Barriers and facilitators to participation in mother-to-mother support groups (MtMSGs) in northern Sierra Leone Público
MacWright, William R. (2012)
Published
Abstract
ABSTRACT
Background:
Sierra Leone has one of the highest child mortality ratios in the
world. Over half of these
deaths are due to undernutrition. Mother-to-mother support groups
(MtMSG) have been
identified as a strategy to increase optimal infant and young child
feeding (IYCF) practices
to combat the high rates of undernutrition. Previous research on
MtMSGs focuses primarily
on the effectiveness of MtMSGs on IYCF indicators, and fails to
explore the barriers and
facilitators to participation. Research on the barriers and
facilitators to participation is the
first of its kind in northern Sierra Leone and will equip
implementing NGOs with invaluable
information to achieve maximum participation in MtMSGs.
Methods:
Qualitative methods were used to explore the barriers and
facilitators to participation in
MtMSGs in two districts in northern Sierra Leone. The research took
place in three stages:
(1) doer/non-doer surveys were conducted to explore the differences
between the MtMSG
members and non-participant mothers; (2) decision trees, social
mapping, and ten seed
analyses were used to explore the barriers to participation,
influential parties, and alternative
sources of IYCF information and; (3) focus group discussions and
key informant interviews
further explored the barriers and facilitators arising from stages
one and two.
Results:
Barriers and facilitators to participation that impacted the
women's desire to attend MtMSGs
were dependent upon (1) whether MtMSG members were mobilized to the
households after
meetings to share the information gained; (2) whether mothers
perceived the benefits of
attending to include gender empowerment and self efficacy,
increased social capital, and
having a safe place to discuss issues about their husbands and; (3)
whether women valued
these benefits of attending MtMSGs greater than alternative
activities. The women's ability
to attend MtMSGs is contingent upon (1) whether the husband needs
to grant permission
which is based upon if the activity requires capital and; (2)
whether the MtMSG is currently
at capacity.
Conclusion:
Programmatic recommendations to overcome the identified barriers
include mobilizing
MtMSGs members, sensitizing mothers about the additional benefits
of MtMSGs,
sensitizing husbands, increasing the number of MtMSGs in
communities and combining
village savings and loans (VS&L) with MtMSGs to maximize
participation.
Table of Contents
TABLE OF CONTENTS
Acknowledgments...vi
List of Tables and Figures...vii
List of Acronyms...viii
INTRODUCTION...1
LITERATURE REVIEW...4
METHODS...31
RESULTS...45
DISCUSSION AND RECCOMMENDATIONS...70
REFERENCES...85
APPENDIX A: Doer/ Non-Doer Survey Guide...90
APPENDIX B: Focus Group Discussion Guide...92
APPENDIX C: Key Informant Interview Guide...94
APPENDIX D: IRB Clearance...96
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