Why India is struggling to feed their young children? A qualitative analysis for tribal communities
Objective This interdisciplinary qualitative study aims to explore the health, education, engineering and environment factors impacting on feeding practices in rural India. The ultimate goal of the Participatory Approach for Nutrition in Children: Strengthening Health Education Engineering and Envir...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e051558.full |
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| author | Sanjay Sharma Monica Lakhanpaul Logan Manikam Priti Parikh Lorna Benton Shereen Allaham Rajesh Khanna Susrita Roy Marie Lall Virendra Kumar Vijay Neha Santwani Hanimi Reddy Hemant Chaturvedi Satya Prakash Pattanaik Tol Singh Pramod Pandya Priyanka Dang |
| author_facet | Sanjay Sharma Monica Lakhanpaul Logan Manikam Priti Parikh Lorna Benton Shereen Allaham Rajesh Khanna Susrita Roy Marie Lall Virendra Kumar Vijay Neha Santwani Hanimi Reddy Hemant Chaturvedi Satya Prakash Pattanaik Tol Singh Pramod Pandya Priyanka Dang |
| author_sort | Sanjay Sharma |
| collection | DOAJ |
| description | Objective This interdisciplinary qualitative study aims to explore the health, education, engineering and environment factors impacting on feeding practices in rural India. The ultimate goal of the Participatory Approach for Nutrition in Children: Strengthening Health Education Engineering and Environment Linkages project is to identify challenges and opportunities for improvement to subsequently develop socioculturally appropriate, tailored, innovative interventions for the successful implementation of appropriate infant and young child feeding (IYCF) practices locally.Design Qualitative research method, involving five phases: (1) identification of local feeding practices; (2) identification of the local needs and opportunities for children aged 6–24 months; and (3–5) analysis of the gathered qualitative data, intervention design, review and distribution.Setting Nine villages in two community development blocks, that is, Ghatol and Kushalgarh, located in the Banswara district in Rajasthan, India.Participants 68 participants completed semistructured interviews or focus group discussions including: mothers, grandmothers, auxiliary nurse midwife, Anganwadi worker, ASHA Sahyogini, school teachers and local elected representative.Phenomenon of interest IYCF practices and the factors associated with it.Analysis Thematic analysis.Results Our results could be broadly categorised into two domains: (1) the current practices of IYCF and (2) the key drivers and challenges of IYCF. We explicate the complex phenomena and emergent model focusing on: mother’s role and autonomy, knowledge and attitude towards feeding of young children, availability of services and resources that shape these practices set against the context of agriculture and livelihood patterns and its contribution to availability of food as well as on migration cycles thereby affecting the lives of ‘left behind’, and access to basic health, education and infrastructure services.Conclusions This interdisciplinary and participatory study explored determinants impacting feeding practices across political, village and household environments. These results shaped the process for cocreation of our context-specific intervention package. |
| format | Article |
| id | doaj-art-b3a778f6896b45adaba8c053a709dea8 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-b3a778f6896b45adaba8c053a709dea82025-01-31T02:25:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-051558Why India is struggling to feed their young children? A qualitative analysis for tribal communitiesSanjay Sharma0Monica Lakhanpaul1Logan Manikam2Priti Parikh3Lorna Benton4Shereen Allaham5Rajesh Khanna6Susrita Roy7Marie Lall8Virendra Kumar Vijay9Neha Santwani10Hanimi Reddy11Hemant Chaturvedi12Satya Prakash Pattanaik13Tol Singh14Pramod Pandya15Priyanka Dang16Save the Children, Rajasthan State Programme Office, Jaipur, IndiaUniversity College London Population Policy and Practice Research and Teaching Department, London, UKAceso Global Health Consultants, London, UKThe Bartlett School of Sustainable Construction, University College London, London, UKresearch fellow in Planetary HealthAceso Global Health Consultants Ltd, London, UKSave The Children, Gurugram, IndiaSave The Children, Gurugram, IndiaInstitute of Education, University College London, London, UKIndian Institute of Technology Delhi, New Delhi, IndiaSave The Children, Gurugram, IndiaSave The Children, Gurugram, IndiaSave the Children, Rajasthan, IndiaSave the Children, Rajasthan State Programme Office, Jaipur, IndiaSave the Children, Rajasthan, IndiaSave the Children, Rajasthan, IndiaSave The Children, Gurugram, IndiaObjective This interdisciplinary qualitative study aims to explore the health, education, engineering and environment factors impacting on feeding practices in rural India. The ultimate goal of the Participatory Approach for Nutrition in Children: Strengthening Health Education Engineering and Environment Linkages project is to identify challenges and opportunities for improvement to subsequently develop socioculturally appropriate, tailored, innovative interventions for the successful implementation of appropriate infant and young child feeding (IYCF) practices locally.Design Qualitative research method, involving five phases: (1) identification of local feeding practices; (2) identification of the local needs and opportunities for children aged 6–24 months; and (3–5) analysis of the gathered qualitative data, intervention design, review and distribution.Setting Nine villages in two community development blocks, that is, Ghatol and Kushalgarh, located in the Banswara district in Rajasthan, India.Participants 68 participants completed semistructured interviews or focus group discussions including: mothers, grandmothers, auxiliary nurse midwife, Anganwadi worker, ASHA Sahyogini, school teachers and local elected representative.Phenomenon of interest IYCF practices and the factors associated with it.Analysis Thematic analysis.Results Our results could be broadly categorised into two domains: (1) the current practices of IYCF and (2) the key drivers and challenges of IYCF. We explicate the complex phenomena and emergent model focusing on: mother’s role and autonomy, knowledge and attitude towards feeding of young children, availability of services and resources that shape these practices set against the context of agriculture and livelihood patterns and its contribution to availability of food as well as on migration cycles thereby affecting the lives of ‘left behind’, and access to basic health, education and infrastructure services.Conclusions This interdisciplinary and participatory study explored determinants impacting feeding practices across political, village and household environments. These results shaped the process for cocreation of our context-specific intervention package.https://bmjopen.bmj.com/content/12/7/e051558.full |
| spellingShingle | Sanjay Sharma Monica Lakhanpaul Logan Manikam Priti Parikh Lorna Benton Shereen Allaham Rajesh Khanna Susrita Roy Marie Lall Virendra Kumar Vijay Neha Santwani Hanimi Reddy Hemant Chaturvedi Satya Prakash Pattanaik Tol Singh Pramod Pandya Priyanka Dang Why India is struggling to feed their young children? A qualitative analysis for tribal communities BMJ Open |
| title | Why India is struggling to feed their young children? A qualitative analysis for tribal communities |
| title_full | Why India is struggling to feed their young children? A qualitative analysis for tribal communities |
| title_fullStr | Why India is struggling to feed their young children? A qualitative analysis for tribal communities |
| title_full_unstemmed | Why India is struggling to feed their young children? A qualitative analysis for tribal communities |
| title_short | Why India is struggling to feed their young children? A qualitative analysis for tribal communities |
| title_sort | why india is struggling to feed their young children a qualitative analysis for tribal communities |
| url | https://bmjopen.bmj.com/content/12/7/e051558.full |
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