PLOS Global Public Health · 23 authors, 13 centres
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This study used a deliberative engagement tool called 'Choosing All Together' (CHAT) to help six community groups in rural northern Ghana prioritize nutrition interventions. The central finding was that communities prioritized a mix of nutrition-sensitive (livelihood empowerment, male involvement) and nutrition-specific (micronutrient supplementation) interventions, reflecting local needs like poverty and food insecurity.
An exploratory cross-sectional mixed-methods study was conducted between December 2020 and February 2021 in rural northern Ghana. Eleven nutrition interventions were costed and used in a modified CHAT tool—a board-like game—to facilitate deliberations with six community groups. Participants, despite low literacy, were able to use the materials and collectively prioritize interventions. The prioritized nutrition-sensitive interventions were livelihood empowerment (to improve agricultural output, food security, and income) and male involvement in nutrition (as men are household decision-makers). The prioritized nutrition-specific intervention was micronutrient supplementation. Limitations noted include the lengthy time commitment required for sessions, potential translation nuances, and the small number of groups (n=6), which may limit generalizability. The study demonstrates the feasibility of using a participatory tool like CHAT in low-literacy, rural settings to inform nutrition policy priorities.
