Dec 07, 2022 09:15 AM - 10:30 AM(Africa/Casablanca)
20221207T091520221207T1030Africa/CasablancaBefore They're Born: Best Outcomes for Mothers and BabiesKaram 3 - English, Français interpretationInternational Social and Behavior Change Communication Summitinfo@sbccsummit.org
Collective Action for the Prevention of Preterm Births: A Mixed Methods Study from Bangladesh and Ethiopia Oral Presentation09:15 AM - 10:30 AM (Africa/Casablanca) 2022/12/07 08:15:00 UTC - 2022/12/07 09:30:00 UTC
Preterm birth (PTB) is the leading cause globally of neonatal and under-five mortality. Little is known about contextual factors of PTB in low and middle income countries (LMICs) as most research has been conducted in high income countries. Systematic efforts to research preventive approaches to PTB are lacking. Preterm births are live births delivered prior to 37 weeks of gestation. More than half of preterm births are low birth weight (< 2500g), leaving newborns at risk of both subsequent morbidity and mortality. Globally, the burden of preterm births is primarily in Sub-Saharan Africa and South Asia, with 90% of preterm births occurring in low and middle income countries. The Johns Hopkins Center for Communication Programs (CCP) is the global lead researcher to assess the distal (household and societal) factors of PTB. Survey data were collected in March 2020 in Ethiopia (N= 927) and September to November 2020 in Bangladesh (N = 855) and Mali (n=904) with women (15-49 years) with a child < 2 years. The results for the PTB Bangladesh and Ethiopia model indicated several significant (p< .05) protective and risk factors for preventing PTB. The protective factors include education, more dietary consumption than pre-pregnancy, and a belief in "mitat" which prevents women from working long hours in the midday sun. The risk factors include a positive attitude towards early marriage, living in a high violence cluster where partner violence is in more than 7 out of 10 households and excessive workload in pregnancy.
Presenters Zoé Hendrickson Johns Hopkins Bloomberg School Of Public Health Co-authors
A Social Norms-Based Approach to Reduce Anemia Among Women of Reproductive Age in India: Biomedical and Behavioral Outcomes from the RANI Project Oral Presentation09:15 AM - 10:30 AM (Africa/Casablanca) 2022/12/07 08:15:00 UTC - 2022/12/07 09:30:00 UTC
Despite significant expenditures by the Government of India (GOI) to reduce anemia, including through the national Anemia Mukht Bharat (Anemia-Free India) program, anemia prevalence has remained high. Latest data show a deterioration in anemia among women in the last four years, from 54% to 57% prevalence. The WHO and the GOI recommend regular and sustained iron folic acid (IFA) consumption to reduce anemia. This requires an adequate supply and delivery of IFA, the focus of the GOI. Missing in this effort is a scientifically sound and culturally tailored approach to ensure IFA consumption by the target population. This demand-side task, unfortunately, lacks funding and prioritization in government policies. In this presentation, we report findings from the Reduction in Anemia through Normative Innovations (RANI) Project, a cluster randomized trial to improve social norms, thereby promoting and sustaining IFA consumption behaviors and subsequently reducing anemia. Longitudinal data over three years to assess serum hemoglobin were collected through Hemocue finger pricks at baseline (N=4,110), midline (N=3,953), and end-line (N=3,780) from women in treatment and control arms. Findings showed a significant treatment effect in reducing anemia (P< .001); the existing difference of .16 g/dL between treatment and control arms at baseline increased significantly to .50 g/dL at end-line. Another analysis showed the RANI Project reduced anemia prevalence by 12.5%, demonstrating the effectiveness of a social norms-based approach at a population level. Scaling up the intervention approach by integrating it with the existing healthcare system widescale implementation remains a viable goal.
Presenters Rajiv Rimal Johns Hopkins University Co-authors
Generating Behavioral Insights Using Rapid Research Approaches Oral PresentationPractice-oriented proposals09:15 AM - 10:30 AM (Africa/Casablanca) 2022/12/07 08:15:00 UTC - 2022/12/07 09:30:00 UTC
In 2019 – 2021, ThinkPlace Kenya partnered with Jhpiego to conduct behavioral research to understand the barriers to early entry into care and the continued usage of maternal healthcare services among pregnant women in rural and peri-urban regions of Kenya, Malawi, Ethiopia, and Mali.
The team used a multi-disciplinary approach, drawing on the fields of sociology, anthropology, and human-centered design to unpack participants' attitudes, norms, and customs preventing the uptake of healthcare services.
The team prepared participatory research tools to help get a more in-depth understanding of the social and psychological drivers of behavior, aside from the physical influences. The tools complemented focus group discussions and in-depth interviews. These tools were: Silent debate, Good advice corner, Empathy Cards, Decision-making prompts, and research conducted through a national radio station. The design of the tools considered multiple stimuli presentation methods such as the use of visuals, videos, and active engagement of participants through debate-like prompts.
The team administered the tools in a semi-structured fashion when engaging pregnant women, men, and health providers in health facilities and community settings.
These tools are useful in helping social science researchers quickly collect evidence of psychological drivers of behavior. To ensure that the data collected is of high quality, researchers can combine these tools with diagnostic approaches, where the focus is on collecting evidence to show that previously known behavioral drivers may be at play in the different contexts being examined.
Effect of Integrated Maternal Nutrition Interventions on Nutrition Practices and Birth Weight – a Retrospective Quasi-Experimental Study Oral Presentation09:15 AM - 10:30 AM (Africa/Casablanca) 2022/12/07 08:15:00 UTC - 2022/12/07 09:30:00 UTC
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