EFFECT OF PSYCHOSOCIAL FACTORS ON WOMEN’S BEHAVIOR TOWARDS INFANT & YOUNG CHILD FEEDING THE CASE OF HOMA BAY COUNTY, KENYA Janet Mwende, Carl Johan Lagerkvist, JuliusOkello, Penina Muoki & Willis Oluoch Kosura
EFFECTOFPSYCHOSOCIALFACTORSONWOMEN’SBEHAVIORTOWARDSINFANT&YOUNGCHILDFEEDING
THECASEOFHOMABAYCOUNTY,KENYA
JanetMwende,CarlJohanLagerkvist,JuliusOkello,PeninaMuoki&WillisOluoch Kosura
Introduction
§ Vitamin A deficiency (VAD) is a major problem in
developing countries.
§ Children < 5yrs are most vulnerable to VAD
§ Inadequate dietary intake is the leading cause of VAD.
ü Their diets consist mainly staple cereals
ü Only 1/5th of kids < 6 months are exclusively breastfed
ü < 1/4 of kids 6-23 months receive MAD
Introductioncontd…
§Thepoorfeedingpracticeshasledtoeffortstochangewomen’sbehaviortowardsinfantandyoungchildfeeding(IYCF)practices§SeveralstudieshaveexaminedthefactorsinfluencingIYCFpractices§SomeofthesestudieshavespecificallyfocusedonhowtochangebehaviortowardsIYCF§However,mostofthesestudiesnormallyfocusonsocioeconomicfactors§Therefore,littleisknownabouttheroleofpsychosocialfactorsonbehaviorchangerelatingtoIYCFpractices
Studygoal(general)
• Inthisstudy,weusethedatacollectedfrom764womentoexaminetherolepsychosocialfactorsplayinwomen’sbehaviortowardsIYCF•Behaviorisproxiedbytheintention toundertakeapractice(i.e.,IYCF).•Theliteraturesuggeststhatbehaviorintention isthemostproximalpredictororactualbehavior
•ThestudyinvolvedwomentargetedbySUSTAINproject•TheprojecthasbeenpromotingactivitiesaimedatchangingbehaviorofwomenrelatingtoIYCFpractices
ResearchQuestions&hypotheses
§RQ#1:Whatistheeffectofpsychosocialfactorsonbehavioral intentiontoperformexclusivebreastfeeding?§RQ#2:WhatistheeffectofpsychosocialfactorsoncomplementaryfeedingincorporatingOFSP?
§Thestudytested2hypotheses:•H1: Psychosocial factors have no effect on behavioralintention to undertake exclusive breastfeeding
•H2: Psychosocial factors have no effect on behavioralintention to undertake complementary feedingincorporating OFSP
Theory>>>AugmentedModelofGoal-DirectedBehavior
Theexperiment
§ Thisstudywasconductedasafieldexperiment
§RespondentwererandomlyrecruitedandassignedtointotwotreatmentsüTreatment0(Control):ReceivedinformationaboutbabyfoodsmadefromOFSPandotherlocalfoodsüTreatment1:InadditiontoinformationaboutOFSP-basedfoods,theywereshownactualsamplesofsuchfoods
1. Mashed OFSP (125g)
2. Mix/mash: boiled OFSP root + eggs + pumpkin leaves +
boiled water into a fine/uniform mix/blend and then feed to the
child.
3. Mix/mash: boiled OFSP root +avocado +milk into a
fine/uniformmix/blend and then feed to child
4. Mix/mash: boiled OFSP root + beans (de-hulled) + pumpkin
leaves + boiled water into a fine/uniformmix/blend
Thefoodsshownwere
Sampling&data
§ThestudyfocusedonHoma baycountywhereSUSTAINhasimplementedBCCactivitiessince2014.
§ NineCUswerepurposivelyselected
§IneachCU,villageswererandomlyselectedusingprobabilityproportiontosize(PPS)sampling
§Withineachvillage,alistofwomenstratifiedstatusofthewoman wasobtained,andarandomsampledrawnfromeachstratumusingPPSsampling
Sampling&Datacontinued
§ Thestratificationstatuswere:üPregnantwomenüWomenwith0-5month-oldchildüWomenwith6-23month-oldchildüPotentialmother(16-49yrs,butnotinabovestrata)
§Datawascollectedon:demographics,attitudes,knowledge,behavioralaspects,norms(subjective&anddescriptive),self-efficacy,habits,motivationalfactors,perceivedbehaviorcontrolaswellasparticipationinprojectandotherBCCactivities
Studyarea
Estimationmodels:
§ ThemodelswereestimatedusingPartialLeastSquaresPathModelling(PLS-PM)technique
§ PLS-PMisvariance-basedstructuralequationmodelingtechnique
§ Involvesestimationof:ü Ameasurementmodel(innermodel)and,ü structuralmodel(outermodel)
Empiricalestimationmodelscontd….
Measuringperceivedbehaviorcontrol:Anexample
Response
• Sowhatdidwefind?
Characteristicsofrespondents
Effectofpsychosocialfactorsonexclusivebreastfeeding
EffectofpsychosocialfactorsoncomplementaryfeedingincorporatingOFSP
Treatmenteffectsonmodelestimates
EffectofpsychosocialfactorsoncomplementaryfeedingwithOFSP:bywomencategories
Conclusion
§ExclusivebreastfeedingandcomplementaryfeedingincorporatingOFSParestronglyaffectedby:üSelf-efficacyüSubjectivenormsüGoal-settingpursuit
§ FindingsthereforeindicatethepsychosocialfactorsdoinfluenceIYCFpractices
Implications
1. Wrt goal-setting:PromotionofchangesinIYCFpracticesshouldinvolve:
üEquippingwomenwithvariousplanningtoolsand/orstrategies,e.g.,planningcards
üGoalsbrokenintosmallertasks
2. Wrt Self-efficacy:PeermodellingshouldbeincorporatedineffortstopromoteimprovedIYCF>>Mom-to-Momclubsagoodcase,impartsskills
3. Wrt Subjectivenorms:Spousesandin-lawsneedtobeincorporatedinBCC&promotionofbenefitsof:
üOFSPincomplementaryfeeding,andüExclusivebreastfeeding
• Thankyou!!!