This book investigates the most effective behavior change communication (BCC) strategies to reach socio-economically vulnerable mothers to promote early initiation of breastfeeding after birth in rural Niger. It thereby goes beyond conventional research frameworks by looking into multifaceted indicators including socio-economic and demographic status of mothers, environmental health, family and community based social network and typology of field activities. The book analyses demographic indicators by using field based pragmatic perspectives to scrutinise what the numbers tell in the local context. It also analyses a unique dataset of non-health related indicators such as income poverty to measure socio-economic vulnerability of mothers, involvement of and interactions with other family and community actors in child healthcare in addition to conventional socio-economic, demographic and health seeking behavioural indicators. The book draws policy and strategy recommendations based on the thorough analysis of each risk and protective factor for breastfeeding after birth to redirect technical and financial investment towards its most effective use for the optimal coverage of populations deprived from access to basic health and social services. As such this book is a very valuable read to researchers, public health and nutrition experts and decision makers in child health.

Autorentext

As a public health nutrition and behavior change communication specialist, Naoko HORII was involved during the last 17 years in program management (participatory planning, monitoring & evaluation) and research (Operational/action research, quantitative and qualitative household and community surveys) in Sub-Saharan Africa and Asia for international organisations such as FAO and UNICEF, the research institute of tuberculosis, government agencies such as Ministry of Foreign Affairs of Japan and a JICA funded research project. The areas of expertise include vulnerability and poverty assessment, behaviour change communication, maternal and child health and nutrition, community health promotion, household food and nutrition security and infectious disease control (TB/HIV, Polio). She recently undertook a PhD program under the supervision of Professor Yves Charbit, Center for Population & Development (CEPED) and Paris Descartes University to measure the impact of a community based UNICEF program on early initiation of breastfeeding in rural Niger. She has published articles and presented research outcomes through international conferences while acting as an international nutrition consultant to translate scientific evidence into actions.

Inhalt

Foreword

Introduction

Chapter 1: Research Methods and Data Sources

Chapter 2: Breastfeeding Patterns and the State of the Art of socio-Demographic Approaches to Breastfeeding in Sub-Saharan Africa Chapter 3: What Determines Postpartum Breastfeeding in Niger

Chapter 4: Evaluation Study in Pilot Areas of a Community Based Child Healthcare Promotion

Chapter 5: Program Responses to Socio-Economic Disparity in Rural Mothers Promoting Early Initiation of Breastfeeding

Conclusions References