Collections > Master's Papers > Gillings School of Public Health > A COMMUNITY-BASED POSITIVE DEVIANCE/HEARTH INTERVENTION TO PROMOTE COMMUNITY EMPOWERMENT AND IMPROVE CHILDHOOD MALNUTRITION IN RURAL NICARAGUA
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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.