Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India
Background Counseling on infant and young child feeding (IYCF) to support optimal breastfeeding and complementary feeding practices is an essential intervention, and accurate coverage data is needed to identify gaps and monitor progress. However, coverage information captured during household survey...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
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Elsevier
2023
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/139979 |
| _version_ | 1855525666377695232 |
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| author | Kim, Sunny S. Ashok, Sattvika Avula, Rasmi Mahapatra, Tanmay Gokhale, Priya Walton, Shelley Heidkamp, Rebecca A. Munos, Melinda K. |
| author_browse | Ashok, Sattvika Avula, Rasmi Gokhale, Priya Heidkamp, Rebecca A. Kim, Sunny S. Mahapatra, Tanmay Munos, Melinda K. Walton, Shelley |
| author_facet | Kim, Sunny S. Ashok, Sattvika Avula, Rasmi Mahapatra, Tanmay Gokhale, Priya Walton, Shelley Heidkamp, Rebecca A. Munos, Melinda K. |
| author_sort | Kim, Sunny S. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background Counseling on infant and young child feeding (IYCF) to support optimal breastfeeding and complementary feeding practices is an essential intervention, and accurate coverage data is needed to identify gaps and monitor progress. However, coverage information captured during household surveys has not yet been validated. Objectives We examined the validity of maternal reports of IYCF counseling received during community-based contacts and factors associated with reporting accuracy. Methods Direct observations of home visits conducted by community workers in 40 villages in Bihar, India served as the “gold standard” to maternal reports of IYCF counseling received during 2-wk follow-up surveys (n = 444 mothers with children less than 1 y of age, interviews matched to direct observations). Individual-level validity was assessed by calculating sensitivity, specificity, and AUC. Population-level bias was measured using the inflation factor (IF). Multivariable regression models were used to examine factors associated with response accuracy. Results Prevalence of IYCF counseling during home visits was very high (90.1%). Maternal report of any IYCF counseling received in the past 2 wk was moderate (AUC: 0.60; 95% CI: 0.52, 0.67), and population bias was low (IF = 0.90). However, the recall of specific counseling messages varied. Maternal report of any breastfeeding, exclusive breastfeeding, and dietary diversity messages had moderate validity (AUC > 0.60), but other child feeding messages had low individual validity. Child age, maternal age, maternal education, mental stress, and social desirability were associated with reporting accuracy of multiple indicators. Conclusions Validity of IYCF counseling coverage was moderate for several key indicators. IYCF counseling is an information-based intervention that may be received from various sources, and it may be challenging to achieve higher reporting accuracy over a longer recall period. We consider the modest validity results as positive and suggest that these coverage indicators may be useful for measuring coverage and tracking progress over time. |
| format | Journal Article |
| id | CGSpace139979 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Elsevier |
| publisherStr | Elsevier |
| record_format | dspace |
| spelling | CGSpace1399792025-10-28T10:12:08Z Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India Kim, Sunny S. Ashok, Sattvika Avula, Rasmi Mahapatra, Tanmay Gokhale, Priya Walton, Shelley Heidkamp, Rebecca A. Munos, Melinda K. research methods data analysis data surveys nutrition education nutrition infant feeding breastfeeding infants child feeding children Background Counseling on infant and young child feeding (IYCF) to support optimal breastfeeding and complementary feeding practices is an essential intervention, and accurate coverage data is needed to identify gaps and monitor progress. However, coverage information captured during household surveys has not yet been validated. Objectives We examined the validity of maternal reports of IYCF counseling received during community-based contacts and factors associated with reporting accuracy. Methods Direct observations of home visits conducted by community workers in 40 villages in Bihar, India served as the “gold standard” to maternal reports of IYCF counseling received during 2-wk follow-up surveys (n = 444 mothers with children less than 1 y of age, interviews matched to direct observations). Individual-level validity was assessed by calculating sensitivity, specificity, and AUC. Population-level bias was measured using the inflation factor (IF). Multivariable regression models were used to examine factors associated with response accuracy. Results Prevalence of IYCF counseling during home visits was very high (90.1%). Maternal report of any IYCF counseling received in the past 2 wk was moderate (AUC: 0.60; 95% CI: 0.52, 0.67), and population bias was low (IF = 0.90). However, the recall of specific counseling messages varied. Maternal report of any breastfeeding, exclusive breastfeeding, and dietary diversity messages had moderate validity (AUC > 0.60), but other child feeding messages had low individual validity. Child age, maternal age, maternal education, mental stress, and social desirability were associated with reporting accuracy of multiple indicators. Conclusions Validity of IYCF counseling coverage was moderate for several key indicators. IYCF counseling is an information-based intervention that may be received from various sources, and it may be challenging to achieve higher reporting accuracy over a longer recall period. We consider the modest validity results as positive and suggest that these coverage indicators may be useful for measuring coverage and tracking progress over time. 2023-04 2024-03-14T12:08:47Z 2024-03-14T12:08:47Z Journal Article https://hdl.handle.net/10568/139979 en https://doi.org/10.1111/mcn.13248 Open Access Elsevier Kim, S. S., Ashok, S., Avula, R., Mahapatra, T., Gokhale, P., Walton, S., Heidkamp, R. A., & Munos, M. K. (2023). Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India. In The Journal of Nutrition (Vol. 153, Issue 4, pp. 1220–1230). Elsevier BV. https://doi.org/10.1016/j.tjnut.2023.02.010 |
| spellingShingle | research methods data analysis data surveys nutrition education nutrition infant feeding breastfeeding infants child feeding children Kim, Sunny S. Ashok, Sattvika Avula, Rasmi Mahapatra, Tanmay Gokhale, Priya Walton, Shelley Heidkamp, Rebecca A. Munos, Melinda K. Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India |
| title | Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India |
| title_full | Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India |
| title_fullStr | Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India |
| title_full_unstemmed | Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India |
| title_short | Moderate Accuracy of Survey Responses about Infant and Young Child Feeding Counseling Reported by Mothers with Children Less than 1 Year of Age in India |
| title_sort | moderate accuracy of survey responses about infant and young child feeding counseling reported by mothers with children less than 1 year of age in india |
| topic | research methods data analysis data surveys nutrition education nutrition infant feeding breastfeeding infants child feeding children |
| url | https://hdl.handle.net/10568/139979 |
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