Positive Deviance approach for improving children's nutritional status: Experiences among mothers and community health workers in a rural area, southern Ethiopia
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Background: Ethiopia has high numbers of children under two recording poor nutritionalstatus. Positive Deviance (PD) is an approach to behavioral and social change. In communities some families use positive practices and bring up well-nourished children. These positive practices are identified and then applyed into an intervention.
Aim: To describe the experiences among mothers and community health workers in a ruralarea in south of Ethiopia about the PD approach for improving children´s nutritional status.
Method: A qualitative descriptive study was used. Five focus group discussions with mothers and ten individual interviews with community health workers were conducted with semistructured interviews. The collected data were transcribed verbatim into the local language and then to English and thereafter analyzed by using qualitative content analysis.
Findings: One theme and four categories of experiences among mothers and community health workers were identified. The theme that was found were; “Witnessing about childrem´s improvements and behavior change” and the categories namely; Behavior change and being conscious about previous harmful behavior, Seeing benefits in children gives enthusiasm to continue, Transfer of skills through empowerment and communication, and Influencing factors for the program to sustain.
Conclusion: The PD approach seems to be very successful. The mothers are motivated to continue with the new practices through the children´s improvements. By helping each other and sharing their knowledge, the mothers felt empowered to raise their children healthy by local resources. Further the better health of the children motivates the community healthworkers to continue their work and reduce the workload.
Place, publisher, year, edition, pages
2015. , 54 p.
Positive Deviance Approach, Child feeding, Undernutrition, Children, Behavior change
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:uu:diva-275742OAI: oai:DiVA.org:uu-275742DiVA: diva2:900916
Subject / course
Master Programme in Public Health
Aarts, ClaraElazar Tadesse, Balla