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Promoting responsive care and early learning practices in Northern Ghana: results from a counselling intervention within nutrition and health services.
Aidam, Enam; Varela, Veronica; Abukari, Fauzia; Torres, Kelsey A; Nisingizwe, Marie Paul; Yourkavitch, Jennifer; Yakubu, Eliasu; Abubakari, Abdulai; Ibrahim, Rashida; Oot, Lesley; Beck, Kathryn; Azumah, Selorme; Issahaku, Al-Hassan; Apoassan Jambeidu, Joyce; Abdul-Rahman, Lutuf; Adu-Asare, Catherine; Uyehara, Malia; Cashin, Kristen; Karnati, Romilla; Kirk, Catherine M.
Afiliación
  • Aidam E; USAID Advancing Nutrition, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Varela V; JSI Research & Training Institute, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Abukari F; USAID Advancing Nutrition, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Torres KA; JSI Research & Training Institute, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Nisingizwe MP; JSI Research & Training Institute, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Yourkavitch J; USAID Advancing Nutrition Ghana, Plot# 11, Jisonaayili-Gurugu, Tamale, Ghana.
  • Yakubu E; USAID Advancing Nutrition, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Abubakari A; JSI Research & Training Institute, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Ibrahim R; USAID Advancing Nutrition, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Oot L; University of British Columbia, School of Population and Public Health, 2206 East Mall, Vancouver, BC, Canada.
  • Beck K; USAID Advancing Nutrition, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Azumah S; Results for Development, 1111 19th Street NW, Washington, DC, USA.
  • Issahaku AH; Saha Consulting and Services Limited, P. O. Box 430, Tamale, Ghana.
  • Apoassan Jambeidu J; Saha Consulting and Services Limited, P. O. Box 430, Tamale, Ghana.
  • Abdul-Rahman L; University for Development Studies, School of Public Health, Department of Global and International Health, P.O. Box TL1350, Tamale, Ghana.
  • Adu-Asare C; Saha Consulting and Services Limited, P. O. Box 430, Tamale, Ghana.
  • Uyehara M; USAID Advancing Nutrition, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Cashin K; JSI Research & Training Institute, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Karnati R; USAID Advancing Nutrition, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
  • Kirk CM; JSI Research & Training Institute, 2733 Crystal Drive, Fourth Floor, Arlington, VA22201, USA.
Public Health Nutr ; 27(1): e77, 2024 Feb 08.
Article en En | MEDLINE | ID: mdl-38328894
ABSTRACT

OBJECTIVE:

This study assesses change in caregiver practices after integrating responsive care and early learning (RCEL) in nutrition and health services and community platforms in northern Ghana.

DESIGN:

We trained health facility workers and community health volunteers to deliver RCEL counselling to caregivers of children under 2 years of age through existing health facilities and community groups. We assessed changes in caregivers' RCEL practices before and after the intervention with a household questionnaire and caregiver-child observations.

SETTING:

The study took place in Sagnarigu, Gushegu, Wa East and Mamprugu-Moagduri districts from April 2022 to March 2023. Study sites included seventy-nine child welfare clinics (CWC) at Ghana Health Service facilities and eighty village savings and loan association (VSLA) groups.

PARTICIPANTS:

We enrolled 211 adult caregivers in the study sites who had children 0-23 months at baseline and were enrolled in a CWC or a VSLA.

RESULTS:

We observed improvements in RCEL and infant and young child feeding practices, opportunities for early learning (e.g. access to books and playthings) in the home environment and reductions in parental stress.

CONCLUSIONS:

This study demonstrates the effectiveness of integrating RCEL content into existing nutrition and health services. The findings can be used to develop, enhance and advocate for policies integrating RCEL into existing services and platforms in Ghana. Future research may explore the relationship between positive changes in caregiver behaviour and improvements in child development outcomes as well as strategies for enhancing paternal engagement in care practices, improving child supervision and ensuring an enabling environment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estado Nutricional / Consejo Límite: Adult / Humans / Infant / Male País/Región como asunto: Africa Idioma: En Revista: Public Health Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estado Nutricional / Consejo Límite: Adult / Humans / Infant / Male País/Región como asunto: Africa Idioma: En Revista: Public Health Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido