The Significance of Social and Behaviour Change Communication in Promoting Uptake of Micronutrient Interventions in Rural District, Zimbabwe
Abstract:
Zimbabwe is implementing a micronutrient
powder program, which
was designed
to improve micronutrient supplementation to children aged 6-23 months. One year
after program inception, there are reports of low uptake of micronutrient powders.
The study sought to understand the importance of social and behaviour change communication
in promoting uptake of micronutrient powders. The study was conducted in Makoni
rural district of Zimbabwe. Key informant and focus group discussions were employed
to explore the significance of social and behaviour change communication in promoting
uptake of micronutrient powders. Qualitative data analysis methods of transcribing,
organizing, categorizing, and coding were used to sift themes and emerging issues.
Out of 81 community participants in this study, we found that social and behaviour
change communication approaches employed increased knowledge, positive attitude
and infant feeding practices among caregivers. On the other hand, we found that
lack of adequate information on side effects of micronutrient powders may hinder
optimal uptake of micronutrient powders. Social mobilization and capacity building
approaches were used utilized to disseminate information on micronutrient powders.
We found that few community engagement platforms, limited advocacy and mass media
to disseminate information on MNPs may hinder optimal uptake of micronutrient powders.
We suggest that nutrition programs in Zimbabwe should consider utilizing an integrated
social and behaviour change communication approach and provide adequate information
to caregivers on side effects to promote uptake of Micronutrient Powders.
Keywords:
Social and behaviour change communication, Micronutrient powders, Uptake, Nutrition,
Infant and young child feeding, Zimbabwe.
References:
[1]. Akoto
Osei, A. S. (2014). Using Formative Research to Inform the Design of a Home
Fortification with Micronutrient Powders (MNP) Program in Aileu District,
Timor-Leste. Food and Nutrition Bulletin, 68-82.
[2]. Best C,
N. N. (2011). Can multi micronutrient food fortification improve the
micronutrient status, growth, health, and cognition of schoolchildren? A systematic
review. Nutrition Reviews. International Life Sciences Institute, 69 (4):
186-204.
[3]. Bilukha,
J. H. (2012). Program Experience with Micronutrient Powders and Current
Evidence. The Journal of Nutrition, Volume 142, Pages 191S–196S.
[4]. Clements,
R. J. (2011). Spatial heterogeneity of haemoglobin concentration in
preschool-age children in sub-Saharan Africa. Bulletin of the World Health
Organization, 2011;89:459-468.
[5]. Halati
S, V. H. (2013). Home fortification in refugee camps: micronutrient powder
supplementation program for Bhutanese refugee children in Jhapa and Morang
districts, Nepal. Geneva: The HF-TAG website (http://hftag.gainhealth.org/).
[6]. Hilary
Creed-Kanashiro, R. B. (2015). Promoting multi‐micronutrient powders (MNP) in
Peru: acceptance by caregivers and role of health personnel. Maternal and Child
Nutrition, 152-163.
[7]. Ietje
Reerink, S. M. (2017). Experiences and lessons learned for delivery of
micronutrient powders interventions. Maternal and Child Nutrition,
13(S1):e12495.
[8]. Jee
Hyun Rah, S. d. (2012). Program Experience with Micronutrient Powders and
Current Evidence. Journal of Nutrition, 142: 191S–196S, 2012.
[9]. Jefferds
ME, M. K. (2015). of micronutrient powder sachet coverage in Nepal. Maternal
Child Nutrition, 11:77-89.
[10]. Jefferds
ME, O. L. (2010). Formative research exploring acceptability, utilization, and
promotion in order to develop a micronutrient powder (Sprinkles) intervention
among Luo families in western Kenya. . Food Nutrition Bulletin, S179-85.
[11]. Kodish
S, R. J. (2011). Understanding low usage of micronutrient powder in the Kakuma
Refugee Camp, Kenya: findings from a qualitative study. Food Nutrition
Bulletin, 32: 292-303.
[12]. Kristina
Michaux, A. A. (2014). Home Fortification with Micronutrient Powders: Lessons
learned from formative research across six countries. Sight and Life, 25-35.
[13]. Letje
Reerink, S. M. (2017). Experiences and lessons learned for delivery of
micronutrient powders interventions. Maternal and Child Nutrition 13(S1) ,
1-20.
[14]. Mahama
Saaka, P. A.-l. (2017). The effect of social behavior change communication
package on maternal knowledge in obstetric danger signs among mothers in East
Mamprusi District of Ghana. Bio-Med Central, 13-19.
[15]. Mirak
Raj Angdembe, N. C. (2015). Adherence to multiple micronutrient powder among
young children in rural Bangladesh: a cross-sectional study. BMC Public Health,
15:440.
[16]. Mirkovic
KR, P. C. (2016). Predictors of micronutrient powder intake adherence in a
pilot programme in Nepal. Public Health Nutrition, 19:1768–76.
[17]. Neufeld,
M. V. (2017). Experiences and lessons learned for programme improvement of
micronutrient powders interventions. Maternal and Child Nutrition.
[18]. Organization,
W. H. (2016). Use of multiple micronutrient powdersfor point-of-use
fortification of foods consumed by infants and young children aged 6-23 months
and children aged aged 2-12 years. World Health Organization.
[19]. Organization,
W. H. (2017). Multiple micronutrient powders for point-of-use fortification of
foods consumed by children 6–23 months of age. Geneva: e-Library of Evidence
for Nutrition Actions (eLENA).
[20]. Osei A,
S. A. (2014). Using formative research to inform the design of a home
fortification with micronutrient powders (MNP) program in Aileu District,
Timor-Leste. Food Nutrition Bulletin, 35:68–82.
[21]. Parminder
S Suchdev, O. Y.-A. (2016). Effects of community-based sales of micronutrient
powders on morbidity episodes in preschool children in Western Kenya. American
Journal Clinical Nutrition, 1-16.
[22]. Rehana
A Salam, C. M. (2013). Effectiveness of Micronutrient Powders (MNP) in women
and children. BioMed Central Public Health, S22.
[23]. Stephen
Kodish, J. H. (2011). Understanding low usage of micronutrient powder in the
Kakuma Refugee Camp, Kenya: Findings from a qualitative study. Food and
Nutrition Bulletin, 292-303.
[24]. Survey,
Z. N. (2018). Food and NUtrition Council of Zimbabwe.