A&T Burkina Faso Maternal Nutrition Endline Survey 2021: Recently Delivered Women

Author(s)
  • International Food Policy Research Institute (IFPRI)
Release Year 2021
Regions
  • Western Africa
  • Sub-Saharan Africa
  • Africa
  • World
Themes
  • Crops and technologies
  • Markets and value chains
  • Nutrition and health
Source HARVARD Dataverse
Data collection period -
Temporal coverage -
Usage Rights
Access Open
License CC-BY
Disclaimer

IFPRI adheres to the principle of unrestricted public access to its own final research outputs and will make such outputs freely available. The Institute encourages the use of this dataset; for detailed information on its use, please refer to IFPRI’s Intellectual Property Policy. The data files in this dataset are unit record or ‘raw’ data files. Information that would allow survey respondents to be identified has been deleted from the files, but all other information remains. IFPRI’s decision not to alter the contents of the data files means that the user of these files will need to take care in handling missing observations, outliers, and violations of logical consistency.

The data are provided ‘as is’ and in no event shall IFPRI be liable for any damages resulting from the use of the data. While great effort was taken to obtain high-quality data, the accuracy or reliability of the data is not guaranteed or warranted in any way.
Methodology
Instrument Structured questionnaire
Sampling A cluster is defined as the health and social promotion center (CSPS) catchment area. Two health districts in Boucle du Mouhoun (with 40 CSPS) and two health districts in the Hauts-Bassins region (with 40 CSPS) were selected as intervention areas. Stratified random allocation was applied to obtain a more balanced distribution of cluster-level covariates between study arms. First, clusters/CSPS were divided by health districts. Then, clusters were stratified into 2-4 strata using available data on six criteria (type of catchment area, number of villages covered, total population size, total number of pregnant women and children <6 months, number of ANC admissions and proportion of ANC attended, and distance between CSPS and district hospital). Then, Stata was used to assign unique computer-generated random numbers to each cluster, sort numbers, and allocate each cluster in order to one of two study arms (intervention or control). The samples across the two regions were pooled to estimate effects at program level. In the catchment area of the pre-selected CSPS, a census was conducted in three randomly selected villages representing the CSPS catchment area to identify pregnant and recently delivered women. From two separate lists (for pregnant women and recently delivered women), women were randomly selected by simple random sampling until the required sample sizes were reached. If husbands of recently delivered women were present, they were also included in the survey. At each CSPS, the nurse-midwife mainly responsible for providing ANC services was invited to participate in the study. In each surveyed village, the community health worker (ASBC) mainly responsible for ANC/care for pregnant women or, in the case that more than one ASBC was responsible, with the longest duration in that position were invited to participate in the study. In addition, at each CSPS, two ANC sessions that took place during the time of the survey were observed, with prior permission and consent for observation and post-observation exit interview
Unit of analysis Recently Delivered Women
Universe Women aged 15-49 years who have a living child <6 months of age and reside in the A&T study health and social promotion center (CSPS) catchment areas in the Hauts-Bassins and Boucle du Mouhoun regions of Burkina Faso.
Contact point IFPRI-Data
Funding Organisations Bill & Melinda Gates Foundation (BMGF)
Providers International Food Policy Research Institute (IFPRI)
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full citation International Food Policy Research Institute (IFPRI). 2023. A&T Burkina Faso Maternal Nutrition Endline Survey 2021: Recently Delivered Women. Washington, DC: IFPRI [dataset]. https://doi.org/10.7910/DVN/9EAE7H. Harvard Dataverse. Version 1.

Publications and datasets provided via GARDIAN

Abstract

Alive & Thrive (A&T) is an initiative that supports the scaling up of nutrition interventions to save lives, prevent illnesses, and contribute to healthy growth and development through improved maternal nutrition and infant and young child feeding practices. In Burkina Faso, A&T developed and tested an intensive package of maternal nutrition interventions to be integrated into existing ANC services delivered through government health facilities. These included intensified counseling and support on dietary diversity and quality during pregnancy, iron-folic acid (IFA) supplements consumption, importance of ANC and increasing the number of visits, adequate weight-gain monitoring, and early initiation of and exclusive breastfeeding. This dataset is part of a survey that was conducted to gather endline data for the impact evaluation of the interventions. The overall study objective was to evaluate the feasibility of integrating locally relevant maternal nutrition interventions into ANC services provided by the government health system and their impact on diet quality and quantity and utilization of nutrition interventions during pregnancy. Research questions include: 1) What are the program impacts on maternal nutrition practices: (1) consumption of diversified foods and adequate intake of micronutrient, protein and energy compared to recommended intakes; (2) consumption of IFA supplements during pregnancy; and (3) early breastfeeding practices? 2) Can the coverage and utilization of key nutrition interventions (maternal nutrition counseling, weight gain monitoring, distribution of and counseling on IFA supplementation, and breastfeeding counseling) and number of ANC contacts be improved through health system strengthening and nutrition-focused social and behavior change communication (SBCC; interpersonal communication and community mobilization) approaches? 3) What factors influenced integration and strengthening of maternal nutrition interventions into the government ANC service delivery platform? The evaluation used a two-arm cluster-randomized, non-masked trial design, consisting of two cross-sectional surveys at baseline and endline. The unit of randomization was the health and social promotion center (CSPS, Centre de Santé et de Promotion Social in French) catchment area. The endline survey was conducted in January-March 2021 by Agence de Formation de Recherche et d'Expertise en Santé pour l'Afrique (AFRICSanté), the in-country research collaborator for the survey. The endline survey included the following: 1) Pregnant women questionnaire, 2) Recently delivered women questionnaire, 3) Husbands of recently delivered women questionnaire, 4) Nurse-midwife questionnaire, 5) Community health agents (agent de santé communautaire, ASBCs) questionnaire, 6) Health facility observation checklist, and 7) ANC observation and exit interview. The recently delivered women interviews were conducted using pretested, structured questionnaires. Information was collected on household composition, household socioeconomic status, obstetric history, use of ANC, exposure to ANC, maternal nutrition and breastfeeding knowledge and practices, pregnancy and postnatal care, household food security, social desirability, decision-making power, mental health, and anthropometry.