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The Impact of a Large-Scale Social and Behavior Change Communication Intervention in the Lake Zone Region of Tanzania on Knowledge, Attitudes, and Practices Related to Stunting Prevention

Author

Listed:
  • Kirk Dearden

    (Corus International/IMA World Health, 1730 M St NW #1100, Washington, DC 20036, USA)

  • Generose Mulokozi

    (Corus International/IMA World Health, Nyalali Curve, Plot 1657, Dar es Salaam P.O. Box 9260, Tanzania)

  • Mary Linehan

    (Corus International/IMA World Health, 1730 M St NW #1100, Washington, DC 20036, USA)

  • Dennis Cherian

    (Corus International/IMA World Health, 1730 M St NW #1100, Washington, DC 20036, USA)

  • Scott Torres

    (RTI International, 701 13th St NW #750, Washington, DC 20005, USA)

  • Joshua West

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Benjamin Crookston

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

  • Cougar Hall

    (Department of Public Health, Brigham Young University, LSB, Provo, UT 84602, USA)

Abstract

Background: Large-scale social and behavioral change communication (SBCC) approaches can be beneficial to achieve improvements in knowledge, attitudes, and practices (KAP). Addressing Stunting in Tanzania Early (ASTUTE) included a significant SBCC component and targeted precursors to stunting including KAP related to maternal and child health, antenatal care, WASH, childhood development, and male involvement. METHODS: Baseline, midline, and endline surveys were conducted for a total of 14,996 female caregivers and 6726 male heads of household in the Lake Zone region of Tanzania. Regression analyses were used to estimate differences in KAP from baseline to midline and endline. Results: Women’s knowledge of handwashing and infant/child feeding practices, and attitudes related to male involvement, consistently improved from baseline to midline and baseline to endline. Women’s practices related to antenatal care, breastfeeding, and early child development improved from baseline to midline and baseline to endline. Improvements in KAP among male heads of household were varied across indicators with consistent improvement in practices related to child feeding practices from baseline to midline and baseline to endline. Conclusion: Many changes in KAP were observed from baseline to midline and baseline to endline and corresponded with SBCC programming in the region. These results provide support for the value of large SBCC interventions. Public health efforts in settings such as Tanzania may benefit from adopting these approaches.

Suggested Citation

  • Kirk Dearden & Generose Mulokozi & Mary Linehan & Dennis Cherian & Scott Torres & Joshua West & Benjamin Crookston & Cougar Hall, 2023. "The Impact of a Large-Scale Social and Behavior Change Communication Intervention in the Lake Zone Region of Tanzania on Knowledge, Attitudes, and Practices Related to Stunting Prevention," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1214-:d:1030622
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    References listed on IDEAS

    as
    1. Menon, Purnima & Ruel, Marie T. & Nguyen, Phuong H. & Kim, Sunny S. & Lapping, Karin & Frongillo, Edward A. & Alayon, Silvia, 2020. "Lessons from using cluster-randomized evaluations to build evidence on large-scale nutrition behavior change interventions," World Development, Elsevier, vol. 127(C).
    2. Eliza Broadbent & McKayla McConkie & Emily Aleson & Lily Kim & Rebekah Stewart & Generose Mulokozi & Kirk A. Dearden & Mary Linehan & Dennis Cherian & Scott Torres & Ben T. Crookston & Parley C. Hall , 2022. "Promoting Caregiver Early Childhood Development Behaviors through Social and Behavioral Change Communication Program in Tanzania," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
    3. Chelsi C. Alexander & Shilpa Shrestha & Mamadou D. Tounkara & Shelly Cooper & Leiema Hunt & Taylor H. Hoj & Kirk Dearden & Dotto Kezakubi & Vianney Atugonza & Joshua West & Benjamin Crookston & Cougar, 2019. "Media Access is Associated with Knowledge of Optimal Water, Sanitation and Hygiene Practices in Tanzania," IJERPH, MDPI, vol. 16(11), pages 1-10, June.
    4. Natalie Bennion & Generose Mulokozi & Emily Allen & Margaret Fullmer & Gwen Kleinhenz & Kirk Dearden & Mary Linehan & Scott Torres & Joshua West & Benjamin Crookston & Cougar Hall, 2021. "Association between WASH-Related Behaviors and Knowledge with Childhood Diarrhea in Tanzania," IJERPH, MDPI, vol. 18(9), pages 1-11, April.
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