Barriers and Facilitators of Forming Mother-to-Mother Support Groups as they relate to Infant and Young Child Feeding Practices in Apurimac, Peru Público
Gilbert, Adrienne Renee (2012)
Published
Abstract
Abstract
Barriers and Facilitators of Forming Mother-to-Mother Support
Groups as they relate to Infant and Young Child Feeding Practices
in Apurimac, Peru CARE's Window of Opportunity project aims to
improve infant and young child feeding (IYCF)and related maternal
nutrition (rMN) practices in two regions of Peru. This study
conducted formative research in Apurimac, Peru, one region of the
Window program. The aim of the study was to determine the barriers
and facilitators to implementing mother-to-mother support groups
(MtMSGs) in this region. Research indicates that social support
groups are successful at improving individual nutritional status
among children. Based on this evidence, MtMSGs will aim to increase
exclusive breastfeeding, improve timely and appropriate
complementary feeding and promote optimal rMN practices. In-depth
interviews were conducted to guide the development of the focus
group discussions. Two participatory learning activities were also
conducted to confirm the results of the qualitative data
collection. The study was carried out in four rural communities and
four peri-urban communities in the region of Apurimac four groups:
women of reproductive age with children under two, community health
workers, government health care staff and CARE Staff. Data were
analyzed a thematic analysis approach. Findings show that the
Peruvian government has already organized many support groups,
through social service programs. Primary barriers to participation
in social support groups are lack of time, financial concerns, not
being invited by group leadership and negative community
perceptions. The primary facilitators of participation in social
support groups are material incentives, social diversion or
relaxation, a fear of being penalized for not paying dues and a
desire to learn new things. Based upon these results, suggestions
for the development of MtMSGs are made for CARE's program staff.
CARE's collaboration with pre-existing social service programs that
have long-standing reputation in the community will be paramount to
MtMSG success. To avoid duplicating efforts to conduct educational
activities on IYCF practices, ongoing partnerships in these
communities have shown to strengthen activity impact, as observed
throughout this study. Collaboration between partnerships could
help to engage women and draw upon the collective knowledge of
community-based organizations, ultimately strengthening
implementation of MtMSGs.
Table of Contents
Table of Contents:
Chapter One, Introduction, page 6.
Chapter Two, Literature Review, page 12.
Chapter Three, Methods, page 43.
Chapter Four, Results page 63.
Chapter Five, Discussion page 103.
Acknowledgements, page 122.
Appendices, page 123.
References, page 152.
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