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
Child malnutrition remains high in Ethiopia, and inadequate complementary feeding is a contributing factor. In this context, a community‐based intervention was designed to provide locally made complementary food for children 6–23 months, using a bartering system, in four Ethiopian regions. After a p...
| Autores principales: | , , , , |
|---|---|
| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Wiley
2018
|
| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/171209 |
| _version_ | 1855529748033175552 |
|---|---|
| author | Sako, Binta Leerlooijer, Joanne N. Lelisa, Azeb Hailemariam, Abebe Brouwer, Inge D. |
| author_browse | Brouwer, Inge D. Hailemariam, Abebe Leerlooijer, Joanne N. Lelisa, Azeb Sako, Binta |
| author_facet | Sako, Binta Leerlooijer, Joanne N. Lelisa, Azeb Hailemariam, Abebe Brouwer, Inge D. |
| author_sort | Sako, Binta |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Child malnutrition remains high in Ethiopia, and inadequate complementary feeding is a contributing factor. In this context, a community‐based intervention was designed to provide locally made complementary food for children 6–23 months, using a bartering system, in four Ethiopian regions. After a pilot phase, the intervention was scaled up from 8 to 180 localities. We conducted a process evaluation to determine enablers and barriers for the scaling up of this intervention. Eight study sites were selected to perform 52 key informant interviews and 31 focus group discussions with purposely selected informants. For analysis, we used a framework describing six elements of successful scaling up: socio‐political context, attributes of the intervention, attributes of the implementers, appropriate delivery strategy, the adopting community, and use of research to inform the scale‐up process. A strong political will, alignment of the intervention with national priorities, and integration with the health care system were instrumental in the scaling up. The participatory approach in decision‐making reinforced ownership at community level, and training about complementary feeding motivated mothers and women's groups to participate. However, the management of the complex intervention, limited human resources, and lack of incentives for female volunteers proved challenging. In the bartering model, the barter rate was accepted, but the bartering was hindered by unavailability of cereals and limited financial and material resources to contribute, threatening the project's sustainability. Scaling up strategies for nutrition interventions require sufficient time, thorough planning, and assessment of the community's capacity to contribute human, financial, and material resources. |
| format | Journal Article |
| id | CGSpace171209 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1712092025-02-19T14:31:15Z 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 Sako, Binta Leerlooijer, Joanne N. Lelisa, Azeb Hailemariam, Abebe Brouwer, Inge D. community organizations infant feeding child feeding qualitative analysis malnutrition child nutrition health care systems complementary foods infants children scaling up Child malnutrition remains high in Ethiopia, and inadequate complementary feeding is a contributing factor. In this context, a community‐based intervention was designed to provide locally made complementary food for children 6–23 months, using a bartering system, in four Ethiopian regions. After a pilot phase, the intervention was scaled up from 8 to 180 localities. We conducted a process evaluation to determine enablers and barriers for the scaling up of this intervention. Eight study sites were selected to perform 52 key informant interviews and 31 focus group discussions with purposely selected informants. For analysis, we used a framework describing six elements of successful scaling up: socio‐political context, attributes of the intervention, attributes of the implementers, appropriate delivery strategy, the adopting community, and use of research to inform the scale‐up process. A strong political will, alignment of the intervention with national priorities, and integration with the health care system were instrumental in the scaling up. The participatory approach in decision‐making reinforced ownership at community level, and training about complementary feeding motivated mothers and women's groups to participate. However, the management of the complex intervention, limited human resources, and lack of incentives for female volunteers proved challenging. In the bartering model, the barter rate was accepted, but the bartering was hindered by unavailability of cereals and limited financial and material resources to contribute, threatening the project's sustainability. Scaling up strategies for nutrition interventions require sufficient time, thorough planning, and assessment of the community's capacity to contribute human, financial, and material resources. 2018-04 2025-01-29T12:57:51Z 2025-01-29T12:57:51Z Journal Article https://hdl.handle.net/10568/171209 en Open Access Wiley Sako, Binta; Leerlooijer, Joanne N.; Lelisa, Azeb; Hailemariam, Abebe; Brouwer, Inge D.; et al. 2018. 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 14(2): e12551. https://doi.org/10.1111/mcn.12551 |
| spellingShingle | community organizations infant feeding child feeding qualitative analysis malnutrition child nutrition health care systems complementary foods infants children scaling up Sako, Binta Leerlooijer, Joanne N. Lelisa, Azeb Hailemariam, Abebe Brouwer, Inge D. 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 |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | community organizations infant feeding child feeding qualitative analysis malnutrition child nutrition health care systems complementary foods infants children scaling up |
| url | https://hdl.handle.net/10568/171209 |
| work_keys_str_mv | AT sakobinta exploringbarriersandenablersforscalingupacommunitybasedgrainbankinterventionforimprovedinfantandyoungchildfeedinginethiopiaaqualitativeprocessevaluation AT leerlooijerjoannen exploringbarriersandenablersforscalingupacommunitybasedgrainbankinterventionforimprovedinfantandyoungchildfeedinginethiopiaaqualitativeprocessevaluation AT lelisaazeb exploringbarriersandenablersforscalingupacommunitybasedgrainbankinterventionforimprovedinfantandyoungchildfeedinginethiopiaaqualitativeprocessevaluation AT hailemariamabebe exploringbarriersandenablersforscalingupacommunitybasedgrainbankinterventionforimprovedinfantandyoungchildfeedinginethiopiaaqualitativeprocessevaluation AT brouweringed exploringbarriersandenablersforscalingupacommunitybasedgrainbankinterventionforimprovedinfantandyoungchildfeedinginethiopiaaqualitativeprocessevaluation |