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Understanding decision moments in infant feeding trajectories to improve interventions (119.4)
Author(s) -
Zongrone A.A.,
Me P,
Roopnaraine T,
Bhuiyan M.I.,
Pelto G.H.,
Constas M,
Rasmussen K.M.,
Saha K.K.,
Stoltzfus R.J.
Publication year - 2014
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.28.1_supplement.119.4
Subject(s) - psychological intervention , normative , context (archaeology) , medicine , population , intervention (counseling) , developmental psychology , psychology , environmental health , biology , nursing , paleontology , philosophy , epistemology
Behavioral interventions have been used to improve infant and young child feeding (IYCF) with varying success. “Decision moments” (DMs), critical junctures at which caregivers make choices about IYCF are often key intervention targets. The behavior resulting from DMs determines what and how children are fed and thus their longitudinal pattern of feeding or “IYCF trajectory.” In the context of the Alive & Thrive process evaluation in Bangladesh, we aimed to understand behavior at these critical junctures by identifying DMs, characterizing and describing “IYCF trajectory” patterns, and examining the influence of maternal and household capacities (M&HCaps). We conducted longitudinal, in‐depth qualitative interviews (n=89 interviews in n=17 households) with mothers, fathers and grandmothers when the index child was 0‐6 and 7‐11 mo old. NVivo v10 was used for coding and analysis. Households were classified into 9 “IYCF trajectory” patterns based on a biomedical paradigm. “IYCF trajectory” patterns varied widely. DMs clustered at several times: after birth, and at 3‐4, 5‐6, 6‐7, and 7‐8 mo. The most influential M&HCaps included financial and material resources, time, social support, supportive advice and beliefs. We conclude that DMs cluster at multiple times during IYCF trajectories, there is no single normative “IYCF trajectory” that characterizes the population, and interventions to influence critical DMs must identify and remedy inadequate M&HCaps. Grant Funding Source : Alive & Thrive, funded by the Bill & Melinda Gates Foundation & managed by FHI360; NIH(5T32HD007331)