Example 3: Maternal and Child Health and Nutrition (MCHN) Programs: Exclusive Breastfeeding (EBF) Priority Group or Influencing Behavior Groups Determinants Bridges to Activities Activities Mothers only Priority Group: Burundian mothers Perceived action- 1. Increase the 1. Record/write stories about mothers give breast with children 0–6 months of age efficacy perception with children with good health/weight milk to their exclusively who do EBF and believe in EBF. Play Live in rural setting Mothers don’t children from breastfeeding a the recording/read the testimonials on know the Majority are illiterate birth to 6 child will help EBF at meetings in the community/ relationship Go to church on Sunday months of prevent health facilities (following postnatal between EBF morning age. malnutrition. care and growth monitoring and and Are busy with daily household promotion sessions). 2. Increase the malnutrition chores perception that 2. In household meetings, use growth Want to be perceived as good religious leaders charts to show the difference between Perceived Divine mothers and wives approve of EBF and several children growing well who are will: After 3 months, they think they that their religious exclusively breastfeeding and contrast Mothers do not have enough milk to tradition is them to other children who are losing question breastfeed supportive of EBF. weight who are not EBF. whether their Exclusively breastfeed until 4 3. Increase the 3. Give pastors/priests/imams sermon religious months, but give other foods at perception that guides on EBF and train them in their leaders/ that time their use. traditions law, mothers 4. Have Care Group Volunteers (CGVs) Majority are in partial action support this approve of EBF. include mothers-in-law when teaching stage Behavior 4. Decrease the mothers of young children about EBF. perception that a 5. Explain to mothers (via CGVs and Influencing Groups: Perceived social child will be hungry household visits) that children cry for Mothers-in-law norms: or lacking in many reasons, and crying does not Mothers believe nutrition if they are always mean the child is hungry. Use that their exclusively growth charts to show mothers that mothers, breastfed. many children who cry a lot (identify mothers-in-law cases ahead of time) are still growing do not approve well and therefore are not lacking
Example 3: Maternal and Child Health and Nutrition (MCHN) Programs: Exclusive Breastfeeding (EBF) Behavior Priority Group or Influencing Groups Determinants Bridges to Activities Activities Mothers only give breast milk to their children from birth to 6 months of age. Priority Group: Burundian mothers with children 0–6 months of age Live in rural setting Majority are illiterate Go to church on Sunday morning Are busy with daily household chores Want to be perceived as good mothers and wives After 3 months, they think they do not have enough milk to breastfeed Exclusively breastfeed until 4 months, but give other foods at that time Majority are in partial action stage Influencing Groups: Mothers-in-law Perceived action- efficacy Mothers don’t know the relationship between EBF and malnutrition Perceived Divine will: Mothers question whether their religious leaders/ traditions support this Behavior Perceived social norms: Mothers believe that their mothers, mothers-in-law do not approve 1. Increase the perception exclusively breastfeeding a child will help prevent malnutrition. 2. Increase the perception that religious leaders approve of EBF and that their religious tradition is supportive of EBF. 3. Increase the perception that their mothers approve of EBF. 4. Decrease the perception that a child will be hungry or lacking in nutrition if they are exclusively breastfed. 1. Record/write stories about mothers with children with good health/weight who do EBF and believe in EBF. Play the recording/read the testimonials on EBF at meetings in the community/ health facilities (following postnatal care and growth monitoring and promotion sessions). 2. In household meetings, use growth charts to show the difference between several children growing well who are exclusively breastfeeding and contrast them to other children who are losing weight who are not EBF. 3. Give pastors/priests/imams sermon guides on EBF and train them in their use. 4. Have Care Group Volunteers (CGVs) include mothers-in-law when teaching mothers of young children about EBF. 5. Explain to mothers (via CGVs and household visits) that children cry for many reasons, and crying does not always mean the child is hungry. Use growth charts to show mothers that many children who cry a lot (identify cases ahead of time) are still growing well and therefore are not lacking law,
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