Low adherence to recommended health and nutrition strategies during the critical 1000 day-window of opportunity is multifactorial but low quality communication is key limitation. Innovative strategies to improve interpersonal communication can reduce the burden and the fatigue of community health workers and may result in a greater change. The findings of this project will support governments and other stakeholders in their delivery of high impact nutrition and health practices. This intervention aims to improve adherence to ante- and post-natal care practices and recommendations by the use of our video-based health education. These videos will be implemented through home-based counseling by trained assistants, and video-based forum participation led by community nurses and health extension workers (HEWs). During the monthly forums, the educational package will be delivered in a video form - locally prepared using multiple approaches like testimony, comedy, dramas in the form of questions and answers, group discussions and deductive approaches. Cordless projectors and locally created videos give the health community more quality control over the end message, expand the number of people reached, allow for the use of minimally trained non-expert facilitators such as the hews, and allow for contextually appropriate information. They can also be used in areas without access to electricity, helping to bridge the digital divide, and serving as a leapfrog technology for areas that would otherwise not have access to media.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Adherence to iron and folic acid supplementation during pregnancy
Timeframe: Monthly during six months pregnancy
Adherence to iron and folic acid supplementation post-partum
Timeframe: Monthly during three months postpartum
Maternal anemia during pregnancy
Timeframe: Hemoglobin concentrations will be measured at 9 months pregnancy
Maternal anemia post-partum
Timeframe: Hemoglobin concentrations will be measured at six months postpartum
Early initiation
Timeframe: At birth (six months after the enrollment)
Exclusive breastfeeding
Timeframe: Birth to six months postpartum
Dietary intake during six months pregnancy
Timeframe: Assessed at 6 months and 9 months pregnancy
Dietary intake at six months post-partum
Timeframe: Assessed at six months postpartum