Association of BCC Module Roll-Out in SHG meetings with changes in complementary feeding and dietary diversity among children (6-23 months)? Evidence from JEEViKA in Rural Bihar, India
Child dietary diversity is very low across rural communities in Bihar. Based on the experience of behavior change communication (BCC) module roll out in self-help group (SHG) sessions in rural Bihar, this study aims to assess the impact of the intervention on child dietary diversity levels in the be...
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creator | Mondal, Sudipta Joe, William Akhauri, Santosh Thakur, Putul Kumar, Abhishek Pradhan, Narottam Thatte, Prasann Jha, Rakesh Kumar Purty, Apolenarius Chaudhuri, Indrajit |
description | Child dietary diversity is very low across rural communities in Bihar. Based on the experience of behavior change communication (BCC) module roll out in self-help group (SHG) sessions in rural Bihar, this study aims to assess the impact of the intervention on child dietary diversity levels in the beneficiary groups.
The study is based on a pre-post study design whereby child dietary diversity is examined for a sample of 300 children (6-23 months old from 60 village organizations) during both pre-intervention as well as post-intervention phase. The latter consists of two types of group viz. a) children whose mothers were directly exposed to BCC module in SHGs sessions and b) those who were non-participants but may have indirect exposure through spillovers of BCC activities. Econometric analysis including logistic regression as well as propensity score matching techniques are applied for estimating the changes in dietary diversity in the post-intervention phase.
During the pre-intervention phase, 19% of the children (6-23 months) had adequate dietary diversity (eating from at least 4 out of 7 different food groups) and this increased to 49% among the exposed group and to 28% among the non-exposed group in the post-intervention phase. The exposed group have an odds ratio of 3.81 (95% CI: 2.03, 7.15) for consuming diverse diet when compared to the pre-intervention group. The propensity score matching analysis finds a 33% average treatment effect on the treated (ATT) for the group participating in BCC sessions at SHG events.
BCC roll out among SHG members is an effective mode to increase dietary diversity among infants and young children. The impact on child dietary diversity was significantly higher among mothers directly exposed to BCC modules. The BCC module also improved knowledge and awareness levels on complementary feeding and child dietary diversity. |
doi_str_mv | 10.1371/journal.pone.0279724 |
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The study is based on a pre-post study design whereby child dietary diversity is examined for a sample of 300 children (6-23 months old from 60 village organizations) during both pre-intervention as well as post-intervention phase. The latter consists of two types of group viz. a) children whose mothers were directly exposed to BCC module in SHGs sessions and b) those who were non-participants but may have indirect exposure through spillovers of BCC activities. Econometric analysis including logistic regression as well as propensity score matching techniques are applied for estimating the changes in dietary diversity in the post-intervention phase.
During the pre-intervention phase, 19% of the children (6-23 months) had adequate dietary diversity (eating from at least 4 out of 7 different food groups) and this increased to 49% among the exposed group and to 28% among the non-exposed group in the post-intervention phase. The exposed group have an odds ratio of 3.81 (95% CI: 2.03, 7.15) for consuming diverse diet when compared to the pre-intervention group. The propensity score matching analysis finds a 33% average treatment effect on the treated (ATT) for the group participating in BCC sessions at SHG events.
BCC roll out among SHG members is an effective mode to increase dietary diversity among infants and young children. The impact on child dietary diversity was significantly higher among mothers directly exposed to BCC modules. The BCC module also improved knowledge and awareness levels on complementary feeding and child dietary diversity.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0279724</identifier><identifier>PMID: 36602987</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Behavior modification ; Biology and Life Sciences ; Children ; Children & youth ; Childrens health ; Communication ; Diet ; Econometrics ; Economic growth ; Exposure ; Families & family life ; Feeding Behavior ; Food combining ; Food groups ; Health aspects ; Health education ; Hindi language ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Initiatives ; International organizations ; Intervention ; Matching ; Medicine and Health Sciences ; Methods ; Modules ; Nutrition ; Pediatric research ; People and Places ; Physical growth ; Research and Analysis Methods ; Rural areas ; Rural communities ; Rural Population ; Sanitation ; Self-Help Groups ; Social capital</subject><ispartof>PloS one, 2023-01, Vol.18 (1), p.e0279724-e0279724</ispartof><rights>Copyright: © 2023 Mondal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Mondal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Mondal et al 2023 Mondal et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-e4f8dfad36f3d3dc4afa30343205913638ed2d89db586307f6f36309ee61e8e23</citedby><cites>FETCH-LOGICAL-c593t-e4f8dfad36f3d3dc4afa30343205913638ed2d89db586307f6f36309ee61e8e23</cites><orcidid>0000-0002-0480-7966 ; 0000-0001-5959-3195 ; 0000-0003-3282-658X ; 0000-0002-8248-4402</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9815627/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9815627/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36602987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mohanty, Pratap Chandra</contributor><creatorcontrib>Mondal, Sudipta</creatorcontrib><creatorcontrib>Joe, William</creatorcontrib><creatorcontrib>Akhauri, Santosh</creatorcontrib><creatorcontrib>Thakur, Putul</creatorcontrib><creatorcontrib>Kumar, Abhishek</creatorcontrib><creatorcontrib>Pradhan, Narottam</creatorcontrib><creatorcontrib>Thatte, Prasann</creatorcontrib><creatorcontrib>Jha, Rakesh Kumar</creatorcontrib><creatorcontrib>Purty, Apolenarius</creatorcontrib><creatorcontrib>Chaudhuri, Indrajit</creatorcontrib><title>Association of BCC Module Roll-Out in SHG meetings with changes in complementary feeding and dietary diversity among children (6-23 months)? Evidence from JEEViKA in Rural Bihar, India</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Child dietary diversity is very low across rural communities in Bihar. Based on the experience of behavior change communication (BCC) module roll out in self-help group (SHG) sessions in rural Bihar, this study aims to assess the impact of the intervention on child dietary diversity levels in the beneficiary groups.
The study is based on a pre-post study design whereby child dietary diversity is examined for a sample of 300 children (6-23 months old from 60 village organizations) during both pre-intervention as well as post-intervention phase. The latter consists of two types of group viz. a) children whose mothers were directly exposed to BCC module in SHGs sessions and b) those who were non-participants but may have indirect exposure through spillovers of BCC activities. Econometric analysis including logistic regression as well as propensity score matching techniques are applied for estimating the changes in dietary diversity in the post-intervention phase.
During the pre-intervention phase, 19% of the children (6-23 months) had adequate dietary diversity (eating from at least 4 out of 7 different food groups) and this increased to 49% among the exposed group and to 28% among the non-exposed group in the post-intervention phase. The exposed group have an odds ratio of 3.81 (95% CI: 2.03, 7.15) for consuming diverse diet when compared to the pre-intervention group. The propensity score matching analysis finds a 33% average treatment effect on the treated (ATT) for the group participating in BCC sessions at SHG events.
BCC roll out among SHG members is an effective mode to increase dietary diversity among infants and young children. The impact on child dietary diversity was significantly higher among mothers directly exposed to BCC modules. The BCC module also improved knowledge and awareness levels on complementary feeding and child dietary diversity.</description><subject>Behavior modification</subject><subject>Biology and Life Sciences</subject><subject>Children</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Communication</subject><subject>Diet</subject><subject>Econometrics</subject><subject>Economic growth</subject><subject>Exposure</subject><subject>Families & family life</subject><subject>Feeding Behavior</subject><subject>Food combining</subject><subject>Food groups</subject><subject>Health aspects</subject><subject>Health education</subject><subject>Hindi language</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>Initiatives</subject><subject>International organizations</subject><subject>Intervention</subject><subject>Matching</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Modules</subject><subject>Nutrition</subject><subject>Pediatric research</subject><subject>People and Places</subject><subject>Physical growth</subject><subject>Research and Analysis Methods</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>Rural Population</subject><subject>Sanitation</subject><subject>Self-Help Groups</subject><subject>Social capital</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptUttu1DAQjRCIlsIfILDES5HI4tiJ47wUbVdLu1BUqVxeLa892bhK7MVOFvXP-Dy83bTqosoPY82cOTNndJLkdYYnGS2zj9du8Fa2k7WzMMGkrEqSP0kOs4qSlBFMnz74HyQvQrjGuKCcsefJAWUMk4qXh8nfaQhOGdkbZ5Gr0elshr45PbSArlzbppdDj4xF38_PUAfQG7sK6I_pG6QaaVcQtkXlunULHdhe-htUA-gIQ9JqpA3c5rTZgA-mv0Gyc7GmGtNqDxYds5RQFHN9E95_QvON0WAVoNq7Dn2Zz3-Zr9PtiKvByxadmkb6D2hhtZEvk2e1bAO8GuNR8vPz_MfsPL24PFvMphepKirap5DXXNdSU1ZTTbXKZS0ppjkluKgyyigHTTSv9LLgjOKyjrgYKwCWAQdCj5K3O95164IYjx4EKVmW0apiLCIWO4R28lqsvemiZOGkEbcJ51dC-t6oFkTJuaqIpLzALOc6W2paUMV5hYEUXOWR62ScNiw70CreNArfI92vWNOIlduIimcFI2UkOB4JvPs9QOhFZ4KCtpUW3DDuzQkpt7Pe_Qd9XN2IWskowNjaxblqSyqmJSWU8AzjiJo8gopPQ2dUdGhtYn6vId81KO9C8FDfa8yw2Pr7bhmx9bcY_R3b3jy8z33TnaHpP_F69zw</recordid><startdate>20230101</startdate><enddate>20230101</enddate><creator>Mondal, Sudipta</creator><creator>Joe, William</creator><creator>Akhauri, Santosh</creator><creator>Thakur, Putul</creator><creator>Kumar, Abhishek</creator><creator>Pradhan, Narottam</creator><creator>Thatte, Prasann</creator><creator>Jha, Rakesh Kumar</creator><creator>Purty, Apolenarius</creator><creator>Chaudhuri, Indrajit</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0480-7966</orcidid><orcidid>https://orcid.org/0000-0001-5959-3195</orcidid><orcidid>https://orcid.org/0000-0003-3282-658X</orcidid><orcidid>https://orcid.org/0000-0002-8248-4402</orcidid></search><sort><creationdate>20230101</creationdate><title>Association of BCC Module Roll-Out in SHG meetings with changes in complementary feeding and dietary diversity among children (6-23 months)? Evidence from JEEViKA in Rural Bihar, India</title><author>Mondal, Sudipta ; Joe, William ; Akhauri, Santosh ; Thakur, Putul ; Kumar, Abhishek ; Pradhan, Narottam ; Thatte, Prasann ; Jha, Rakesh Kumar ; Purty, Apolenarius ; Chaudhuri, Indrajit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-e4f8dfad36f3d3dc4afa30343205913638ed2d89db586307f6f36309ee61e8e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Behavior modification</topic><topic>Biology and Life Sciences</topic><topic>Children</topic><topic>Children & youth</topic><topic>Childrens health</topic><topic>Communication</topic><topic>Diet</topic><topic>Econometrics</topic><topic>Economic growth</topic><topic>Exposure</topic><topic>Families & family life</topic><topic>Feeding Behavior</topic><topic>Food combining</topic><topic>Food groups</topic><topic>Health aspects</topic><topic>Health 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Santosh</au><au>Thakur, Putul</au><au>Kumar, Abhishek</au><au>Pradhan, Narottam</au><au>Thatte, Prasann</au><au>Jha, Rakesh Kumar</au><au>Purty, Apolenarius</au><au>Chaudhuri, Indrajit</au><au>Mohanty, Pratap Chandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of BCC Module Roll-Out in SHG meetings with changes in complementary feeding and dietary diversity among children (6-23 months)? Evidence from JEEViKA in Rural Bihar, India</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>18</volume><issue>1</issue><spage>e0279724</spage><epage>e0279724</epage><pages>e0279724-e0279724</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Child dietary diversity is very low across rural communities in Bihar. Based on the experience of behavior change communication (BCC) module roll out in self-help group (SHG) sessions in rural Bihar, this study aims to assess the impact of the intervention on child dietary diversity levels in the beneficiary groups.
The study is based on a pre-post study design whereby child dietary diversity is examined for a sample of 300 children (6-23 months old from 60 village organizations) during both pre-intervention as well as post-intervention phase. The latter consists of two types of group viz. a) children whose mothers were directly exposed to BCC module in SHGs sessions and b) those who were non-participants but may have indirect exposure through spillovers of BCC activities. Econometric analysis including logistic regression as well as propensity score matching techniques are applied for estimating the changes in dietary diversity in the post-intervention phase.
During the pre-intervention phase, 19% of the children (6-23 months) had adequate dietary diversity (eating from at least 4 out of 7 different food groups) and this increased to 49% among the exposed group and to 28% among the non-exposed group in the post-intervention phase. The exposed group have an odds ratio of 3.81 (95% CI: 2.03, 7.15) for consuming diverse diet when compared to the pre-intervention group. The propensity score matching analysis finds a 33% average treatment effect on the treated (ATT) for the group participating in BCC sessions at SHG events.
BCC roll out among SHG members is an effective mode to increase dietary diversity among infants and young children. The impact on child dietary diversity was significantly higher among mothers directly exposed to BCC modules. The BCC module also improved knowledge and awareness levels on complementary feeding and child dietary diversity.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36602987</pmid><doi>10.1371/journal.pone.0279724</doi><orcidid>https://orcid.org/0000-0002-0480-7966</orcidid><orcidid>https://orcid.org/0000-0001-5959-3195</orcidid><orcidid>https://orcid.org/0000-0003-3282-658X</orcidid><orcidid>https://orcid.org/0000-0002-8248-4402</orcidid><oa>free_for_read</oa></addata></record> |
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language | eng |
recordid | cdi_plos_journals_2761139966 |
source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Behavior modification Biology and Life Sciences Children Children & youth Childrens health Communication Diet Econometrics Economic growth Exposure Families & family life Feeding Behavior Food combining Food groups Health aspects Health education Hindi language Humans Infant Infant Nutritional Physiological Phenomena Initiatives International organizations Intervention Matching Medicine and Health Sciences Methods Modules Nutrition Pediatric research People and Places Physical growth Research and Analysis Methods Rural areas Rural communities Rural Population Sanitation Self-Help Groups Social capital |
title | Association of BCC Module Roll-Out in SHG meetings with changes in complementary feeding and dietary diversity among children (6-23 months)? Evidence from JEEViKA in Rural Bihar, India |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T00%3A08%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20of%20BCC%20Module%20Roll-Out%20in%20SHG%20meetings%20with%20changes%20in%20complementary%20feeding%20and%20dietary%20diversity%20among%20children%20(6-23%20months)?%20Evidence%20from%20JEEViKA%20in%20Rural%20Bihar,%20India&rft.jtitle=PloS%20one&rft.au=Mondal,%20Sudipta&rft.date=2023-01-01&rft.volume=18&rft.issue=1&rft.spage=e0279724&rft.epage=e0279724&rft.pages=e0279724-e0279724&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0279724&rft_dat=%3Cgale_plos_%3EA732328100%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2761139966&rft_id=info:pmid/36602987&rft_galeid=A732328100&rft_doaj_id=oai_doaj_org_article_788c92a3850648d1bd353c8890e258c4&rfr_iscdi=true |