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Why India is struggling to feed their young children? A qualitative analysis for tribal communities.
Lakhanpaul, Monica; Roy, Susrita; Benton, Lorna; Lall, Marie; Khanna, Rajesh; Vijay, Virendra Kumar; Sharma, Sanjay; Manikam, Logan; Santwani, Neha; Reddy, Hanimi; Chaturvedi, Hemant; Allaham, Shereen; Pattanaik, Satya Prakash; Singh, Tol; Pandya, Pramod; Dang, Priyanka; Parikh, Priti.
Afiliación
  • Lakhanpaul M; Department of Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, University College London, London, UK m.lakhanpaul@ucl.ac.uk.
  • Roy S; Whittington Health NHS Trust, London, UK.
  • Benton L; Save The Children, Gurugram, India.
  • Lall M; Department of Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
  • Khanna R; Institute of Education, University College London, London, UK.
  • Vijay VK; Save The Children, Gurugram, India.
  • Sharma S; Indian Institute of Technology Delhi, New Delhi, India.
  • Manikam L; Save the Children, Rajasthan State Programme Office, Jaipur, India.
  • Santwani N; Department of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK.
  • Reddy H; Aceso Global Health Consultants, London, UK.
  • Chaturvedi H; Save The Children, Gurugram, India.
  • Allaham S; Save The Children, Gurugram, India.
  • Pattanaik SP; Save the Children, Rajasthan, India.
  • Singh T; Department of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK.
  • Pandya P; Aceso Global Health Consultants, London, UK.
  • Dang P; Save the Children, Rajasthan State Programme Office, Jaipur, India.
  • Parikh P; Save the Children, Rajasthan, India.
BMJ Open ; 12(7): e051558, 2022 07 28.
Article en En | MEDLINE | ID: mdl-35902199
OBJECTIVE: This interdisciplinary qualitative study aims to explore the health, education, engineering and environment factors impacting on feeding practices in rural India. The ultimate goal of the Participatory Approach for Nutrition in Children: Strengthening Health Education Engineering and Environment Linkages project is to identify challenges and opportunities for improvement to subsequently develop socioculturally appropriate, tailored, innovative interventions for the successful implementation of appropriate infant and young child feeding (IYCF) practices locally. DESIGN: Qualitative research method, involving five phases: (1) identification of local feeding practices; (2) identification of the local needs and opportunities for children aged 6-24 months; and (3-5) analysis of the gathered qualitative data, intervention design, review and distribution. SETTING: Nine villages in two community development blocks, that is, Ghatol and Kushalgarh, located in the Banswara district in Rajasthan, India. PARTICIPANTS: 68 participants completed semistructured interviews or focus group discussions including: mothers, grandmothers, auxiliary nurse midwife, Anganwadi worker, ASHA Sahyogini, school teachers and local elected representative. PHENOMENON OF INTEREST: IYCF practices and the factors associated with it. ANALYSIS: Thematic analysis. RESULTS: Our results could be broadly categorised into two domains: (1) the current practices of IYCF and (2) the key drivers and challenges of IYCF. We explicate the complex phenomena and emergent model focusing on: mother's role and autonomy, knowledge and attitude towards feeding of young children, availability of services and resources that shape these practices set against the context of agriculture and livelihood patterns and its contribution to availability of food as well as on migration cycles thereby affecting the lives of 'left behind', and access to basic health, education and infrastructure services. CONCLUSIONS: This interdisciplinary and participatory study explored determinants impacting feeding practices across political, village and household environments. These results shaped the process for cocreation of our context-specific intervention package.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Alimentaria / Abuelos Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Child / Child, preschool / Female / Humans / Infant País/Región como asunto: Asia Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Alimentaria / Abuelos Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Child / Child, preschool / Female / Humans / Infant País/Región como asunto: Asia Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido