Evidence map›Paper›PMID 32993837›Full record

ArticlePublic health nutrition2021

Facilitating factors and challenges of the implementation of multisectoral nutrition programmes at the community level to improve optimal infant and young child feeding practices: a qualitative study in Burkina Faso.

Ousmane Ouedraogo, Maimouna Halidou Doudou, Koiné Maxime Drabo, Médiatrice Kiburente, Djibril Cissé, Christian Mésenge, Dia Sanou, Noel Marie Zagre, Philippe Donnen

Open access · greenAbstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 9 countries.

Ousmane OuedraogoSchool of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Maimouna Halidou DoudouSchool of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Koiné Maxime DraboInstitut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso.
Médiatrice KiburenteNutrition and Health Section, UNICEF, Ouagadougou, Burkina Faso.
Djibril CisséUNICEF, Nouakchott, Mauritanie.
Christian MésengeUniversité Numérique Francophone Mondiale (UNFM), Saint Maurice, France.
Dia SanouFAO, Subregional Office for Eastern Africa and Liason Office to AU and UNECA, Addis Abeba, Ethiopia.
Noel Marie ZagreWest and Central Africa Regional Office, UNICEF, Dakar, Senegal.
Philippe DonnenSchool of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Université Libre de Bruxelles · BEInstitut de Recherche en Sciences de la Santé · BFSociété Francophone du Diabète · FRUnited Nations Children's Fund Cameroon · CMUnited Nations Economic Commission for Africa · ETWest and Central African Council for Agricultural Research and Development · SN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify the drivers and challenges of successful nutrition programme implementation in a multisectoral, community-level approach to improve infant and young child feeding (IYCF) practices in northern Burkina Faso.

designA qualitative study was conducted in 2019 through (i) individual interviews with key informants from five different sectors (health, agriculture, environment, livestock and education) and association staff, agents and community leaders and (ii) focus groups with mothers of children under the age of 2 years.

settingThree health districts in the northern region of Burkina Faso implemented a multisectoral community nutrition programme to improve IYCF practices.

participantsForty-seven implementing actors and twenty-four beneficiary mothers.

resultsFactors influencing successful implementation include community participation; sector commitment and involvement; the existence of nutrition champions; capacity building; the integration of interventions; micronutrient powder distribution; the introduction of nutrition-sensitive interventions, such as the promotion of the consumption of orange-fleshed sweet potatoes; improved food production and small livestock rearing and the effective coordination of actors and complementary funding. The main challenges of the implementation of multisectorality are low participation among nutrition-sensitive sectors, a tendency for siloed work among sectors, scheduling conflicts, high actor mobility, differences in the target population by sector, a lack of technical skills among community workers, insufficient financial resources, low geographic convergence and coverage of beneficiaries, a lack of a multisectoral monitoring mechanism and accountability and insecurity.

conclusionsStrengthening sector participation, identifying a common targeting strategy and mobilising financial resources have the potential to significantly reduce barriers and improve the quality of implementation.

Indexed as

Child Nutrition DisordersNutrition PolicyBurkina FasoChildChild, PreschoolFeeding BehaviorFemaleHumansInfantNutritional StatusBurkina FasoChallengesDriversImplementationInfant and young child feedingMultisectoral nutritionProgrammes

Identifiers

PMID32993837
PMCPMC10195366
OpenAlexW3089681986

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.