Exploring barriers and enablers for scaling up a community-based grain bank intervention for improved infant and young child feeding in Ethiopia: A qualitative process evaluation

Maternal and Child Nutrition

Volumn 14, Issue 2, 2018, Pages

  Sako, Binta ^a   Leerlooijer, Joanne N ^b   Lelisa, Azeb ^c   Hailemariam, Abebe ^d   Brouwer, Inge D ^e   Tucker Brown, Amal ^d   Osendarp, Saskia J M ^e,f  

^a independent environmental consultant at Easton Consult SPRL   (Belgium)

^b UNIVERSITY OF APPLIED SCIENCES UTRECHT   (Netherlands)

^c NUTRITION INTERNATIONAL   (Ethiopia)

^d UNICEF   (United States)

^e WAGENINGEN UNIVERSITY   (Netherlands)

^f NUTRITION INTERNATIONAL   (Canada)

Author keywords

complementary feeding; Ethiopia; infant and child; nutrition; nutritional interventions; process evaluation; scaling up

Indexed keywords

ADULT; ARTICLE; CEREAL; CHILD NUTRITION; COMMUNITY CARE; COMPLEMENTARY FEEDING; DECISION MAKING; ECONOMIC ASPECT; ETHIOPIA; FEMALE; FOOD AVAILABILITY; GRAIN; HEALTH CARE SYSTEM; HUMAN; INFANT FEEDING; MALE; MATERNAL ATTITUDE; POLITICS; PRIORITY JOURNAL; SCALE UP; ADOLESCENT; BABY FOOD; DEMOGRAPHY; DIET; EVALUATION STUDY; INFANT; INFANT NUTRITION; MIDDLE AGED; NUTRITIONAL DISORDER; PRESCHOOL CHILD; PROCEDURES; PROGRAM EVALUATION; STATISTICS AND NUMERICAL DATA; YOUNG ADULT;

ADOLESCENT; ADULT; CHILD NUTRITION DISORDERS; CHILD NUTRITIONAL PHYSIOLOGICAL PHENOMENA; CHILD, PRESCHOOL; DIET; ETHIOPIA; EVALUATION STUDIES AS TOPIC; FEMALE; HUMANS; INFANT; INFANT FOOD; INFANT NUTRITIONAL PHYSIOLOGICAL PHENOMENA; MALE; MIDDLE AGED; PROGRAM EVALUATION; RESIDENCE CHARACTERISTICS; YOUNG ADULT;

EID: 85045168510     PISSN: 17408695     EISSN: 17408709     Source Type: Journal    
DOI: 10.1111/mcn.12551     Document Type: Article

References (39)

1. Addis Ababa University. (2010). Rapid assessment of community based production of complementary food in Tigray, Amhara, oromia and SNNP regions. Ethiopia: Retrieved from Addis Ababa.
2. Atun, R., de Jongh, T., Secci, F., Ohiri, K., & Adeyi, O. (2010). Integration of targeted health interventions into health systems: A conceptual framework for analysis. Health Policy and Planning, 25(2), 104–111. https://doi.org/10.1093/heapol/czp055
3. Bailey, S., & Hedlund, K. (2012). The impact of cash transfers on nutrition in emergency and transitional contexts: A review of evidence. London: Humanitarian Policy Group, Overseas Development Institute.
4. Baker, J., Sanghvi, T., Hajeebhoy, N., & Hailu Abrha, T. (2013). Learning from the design and implementation of large scale programs to improve infant and young child feeding. Food and Nutrition Bulletin, 34. (3 [supplement])
5. Bantayerga, H. (2011). Ethiopia's Health Extension Program: Improving health through community involvement. MEDDIC Review, 13(3).
6. Bhandari, N., Mazumder, S., Bahl, R., Martines, J., Black, R. E., & Bhan, M. K. (2004). An educational intervention to promote appropriate complementary feeding practices and physical growth in infants and young children in rural Haryana, India. The Journal of Nutrition, 134.
7. Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., … Black, R. E. (2013). Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? The Lancet, 382(9890), 452–477. https://doi.org/10.1016/s0140-6736(13)60996-4
8. Central Statistical Agency (CSA), & ICF. (2016). Ethiopia Demographic Health Survey. Key Indicators Report. Retrieved from Addis Ababa:
9. Chen, L., Evans, T., Anand, S., Boufford, J. I., Brown, H., Chowdhury, M., … Wibulpolprasert, S. (2004). Human resources for health: Overcoming the crisis. The Lancet, 364(9449), 1984–1990. https://doi.org/10.1016/s0140-6736(04)17482-5
10. Cleaver, F. (1999). Paradoxes of participation: Questionning participatory approaches to development. Journal of Internatonal Development, 11(4), 597–612.
11. Dewey, K. G., & Adu-Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal & Child Nutrition, 4(s1), 24–85.
12. Federal Democratic Republic of Ethiopia. (2009). Cost of hunger in Ethiopia: Implications for the growth and transformation of Ethiopia. Retrieved from Addis Ababa: http://documents.wfp.org/stellent/groups/public/documents/communications/wfp258076.pdf
13. George, A., Menotti, E. P., Rivera, D., & Marsh, D. R. (2011). Community case management in Nicaragua: Lessons in fostering adoption and expanding implementation. Health Policy and Planning, 26(4), 327–337. https://doi.org/10.1093/heapol/czq048
14. Gillespie, S., Haddad, L., Mannar, V., Menon, P., & Nisbett, N. (2013). The politics of reducing malnutrition: Building commitment and accelerating progress. The Lancet, 382(9891), 552–569. https://doi.org/10.1016/s0140-6736(13)60842-9
15. Haile, F., Yemane, D., & Gebresselasie, A. (2014). Assessment of non-financial incentives for volunteer community health workers—The case of Wukro district Tigray, Ethiopia. Human Resources for Health, 12(54).
16. International Food Policy Reaserch Institute. (2012). In I. F. P. R. Institute (Ed.), Scaling up in agriculture, rural development and nutrition. Washington DC.
17. Karim, R., Coates, J., Desplats, G., Kabir, I., Patwari, Y., Ortolano, S., … Levinson, J. F. (2002). Challenges to the monitoring and evaluation of large nutrition programs in developing countries: Examples from Bangladesh (vol. discussion paper 1): TUFTS nutrition.
18. Kim, S. S., Ali, D., Kennedy, A., Tesfaye, R., Tadesse, A. W., Abrha, T. H., … Menon, P. (2015). Assessing implementation fidelity of a community-based infant and young child feeding intervention in Ethiopia identifies delivery challenges that limit reach to communities: A mixed-method process evaluation study. BMC Public Health, 15, 316. https://doi.org/10.1186/s12889-015-1650-4
19. Kusek, J. Z., & Rist, R. C. (2004). Introduction Part 3: M&E experience in developed and developing countries. In T. W. Bank (Ed.), A handbook for development practitioners. Ten steps to a results-based monitoring and evaluation system. Washington DC.
20. Maes, K., Closser, S., Vorel, E., & Tesfaye, Y. (2015). A Women's Development Army: Narratives of community health worker investment and empowerment in rural Ethiopia. Studies in Comparative International Development, 50(4), 455–478. https://doi.org/10.1007/s12116-015-9197-z
21. Menon, P., Covic, N. M., Harrigan, P. B., Horton, S. E., Kazi, N. M., Lamstein, S., … Pelletier, D. (2014). Strengthening implementation and utilization of nutrition interventions through research: A framework and research agenda. Annals of the New York Academy of Sciences, 1332, 39–59. https://doi.org/10.1111/nyas.12447
22. Milat, A. J., Bauman, A., & Redman, S. (2015). Narrative review of models and success factors for scaling up public health interventions. Implementation Science, 10, 113. https://doi.org/10.1186/s13012-015-0301-6
23. Mpofu, M., Semo, B.-W., Grignon, J., Refeletswe, L., Ludick, S., Matshediso, E., … Ledikwe, J. H. (2014). Strengthening monitoring and evaluation (M&E) and building sustainable health information systems in resource limited countries: Lessons learned from an M&E task-shifting initiative in Botswana. BMC Public Health, 14(1032).
24. Nash, D., Elul, B., Rabkin, M., Tun, M., Saito, S., Becker, M., & Nuwagaba-Biribonwoha, H. (2009). Strategies for more effective monitoring and evaluation systems in HIV programmatic scale-up in resource-limited settings: Implications for health systems strengthening. JAIDS Journal of Acquired Immune Deficiency Syndromes, 52, S58–S62. https://doi.org/10.1097/QAI.0b013e3181bbcc45
25. Piwoz, E., Baker, J., & Frongillo, E. A. (2013). Documenting large-scale programs to improve infant and young child feeding is key to facilitating progress in child nutrition. Food and Nutrition Bulletin, 34(3), S143–S145.
26. Rifkin, S. B., Hewitt, G., & Draper, A. (2007). Community participation in nutrition programs for child survival and anemia. London: Centre for Public Health Nutrition, School of Integration Health, University of Westminster.
27. Rifkin, S. B., Lewando-Hundt, G., & Draper, A. (2000). Participatory approaches in health promotion and health planning: A literature review. London: London School of Hygiene and Tropical Medicine, Health Development Agency.
28. Robert, R. C., Gittelsohn, J., Creed-Kanashiro, H. M., Penny, M. E., Caulfield, L. E., Narro, M. R., & Black, R. E. (2006). Process evaluation determines the pathway of success for a health center-delivered, nutrition education intervention for infants in Trujillo, Peru. The Journal of Nutrition, 136(3), 634–641.
29. Roche, M. L., Sako, B., Osendarp, S. J., Adish, A. A., & Tolossa, A. L. (2017). Community-based grain banks using local foods for improved infant and young child feeding in Ethiopia. Maternal & Child Nutrition, 13(2). https://doi.org/10.1111/mcn.12219
30. Rogers, E. M. (1995). Diffusion of innovations. New york: The Free Press.
31. Roy, S. K., Jolly, S. P., Shafique, S., Fuchs, G. J., Mahmud, Z., Chakraborty, B., & Roy, S. (2007). Prevention of malnutrition among young children in rural Bangladesh by a food-health-care educational intervention: A randomized, controlled trial. Food and Nutrition Bulletin, 28. https://doi.org/10.1177/156482650702800401
32. Sanghvi, T., Haque, R., Roy, S., Afsana, K., Seidel, R., Islam, S., … Baker, J. (2016). Achieving behaviour change at scale: Alive & Thrive's infant and young child feeding programme in Bangladesh. Maternal and Child Nutrition, 12(Suppl 1), 141–154. https://doi.org/10.1111/mcn.12277
33. Teklehaimanot, H. D., & Teklehaimanot, A. (2013). Human resource development for a community-based health extension program: A case study from Ethiopia. Human Resources for Health, 11(39).
34. The World Bank, & Inter-American Development Bank. (2010). Challenges in monitoring and evaluation. An Opportunity to Institutionalize M&E Systems.
35. UNICEF-Ethiopia. (2013). Community-Based Nutrition. Retrieved from https://www.unicef.org/ethiopia/2014-12-15-NUTRITION-based.pdf
36. Wakabi, W. (2008). Extension workers drive Ethiopia's primary health care. The Lancet, 372(9642), 880. https://doi.org/10.1016/S0140-6736(08)61381-1
37. Watanabe, K. (2013). Systematic review and lessons learned from a local complementary food production pilot project in the four regions of the MDG-F nutrition programme—Final report. Addis Ababa.
38. Wijesinha-Bettoni, R., Kennedy, G., Dirorimwe, C., & Muehlhoff, E. (2013). Considering seasonal variations in food avalability and caring capacity when planning complementary feeding interventions in developing countries. International Journal of Child Health and Nutrition, 2, 335–352.
39. Yamey, G. (2011). Scaling up global health interventions: A proposed framework for success. PLoS Medicine, 8(6). e1001049. https://doi.org/10.1371/journal.pmed.1001049