Tanmay Singh Pathani MPH II Semester

Nutrition Communication, Ante Natal Visits and

Barriers

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Research Project

Nutrition communication during ANC visits: Experience of pregnant women in

villages of Okhalkanda block, Nainital, Uttrakhand

Table of Content

• Introduction• Purpose• Problem Statement• Objective• Research Question• Research Methodology• Timeline

Introduction

• Nutrition and weight status are important determinants of pregnancy outcome, fetal growth, and future risks to child growth.[1]

• Nutrition communication during pregnancy is an important aspect to challenge the malnutrition during and after pregnancy in low resource setting.[1,2]

• In systematic survey of studies which gave antenatal dietary counsel, lessen the danger of preterm conception by 54% and build head periphery during childbirth[3]

The ante-natal (ANC) coverage in India in the years 2008-2013 State of the World's

Children Report 2015

Annual Health Survey Uttarakhand 2011-2012

A

B

74%

34%

At least one ANC visit

Complete ANC coverage, four visits

C

D

E

At least one ANC visits 86%

16%

Unmet%

Complete ANC coverage

Purpose • Pregnant ladies are needed to consume soundly

and be more open for nourishment related information for healthy pregnancy and outcome.

• Extensively explore the nutrition correspondence which is being provided during ANC clinics in the views of attendees.

• Further information of the recipients' viewpoints and encounters may be significant to tending to conceivable boundaries to nutritional correspondence in antenatal care.

Problem statement

What is the knowledge, attitude and perception about nutrition in ANC attendees?

A

Are there any cultural and social issues which act as barriers for following nutritional communication?

B

What is the relationship between nutritional communication and nutritional status of ANC attendees?

C

Aims and Objectives

• The overall aim of this study is to improve the nutrition correspondence and nutritional status of pregnant women

• Objectives :

1. To determine the knowledge, attitude and perception of pregnant ladies to nutritional correspondences provided during ANC visits.

2. To explore the barriers for effective nutritional communication.

Research Question

• What is the status of knowledge, practice and perception of women about nutrition correspondence provided during ANC clinics ?

• What are the barriers for effective nutrition correspondence ?

Research Methodology

Approach

• Reference population of 108 villages in Okhalakanda block.

• Sample population to be selected by convenient sampling

• Simple Random sampling for village selection.

• Community based cross-sectional design

Data Tools

• Interviewer administered questionnaire.

• The questionnaire is to be developed and translated.

• Informed consent to be taken

• Exclusion criteria women not willing to take the interview

Timeline

5

Days

10

Days

20

Days*

20

Days*

5

Days

10

Days

5

Days

Develop Research Proposal and obtain approval

Develop and test

tool

Administer instruments

Final

collection

of data

Develop and test questions

Obtain participants

Ongoing data collection and analysis

Submission

A traditional birth attendant at village Shimyal, Okhalkanda ( Pic Courtsey: Aarohi)

References

• http://www.who.int/elena/bbc/nutrition_counselling_pregnancy/en/• Black RE et al. Maternal and child under nutrition and overweight in low-income and mi

ddle-income countries. Lancet. 2013, S0140-6736(13)60937-X. Bhutta ZA et al. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet. 2013, S0140-6736(13)60996-4.

• Ota E, et al. Antenatal dietary advice and supplementation to increase energy and protein intake. Cochrane Database of Systematic Reviews. 2012, CD000032.

• http://www.data.unicef.org/resources/the-state-of-the-world-s-children-report-2015-statistical-tables#sthash.CzL34e9e.dpuf

• Effect of counseling on nutritional status during pregnancy. Garg A, Kashyap S.• Girard AW, Olude O. Nutrition education and counselling provided during pregnancy: eff

ects on maternal, neonatal and child health outcomes. Paediatric and Perinatal Epidemiology. 2012, 26:191-204

• http://motherchildnutrition.org/india/overview-india.html• 2005-2006 National Family Health Survey (NFHS-3) India Fact Sheet• Public health interventions, barriers, and opportunities for improving maternal nutrition i

n India Usha Ramakrishnan, Alyssa Lowe, Sheila Vir, Shuba Kumar, Rani Mohanraj, Anuraag Chaturvedi, Elizabeth A. Noznesky, Reynaldo Martorell, and John B. Mason

• Pregnancy-Related Health Information-Seeking Behaviors Among Rural Pregnant Women in India: Validating the Wilson Model in the Indian Context Ashavaree Das, PhD and Madhurima Sarkar, PhD