Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis

Program impact pathway (PIP) analysis helps to lay out and study the causal links between program activities, outcomes and impacts. This PIP analysis‐based study examines the pathways by which the Alive & Thrive (A&T) social franchise model is expected to improve infant and young child feeding (IYCF...

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Main Authors: Nguyen, Phuong Hong, Menon, Purnima, Keithly, Sarah C., Hajeebhoy, Nemat, Mai, Lan Tran, Ruel, Marie T., Rawat, Rahul
Format: Abstract
Language:Inglés
Published: Wiley 2014
Subjects:
Online Access:https://hdl.handle.net/10568/150514
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author Nguyen, Phuong Hong
Menon, Purnima
Keithly, Sarah C.
Hajeebhoy, Nemat
Mai, Lan Tran
Ruel, Marie T.
Rawat, Rahul
author_browse Hajeebhoy, Nemat
Keithly, Sarah C.
Mai, Lan Tran
Menon, Purnima
Nguyen, Phuong Hong
Rawat, Rahul
Ruel, Marie T.
author_facet Nguyen, Phuong Hong
Menon, Purnima
Keithly, Sarah C.
Hajeebhoy, Nemat
Mai, Lan Tran
Ruel, Marie T.
Rawat, Rahul
author_sort Nguyen, Phuong Hong
collection Repository of Agricultural Research Outputs (CGSpace)
description Program impact pathway (PIP) analysis helps to lay out and study the causal links between program activities, outcomes and impacts. This PIP analysis‐based study examines the pathways by which the Alive & Thrive (A&T) social franchise model is expected to improve infant and young child feeding (IYCF) practices in Vietnam. Mixed methods (surveys, observations, facility assessments) were used to assess the following elements of the PIP: 1) training and knowledge of frontline health workers (FHWs) (n =447); 2) quality of service delivery and communication with clients (n =166); 3) mothers’ service utilization (n = 2,045); and 4) the program’s role in shaping maternal behavioral determinants of IYCF practices. A&T training was associated with improved FHWs’ IYCF knowledge and counseling skills, resulting in higher quality IYCF counseling. Franchise utilization increased from 10% in 2012 to 45% in 2013, but utilization fell far below the expected 9‐15 contacts specified in A&T guidelines. Improvements in breastfeeding knowledge, intentions, and beliefs were greater among mothers in intervention areas with social franchise and mass media, compared to media alone. In conclusion, many aspects of the franchise services are encouraging, but challenges in service delivery and utilization along the PIP should be addressed to achieve the full intended impact.Grant Funding Source: Funded by Bill & Melinda Gates Foundation, through Alive & Thrive, managed by FHI360
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spelling CGSpace1505142025-04-03T21:29:22Z Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis Nguyen, Phuong Hong Menon, Purnima Keithly, Sarah C. Hajeebhoy, Nemat Mai, Lan Tran Ruel, Marie T. Rawat, Rahul impact infant feeding child feeding feeding habits Program impact pathway (PIP) analysis helps to lay out and study the causal links between program activities, outcomes and impacts. This PIP analysis‐based study examines the pathways by which the Alive & Thrive (A&T) social franchise model is expected to improve infant and young child feeding (IYCF) practices in Vietnam. Mixed methods (surveys, observations, facility assessments) were used to assess the following elements of the PIP: 1) training and knowledge of frontline health workers (FHWs) (n =447); 2) quality of service delivery and communication with clients (n =166); 3) mothers’ service utilization (n = 2,045); and 4) the program’s role in shaping maternal behavioral determinants of IYCF practices. A&T training was associated with improved FHWs’ IYCF knowledge and counseling skills, resulting in higher quality IYCF counseling. Franchise utilization increased from 10% in 2012 to 45% in 2013, but utilization fell far below the expected 9‐15 contacts specified in A&T guidelines. Improvements in breastfeeding knowledge, intentions, and beliefs were greater among mothers in intervention areas with social franchise and mass media, compared to media alone. In conclusion, many aspects of the franchise services are encouraging, but challenges in service delivery and utilization along the PIP should be addressed to achieve the full intended impact.Grant Funding Source: Funded by Bill & Melinda Gates Foundation, through Alive & Thrive, managed by FHI360 2014 2024-08-01T02:52:09Z 2024-08-01T02:52:09Z Abstract https://hdl.handle.net/10568/150514 en Limited Access Wiley Nguyen, Phuong H.; Menon, Purnima; Keithly, Sarah C.; Hajeebhoy, Nemat; Tran, Lan M.; Ruel, Marie T.; and Rawat, Rahul. 2014. Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis. FASEB Journal 28(1 Supplement): 624.10. https://doi.org/10.1096/fasebj.28.1_supplement.624.10
spellingShingle impact
infant feeding
child feeding
feeding habits
Nguyen, Phuong Hong
Menon, Purnima
Keithly, Sarah C.
Hajeebhoy, Nemat
Mai, Lan Tran
Ruel, Marie T.
Rawat, Rahul
Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis
title Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis
title_full Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis
title_fullStr Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis
title_full_unstemmed Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis
title_short Understanding the implementation, utilization, and potential impact of a social franchise model to improve infant and young child feeding practices in Vietnam: A program impact pathway analysis
title_sort understanding the implementation utilization and potential impact of a social franchise model to improve infant and young child feeding practices in vietnam a program impact pathway analysis
topic impact
infant feeding
child feeding
feeding habits
url https://hdl.handle.net/10568/150514
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