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dc.contributor.authorSwanson, Vivien; orcid: 0000-0002-1685-2991; email: vivien.swanson@stir.ac.uk
dc.contributor.authorHart, Joanne; orcid: 0000-0001-9985-5137; email: jo.hart@manchester.ac.uk
dc.contributor.authorByrne-Davis, Lucie; orcid: 0000-0002-9658-5394; email: lucie.byrne-davis@manchester.ac.uk
dc.contributor.authorMerritt, Rowena; email: R.K.Merritt@kent.ac.uk
dc.contributor.authorMaltinsky, Wendy; email: wendy.maltinsky@stir.ac.uk
dc.date.accessioned2021-06-11T23:17:38Z
dc.date.available2021-06-11T23:17:38Z
dc.date.issued2021-06-10
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/624915/nutrients-13-01995.pdf?sequence=2
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/624915/additional-files.zip?sequence=3
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/624915/nutrients-13-01995.xml?sequence=4
dc.identifier.citationNutrients, volume 13, issue 6, page e1995
dc.identifier.urihttp://hdl.handle.net/10034/624915
dc.descriptionFrom MDPI via Jisc Publications Router
dc.descriptionHistory: accepted 2021-06-08, pub-electronic 2021-06-10
dc.descriptionPublication status: Published
dc.description.abstractMaternal and infant nutrition are problematic in areas of Ethiopia. Health extension workers (HEWs) work in Ethiopia’s primary health care system, increasing potential health service coverage, particularly for women and children, providing an opportunity for health improvement. Their roles include improving maternal and infant nutrition, disease prevention, and health education. Supporting HEWs’ practice with ‘non-clinical’ skills in behavior change and health communication can improve effectiveness. This intervention study adapted and delivered a UK-developed training intervention for Health Extension Workers (HEWs) working with the United Nations World Food Programme in Ethiopia. The intervention included communication and behavioral training adapted with local contextual information. Mixed methods evaluation focused on participants’ reaction to training, knowledge, behavior change, and skills use. Overall, 98 HEWs were trained. The intervention was positively received by HEWs. Pre-post evaluations of communication and behavior change skills found a positive impact on HEW skills, knowledge, and motivation to use skills (all p 0.001) to change women’s nutritional behavior, also demonstrated in role-play scenarios. The study offered substantial learning about intervention delivery. Appropriate cultural adaptation and careful consideration of assessment of psychological constructs are crucial for future delivery.
dc.languageen
dc.publisherMDPI
dc.rightsLicence for this article: https://creativecommons.org/licenses/by/4.0/
dc.sourceeissn: 2072-6643
dc.subjectfood security
dc.subjectfood intake
dc.subjecteating behaviour
dc.subjectlow- and middle-income countries
dc.subjectinfant nutrition
dc.subjectbehavioral intervention
dc.subjectstaff training
dc.subjecthealth extension workers
dc.titleEnhancing Behavior Change Skills in Health Extension Workers in Ethiopia: Evaluation of an Intervention to Improve Maternal and Infant Nutrition
dc.typearticle
dc.date.updated2021-06-11T23:17:38Z
dc.date.accepted2021-06-08


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