Un Kilo de Ayuda's nutrition education component: Program delivery and user's perceptions in Guerrero, Mexico Open Access

McAuliffe, Corey Lynne (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/bk128b14p?locale=pt-BR%2A
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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

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