Utilization of positive deviance analysis in evaluating community-based nutrition programs: an application to the Dular program in Bihar, India.

摘要: Background. Positive deviance is increasingly employed in international development activities to permit the utilization of proven local solutions. Including positive methods evaluation analysis, particularly places like Bihar, India, where rates child underweight hover at 55%, can help identify project and household characteristics that affect key outcomes. These can, turn, inform decision-making regarding intensification promising activities. Objectives. To apply analysis Dular program a community-based nutrition seeks improve impact India’s Integrated Child Development Services on young children. Methods. In order assure desired outcomes were not dependent higher economic status, isolated subset beneficiaries—the poorest children with best nutritional outcomes—and examined behavioral factors may have brought about results this subgroup. The data for drawn from 2005 sample 1,560 Results. found deviant normal status 50% households introduced complementary food almost 2 months earlier (7.18 vs. 9.02 age) than severely malnourished children, more twice as likely use soap handwashing after defecation (25.0% 11.8%), seven times literate mothers 3.5%). Conclusions. suggests programmatic efforts relating these been effective well deserve increased investment.