TABLE 1.
Summary of intensive interventions in 2010–2014 and modifications after 20141
| Intervention | 2010–2014 | After 2014 |
|---|---|---|
| Interpersonal counseling | ||
| Coverage area | 50 A&T upazilas (funded by BMGF) | 456 upazilas in 61 districts (funded by DFID and AusAID) and additional 26 upazilas (funded by USAID) |
| Technical content | IYCF information | IYCF information |
| Information about dietary diversity and additional food for pregnant and lactating women | ||
| Frequency of contact | SS: monthly visits | SS: monthly visits |
| SK: 12 visits | SK-Pushti: 12 visits + 3 additional visits during pregnancy | |
| PK: 8 visits | PKs changed to SK-Pushti | |
| Training | Monthly refreshers by BRAC staff | Quarterly refreshers in 2015 |
| Stopped refresher training in 2016 (SKs meet monthly to review) | ||
| Monitoring and supervision | 1 monitor for 2 upazilas | 1 monitor for 20 upazilas |
| Performance-based incentives for volunteer workers | Incentive criteria: EIBF, EBF, timely introduction to complementary foods, meal frequency, amount, density, ASF, handwashing, and sick child feeding for <2-y-olds | Incentive criteria reduced to 5 indicators: EIBF, EBF, timely introduction to complementary foods, handwashing, and identification of pregnancy |
| 20 Taka per indicator | 10–15 Taka, depending on indicator | |
| Community mobilization | 5 sessions in each upazila/y | 1 session in each upazila/y |
| Video shows, popular theater shows, and doctors’ seminars | No video shows, popular theater shows, or doctors’ seminars | |
| 3 sessions in each upazila/y about homesteading garden (multisectoral approach) | ||
| Mass media campaign | TV spots 1–7 | Government broadcasts TV spots starting in early 2016 |
| Media dark strategies | Media dark strategies discontinued |
1ASF, animal source foods; AusAID, Australian Agency for International Development; A&T, Alive & Thrive; BMGF, Bill & Melinda Gates Foundation; DFID, Department for International Development of the United Kingdom; EBF, exclusive breastfeeding; EIBF, early initiation of breastfeeding; IYCF, infant and young child feeding; PK, Pushti Kormi (nutrition promoter); SK, Shasthya Kormi (health worker); SS, Shasthya Sebika (health volunteer); USAID, United States Agency for International Development.