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