Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh

Behaviour change communication (BCC) can improve infant and young child nutrition (IYCN) knowledge, practices, and health outcomes. However, few studies have examined whether the improved knowledge persists after BCC activities end. This paper assesses the effect of nutrition sensitive social protec...

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Autores principales: Hoddinott, John F., Ahmed, Akhter, Karachiwalla, Naureen, Roy, Shalini
Formato: Journal Article
Lenguaje:Inglés
Publicado: Wiley 2018
Materias:
Acceso en línea:https://hdl.handle.net/10568/145490
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author Hoddinott, John F.
Ahmed, Akhter
Karachiwalla, Naureen
Roy, Shalini
author_browse Ahmed, Akhter
Hoddinott, John F.
Karachiwalla, Naureen
Roy, Shalini
author_facet Hoddinott, John F.
Ahmed, Akhter
Karachiwalla, Naureen
Roy, Shalini
author_sort Hoddinott, John F.
collection Repository of Agricultural Research Outputs (CGSpace)
description Behaviour change communication (BCC) can improve infant and young child nutrition (IYCN) knowledge, practices, and health outcomes. However, few studies have examined whether the improved knowledge persists after BCC activities end. This paper assesses the effect of nutrition sensitive social protection interventions on IYCN knowledge in rural Bangladesh, both during and after intervention activities. We use data from two, 2-year, cluster randomised control trials that included nutrition BCC in some treatment arms. These data were collected at intervention baseline, midline, and endline, and 6–10 months after the intervention ended. We analyse data on IYCN knowledge from the same 2,341 women over these 4 survey rounds. We construct a number correct score on 18 IYCN knowledge questions and assess whether the impact of the BCC changes over time for the different treatment groups. Effects are estimated using ordinary least squares accounting for the clustered design of the study. There are 3 main findings: First, the BCC improves IYCN knowledge substantially in the 1st year of the intervention; participants correctly answer 3.0–3.2 more questions (36% more) compared to the non-BCC groups. Second, the increase in knowledge between the 1st and 2nd year was smaller, an additional 0.7–0.9 correct answers. Third, knowledge persists; there are no significant decreases in IYCN knowledge 6–10 months after nutrition BCC activities ended.
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spelling CGSpace1454902025-03-18T18:50:42Z Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh Hoddinott, John F. Ahmed, Akhter Karachiwalla, Naureen Roy, Shalini cluster sampling infants malnutrition nutrition children Behaviour change communication (BCC) can improve infant and young child nutrition (IYCN) knowledge, practices, and health outcomes. However, few studies have examined whether the improved knowledge persists after BCC activities end. This paper assesses the effect of nutrition sensitive social protection interventions on IYCN knowledge in rural Bangladesh, both during and after intervention activities. We use data from two, 2-year, cluster randomised control trials that included nutrition BCC in some treatment arms. These data were collected at intervention baseline, midline, and endline, and 6–10 months after the intervention ended. We analyse data on IYCN knowledge from the same 2,341 women over these 4 survey rounds. We construct a number correct score on 18 IYCN knowledge questions and assess whether the impact of the BCC changes over time for the different treatment groups. Effects are estimated using ordinary least squares accounting for the clustered design of the study. There are 3 main findings: First, the BCC improves IYCN knowledge substantially in the 1st year of the intervention; participants correctly answer 3.0–3.2 more questions (36% more) compared to the non-BCC groups. Second, the increase in knowledge between the 1st and 2nd year was smaller, an additional 0.7–0.9 correct answers. Third, knowledge persists; there are no significant decreases in IYCN knowledge 6–10 months after nutrition BCC activities ended. 2018-01-10 2024-06-21T09:04:34Z 2024-06-21T09:04:34Z Journal Article https://hdl.handle.net/10568/145490 en https://hdl.handle.net/10568/148633 https://doi.org/10.2499/p15738coll2.134479 https://doi.org/10.3368/jhr.0720-11014R2 Open Access Wiley Hoddinott, John F.; Ahmed, Akhter; Karachiwalla, Naureen; and Roy, Shalini. 2018. Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh. Maternal and Child Nutrition 14(1): e12498. https://doi.org/10.1111/mcn.12498
spellingShingle cluster sampling
infants
malnutrition
nutrition
children
Hoddinott, John F.
Ahmed, Akhter
Karachiwalla, Naureen
Roy, Shalini
Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh
title Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh
title_full Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh
title_fullStr Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh
title_full_unstemmed Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh
title_short Nutrition behaviour change communication causes sustained effects on IYCN knowledge in two cluster-randomised trials in Bangladesh
title_sort nutrition behaviour change communication causes sustained effects on iycn knowledge in two cluster randomised trials in bangladesh
topic cluster sampling
infants
malnutrition
nutrition
children
url https://hdl.handle.net/10568/145490
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