Use of Photovoice to assess Knowledge, Attitudes and Practices (KAP) towards nutrition and complementary feeding among households in Bihar, India. Público
Batra, Gunjan (2016)
Abstract
Introduction: Bihar is one of India's poorest and least developed states. Approximately 58% of its children are underweight, with the third highest number of malnourished children in the country. Poor child feeding practices in region contribute to high levels of malnutrition.
Objective: This study aims to assess knowledge, attitude and practices (KAP) towards nutrition and complementary feeding among households in Bihar, India.
Methods: Photovoice with focus group discussions was used for this study. Participants (n=30) were trained to use digital cameras and three focus group discussions were carried out in addition to camera training and collection. Two of these focus groups were performed with mothers having children between 6-18 months of age. The third and final focus group was performed with community members (husbands/in-laws to the mother).
Results: This KAP study was instrumental in revealing participant knowledge of causes and effect of malnutrition as well as sources of knowledge in the community. There was no evident lack of knowledge among the study participants, this is in contrast to finding of prior studies done in India which highlight a lack of knowledge relating to breastfeeding and IYCF practices. Programmatic barriers identified included lack of coverage by frontline workers, inadequate counselling provided to the beneficiaries and other concerns affecting the compliance of the multiple micronutrient product. The participants were limited by financial constraints and inadequate access to healthy foods in practicing proper IYCF practices. Lack of decision making by mothers/women in the household was also an important theme that emerged during the discussions.
Conclusion: The findings of this study provided a situational analysis of Knowledge, Attitudes and Practices towards nutrition and complementary feeding in Bihar, India which can be particularly useful in informing decision making and adapting interventions to the context. The photovoice methodology can serve as a powerful tool to enhance participation by allowing participants to convey 'their own' stories by way of the photographs. Furthermore, as in the design of this study, nutrition interventions could be tailored to involve household members (husbands and in-laws) rather than solely the mother to improve acceptability, compliance and collaboration.
Table of Contents
Chapter I Introduction ……………………………………………………………….1
CARE IFHI & MMP Innovation Background ..........…………………………...2
Research Question, Study Objectives & Significance.…………………………4
Chapter II Literature Review………………………………………………….........5
Chapter III Methods……………………………………………………………….....17
Chapter IV Results…………………………………………………………………....25
Knowledge…………………………………………………………...............………25
Attitudes………………………………………………………………………….........32
Practices……………………………………………………………………………......45
Chapter V Discussion……………………………………………………………......80
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