Process evaluation on the implementation of Mwanzo bora nutrition program on the reduction of childhood stunting: A case of Kilolo district in Tanzania
| dc.contributor.author | Chisanga, Helen J | |
| dc.date.accessioned | 2026-06-04T15:27:59Z | |
| dc.date.issued | 2018 | |
| dc.description | A dissertation submitted to the School of Public Administration and Management in partial fulfillment of requirements for the award of the Master of Science in Health Monitoring and Evaluation of Mzumbe University. | |
| dc.description.abstract | Nutritional status of children is an important ending measure of their health status. Thus, child care and feeding practices has been recommended as a major solution to improve under-five survivals and promote healthy growth and development. This evaluation aimed to assess the implementation process of Mwanzo Bora Nutrition Program (MBNP) in reduction of childhood stunting at Kilolo district council in Iringa, Tanzania. The evaluation employed formative approach guided by a cross-sectional design. The evaluation enrolled a total sample size of 161 respondents. The sample included mothers of children/caregivers between 0-23 months enrolled in MBNP, community health workers and CHMT officials who were purposively and randomly selected. Data were obtained by using questionnaires, interviews and focus group discussions. Quantitative data were entered and analyzed by using SPSS software version 20 whilst simultaneously qualitative data were analyzed manually. Data were collected by using structured questionnaire, focus group discussion and in depth interview. Descriptive statistics were carried out, Chi – test was done to determine relationship between variables by using IBM SPSS version 20. The results revealed that 98% of mothers had knowledge about infant and young child feeding. There was no significance difference between knowledge of infant and young child feeding and practices especially on complementary food practice and breast feeding. However, significance difference was reported on the initiation of breastfeeding at (p≤0.05). Likewise, there was significance difference (p≤0.05) between knowledge of Mwanzo Bora Nutrition Program and its practices. Finally majority of the respondents (80%) had reported to have hand-washing equipments; and among them 51% reported to have started using the equipments after implementation of the program. The study concludes that use of hand-washing facilities improve hygienic condition and ultimately results on the reduction of childhood illness. Challenges associated with insufficient funds, shortage of human resources and poor community participation to some extent limited the implementation process. | |
| dc.description.sponsorship | Private | |
| dc.identifier.citation | APA | |
| dc.identifier.uri | https://scholar.mzumbe.ac.tz/handle/123456789/2078 | |
| dc.language.iso | en | |
| dc.publisher | Mzumbe University | |
| dc.subject | Childhood stunting | |
| dc.subject | Child care services | |
| dc.subject | Antenatal care | |
| dc.subject | Child feeding practices | |
| dc.title | Process evaluation on the implementation of Mwanzo bora nutrition program on the reduction of childhood stunting: A case of Kilolo district in Tanzania | |
| dc.type | Thesis |