| Autor: |
David Osrin, Sanjay Sharma, Monica Lakhanpaul, Logan Manikam, Anita Saxena, Amita Kashyap, Atul Singhal, Nerges Mistry, Priti Parikh, Lorna Benton, Shereen Allaham, Ramesh Mehta, Rajesh Khanna, Ian Warwick, Susrita Roy, Marie Lall, Virendra Kumar Vijay, Neha Santwani, Hanimi Reddy, Hemant Chaturvedi, Satya Prakash Pattanaik, Tol Singh, Pramod Pandya, Priyanka Dang, Isabel-Cathérine Demel, Marie-Carine Lall, Ritu Chhabria, Ritu Prakash, Sai Lakshmi, Neeta Karal Nair, Sathya Jegannathan Manoharan, Ms. Benita, Shilpa Karvande, SNEHA; Nayreen Daruwalla, Anand Karve, V M Chariar, T. Sundararaman, John Pelton, Sachin Maheshwari, Sofia Strummer, Himanshu Parikh |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
BMJ Open, Vol 12, Iss 4 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2020-047741 |
| Popis: |
Objective India has been struggling with infant malnutrition for decades. There is a need to identify suitable platforms for community engagement to promote locally feasible, resource efficient Infant and Young Child Feeding (IYCF) interventions. This study aims to explore if and how schools could represent a site for community engagement in rural India, acting as innovation hubs to foster positive change in partnership with the Angawadi centres.Design Five-phase formative study; A parallel mixed methods approach structured by a socioecological framework was used for data collection at individual, household and community levels. This paper focuses on the qualitative findings.Setting This study was undertaken in nine villages within two blocks, ‘Ghatol’ and ‘Kushalgarh’, in the Banswara district of Rajasthan, India.Participants 17 schools were identified. Interviews were conducted with local opinion leaders and representatives in the education sector, including principals, schoolteachers, block and district education officers. Across the nine study villages, information was gathered from 67 mothers, 58 paternal grandmothers using Focus Discussion Groups (FDGs) and 49 key respondents in Key Informant Interviews.Results Schools were considered an important community resource. Challenges included limited parental participation and student absenteeism; however, several drivers and opportunities were identified, which may render schools a suitable intervention delivery site. Enrolment rates were high, with schools and associated staff encouraging parental involvement and student attendance. Existing initiatives, including the mid-day meal, play opportunities and education on health and hygiene, further highlight the potential reliability of schools as a platform for community mobilisation.Conclusions Schools have been shown to be functional platforms frequently visited and trusted by community members. With teachers and children as change agents, schools could represent a suitable setting for community mobilisation in future wider scale intervention studies. Expanding the supportive environment around schools will be essential to reinforce healthy IYCF practices in the long term. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
