Mothers/caregivers level |
Home visits to coach mothers; mothers health education groups; 6 TV spots placed to reach mothers, 5 TV spots developed to appeal to mothers; registers maintained for each mother/child by village and worker |
Ten nutrition education sessions with groups of 15 caregivers with children aged 6–18 months; a weekly or bi‐weekly meeting for approximately 2 h. With the completion of each IYCF group, caregivers received a government certificate during a graduation ceremony |
Improved IYCF message delivery/counseling, demonstrations, improved anthropometry and group well child sessions added to existing visits to health facilities; age‐specific IYCF guidelines provided in printed materials and job aids, all health center staff involved |
A set number of visits or group meetings were held (e.g., women's groups met biweekly) |
Household level |
2 TV spots for fathers, village forums targeted to fathers; family featured in TV spots; water and soap located for handwashing before feeding |
Fathers, local leaders, and grandparents encouraged to attend education sessions; farmers and families trained, inputs to diversity production (e.g., giving dairy cows, goats, sheep, pigs, chickens, fish) |
All caregivers accompanying the child to health centers included in counseling/demonstrations; fliers with recipes were taken home from health centers |
Families trained and supported by model farmers to produce diverse foods and feed young children |
Community level |
Community mobilization forums; crowd events with videos & quiz; local doctors and opinion leader meetings and materials; children's animated film on CF |
FFS and JFFLS curricula covered nutrition topics including the 6 food groups; seasonal food availability calendar; dietary diversification, community action planning for food security; and food processing and preparation |
Health centers are located close to or in communities; intervention concentrated in health center but work extends into some community activities |
Agricultural training (around production diversity) with small model farmers; drama groups emphasized certain behaviors in the broader community audiences |
Food/health systems level |
Health volunteers through workload allocation, training, supervision, refresher training, monthly meetings, monitoring, incentives; trained monitors and ‘organizers’ allocated to support/manage frontline workers; WHO/UNICEF training manual adapted |
Joint coordination meetings at district level; IEC materials jointly developed; joint agricultural and health extension trainings; Africa regional UNICEF counseling package used |
Team training; nutrition counseling integrated within child health services; key messages mandatory for all points of contact; doctors, nurses, and health assistants trained jointly as a team; accreditation certificates for meeting standards |
Coordination across the government ministries to improve diversity in food availability and consumption; training frontline workers through cascade training; incentives (e.g., bicycle, seeds, T‐shirts); monthly refresher trainings; monitoring; National GOZ materials used, adapted from UNICEF |
Program/policy level |
Harmonizing messages and tools among implementing stakeholders in the country through an alliance; preparing a GOB national framework and plan for IYCF communication |
Project data shared to advocate for multi‐sectoral approaches, IYCF counselling booklet integrated into the national standardized counselling card collection |
Advocacy and engagement of Trujillo Health Department for uptake of key activities; sharing evidence and tools for national uptake; incorporation of complementary feeding demonstrations in well child sessions into national policy; messages and educational materials disseminated by central MOH |
Example of Mumbwa district given to national authorities; site visits and sharing tools with SUN Initiative for scaling up |