nutrition-related behaviors and is an attempt at reducing redundancies and focusing efforts to stimulate lasting and effective change. This prioritization in no way suggests that SPRING will not be involved in activities around the promotion of the entire package of recommended nutrition and hygiene behaviors, simply that SPRING will focus efforts around the priority behaviors as strategically aligned with our program activities, organizational advantage and to complement other organizational efforts. Specifically, SPRING will continue to train on and promote the entire ENHA package of practices but will place additional emphasis and design activities focusing on the prioritized behaviors to achieve better nutrition in the first 1,000 days. Priority Behaviors Through the process outlined above, SPRING has prioritized the following four key behaviors categorized in Table 2: Table 2: Priority Behavior Matrix Behavior Primary Audience Secondary Determinants of Behavior Audience Optimal Nutrition for PLW PLW Husbands, Knowledge, access to quality, diverse Consuming one handful of and ASF foods, food taboos, family • extra food frontline power structure (food distribution), diverse & animal workers perceptions of nutritious foods •Consuming source foods adequate Rest •Taking Optimal complementary Mothers and Husbands, Knowledge; access to quality, diverse feeding starting at 6 months caregivers of and animal source foods; food taboos; with continued breastfeeding children under 2 family power structure (food to 2 years of age and beyond years frontline workers distribution); attraction to processed Quality, and sweet foods; influence of •Frequency, Quantity, and Consistency of commercially marketed foods; cultural appropriate complementary norms/tradition; perceived milk food insufficiencies, perceptions of diverse & animal nutritious foods, time constraints of •Consuming source foods mothers for preparing food Breastfeeding •Continued Handwashing Mothers and All other Knowledge, self-efficacy (belief in one's hands at critical caregivers of household own ability having the knowledge and •Washing – times (after defecation, children under 2 members, skills), access to clean and running before cooking, before years of age frontline workers water, perceived risk of not washing eating, and before feeding) hands, perceived severity of consequences of not washing hands, time constraints/convenience, unwillingness to adopt new technology Homestead Food PLW Husband, Access to resources and production inputs (land, seeds), knowledge & skills, •Production Consumption of diverse and perceived consequences, time animal source foods investment, natural disasters/conditions, empowerment, social praise, family happiness
nutrition-related behaviors and is an attempt at reducing redundancies and focusing efforts to stimulate lasting and effective change. This prioritization in no way suggests that SPRING will not be involved in activities around the promotion of the entire package of recommended nutrition and hygiene behaviors, simply that SPRING will focus efforts around the priority behaviors as strategically aligned with our program activities, organizational advantage and to complement other organizational efforts. Specifically, SPRING will continue to train on and promote the entire ENHA package of practices but will place additional emphasis and design activities focusing on the prioritized behaviors to achieve better nutrition in the first 1,000 days. Priority Behaviors Through the process outlined above, SPRING has prioritized the following four key behaviors categorized in Table 2: Table 2: Priority Behavior Matrix Behavior Primary Audience Secondary Audience Determinants of Behavior Optimal Nutrition for PLW • Consuming one handful of extra food •Consuming diverse & animal source foods •Taking adequate Rest PLW Husbands, frontline workers Knowledge, access to quality, diverse and ASF foods, food taboos, family power structure (food distribution), perceptions of nutritious foods Optimal complementary feeding starting at 6 months with continued breastfeeding to 2 years of age and beyond •Frequency, Quality, Quantity, and Consistency of appropriate complementary food •Consuming diverse & animal source foods •Continued Breastfeeding Mothers and caregivers of children under 2 years Husbands, frontline workers Knowledge; access to quality, diverse and animal source foods; food taboos; family power structure (food distribution); attraction to processed and sweet foods; influence of commercially marketed foods; cultural norms/tradition; perceived milk insufficiencies, perceptions of nutritious foods, time constraints of mothers for preparing food Handwashing •Washing hands at critical times (after defecation, before cooking, before eating, and before feeding) Mothers and caregivers of children under 2 years of age All other household members, frontline workers Knowledge, self-efficacy (belief in one's own ability – having the knowledge and skills), access to clean and running water, perceived risk of not washing hands, perceived severity of consequences of not washing hands, time constraints/convenience, unwillingness to adopt new technology Homestead Food •Production Consumption of diverse and animal source foods PLW Husband, Access to resources and production inputs (land, seeds), knowledge & skills, perceived consequences, time investment, natural disasters/conditions, empowerment, social praise, family happiness
spring_bangladesh_sbcc_strategy.docx