Publications by authors named "Nazgul Abazbekova"
Objective: To evaluate the impact of a counselling programme to strengthen the health and nutrition behaviours of caregivers of children under 2 and the sustainability of that impact through reduced intervention intensity one year later.
Design: The programme trained community- and facility-based health staff to provide nutrition counselling. We conducted an impact evaluation with a modified stepped-wedge design using difference-in-differences analysis to compare indicator changes in an intervention group to a comparison group (midterm survey) and then a full intervention group to a light intervention group (final survey).
Promoting responsive care and early learning practices among caregivers of children 0-23 months in the Kyrgyz Republic: findings from integrating a counselling intervention with nutrition services.
Public Health Nutr
October 2024
Article Synopsis
- The study aimed to evaluate how caregiver practices for children aged 0-23 months changed after a 10-month integration of Responsive Care and Early Learning (RCEL) counseling into nutrition services.
- Data was collected through surveys and observations before and after the intervention, which trained health staff and community volunteers to support caregivers in their practices.
- Results showed significant improvements in RCEL practices, home learning opportunities, reduced parenting stress, and better feeding practices, indicating that combining RCEL with nutrition counseling enhanced overall caregiver support without disrupting services.
Health professional competency building is one of nine national responsibilities (to achieve universal coverage and sustainability) described in the 2018 World Health Organization/UNICEF implementation guidance for the Baby-Friendly Hospital Initiative (BFHI). Skilled breastfeeding support as a standard of newborn care is critical to the establishment of lactation and exclusive breastfeeding. This qualitative case study describes the Kyrgyz Republic's experience with health professional competency building related to breastfeeding counselling and support.
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