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Article

Adaptation and Integration of Psychosocial Stimulation, Maternal Mental Health and Nutritional Interventions for Pregnant and Lactating Women in Rural Bangladesh

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Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, Bangladesh
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Division of Epidemiology, School of Public Health, University of California, Berkeley, CA 94720, USA
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Department of International Health, John Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
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Division of Community Health Sciences, School of Public Health, University of California, Berkeley, CA 94720, USA
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Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA 94305, USA
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Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka 1212, Bangladesh
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(17), 6233; https://doi.org/10.3390/ijerph17176233
Received: 6 July 2020 / Revised: 22 August 2020 / Accepted: 24 August 2020 / Published: 27 August 2020
(This article belongs to the Special Issue Children Development and Health Care in Stress and Wellbeing Contexts)
Supporting caregivers’ mental wellbeing and ability to provide psychosocial stimulation may promote early childhood development. This paper describes the systematic approach of developing an integrated stimulation intervention, identifying the feasibility and challenges faced throughout the period. We developed an integrated curriculum by culturally adapting three interventions (Reach Up, Thinking Healthy, and general nutrition advice) and piloted this curriculum (Mar–April 2017) in courtyard groups sessions and individual home visits with pregnant women (n = 11) and lactating mothers (of children <24 months) (n = 29). We conducted qualitative interviews with the participants (n = 8) and the community health workers who delivered the intervention (n = 2). Most participants reported willingness to attend the sessions if extended for 1 year, and recommended additional visual cues and interactive role-play activities to make the sessions more engaging. Participants and community health workers found it difficult to understand the concept of “unhealthy thoughts” in the curriculum. This component was then revised to include a simplified behavior-focused story. Community health workers reported difficulty balancing the required content of the integrated curriculum but were able to manage after the contents were reduced. The revised intervention is likely feasible to deliver to a group of pregnant and lactating mothers in a low-resource setting. View Full-Text
Keywords: psychosocial stimulation; maternal mental health; nutrition; early childhood development; integrated intervention; adaptation psychosocial stimulation; maternal mental health; nutrition; early childhood development; integrated intervention; adaptation
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MDPI and ACS Style

Akter, F.; Rahman, M.; Pitchik, H.O.; Winch, P.J.; Fernald, L.C.H.; Nurul Huda, T.M.; Jahir, T.; Amin, R.; Das, J.B.; Hossain, K.; Shoab, A.K.; Khan, R.; Yeasmin, F.; Sultana, J.; Luby, S.P.; Tofail, F. Adaptation and Integration of Psychosocial Stimulation, Maternal Mental Health and Nutritional Interventions for Pregnant and Lactating Women in Rural Bangladesh. Int. J. Environ. Res. Public Health 2020, 17, 6233. https://doi.org/10.3390/ijerph17176233

AMA Style

Akter F, Rahman M, Pitchik HO, Winch PJ, Fernald LCH, Nurul Huda TM, Jahir T, Amin R, Das JB, Hossain K, Shoab AK, Khan R, Yeasmin F, Sultana J, Luby SP, Tofail F. Adaptation and Integration of Psychosocial Stimulation, Maternal Mental Health and Nutritional Interventions for Pregnant and Lactating Women in Rural Bangladesh. International Journal of Environmental Research and Public Health. 2020; 17(17):6233. https://doi.org/10.3390/ijerph17176233

Chicago/Turabian Style

Akter, Fahmida, Mahbubur Rahman, Helen O. Pitchik, Peter J. Winch, Lia C.H. Fernald, Tarique M. Nurul Huda, Tania Jahir, Ruhul Amin, Jyoti B. Das, Khobair Hossain, Abul K. Shoab, Rizwana Khan, Farzana Yeasmin, Jesmin Sultana, Stephen P. Luby, and Fahmida Tofail. 2020. "Adaptation and Integration of Psychosocial Stimulation, Maternal Mental Health and Nutritional Interventions for Pregnant and Lactating Women in Rural Bangladesh" International Journal of Environmental Research and Public Health 17, no. 17: 6233. https://doi.org/10.3390/ijerph17176233

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