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Title: Investigating effectiveness of behavioural change intervention in improving mothers weaning food handling practices : design of a cluster randomized controlled trial in rural Gambia
Author: Manjang, Buba
ISNI:       0000 0004 6347 2398
Awarding Body: University of Birmingham
Current Institution: University of Birmingham
Date of Award: 2017
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Objectives: To evaluate the effectiveness of a theory-based and culturally adapted community level behaviour change intervention to improve weaning-food preparation and handling in rural Gambia. Methods: (1) A systematic review of the literature on weaning-food hygiene interventions. (2) Mixed method formative research to identify critical control points (CCP) and motivational factors for mothers‟ behaviour on weaning-food, (3) Formulation of the weaning-food hygiene intervention including performing arts. (4) Implementation and evaluation of the intervention with a cluster randomized controlled trial (cRCT). Results: The systematic review found 4 RCTs on weaning-food hygiene interventions. Formative research prioritized 5 CCPs with 6 corrective messages and 5 motivational factors. For the intervention compared to the control arm the composite behaviour score primary outcome was 72% in the intervention versus 19% respectively (p < 0.001). Each individual behaviour was significantly improved except washing of pots dried on clean surface. There was a significant reduction of contamination of weaning-food immediately after cooking and before second feeding, of children's drinking water, of diarrhoea and respiratory symptoms reported for the past 7 days, and hospital admission for diarrhoea. Conclusion: Our public health, community level intervention for mother's hygienic preparation and handling of weaning-food was effective in rural Gambia.
Supervisor: Not available Sponsor: Islamic Development Bank (IDB) ; United Nations Children's Fund (UNICEF) ; SHARE Research Consortium
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: DT Africa ; HV Social pathology. Social and public welfare ; RA0421 Public health. Hygiene. Preventive Medicine ; RJ101 Child Health. Child health services