Assessing Program Coverage of Two Approaches to Distributing a Complementary Feeding Supplement to Infants and Young Children in Ghana.
The work reported here assesses the coverage achieved by two sales-based approaches to distributing a complementary food supplement (KOKO Plus™) to infants and young children in Ghana. Delivery Model 1 was conducted in the Northern Region of Ghana and used a mixture of health extension workers (deli...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2016-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5068796?pdf=render |
| _version_ | 1811327518839406592 |
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| author | Grant J Aaron Nicholas Strutt Nathaniel Amoh Boateng Ernest Guevarra Katja Siling Alison Norris Shibani Ghosh Mercy Nyamikeh Antoine Attiogbe Richard Burns Esi Foriwa Yasuhiko Toride Satoshi Kitamura Kwaku Tano-Debrah Daniel Sarpong Mark Myatt |
| author_facet | Grant J Aaron Nicholas Strutt Nathaniel Amoh Boateng Ernest Guevarra Katja Siling Alison Norris Shibani Ghosh Mercy Nyamikeh Antoine Attiogbe Richard Burns Esi Foriwa Yasuhiko Toride Satoshi Kitamura Kwaku Tano-Debrah Daniel Sarpong Mark Myatt |
| author_sort | Grant J Aaron |
| collection | DOAJ |
| description | The work reported here assesses the coverage achieved by two sales-based approaches to distributing a complementary food supplement (KOKO Plus™) to infants and young children in Ghana. Delivery Model 1 was conducted in the Northern Region of Ghana and used a mixture of health extension workers (delivering behavior change communications and demand creation activities at primary healthcare centers and in the community) and petty traders recruited from among beneficiaries of a local microfinance initiative (responsible for the sale of the complementary food supplement at market stalls and house to house). Delivery Model 2 was conducted in the Eastern Region of Ghana and used a market-based approach, with the product being sold through micro-retail routes (i.e., small shops and roadside stalls) in three districts supported by behavior change communications and demand creation activities led by a local social marketing company. Both delivery models were implemented sub-nationally as 1-year pilot programs, with the aim of informing the design of a scaled-up program. A series of cross-sectional coverage surveys was implemented in each program area. Results from these surveys show that Delivery Model 1 was successful in achieving and sustaining high (i.e., 86%) effective coverage (i.e., the child had been given the product at least once in the previous 7 days) during implementation. Effective coverage fell to 62% within 3 months of the behavior change communications and demand creation activities stopping. Delivery Model 2 was successful in raising awareness of the product (i.e., 90% message coverage), but effective coverage was low (i.e., 9.4%). Future programming efforts should use the health extension / microfinance / petty trader approach in rural settings and consider adapting this approach for use in urban and peri-urban settings. Ongoing behavior change communications and demand creation activities is likely to be essential to the continued success of such programming. |
| first_indexed | 2024-04-13T15:09:15Z |
| format | Article |
| id | doaj.art-bd9e37f74ef143629fc425e639673a17 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T15:09:15Z |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-bd9e37f74ef143629fc425e639673a172022-12-22T02:42:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011110e016246210.1371/journal.pone.0162462Assessing Program Coverage of Two Approaches to Distributing a Complementary Feeding Supplement to Infants and Young Children in Ghana.Grant J AaronNicholas StruttNathaniel Amoh BoatengErnest GuevarraKatja SilingAlison NorrisShibani GhoshMercy NyamikehAntoine AttiogbeRichard BurnsEsi ForiwaYasuhiko TorideSatoshi KitamuraKwaku Tano-DebrahDaniel SarpongMark MyattThe work reported here assesses the coverage achieved by two sales-based approaches to distributing a complementary food supplement (KOKO Plus™) to infants and young children in Ghana. Delivery Model 1 was conducted in the Northern Region of Ghana and used a mixture of health extension workers (delivering behavior change communications and demand creation activities at primary healthcare centers and in the community) and petty traders recruited from among beneficiaries of a local microfinance initiative (responsible for the sale of the complementary food supplement at market stalls and house to house). Delivery Model 2 was conducted in the Eastern Region of Ghana and used a market-based approach, with the product being sold through micro-retail routes (i.e., small shops and roadside stalls) in three districts supported by behavior change communications and demand creation activities led by a local social marketing company. Both delivery models were implemented sub-nationally as 1-year pilot programs, with the aim of informing the design of a scaled-up program. A series of cross-sectional coverage surveys was implemented in each program area. Results from these surveys show that Delivery Model 1 was successful in achieving and sustaining high (i.e., 86%) effective coverage (i.e., the child had been given the product at least once in the previous 7 days) during implementation. Effective coverage fell to 62% within 3 months of the behavior change communications and demand creation activities stopping. Delivery Model 2 was successful in raising awareness of the product (i.e., 90% message coverage), but effective coverage was low (i.e., 9.4%). Future programming efforts should use the health extension / microfinance / petty trader approach in rural settings and consider adapting this approach for use in urban and peri-urban settings. Ongoing behavior change communications and demand creation activities is likely to be essential to the continued success of such programming.http://europepmc.org/articles/PMC5068796?pdf=render |
| spellingShingle | Grant J Aaron Nicholas Strutt Nathaniel Amoh Boateng Ernest Guevarra Katja Siling Alison Norris Shibani Ghosh Mercy Nyamikeh Antoine Attiogbe Richard Burns Esi Foriwa Yasuhiko Toride Satoshi Kitamura Kwaku Tano-Debrah Daniel Sarpong Mark Myatt Assessing Program Coverage of Two Approaches to Distributing a Complementary Feeding Supplement to Infants and Young Children in Ghana. PLoS ONE |
| title | Assessing Program Coverage of Two Approaches to Distributing a Complementary Feeding Supplement to Infants and Young Children in Ghana. |
| title_full | Assessing Program Coverage of Two Approaches to Distributing a Complementary Feeding Supplement to Infants and Young Children in Ghana. |
| title_fullStr | Assessing Program Coverage of Two Approaches to Distributing a Complementary Feeding Supplement to Infants and Young Children in Ghana. |
| title_full_unstemmed | Assessing Program Coverage of Two Approaches to Distributing a Complementary Feeding Supplement to Infants and Young Children in Ghana. |
| title_short | Assessing Program Coverage of Two Approaches to Distributing a Complementary Feeding Supplement to Infants and Young Children in Ghana. |
| title_sort | assessing program coverage of two approaches to distributing a complementary feeding supplement to infants and young children in ghana |
| url | http://europepmc.org/articles/PMC5068796?pdf=render |
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