Un Kilo de Ayuda's Food Package Component in the State of Guerrero: Use, Acceptability, and Appropriateness Open Access
Whitaker, Laura Lynn (2011)
Published
Abstract
Background: Un Kilo de Ayuda (UKA) is a non-governmental
organization that employs an integral nutrition intervention
consisting of six components, including food package distribution
and nutrition
education. Though the impact of the program as a whole has been
shown
with the program's own monitoring data, UKA has not conducted
evaluation of individual components to identify gaps between the
current results of
the program and the full potential of the program.
Objective: To evaluate use, acceptability, and
appropriateness of UKA's bimonthly
distributed food package at the household level.
Methods: In-depth interviews (IDI) were conducted with two
staff members at the main
office of UKA in Mexico City, three site staff members at the
Guerrero site UKA center,
and 12 women receiving food packages from UKA. Observations were
conducted in six households for a total of 12-16
hours each. IDIs and observations were analyzed
using qualitative content analysis. A three-question survey
conducted by staff was
analyzed to assess which products mothers would remove from the
package if they could
exchange that product for another product.
Results: From the census, 20.8% of women said they would not
like to have any
products removed. Of women that said they would like to remove a
product from the
package, 43.1 said they would like to have flour removed, 13.1 said
they would like to
have amanene removed, and 11.6 said they would like to have
marzipan removed. All
reasons for not accepting these products were related to the
inability to purchase the
products in the region. Differences in main office staff and
beneficiary perceptions
existed for use of unaccepted products, acceptance of specific
products, and local
community norms affecting package use.
Discussion: There were few gaps in staff and beneficiary
perceptions of acceptance of
the package as a whole. However, broad gaps in main office staff
and beneficiary
perceptions of use, acceptance, and family distribution may limit
the effectiveness of the
package as a whole. The findings from this research can be used to
modify package
design as well as to illustrate the importance of strengthened
communication between
beneficiaries and main office staff.
Table of Contents
Table of Contents
Chapter 1:
Introduction……………………………………………………………..……..1
Chapter 2: Comprehensive review of the
literature………………………….…………....5
Chapter 3: Description of the Food Package
Component………………………………..12
Chapter 4: Project Content
Methodology and
methods………………………………………………………16.
Results……………………………………………………………………………37
Chapter 5: Discussion, Recommendations, and Conclusion
Discussion………………………………………………………………………..66
..
Recommendations………………………………………………………………..74
Conclusion……………………………………………………………………….77
References……………………………………………………………………….……….78
Appendix
In-depth interview guide: Main office
staff……………………………..……….83
In-depth interview guide: Site
staff……………………………..………………..85
In-depth interview guide:
Beneficiaries………………………………………….87
Tables and Figures
Table 1. Target group and quantity of each product in the food
package……….13
Table 2. Recommended daily, weekly, and bimonthly energy and
protein intake
for a family of 5
members………………………………………………………..14
Table 3. Macronutrient content of each product in the
package………..………. 14
Table 4. Micronutrient content of each product in the
package……….……….. 15
Table 5. Characteristics of sample
communities……………………….......……19
Table 6. Family characteristics: IDI
Participants……………………………..….22
Table 7. Family Characteristics: Observation
Participants………………………22
Table 8. Variables assigned to
transcriptions…………………………………....32
Table 9. Sample table for recording IDI question 3
data………………………...35
Table 10. Observed use and distribution of targeted products,
flour, and corn….43
Figure 1: Project Study Site
………………………………………………………2
Figure 2. In-depth interview and observation
sampling…………………………20
Figure 3. Percentage of women reporting consumption of product by
consumption
group………………………………………………………………………..……38
Figure 4. Ideal percentage of women reporting consumption of
product by
consumption
group…………………………………………………………...…..39
Figure 5. Percentage of women that report wanting to remove a
certain product
……………………………………………………………………………………44
About this Master's Thesis
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