A5084422537- Child Nutrition and Water Access
- Breastfeeding Practices and Influences
- Food Security and Health in Diverse Populations
- Child Nutrition and Feeding Issues
- Global Maternal and Child Health
- Child and Adolescent Health
- Poverty, Education, and Child Welfare
- Iron Metabolism and Disorders
- Obesity, Physical Activity, Diet
- Public Health and Nutrition
- Infant Development and Preterm Care
- Public Health Policies and Education
- Hemoglobinopathies and Related Disorders
- Reproductive Health and Contraception
- Meta-analysis and systematic reviews
- Maternal Mental Health During Pregnancy and Postpartum
- Birth, Development, and Health
- Health Systems, Economic Evaluations, Quality of Life
Thrive
2016-2025
Family Health International 360
2015-2025
University of South Carolina
2019
Bangladesh Institute of Development Studies
2010
Academy for Educational Development
2010
Yeshiva University
2000
Save the Children
1979
Background: Maternal undernutrition is a major concern globally, contributing to poor birth outcomes. Limited evidence exists on delivering multiple interventions for maternal nutrition simultaneously. Alive & Thrive addressed this gap by integrating nutrition-focused interpersonal counseling, community mobilization, distribution of free micronutrient supplements, and weight-gain monitoring through an existing Maternal, Neonatal, Child Health (MNCH) program in Bangladesh.Objectives: We...
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...
Suboptimal dietary intake is a critical cause of poor maternal nutrition, with several adverse consequences both for mothers and their children. This study aimed to (1) assess patterns in India; (2) examine enablers barriers adopting recommended diets; (3) review current policy program strategies improve intakes. We used mixed methods, including empirical analysis, compiling data from available national subnational surveys, reviewing literature, policy, strategies. Diets among pregnant women...
ABSTRACT Child nutrition has serious long‐term development implications. Evidence‐based frameworks and models are urgently needed to reduce deficits in infants young children's diets on a large scale. Our paper reviews 32 publications five impact evaluations of programmes Bangladesh, Ethiopia, Nepal, Nigeria Vietnam identify what worked why; the quality evidence, diversity countries multi‐level interventions scale were selection criteria. Key lessons are: need for advocacy prioritize...
In Bangladesh, many programs and projects have been promoting breastfeeding since the late 1980 s. Breastfeeding practices, however, not improved accordingly. For identifying program-relevant issues to improve in infancy, quantitative data were collected through visits households (n = 356) rural Chittagong urban slums Dhaka, qualitative from sub-samples by applying semi-structured in-depth interviews 42), focus group discussions 28), opportunistic observations 21). Trials of Improved...
Little is known about nutrition and well-being indicators of pregnant adolescents the availability use interventions delivered through maternal, newborn, child health (MNCH) programs. This study compared differences between adult women in services received, maternal conditions. A survey 2,000 recently with infants <6 months age was carried out 20 sub-districts Bangladesh where MNCH program being implemented. Differences service outcomes were tested using multivariate regression models. The...
Timely support given to breastfeeding mothers can result in life-saving benefits for both and infants. Progress achieving results from existing efforts improve practices be accelerated with adequate investments effective interventions. We aimed document expenditures incurred by three diverse programs Bangladesh, Ethiopia, Vietnam that demonstrated improved outcomes. Based on expenditure records, we retrospectively calculated annual per participant expenditures. The represent the incremental...
Abstract Integrating nutrition interventions into antenatal care (ANC) requires adapting global recommendations to fit existing health systems and local contexts, but the evidence is limited on process of tailoring for programmes. We developed integrated maternal ANC programmes in Bangladesh, Burkina Faso, Ethiopia India by conducting studies assessments, developing new tools processes field testing programme models. This paper elucidates how we used information data contextualize a package...
Antenatal care (ANC) is the largest health platform globally for delivering maternal nutrition interventions (MNIs) to pregnant women. Yet, large missed opportunities remain in service delivery. This paper examines how well evidence-based MNIs were incorporated national policies and programs Bangladesh, Burkina Faso, Ethiopia India. We compared content of ANC protocols against global recommendations. used survey data elucidate coverage micronutrient supplementation, weight gain monitoring,...
Interaction within mothers' social networks can theoretically diffuse messages from interventions and campaigns into norms practices for infant young child feeding (IYCF). We hypothesized that networks, diffusion of information, differed in intensive [intensive interpersonal counseling (IPC), community mobilization (CM), mass media (MM)] compared with nonintensive (standard IPC less-intensive CM MM) intervention areas, were associated IYCF practices, partly explained practice improvement....
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...
Background: The World Health Organization recommends daily iron and folic acid (IFA) supplementation during pregnancy, but consumption remains low, high prevalence of anemia among pregnant women (PW) persists. Objectives: This study aims to (1) examine factors at the health system, community, individual levels, which influence adherence IFA supplements; (2) describe a comprehensive approach for designing interventions improve based on lessons learned from 4 country experiences. Methods: We...
Abstract Inequalities in breastfeeding programmes and practices have slowed global progress providing the life‐saving protection of for millions infants despite well‐known life‐long impacts. As interventions are scaled up, inequalities coverage should be tracked, particularly disadvantaged groups, who likely to suffer most serious health developmental impacts poor childhood nutrition. The literature provides evidence practices, but research is limited on socioeconomic disparities...
BackgroundChildren in the 6-to-23-month age group need to consume adequate energy and nutrients for healthy growth, brain development, cognition, future productivity. Yet large deficits remain. Complementary feeding practices can be improved on a scale, but whether interventions reach benefit disadvantaged mothers is not known.ObjectiveTo assess inequalities complementary coverage following scale program implementation three low- middle-income countries.MethodsWe re-analyzed evaluation data...
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...
The objective of this study was to explore predictors exclusive breastfeeding (EBF) in Bangladesh using data from 2007, 2011 and 2014, specifically focusing on potential reasons why rates EBF changed over those time periods.Data mother/infant pairs with infants <6 months age were examined at the three points Demographic Health Survey. prevalence, changes since previous survey determinants each period t-tests, χ2 multilevel logistic regression.The prevalence 42.5, 65 59.4% respectively. child...
Alive & Thrive (A&T) in Bangladesh aims to improve IYCF through 1) a national mass media (MM) campaign, 2) social mobilization and 3) interpersonal communication delivered by health workers from BRAC, implemented at scale 50 sub‐districts. A cluster‐randomized evaluation was conducted 20 sub‐districts, 10 receiving all 3 interventions (A&T‐3) with MM only (A&T‐MM). Impact indicators were practices children <24 mo attained linear growth 24‐47 mo. Cross‐sectional surveys...
Breastfeeding is essential for child survival but globally less than fifty percent of infants receive adequate breastfeeding. Gaps in breastfeeding knowledge and misinformation are widespread. Mass media aims to motivate mothers families, encourage care-seeking, improve social norms, counteract misleading advertising. However, the costs coverage mass not well documented. Our study provides a cost-accounting four large-scale interventions obtained through media. We retrospectively calculated...
Poor nutrition during adolescence can undermine current and future health, well-being, schooling, productivity, particularly among socioeconomically disadvantaged girls. We analysed wealth schooling-related inequalities adolescent girls in Bangladesh, Ethiopia, India, Nigeria. Using data from Demographic Health Surveys (DHS), we calculated the Erreygers Index (EI) for low body mass index (BMI), anaemia, completed primary education, health care. The patterns of socioeconomic differed...