A COMMUNITY-BASED POSITIVE DEVIANCE/HEARTH INTERVENTION TO PROMOTE COMMUNITY EMPOWERMENT AND IMPROVE CHILDHOOD MALNUTRITION IN RURAL NICARAGUA Public Deposited

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Last Modified
  • February 27, 2019
Creator
  • Padilla, Dianna
    • Affiliation: Gillings School of Global Public Health, Department of Maternal and Child Health
Abstract
  • Objectives: To implement a Positive Deviance (PD)/Hearth intervention, aligned with community-based participatory research (CBPR) approaches, in a rural community of Nicaragua to empower community members and promote sustainable behavior change in order to improve nutrition.Methods: Community leaders in Sector 1 of El Bambú in the South Atlantic Autonomous Region of Nicaragua, with a population of 1,300 (209 families), initiated research by expressing the need to decrease child anemia rates and establish a community-wide, foundational knowledge of nutritional practices. The organization partnered with the community to implement PD/Hearth. Results: In July 2017, 63.2% of participants were found to be anemic (Hgb<11g/dL). Through surveys, positive feeding, caring, hygiene, and health seeking practices were identified (n=3). Members of the three-way partnership collaborated to create six lesson plans and flipcharts.Conclusions: PD/Hearth successfully identified and promoted positive nutrition practices existing in the community. The intervention relied on the community members’ expertise, creating a foundation for sustainable impact. The present study has the potential to improve the nutritional status of children in El Bambú and inform public health efforts in similar settings.
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Rights statement
  • In Copyright
Note
  • Paper type: Original research
Advisor
  • Margolis, Lewis
Degree
  • Master of Public Health
Academic concentration
  • Maternal and Child Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2018
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Deposit record
  • 9f52dcd2-65c8-48dc-971e-dc9237b439fe
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