Maternal & Child Nutrition · 10 authors, 3 centres
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Combining product distribution with interactive group training was associated with improved training attendance and product adherence, and non-biological primary caregivers (often grandmothers) showed better adherence across multiple products.
The study combined quantitative and qualitative analyses of training attendance and product adherence. The results support that combining product distribution with interactive group training increases both training attendance and product adherence. A 'grandmother effect' was observed, with non-biological primary caregivers demonstrating better adherence across multiple products. Training attendance declined over time, with caregivers increasingly sending representatives. Qualitative findings highlighted that reminders were welcomed, barriers included lack of support from spouses and mothers-in-law, and narrative and dialogical training materials were well received. Implications emphasise the importance of interactive group training, inclusion of older caregivers as champions, outreach to extended family networks, and regular reminders.
