Knowledge - provider helping mothers read

Ideas Addressing KNOWLEDGE
The required information the primary actor's has to complete a set of actions or practice a behavior completely and competently

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  • A 6-Week School Curriculum Improves Boys’ Attitudes and Behaviors Related to Gender-Based Violence in KenyaView Original Source

    The Big Idea: Gender-based violence contributes to lower use of health services. While gender-based violence can be prevented through girls’ and women’s empowerment, advocacy and home visitations, and it also needs to be addressed simultaneously with boys and men as GBV often occurs in the context of male peers who demonstrate negative attitudes toward women.

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  • A Qualitative Evaluation to Explore the Suitability, Feasibility and Acceptability of Using a ‘Celebration Card’ Intervention in Primary Care to Improve the Uptake of Childhood Vaccinations View Original Source

    The Big Idea: To improve vaccination, it may be useful to actively invite parents through a Celebration Card designed to remind and call to action caregivers around the immunization schedule.

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  • A Service Concept and Tools to Improve Maternal and Newborn Health in Nigeria and UgandaView Original Source

    The Big Idea: Expectations, needs and values of pregnant women and their families are often not considered in the design of maternity services. A co-design process engaged women, their families and providers, in negotiating expectations and standards of care, resulting in simple, easy-to-use tools.

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  • A Spoonful of Sugar: Promoting WEE Through Edutainment ApproachesView Original Source

    The Big Idea:  Although financial inclusion among adults globally is improving, a gender gap remains in using financial services and products. This gender gap means that women, especially low-income women, are limited in financial security, financial decisions, or even expanding enterprises. Mobile banking options are helping to increase low-income women’s participation in formal savings services.

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  • A Traffic Light Food Labeling Intervention Increases Consumer Awareness of Health and Healthy Choices at the Point-of- Purchase View Original Source

    The Big Idea: An effective food labeling system has the potential to promote healthier choices at the point-of-purchase. Interpreting nutrition labeling is a challenge as it requires literacy and numeracy skills as well as interpretation. Traffic light food labels have been shown to assist individuals in making healthier choices when selecting foods.

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  • An Evaluation of Trauma Focused Cognitive Behavioral Therapy for Children in ZambiaView Original Source

    The Big Idea:  Broad-based psychosocial support in a variety of forms is the standard of care for Orphans and Vulnerable Children (OVC). Support services may consist of home visits, psychosocial counseling, and/or social activities, but there is limited evidence on the effectiveness of these programs in reducing trauma and stress related problems especially for children. This study assessed trauma-focused cognitive behavioral therapy for children 3-17 years and their parents or caregivers.

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  • Assessing the Effects of mCenas! SMS Education on Knowledge, Attitudes and Self-Efficacy Related to Contraception Among Youth in MozambiqueView Original Source

    The Big Idea: Many youth do not have the knowledge, skills, and services to protect themselves from unintended and early pregnancy, and young women also lack the autonomy to make independent decisions about using contraceptives. As mobile phone coverage and access expands, programs increasingly seek to utilize mobile technology to improve young people’s knowledge and intentions to use contraception.

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  • Behavior Change Communication Model Enhancing Parental Practices for Improved Early Childhood Growth and Development Outcomes in Rural Armenia - A Quasi-Experimental StudyView Original Source

    The Big Idea:  Early childhood development (ECD) interventions to enhance parent practices in children's health and growth, protection from neglect, abuse, and injury have lifelong impact on health, learning, economic productiveness outcomes. Many programs consider integrating ECD through existing health delivery platforms. This study reviews how this can be done effectively and the results of this integration.

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  • Behavioral Economics Approach to Reduce Injectable Contraceptive Discontinuation Rate in EthiopiaView Original Source

    Contraceptive discontinuation can be high, which threatens women’s fertility intentions and has a high cost to the public health system. System factors like supply issues can influence injectable discontinuation. This study found that two tools, an appointment card and a client care checklist, can help to decrease injectable discontinuation even in the context of supply-side constraints.

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  • BRAC's Experience in Scaling-up MNP in BangladeshView Original Source

    The Big Idea:  In Bangladesh, home fortification with micronutrient powders (MNP) was promoted to address children’s dietary gaps. BRAC's frontline community health workers distributed and sold the product house to house through a public-private partnership.  This alone did not ensure high and correct use; this article identifies the factors that contributed to higher use in certain program areas.

     

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  • Can Behaviour Change Approaches Improve the Cleanliness and Functionality of Shared Toilets? A Randomised Control Trial in Dhaka, BangladeshView Original Source

    The Big Idea: Households living in urban slums often lack the space for their own toilet, making shared sanitation the only viable solution, but these are notoriously difficult to keep clean and functional. As a result, many people do not use toilets consistently. Conventional behaviour change messages around using toilets usually fail to address the real causes of unclean and poorly maintained facilities.

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  • Cervical Cancer and the Story-telling Cloth in MaliView Original Source

    The Big Idea: Using arts, such as textiles, for communicating messages is a common practice in Mali and many other parts of Africa. This article describes the process of creating a new textile in Mali to increase use of services as a centerpiece of a campaign. More than beautiful art or a message, the textile tells a story of HPV and cervical cancer, and motivating screening that is meaningful to communities.

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  • Challenging the Stigma Around Stillborn: Sharing Stories as AwarenessView Original Source

    The Big Idea: Many people believe that stillbirths are preventable, and that women who have stillbirths should not grieve long and “just get over it.”  So many women suffer in silence from long-term emotional grief.  By sharing their stories with a friend or family member, women can learn that they are not alone and can become advocates for norm change.

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  • Community Dialogues for Child Health: Results from a Qualitative Process in Three CountriesView Original Source

    The Big Idea: The availability of community-based services such as integrated community case management (iCCM) does not ensure utilization. Community dialogues with participatory discussions and learning for all community members contribute to improvements in timely care-seeking for sick children with diarrhea, pneumonia and malaria.

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  • Does Health Worker Performance Affect Clients' Health Behaviors? A Multilevel Analysis from BangladeshView Original Source

    The Big Idea:  Health systems rely on health workers to counseling caregivers on breastfeeding and complementary feeding.  Yet little is known about the relationship between provider compliance with evidence-based practices and client behavior change. This study in Bangladesh assessed the impact of provider counseling on caregiver behaviors.

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  • Effect of a Behaviour-Change Intervention on Handwashing with Soap in India (Superamma): A Cluster Randomized TrialView Original Source

    The Big Idea: In most countries, knowledge about the health benefits of handwashing with soap is high, but does not correspond to actual behavior change. Emotional, non-health messages focused around disgust were shown to be more effective, have a longer-lasting impact on handwashing behaviors, and have the potential to achieve sufficient scale for population-level impact.

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  • Effect of Health Intervention Integration within Women's Self-Help Groups on Collectivization and Healthy Practices Around Reproductive, Maternal, Neonatal and Child Health in Rural IndiaView Original Source

    The Big Idea: Existing self-help groups of women, even when formed for other sectors, offer sustainable platforms building on women’s social capital and peer networks, to empower them to become change agents for themselves and their peers on maternal, child and newborn health.  

     

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  • Effect of Participatory Women's Groups Facilitated by Accredited Social Health Activists on Birth Outcomes in Rural Eastern India: A Cluster-Randomised Controlled Trial View Original Source

    The Big Idea: This study tested a large-scale community-based strategy to improve newborn health through participatory women's groups facilitated by the government’s community health workers, Accredited Social Health Activists (ASHAs).

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  • Effects of Parents Training on Parents’ Knowledge and Attitudes about Adolescent Sexuality in Accra Metropolis, GhanaView Original Source

    The Big Idea: Adolescents may hesitate to use family planning methods out of expressed or implied lack of parent acceptance. Training parents of adolescents can improve their own knowledge and attitudes toward adolescent use of family planning services and enhance their skills in communication with adolescent children on these issues.

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  • Employer-Based Models to Increase Support for and Provision of LA/PMs in IndiaView Original Source

    The Big Idea: Offering family planning services through employers is one way to increase access to services. This program tested the feasibility of sustaining access to services through small and medium enterprises that employ both men and women in India.

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  • Ending Eclampsia, Nigeria: Engaging Community Women’s Groups for Improved Antenatal and Postnatal Care ServicesView Original Source

    The Big Idea: Program managers aiming to improve maternal and neonatal outcomes are familiar with complications such pre-eclampsia (PE) and eclampsia, and are tasked with determining the most effective prevention, early detection and care approaches. One promising initiative bridges the gap between health providers and the community by engaging leaders of women’s groups to empower pregnant women with the knowledge and skills to be engaged clients throughout the pregnancy continuum.

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  • Entering Climate Change Communications through the Side DoorView Original Source

    The Big Idea: Some issues, such as climate change, divide public opinion. This division makes it difficult for policy makers to enact change and for interest groups to create confusion with misinformation. Advocates and communicators may have a desire to counter this misinformation with facts, but the psychology of persuasion finds that yelling louder from an entrenched position can be counterproductive. Reframing issues through “side doors” can engage people in different perspectives with true dialogue.

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  • Entrepreneurs and Value-Added Foods: How Capacity Building is Boosting Trade and Productivity in MalawiView Original Source

    The Big Idea:  To improve food product quality and productivity, and grow markets, farmers need reliable buyers and processors need reliable suppliers of raw materials. An initiative Malawi is helping value-add processers identify and meet opportunities in bringing the product to market and contribute to the nation’s overall economic and nutritional health.

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  • Environmental Interventions to Reduce the Consumption of Sugar-Sweetened Beverages and Their Effects on Health View Original Source

    The Big Idea:  Consumption of excess amounts of sugar-sweetened beverages is a risk factor for obesity, diabetes, cardiovascular disease and dental caries. This review explored the measures taken to change the environment that have help people to drink fewer sugar-sweetened beverages.

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  • Exposure to Large-Scale Social and Behavior Change Communication Interventions Is Associated with Improvements in Infant and Young Child Feeding Practices in EthiopiaView Original Source

    The Big Idea: Given resource constraints, communication programmers often field questions about the numbers of channels and numbers of contacts needed to achieve change. This analysis of a program that aimed to improve infant and young child feeding in Ethiopia analyzed the dose response associated with significant behavior change. 

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  • Factors Affecting Adoption of Improved Rice Varieties among Rural Farm Households in Central NepalView Original Source

    The Big Idea: The use of improved high yielding crop varieties is an important behavior for many small holder farmers to increase productivity and improve food security. Yet farmers do not adopt many new agricultural technologies, such as improved seeds, to the extent desired or expected. This analysis explored the probability of smallholder farmers adopting new improved rice varieties from two regions of Central Nepal.

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  • Feedback and Efficient Behavior View Original Source

    The Big Idea: Behavior change programmers have long known that feedback is an effective tool as it enhances individuals’ awareness of choice consequences in complex settings. This study aimed to understand the mechanisms underlying the effects of feedback on achieving efficient behavior to offer insights for policymakers by exploring three types of feedback:  assess the efficacy of three different types of intervention: provision of social information, manipulation of the frequency, and framing of feedback.

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  • From a Classic Training Approach to an On-Site Training Approach Improves Provider Knowledge and Skills: Lessons from RwandaView Original Source

    The Big Idea: Classic classroom-based trainings show limited effectiveness in improving provider skills, and disrupt busy health facilities when providers are called out for multiple trainings. Alternative models to strengthen provider competency and confidence in delivering family planning services may include on-site training. 

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  • From Out of Reach to At Your Fingertips: How 1.4 Million Kenyans Are Gaining Access to HealthcareView Original Source

    The Big Idea: In places where lack of money prevents people from seeking health care treatment, digital technology can promote service use.

     

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  • Gamification of Nutrition: A Preliminary Study on the Impact of Gamification on Nutrition Knowledge, Attitude, and Behavior of Adolescents in NigeriaView Original Source

    The Big Idea: Many young people around the world are consuming larger amounts of sugar, salt and saturated fats and less from traditional diets such as fruits, vegetables and high fiber foods, which can result in obesity, diabetes and other health challenges. Gamifying nutrition education for adolescents can increase intake of fruits and vegetables.

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  • Get Out the Vote: Mobile Reminders Increase Brazilian Voter ParticipationView Original Source

    The Big Idea: Where voter participation is low, efforts are needed to increase voter turnout. An innovative mobile technology application in Brazil helped to increase voting during a participatory budgeting process.

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  • Grandmother’s Knowledge Positively Influences Maternal Knowledge and Infant and Young Child Feeding PracticesView Original Source

    The Big Idea: Programs often work with mothers to improve child nutrition. Engaging grandmothers, who are both caregivers of young children as well as influencers of mothers, is often important to improve infant and young child feeding practices.

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  • Group Cell Phones are Feasible and Acceptable for Promoting Optimal Breastfeeding Practices in a Women's Microcredit Program in NigeriaView Original Source

    The Big Idea: Mobile technology based communications typically require participants to have their own cell phones. Disparities in cell phone penetration, especially for women, limit the reach of mHealth programs. Women’s groups formed for other purposes, such as microfinance, can effectively manage and use a single cell phone to improve breastfeeding.

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  • Hello Mama Via Papa: A Nigerian Father Gets the Message about Maternal and Newborn HealthView Original Source

    The Big Idea: Managers who oversee programs that help strengthen maternal, newborn and child health outcomes often directly target the mother.  A novel program in Nigeria targets fathers-to-be through mobile phones, providing them with simple, carefully timed text messages to share with their wives and to learn how to help care for her and the baby. 

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  • How Smartphones are Becoming a Weapon in the Global Fight against TuberculosisView Original Source

    The Big Idea: Mobile technology with videos shows promising results in increasing TB drug adherence as well as the ease and efficiency of treatment for both health providers and TB patients.

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  • Human-Centered Design: Simple Bracelets as Vaccine RemindersView Original Source

    The Big Idea: Children of caregivers with lower education or income levels are often at higher risk for missing immunizations dates, which can lead to increased deaths from vaccine-preventable diseases in this population. By utilizing bracelets with only numbers and symbols, immunization messages can be conveyed to mothers without using written words that typically appear in child health cards.

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  • Hygiene Intervention Reduces Contamination of Weaning Food in BangladeshView Original Source

    The Big Idea: Poor food hygiene may account for a substantial proportion of diarrheal diseases and contribute to malnutrition among infants and young children in developing countries. This study in Bangladesh assessed the impact of an intervention to teach mothers improved hygiene.

     

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  • Impact of Maternal Education about Complementary Feeding on Their Infants’ Nutritional Outcomes in Low- and Middle-income Households: A Community-based Randomized Interventional Study in Karachi, PakistanView Original Source

    The Big Idea: Improving young children's nutrition goes beyond food. A series of home visits by trained community health workers on breastfeeding and complementary feeding significantly changed behaviors and reduced malnutrition of their young children.

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  • Impact of Social Franchising on Contraceptive Use When Complemented by Vouchers: A Quasi-Experimental Study in Rural PakistanView Original Source

    The Big Idea: In many rural areas, limited access to affordable contraceptive services results in low uptake of Long-Acting Reversible Contraception (LARC) methods. By establishing a network of high-quality private providers and offering vouchers for LARC methods, the program was able to address access and affordability issues that often prevent women from using them.

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  • Is Knowledge of HIV Status Associated with Sexual Behaviours? A Fixed Effects Analysis of a Female Sex Worker Cohort in Urban Uganda View Original Source

    The Big Idea: Knowledge of HIV status is a necessary pre-condition for HIV interventions, including treatment as prevention or pre‐exposure prophylaxis. The effect of knowledge of HIV status on the sexual behaviors that increase the risk of HIV transmission, however, remains unclear despite numerous studies in diverse populations. This study assessed the impact of knowledge of status among female sex workers in urban Uganda.

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  • Market-Testing a Smartphone Application for Family Planning: Assessing Potential of the Cyclebeads App in Seven Countries Through Digital Monitoring View Original Source

    The Big Idea: The Standard Days Method™ (SDM), a modern method of family planning, is a low-cost, highly acceptable family planning method. Mobile applications that provide women with a digital platform for practicing SDM may expand access and address a portion of global unmet need for family planning.

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  • Maternity Leave and Its Impact on Breastfeeding: A Review of the LiteratureView Original Source

    The Big Idea: Maternity leave and maternity protection are identified as important for breastfeeding support, but studies have showed inconsistent information between maternity leave and breastfeeding duration. This review clarifies the association between the length of maternity leave and breastfeeding duration by socioeconomic strata.

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  • Mitigating Disrespect and Abuse During Childbirth in TanzaniaView Original Source

    The Big Idea: First time and continued use of labor and delivery services is often affected by how they feel they are treated by providers. Most interventions to improve client satisfaction with labor and delivery services often focus on training providers. More successful interventions might also target facility managers and clients.

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  • MomConnect: Connecting Women to Care, One Text at a TimeView Original Source

    The Big Idea: Reaching pregnant women between ANC visits could encourage good practice and link women to health services for timely support. MomConnect is a large-scale mobile health initiative in South Africa to help more women gain access to vital information and care needed to ensure a safe and healthy pregnancy and labor.

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  • Participation of Pregnant Women in a Community-Based Nutrition Program in Mumbai's Informal Settlements: Effect on Exclusive Breastfeeding PracticesView Original Source

    The Big Idea:  Promoting exclusive breastfeeding often requires addressing multiple factors and offering multiple strategies, but often the timing of these activities is not discussed. This study reviewed the impact of community based activities on exclusive breastfeeding, including the timing of women’s participation.

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  • Promoting Healthy Behaviors among Egyptian MothersView Original Source

    The Big Idea:  Women are often the focus of interventions to improve maternal and newborn health, but they make decisions within the larger context of family and community. This program in Egypt worked through locally embedded community development associations (CDAs), many of which had minimal health programming experience, to engage caregivers, their social networks and their communities to encourage better household decision-making by increasing knowledge and promotion of healthy behaviors.

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  • Realizing the Potential of a Homestead Food Production ProgramView Original Source

    The Big Idea: Programs often promote home gardens and provide nutrition education expecting benefits to both mothers and young children although lacking evidence from rigorous evaluation. This study shows the pathways to improved nutrition outcomes for women and children through home gardens.

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  • Responses to the Chilean Law of Food Labeling and Advertising: Exploring Knowledge, Perceptions and Behaviors of Mothers of Young ChildrenView Original Source

    The Big Idea:  Food package labels have been indicated as a key measure for the prevention of obesity. Evidence suggests that the simpler the message, the higher the impact on consumer’s behavior.  This study explores the impact of Chile’s stop sign labeling for less nutritious foods, along with regulations around advertising of these foods.

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  • Results of Community Mentoring Programme for Youth Heads of Household in Rwanda: Effects of Youth Sexual Risk Behaviours and MaltreatmentView Original Source

    The Big Idea: Youth-headed households are highly vulnerable to abuse and youth in these households are at higher risk of mental disorders and early sexual initiation. Trusted adults trained as Community Mentors can help to reduce abuse and maltreatment of youth-headed households, which supports their ability to adopt HIV preventive practices and service utilization.

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  • SMILE OVC Program Uses Targeted Approach to Boost TB Case-Finding Among Vulnerable ChildrenView Original Source

    The Big Idea: For children with TB and HIV co-infection, illness progression is likely to be rapid and fatal, thus early identification of both, as well as prompt treatment initiation and adherence, are crucial life-saving interventions. Yet, TB notification rates are often low.  One model for high-TB burden slum community settings has increased care and treatment for children through active case finding within an Orphan and Vulnerable Children (OVC) program.

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  • Strengthening the Scale-Up and Uptake of Effective Interventions for Sex Workers for Population Impact in Zimbabwe View Original Source

    The Big Idea:  Female sex workers are at high risk of HIV acquisition and transmission. Limited care‐seeking among FSW is associated with poor health outcomes, and substantial proportion of new infections in the broader population.  This paper analyzes program evidence from “Sisters with a Voice” a Ministry of Health and Child Care and National AIDS Council's program reaching 36 sites on coverage and uptake.

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  • The Effect of Farmer Nutrition Schools on Household Food Production and Women's Dietary Diversity in Bangladesh View Original Source

    The Big Idea: Even as trends in nutrition improve in rural areas, pregnant and lactating women may lack needed nutrients for their own health and their child’s health and growth. A multi-sectoral model that combined a farmer field school model with nutrition and hygiene education into farmer for the poorest women demonstrated improved results through women’s dietary diversity.

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  • Tubaramure, a Food-Assisted Integrated Health and Nutrition Program, Reduces Child Stunting in Burundi: A Cluster-Randomized Controlled Intervention TrialView Original Source

    The Big Idea: Food assistance within maternal and child health and nutrition programs is often used to address undernutrition. This rigorous study in Burundi evaluates the effectiveness of food assistance in improving child linear growth.

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  • Two Promising Social Accountability Approaches to Improve Health in Malawi: Community Score Cards, and National Health Budget Consultation, Analysis and Advocacy View Original Source

    The Big Idea: In many countries, effective participation and community voice in health programming remains an obstacle as communities do not know their rights or have channels to share feedback with authorities, and local government may not have full autonomy in budget planning and allocation. The Community Scorecard offers one cost-effective model for strengthening communities’ ability to use information from the local level to the national level in order to hold duty bearers accountable. 


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  • Using a Community-Based Early Childhood Development Center as a Platform to Promote Production and Consumption Diversity Increases Children's Dietary Intake and Reduces Stunting in Malawi: A Cluster-Randomized TrialView Original Source

    The Big Idea: Early childhood development (ECD) platforms have the potential to deliver child development and nutrition interventions. This study explored the additional opportunity of utilizing this platform to deliver nutrition-sensitive agriculture support to families with young children.

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  • Using Community Health Workers to Refer Pregnant Women and Young Children to Health Care Facilities in Rural West Bengal, India: A Prospective Cohort StudyView Original Source

    The Big Idea: Health managers who oversee maternal and child health programs in medically underserved areas are likely familiar with the important role of community health workers (CHWs) who reach marginalized and underserved populations.  When CHWs screen for risk, pregnant women and caregivers of young children may be more likely to seek timely and appropriate services.

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  • West Program Helps West African Countries Integrate WASH and NTDsView Original Source

    The Big Idea: Half of the one billion people around the world who live without safe water suffer from one or more painful, debilitating neglected tropical disease (NTD). Event when annual mass drug administration is available, without access to clean water, sanitation, and hygiene (WASH), reinfections are commonplace. Engaging children to practice and promote key WASH behaviors helps to eliminate NTDs.

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  • “Cool Foam”: How Constraint Yields NoveltyView Original Source

    The Big Idea: Health managers seeking to reduce diarrheal and respiratory disease often promote handwashing with soap as a powerful preventive tool. In many communities, however, soap is considered an expensive luxury and water is scarce. A promising new product concept, “Cool Foam,” creates a foamy soap and “stretches” the amounts of soap and water for effective handwashing.

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