IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i8p4105-d535342.html
   My bibliography  Save this article

Implementing a Novel Facility-Community Intervention for Strengthening Integration of Infant Nutrition and Family Planning in Mara and Kagera, Tanzania

Author

Listed:
  • Chelsea M. Cooper

    (USAID’s Maternal and Child Survival Program/Jhpiego, Washington, DC 20036, USA
    Co-lead authors.)

  • Mary Drake

    (Jhpiego, Baltimore, MD 21231, USA
    University Medical Centre Groningen, Department of Health Sciences, Global Health, University of Groningen, 9713 GZ Groningen, The Netherlands
    Co-lead authors.)

  • Justine A. Kavle

    (Kavle Consulting, LLC, Washington, DC 20001, USA)

  • Joyce Nyoni

    (Institute of Social Work, University of Dar es Salaam, Dar es Salaam, Tanzania)

  • Ruth Lemwayi

    (Jhpiego, Dar es Salaam, Tanzania)

  • Lemmy Mabuga

    (USAID’s Maternal and Child Survival Program/Jhpiego, Dar es Salaam, Tanzania)

  • Anne Pfitzer

    (USAID’s Maternal and Child Survival Program/Jhpiego, Washington, DC 20036, USA)

  • Mary Makungu

    (Government of Tanzania, Musoma, Mara Region, Tanzania)

  • Elizabeth Massawe

    (Bukoba Referral Hospital, Government of Tanzania, Bukoba, Kagera Region, Tanzania)

  • John George

    (UNICEF, Dar es Salaam, Tanzania)

Abstract

Tanzania has high fertility, low contraceptive prevalence and low exclusive breastfeeding (EBF). The Lake Zone, including Mara and Kagera regions, leads the country in total fertility; use of the lactational amenorrhea method (LAM) is negligible. This pre-/post-study explored the effects of a multi-level facility and community intervention (service delivery support, community engagement, media and LAM tracking) to integrate maternal and infant nutrition and postpartum family planning (FP) within existing health contacts. Mixed methods were used, including service statistics, exit interviews, patient-tracking tools for community health workers, client self-tracking tools, supervision data, focus group discussions and in-depth interviews. Results are presented using the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) implementation science framework. The intervention reached primarily the second and fourth wealth quintiles, increased FP and EBF at six weeks postpartum. LAM was very acceptable, provided an entry point for FP conversations and for addressing misconceptions, and reinforced EBF practices. Partners felt encouraged to support spousal nutrition, breastfeeding and FP. Higher adoption in Kagera may be influenced by performance-based financing. The intervention was implemented with generally high fidelity. Maintenance data reflected stakeholder interest in continuing the intervention. A multi-level facility and community intervention was feasible to implement and likely contributed to improved EBF practices and FP uptake, including LAM use.

Suggested Citation

  • Chelsea M. Cooper & Mary Drake & Justine A. Kavle & Joyce Nyoni & Ruth Lemwayi & Lemmy Mabuga & Anne Pfitzer & Mary Makungu & Elizabeth Massawe & John George, 2021. "Implementing a Novel Facility-Community Intervention for Strengthening Integration of Infant Nutrition and Family Planning in Mara and Kagera, Tanzania," IJERPH, MDPI, vol. 18(8), pages 1-21, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4105-:d:535342
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/8/4105/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/8/4105/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Glasgow, R.E. & Vogt, T.M. & Boles, S.M., 1999. "Evaluating the public health impact of health promotion interventions: The RE-AIM framework," American Journal of Public Health, American Public Health Association, vol. 89(9), pages 1322-1327.
    2. Kouyaté, Robin Anthony & Ahmed, Salahuddin & Haver, Jaime & McKaig, Catharine & Akter, Nargis & Nash-Mercado, Angela & Baqui, Abdullah, 2015. "Transition from the Lactational Amenorrhea Method to other modern family planning methods in rural Bangladesh: Barrier analysis and implications for behavior change communication program intervention ," Evaluation and Program Planning, Elsevier, vol. 50(C), pages 10-17.
    3. Rishi Caleyachetty & Olalekan A Uthman & Hana Nekatebeb Bekele & Rocio Martín-Cañavate & Debbie Marais & Jennifer Coles & Briony Steele & Ricardo Uauy & Peggy Koniz-Booher, 2019. "Maternal exposure to intimate partner violence and breastfeeding practices in 51 low-income and middle-income countries: A population-based cross-sectional study," PLOS Medicine, Public Library of Science, vol. 16(10), pages 1-15, October.
    4. Gaglio, B. & Shoup, J.A. & Glasgow, R.E., 2013. "The RE-AIM framework: A systematic review of use over time," American Journal of Public Health, American Public Health Association, vol. 103(6), pages 38-46.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Natalie Bradford & Shirley Chambers & Adrienne Hudson & Jacqui Jauncey‐Cooke & Robyn Penny & Carol Windsor & Patsy Yates, 2019. "Evaluation frameworks in health services: An integrative review of use, attributes and elements," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(13-14), pages 2486-2498, July.
    2. Kristen C. Reilly & Patricia Tucker & Jennifer D. Irwin & Andrew M. Johnson & Erin S. Pearson & Dirk E. Bock & Shauna M. Burke, 2018. "“C.H.A.M.P. Families”: Description and Theoretical Foundations of a Paediatric Overweight and Obesity Intervention Targeting Parents—A Single-Centre Non-Randomised Feasibility Study," IJERPH, MDPI, vol. 15(12), pages 1-23, December.
    3. Marsha L. Brierley & Lindsey R. Smith & Angel M. Chater & Daniel P. Bailey, 2022. "A-REST (Activity to Reduce Excessive Sitting Time): A Feasibility Trial to Reduce Prolonged Sitting in Police Staff," IJERPH, MDPI, vol. 19(15), pages 1-27, July.
    4. Krisdaniel Berreta & Cynthia Nguyen & Alexis M. Stoner & Lindsey Ridgeway & Angela Wilson & Natalie Fadel & Duke Biber, 2023. "A RE-AIM Analysis of a Mental Health App for Undergraduate and Medical Students during the COVID-19 Pandemic: A Retrospective Cross-Sectional Study," IJERPH, MDPI, vol. 20(13), pages 1-9, June.
    5. Glasgow, LaShawn & Adams, Elizabeth & Smith, Lucia Rojas & Renaud, Jeanette, 2020. "Key Insights on Participation Measurement from Real-world Health Care Interventions," Evaluation and Program Planning, Elsevier, vol. 78(C).
    6. Kristen C. Reilly & Daniel Briatico & Jennifer D. Irwin & Patricia Tucker & Erin S. Pearson & Shauna M. Burke, 2019. "Participants’ Perceptions of “C.H.A.M.P. Families”: A Parent-Focused Intervention Targeting Paediatric Overweight and Obesity," IJERPH, MDPI, vol. 16(12), pages 1-24, June.
    7. Liliana Tenney & Amy G. Huebschmann & Carol E. Brown & Natalie V. Schwatka & Lee S. Newman, 2022. "Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out a Total Worker Health ® Intervention to Employers," IJERPH, MDPI, vol. 19(3), pages 1-20, January.
    8. Natale, Ruby A. & Kolomeyer, Ellen & Robleto, Ana & Jaffery, Zafreen & Spector, Rachel, 2020. "Utilizing the RE-AIM framework to determine effectiveness of a preschool intervention program on social-emotional outcomes," Evaluation and Program Planning, Elsevier, vol. 79(C).
    9. Norris, E. & Dunsmuir, S. & Duke-Williams, O. & Stamatakis, E. & Shelton, N., 2018. "Mixed method evaluation of the Virtual Traveller physically active lesson intervention: An analysis using the RE-AIM framework," Evaluation and Program Planning, Elsevier, vol. 70(C), pages 107-114.
    10. McCabe, Lisa A. & Ruberti, Mary R. & Endres, Thomas, 2022. "Sustaining program implementation: A co-constructed technical assistance process to support continuous high-quality implementation of the Therapeutic Crisis Intervention program," Evaluation and Program Planning, Elsevier, vol. 91(C).
    11. Rehana A Salam & Jai K Das & Zahra Hoodbhoy & Karim Rizwan Nathani & Zulfiqar A Bhutta, 2018. "PROTOCOL: Effects of lifestyle modification interventions to prevent and manage child and adolescent obesity: a systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 14(1), pages 1-33.
    12. Sebastià Mas-Alòs & Antoni Planas-Anzano & Xavier Peirau-Terés & Jordi Real-Gatius & Gisela Galindo-Ortego, 2021. "Feasibility Assessment of the Let’s Walk Programme (CAMINEM): Exercise Training and Health Promotion in Primary Health-Care Settings," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    13. Shanahan, Meghan & Fleming, Phyllis & Nocera, Maryalice & Sullivan, Kelly & Murphy, Robert & Zolotor, Adam, 2014. "Process evaluation of a statewide abusive head trauma prevention program," Evaluation and Program Planning, Elsevier, vol. 47(C), pages 18-25.
    14. Arora, Prerna G. & Connors, Elizabeth H. & Blizzard, Angela & Coble, Kelly & Gloff, Nicole & Pruitt, David, 2017. "Dissemination and implementation science in program evaluation: A telemental health clinical consultation case example," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 56-63.
    15. Patrícia de Oliveira Bastos & Ana Suelen Pedroza Cavalcante & Wallingson Michael Gonçalves Pereira & Victor Hugo Santos de Castro & Antonio Rodrigues Ferreira Júnior & Paulo Henrique Guerra & Kelly Sa, 2020. "Health Promoting School Interventions in Latin America: A Systematic Review Protocol on the Dimensions of the RE-AIM Framework," IJERPH, MDPI, vol. 17(15), pages 1-9, July.
    16. Jungyoon Kim & Valerie Pacino & Hongmei Wang & April Recher & Isha Jain & Vaibhavi Mone & Jihyun Ma & Mary Jo Spurgin & Daniel Jeffrey & Stephen Mohring & Jane Potter, 2021. "System Redesign: The Value of a Primary Care Liaison Model to Address Unmet Social Needs among Older Primary Care Patients," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    17. Gonot-Schoupinsky, Freda N. & Garip, Gulcan, 2019. "A flexible framework for planning and evaluating early-stage health interventions: FRAME-IT," Evaluation and Program Planning, Elsevier, vol. 77(C).
    18. Francisco Javier de la Garza Iga & Marinés Mejía Alvarez & Joshua D Cockroft & Julia Rabin & Ana Cordón & Dina Maria Elias Rodas & Maria del Pilar Grazioso & Maria Espinola & Christine O’Dea & Ch, 2023. "Using the project ECHO™ model to teach mental health topics in rural Guatemala: An implementation science-guided evaluation," International Journal of Social Psychiatry, , vol. 69(8), pages 2031-2041, December.
    19. Eugenio Zucchelli & Andrew M Jones & Nigel Rice, 2012. "The evaluation of health policies through dynamic microsimulation methods," International Journal of Microsimulation, International Microsimulation Association, vol. 5(1), pages 2-20.
    20. Gabrielle Scronce & Wanqing Zhang & Matthew Lee Smith & Vicki Stemmons Mercer, 2020. "Characteristics Associated with Improved Physical Performance among Community-Dwelling Older Adults in a Community-Based Falls Prevention Program," IJERPH, MDPI, vol. 17(7), pages 1-12, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4105-:d:535342. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.