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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Veröffentlicht in:PloS one 2023-01, Vol.18 (1), p.e0279724-e0279724
Hauptverfasser: Mondal, Sudipta, Joe, William, Akhauri, Santosh, Thakur, Putul, Kumar, Abhishek, Pradhan, Narottam, Thatte, Prasann, Jha, Rakesh Kumar, Purty, Apolenarius, Chaudhuri, Indrajit
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container_start_page e0279724
container_title PloS one
container_volume 18
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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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. 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identifier ISSN: 1932-6203
ispartof PloS one, 2023-01, Vol.18 (1), p.e0279724-e0279724
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_2761139966
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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
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