 year ( n = 2045) 2013 process evaluation Alive & Thrive's program...
Although husbands may provide support during pregnancy, limited evidence exists on how to promote husbands' engagement and what impact it has. Alive & Thrive integrated nutrition-focused interventions, targeting both wives husbands, through an existing Maternal, Neonatal, Child Health (MNCH) platform in Bangladesh. We evaluated 1) the of a MNCH program, compared with standard behavioral determinants (i.e., awareness, knowledge, self-efficacy) adopt optimal nutrition practices 2) much...
Social and behavior change communication interventions are integral to improving dietary care practices, but evidence on the impact of combination intensity these in different contexts is scarce.
Abstract The burden of undernutrition in South Asia is greater than anywhere else. Policies and programmatic efforts increasingly address health non‐health determinants undernutrition. In Nepal, one large‐scale integrated nutrition program, Suaahara, aimed to reduce among women children the 1,000‐day period, while simultaneously addressing inequities. this study, we use household‐level process evaluation data ( N = 480) assess levels exposure program inputs knowledge practices related...
Objectives. To examine the association between exposure to breastfeeding television spots and exclusive (EBF). Methods. We performed face-to-face interviews with 11 722 mothers of infants younger than 6 months using 5 cross-sectional surveys or more apart 2011 2014 in Vietnam. Sample sizes were 2065 2593, approximately 50% participants lived areas (Alive & Thrive [A&T]-intensive [I]) without (A&T-nonintensive [NI]) facilities offering counseling services. analyzed data at...
The World Health Organization (WHO) and United Nations Children's Fund (UNICEF) recommend exclusive breastfeeding (EBF) for the first 6 months of life. To estimate proportion infants that are exclusively breastfed, many agencies use point prevalence EBF among currently 0-5.9 age, as recommended by WHO UNICEF. This measure tends to overestimate percentage breastfed entire period. We compared five methods measuring EBF, using data from three large-scale cross-sectional surveys. were:...
Antenatal care may be a means to reduce food insecurity in pregnancy and postpartum periods. With the use of cluster-randomized design, we tested whether participation nutrition-focused antenatal intending improve household knowledge about importance nutrition for pregnant lactating women encourage allocation resources ensure sufficient quality quantity foods, without providing assistance, would insecurity. Alive & Thrive integrated interventions into an existing Maternal, Neonatal, Child...
Infant and young child feeding (IYCF) interventions in low-resource countries mainly target pregnant women mothers of children; however, fathers grandmothers also influence IYCF practices. We conducted focus group discussions with mothers, children across three time points areas where an social behaviour change intervention was implemented Nigeria to explore differences by participant type shifts over attitudes, beliefs norms related breastfeeding dietary diversity (DD). Overall, points, we...
Abstract Most countries implement nutrition counselling interventions as part of programmes to support breastfeeding and complementary feeding. However, data track coverage are rarely available. As a result, little is known about the on infant young child feeding (IYCF). Survey‐based collection systems generally collect IYCF practices but do not IYCF, those surveys that this information so consistently. We present framework guide design survey questions measure coverage. provide examples how...
Abstract Understanding implementation of interventions is critical to illuminate if, how, and why the achieve impact. Alive & Thrive integrated a nutrition intervention into an existing maternal, neonatal, child health (MNCH) programme in Bangladesh, documenting improvements women's micronutrient supplement intake dietary diversity. Here, we examined how well was implemented which elements explained Survey data were collected 2015 2016 from frontline workers (FLW) households areas...
Anaemia among women and young children remains a major public health concern. This secondary study describes the anaemia prevalence hospitalised their mothers in northern Lao People's Democratic Republic explores possible nutritional causes risk factors for anaemia. Hospitalised (ages 21 days to <18 months) with clinical symptoms suggestive of thiamine deficiency disorders were eligible along mothers. Venous blood was collected determination haemoglobin, ferritin, soluble transferrin...
Abstract Objective: To evaluate the impact of a counselling programme to strengthen health and nutrition behaviours caregivers children under 2 sustainability that through reduced intervention intensity one year later. Design: The trained community- facility-based staff provide counselling. We conducted an evaluation with modified stepped-wedge design using difference-in-differences analysis compare indicator changes in group comparison (midterm survey) then full light (final survey)....
Little information is available about how to build a monitoring system measure the output of preventive nutrition interventions, such as counselling on infant and young child feeding. This paper describes Alive & Thrive Vietnam (A&T) project experience in nesting large-scale into existing public health (e.g. using resources), data strengthen service delivery 15 provinces with A&T franchises. From January 2012 April 2014, 780 franchises provided 1,700,000 contacts (~3/4 by commune...
Background Few studies, especially in lower middle‐income countries, have examined the role of mass media interventions on infant and young child feeding (IYCF) practices, critical for optimal growth development. To improve IYCF practices Vietnam, Alive & Thrive (A&T) invested a nationwide TV campaign (from November 2011 to December 2014) promote practices. The focused broadcasting short spots that convey small, doable actions persuasive, attractive manner. During same period,...
Nepal has a cadre of thousands Female Community Health Volunteers (FCHVs), whose primary responsibility is to deliver health and nutrition services rural households. Suaahara, program which integrates family planning, nutrition, water, sanitation hygiene homestead food production, aimed use FCHVs information improve the nutritional status women children <2 years. Using mixed methods, we examined effectiveness Suaahara on improving FCHVs’ IYCF knowledge in context quasi‐experimental impact...
In the context of large-scale interventions to improve infant and young child feeding (IYCF) practices, we examined differences in characteristics those exposed not interventions; exposure interpersonal communication (IPC), including overlap with other timing number contacts; relationship between frequency IPC contacts IYCF practices. We used endline survey data from Bangladesh (2000 mothers children <2y, 1000 per program group), Ethiopia (1720 mother aged 6–23.9 mo, 1360 Vietnam (2005...
To share lessons from a survey on nutrition practices, where the methodology shifted in-person to phone interviews due COVID-19 pandemic. The USAID Advancing Nutrition Project is conducting an impact evaluation in Kyrgyz Republic determine effect of project interventions behaviors. Municipalities Batken and Jalalabad regions were randomly assigned intervention or comparison areas.The stepped wedge design includes baseline, midpoint, endline surveys, carried out at 12-month intervals....
Alive &amp; Thrive (A&amp;T), in partnership with the Government of Viet Nam, is among first to manage a network 780 franchises that provide good‐quality infant and young child nutrition counseling. This paper describes our experience nesting A&amp;T project monitoring into public health system using data strengthen franchise performance. Paper based forms are filled at village commune level. Data entered excel district level, aggregated province level submitted upwards regional...