Role of schools in community mobilisation to improve IYCF practices in 6-24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study.
Role of schools in community mobilisation to improve IYCF practices in 6-24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study.
复制标题
DOI：
10.1136/bmjopen-2020-047741
复制
发表时间：
2022-04-12
期刊：
影响因子：
2.9
通讯作者：
Parikh, Priti
中科院分区：
文献类型：
--
作者：
Lakhanpaul, Monica;Roy, Susrita;Lall, Marie-Carine;Chaturvedi, Hemant;Khanna, Rajesh;Allaham, Shereen;Demel, Isabel-Catherine;Benton, Lorna;Vijay, Virendra Kumar;Sharma, Sanjay;Manikam, Logan;Santwani, Neha;Pattanaik, Satya Prakash;Singh, Tol;Pandya, Pramod;Dang, Priyanka;Parikh, Priti
印度几十年来一直在与婴儿营养不良作斗争。有必要确定社区参与的适当平台，以促进当地可行的、资源有效的婴幼儿喂养干预措施。本研究旨在探讨学校是否以及如何成为印度农村社区参与的场所，作为创新中心，与Angawadi中心合作促进积极变革。五阶段形成性学习;在个人、家庭和社区各级收集数据时，采用了由社会生态框架构成的并行混合方法。本文侧重于定性研究结果。这项研究是在九个村庄内的两个街区，“Ghatol”和“Kushalgarh”，在班斯瓦拉区的拉贾斯坦邦，印度。已确定17所学校。与当地舆论领袖和教育部门代表，包括校长、学校教师、街区和地区教育官员进行了访谈。在九个研究村，收集了67名母亲，58名祖母使用焦点讨论组（FDG）和49名关键受访者在关键线人访谈的信息。学校被认为是重要的社区资源。挑战包括家长参与有限和学生旷课;然而，确定了几个驱动因素和机会，这可能使学校成为一个适当的干预提供场所。入学率很高，学校和相关工作人员鼓励家长参与和学生出勤。现有的举措，包括午餐、游戏机会和健康与卫生教育，进一步突出了学校作为社区动员平台的潜在可靠性。学校已被证明是社区成员经常访问和信任的功能平台。教师和儿童作为变革的推动者，学校可以成为未来更大规模干预研究中社区动员的合适场所。从长远来看，扩大学校周围的支持性环境对于加强健康的国际家庭年做法至关重要。
India has been struggling with infant malnutrition for decades. There is a need to identify suitable platforms for community engagement to promote locally feasible, resource efficient Infant and Young Child Feeding (IYCF) interventions. This study aims to explore if and how schools could represent a site for community engagement in rural India, acting as innovation hubs to foster positive change in partnership with the Angawadi centres. Five-phase formative study; A parallel mixed methods approach structured by a socioecological framework was used for data collection at individual, household and community levels. This paper focuses on the qualitative findings. This study was undertaken in nine villages within two blocks, ‘Ghatol’ and ‘Kushalgarh’, in the Banswara district of Rajasthan, India. 17 schools were identified. Interviews were conducted with local opinion leaders and representatives in the education sector, including principals, schoolteachers, block and district education officers. Across the nine study villages, information was gathered from 67 mothers, 58 paternal grandmothers using Focus Discussion Groups (FDGs) and 49 key respondents in Key Informant Interviews. Schools were considered an important community resource. Challenges included limited parental participation and student absenteeism; however, several drivers and opportunities were identified, which may render schools a suitable intervention delivery site. Enrolment rates were high, with schools and associated staff encouraging parental involvement and student attendance. Existing initiatives, including the mid-day meal, play opportunities and education on health and hygiene, further highlight the potential reliability of schools as a platform for community mobilisation. Schools have been shown to be functional platforms frequently visited and trusted by community members. With teachers and children as change agents, schools could represent a suitable setting for community mobilisation in future wider scale intervention studies. Expanding the supportive environment around schools will be essential to reinforce healthy IYCF practices in the long term.
登录
查看更多内容
影响因子：
2.4
作者：
Mukamana, O.;Johri, M.
通讯作者：
Johri, M.
影响因子：
2
作者：
Ribeiro IC;Parra DC;Hoehner CM;Soares J;Torres A;Pratt M;Legetic B;Malta DC;Matsudo V;Ramos LR;Simoes EJ;Brownson RC
通讯作者：
Brownson RC
影响因子：
4.3
作者：
Mitra, Mitashree;Kumar, P. V.;Bharati, P.
通讯作者：
Bharati, P.
影响因子：
2.4
作者：
Bresee, S.;Caruso, B. A.;Freeman, M. C.
通讯作者：
Freeman, M. C.
影响因子：
8.9
作者：
Li, M.;Li, S.;Huxley, R. R.
通讯作者：
Huxley, R. R.