Why India is struggling to feed their young children? A qualitative analysis for tribal communities.

Why India is struggling to feed their young children? A qualitative analysis for tribal communities.
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DOI:
10.1136/bmjopen-2021-051558
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发表时间:
2022-07-28
期刊:
影响因子:
2.9
通讯作者:
Parikh, Priti
Parikh, Priti
中科院分区:
医学3区
文献类型:
--
作者:
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

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这项跨学科的定性研究旨在探索健康、教育、工程和环境因素对印度农村喂养实践的影响。参与式方法促进儿童营养:加强健康、教育、工程和环境联系项目的最终目标是确定需要改进的挑战和机会,以便随后制定适合社会文化的、量身定制的创新干预措施,以便在当地成功实施适当的婴幼儿喂养做法。定性研究方法,包括五个阶段:(1)确定当地喂养做法;(2)确定6-24个月儿童的当地需求和机会;(3-5)分析收集到的定性数据、干预设计、审查和分配。位于印度拉贾斯坦邦班斯瓦拉区的两个社区发展区,即加托尔和库沙尔加的九个村庄。68名参与者完成了半结构访谈或焦点小组讨论,其中包括:母亲、祖母、辅助助产士、安甘瓦迪工人、阿莎·萨乔吉尼、学校教师和当地选举产生的代表。国际青年会的做法及其相关因素。主题分析。我们的成果可以大致归类为两个领域:(1)国际年林业的当前做法和(2)国际年林业的主要驱动因素和挑战。我们阐述了复杂的现象和紧急模式,重点放在:母亲的作用和自主性、对喂养幼儿的知识和态度、服务和资源的可得性,这些做法与农业和生计模式及其对粮食供应和移徙周期的贡献,从而影响“留守”人的生活,以及获得基本保健、教育和基础设施服务的机会。这项跨学科的参与性研究探索了影响政治、村庄和家庭环境中喂养做法的决定因素。这些结果形成了共同创建我们的特定于背景的干预方案的过程。
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. 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. Nine villages in two community development blocks, that is, Ghatol and Kushalgarh, located in the Banswara district in Rajasthan, India. 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. IYCF practices and the factors associated with it. Thematic analysis. 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. 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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