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Role of schools in community mobilisation to improve IYCF practices in 6–24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study
OBJECTIVE: India has been struggling with infant malnutrition for decades. There is a need to identify suitable platforms for community engagement to promote locally feasible, resource efficient Infant and Young Child Feeding (IYCF) interventions. This study aims to explore if and how schools could...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9006840/ https://www.ncbi.nlm.nih.gov/pubmed/35414538 http://dx.doi.org/10.1136/bmjopen-2020-047741 |
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author | Lakhanpaul, Monica Roy, Susrita Lall, Marie-Carine Chaturvedi, Hemant Khanna, Rajesh Allaham, Shereen Demel, Isabel-Cathérine Benton, Lorna Vijay, Virendra Kumar Sharma, Sanjay Manikam, Logan Santwani, Neha Pattanaik, Satya Prakash Singh, Tol Pandya, Pramod Dang, Priyanka Parikh, Priti |
author_facet | Lakhanpaul, Monica Roy, Susrita Lall, Marie-Carine Chaturvedi, Hemant Khanna, Rajesh Allaham, Shereen Demel, Isabel-Cathérine Benton, Lorna Vijay, Virendra Kumar Sharma, Sanjay Manikam, Logan Santwani, Neha Pattanaik, Satya Prakash Singh, Tol Pandya, Pramod Dang, Priyanka Parikh, Priti |
author_sort | Lakhanpaul, Monica |
collection | PubMed |
description | OBJECTIVE: India has been struggling with infant malnutrition for decades. There is a need to identify suitable platforms for community engagement to promote locally feasible, resource efficient Infant and Young Child Feeding (IYCF) interventions. This study aims to explore if and how schools could represent a site for community engagement in rural India, acting as innovation hubs to foster positive change in partnership with the Angawadi centres. DESIGN: Five-phase formative study; A parallel mixed methods approach structured by a socioecological framework was used for data collection at individual, household and community levels. This paper focuses on the qualitative findings. SETTING: This study was undertaken in nine villages within two blocks, ‘Ghatol’ and ‘Kushalgarh’, in the Banswara district of Rajasthan, India. PARTICIPANTS: 17 schools were identified. Interviews were conducted with local opinion leaders and representatives in the education sector, including principals, schoolteachers, block and district education officers. Across the nine study villages, information was gathered from 67 mothers, 58 paternal grandmothers using Focus Discussion Groups (FDGs) and 49 key respondents in Key Informant Interviews. RESULTS: Schools were considered an important community resource. Challenges included limited parental participation and student absenteeism; however, several drivers and opportunities were identified, which may render schools a suitable intervention delivery site. Enrolment rates were high, with schools and associated staff encouraging parental involvement and student attendance. Existing initiatives, including the mid-day meal, play opportunities and education on health and hygiene, further highlight the potential reliability of schools as a platform for community mobilisation. CONCLUSIONS: Schools have been shown to be functional platforms frequently visited and trusted by community members. With teachers and children as change agents, schools could represent a suitable setting for community mobilisation in future wider scale intervention studies. Expanding the supportive environment around schools will be essential to reinforce healthy IYCF practices in the long term. |
format | Online Article Text |
id | pubmed-9006840 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-90068402022-05-02 Role of schools in community mobilisation to improve IYCF practices in 6–24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study Lakhanpaul, Monica Roy, Susrita Lall, Marie-Carine Chaturvedi, Hemant Khanna, Rajesh Allaham, Shereen Demel, Isabel-Cathérine Benton, Lorna Vijay, Virendra Kumar Sharma, Sanjay Manikam, Logan Santwani, Neha Pattanaik, Satya Prakash Singh, Tol Pandya, Pramod Dang, Priyanka Parikh, Priti BMJ Open Public Health OBJECTIVE: India has been struggling with infant malnutrition for decades. There is a need to identify suitable platforms for community engagement to promote locally feasible, resource efficient Infant and Young Child Feeding (IYCF) interventions. This study aims to explore if and how schools could represent a site for community engagement in rural India, acting as innovation hubs to foster positive change in partnership with the Angawadi centres. DESIGN: Five-phase formative study; A parallel mixed methods approach structured by a socioecological framework was used for data collection at individual, household and community levels. This paper focuses on the qualitative findings. SETTING: This study was undertaken in nine villages within two blocks, ‘Ghatol’ and ‘Kushalgarh’, in the Banswara district of Rajasthan, India. PARTICIPANTS: 17 schools were identified. Interviews were conducted with local opinion leaders and representatives in the education sector, including principals, schoolteachers, block and district education officers. Across the nine study villages, information was gathered from 67 mothers, 58 paternal grandmothers using Focus Discussion Groups (FDGs) and 49 key respondents in Key Informant Interviews. RESULTS: Schools were considered an important community resource. Challenges included limited parental participation and student absenteeism; however, several drivers and opportunities were identified, which may render schools a suitable intervention delivery site. Enrolment rates were high, with schools and associated staff encouraging parental involvement and student attendance. Existing initiatives, including the mid-day meal, play opportunities and education on health and hygiene, further highlight the potential reliability of schools as a platform for community mobilisation. CONCLUSIONS: Schools have been shown to be functional platforms frequently visited and trusted by community members. With teachers and children as change agents, schools could represent a suitable setting for community mobilisation in future wider scale intervention studies. Expanding the supportive environment around schools will be essential to reinforce healthy IYCF practices in the long term. BMJ Publishing Group 2022-04-11 /pmc/articles/PMC9006840/ /pubmed/35414538 http://dx.doi.org/10.1136/bmjopen-2020-047741 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Public Health Lakhanpaul, Monica Roy, Susrita Lall, Marie-Carine Chaturvedi, Hemant Khanna, Rajesh Allaham, Shereen Demel, Isabel-Cathérine Benton, Lorna Vijay, Virendra Kumar Sharma, Sanjay Manikam, Logan Santwani, Neha Pattanaik, Satya Prakash Singh, Tol Pandya, Pramod Dang, Priyanka Parikh, Priti Role of schools in community mobilisation to improve IYCF practices in 6–24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study |
title | Role of schools in community mobilisation to improve IYCF practices in 6–24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study |
title_full | Role of schools in community mobilisation to improve IYCF practices in 6–24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study |
title_fullStr | Role of schools in community mobilisation to improve IYCF practices in 6–24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study |
title_full_unstemmed | Role of schools in community mobilisation to improve IYCF practices in 6–24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study |
title_short | Role of schools in community mobilisation to improve IYCF practices in 6–24-month-old tribal children in the Banswara district, India: findings from the qualitative PANChSHEEEL study |
title_sort | role of schools in community mobilisation to improve iycf practices in 6–24-month-old tribal children in the banswara district, india: findings from the qualitative panchsheeel study |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9006840/ https://www.ncbi.nlm.nih.gov/pubmed/35414538 http://dx.doi.org/10.1136/bmjopen-2020-047741 |
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