Un Kilo de Ayuda's nutrition education component: Program delivery and user's perceptions in Guerrero, Mexico Public
McAuliffe, Corey Lynne (2011)
Published
Abstract
Un Kilo de Ayuda's nutrition education component:
Program delivery and user's
perceptions in Guerrero, Mexico
By Corey McAuliffe
Background: Worldwide there are few comprehensive nutrition
programs that resemble
Un Kilo de Ayuda's (UKA) structure and objectives. UKA is an
influential non-
governmental nutrition organization working within states of Mexico
identified as having
high levels of undernutrition in children less than five years of
age and pregnant women.
UKA's vision is to eradicate child malnutrition in Mexico by the
year 2023 through
incorporating community, company, and state government
relationships to support their
comprehensive nutrition program. According to staff, nutrition
education is considered to
be the most important and critical organizational action. The
organization recognizes a
high turnover rate of health promoters and staff within their
attention centers, in addition
to a relatively high variability of community participation within
specific communities.
Objective: To capture the adequacy of program delivery; user
perceptions; document
programmatic successes, challenges, and barriers; in order to
provide recommendations
for future activities.
Methods: We conducted a qualitative and quantitative review of
UKA's nutrition
education component in Guerrero, Mexico through: collection and
review of component
materials; observation and assessment of nutrition education
sessions; in-depth interviews
with all levels of staff; focus group discussions with community
participants; and
community surveys.
Results: Key themes impacting optimal delivery of the program
included: (1)
prioritization of other program actions over nutrition education;
(2) low levels of job
satisfaction and confidence as reported by Health Promoters; (3)
ability of Health
Promoters to bridge the disconnect between headquarters'
perceptions and actual
community needs; and (4) reported barriers to increased
participation in sessions.
Discussion: UKA's nutrition education component has the
potential to affect behavior
change and empower women to make healthy and nutritious decisions
regarding their
own well-being and that of their family. In order to make this a
reality, foundational
restructuring and prioritization of components, increased support
and communication
between headquarters and attention center staff, and interventions
focused on community
needs and desires must be addressed in order to achieve a
successful nutrition education
component.
Table of Contents
Table of Contents
- Chapter 1: Introduction: 1
- Introduction: 1
- Definition of Terms: 4
- Chapter 2: Literature Review: 5
- Chapter 3: Methodology: 19
- Chapter 4: Results: 36
- Chapter 5: Discussion, Implications, & Recommendations:
46
- Discussion & Implications: 46
- Recommendations: 52
- Chapter 6: Conclusions: 60
- Strengths and Limitations: 60
- Conclusions: 62
- References: 64
- Tables and Figures: 67
- Appendix A: Delivery Observation Guide: 70
- Appendix B: In-depth Interview and Focus Group Discussion Guides: 73
- Appendix C: Community Survey: 81
- Appendix D: Community Survey Definitions: 84
About this Master's Thesis
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