"In the Past, the Seeds I Planted often Didn't Grow." A Mixed-Methods Feasibility Assessment of Integrating Agriculture and Nutrition Behaviour Change Interventions with Cash Transfers in Rural Bangladesh

International Journal of Environmental Research and Public Health
Ashraful AlamMichael J Dibley

Abstract

Combining agriculture with behaviour change communication and other nutrition-sensitive interventions could improve feeding practices to reduce maternal and child undernutrition. Such integrated intervention requires rigorous design and an appropriate implementation strategy to generate an impact. We assessed feasibility and acceptability of an intervention package that combines nutrition counselling, counselling and support for home-gardening, and unconditional cash transfers delivered to women on a mobile platform for improving maternal and child nutrition behaviours among low-income families in rural Bangladesh. We used mixed-methods including in-depth interviews with women (20), key-informant interviews with project workers (6), and a cross sectional survey of women (60). Women well-accepted the intervention and reported to be benefited by acquiring new skills and information on home gardening and nutrition. They established homestead gardens of seasonal vegetables successfully and were able to find a solution for major challenges. All women received the cash transfer. Ninety-one percent of women spent the cash for buying foods, 20% spent it on purchasing seeds or fertilizers and 57% used it for medical and livelihood purch...Continue Reading

References

Jun 12, 2013·Lancet·Robert E BlackUNKNOWN Maternal and Child Nutrition Study Group
Jun 12, 2013·Lancet·Zulfiqar A BhuttaUNKNOWN Lancet Nutrition Interventions Review Group, the Maternal and Child Nutrition Study Group
May 23, 2014·Maternal & Child Nutrition·Kenda CunninghamRicardo Uauy
Mar 24, 2015·Public Health Nutrition·Kenda CunninghamElaine Ferguson
Nov 18, 2016·International Journal for Equity in Health·Atonu RabbaniAlayne Adams
Mar 9, 2017·Maternal & Child Nutrition·Tanvir M HudaMichael J Dibley
Aug 20, 2017·BMC Health Services Research·Fatema KhatunAbbas Bhuiya

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