title: Understanding care and feeding practices: building blocks for a sustainable intervention in India and Pakistan.
abstract: Undernutrition and inadequate stimulation both negatively influence child health and development and have a long-term impact on school attainment and income. This paper reports data from India and Pakistan looking at how families interact, play with, and feed children; their expectations of growth and development; and the perceived benefits, consequences, opportunities, and barriers of adopting recommended feeding and developmental behaviors. These data were collected as part of formative research for the Sustainable Program Incorporating Nutrition and Games (SPRING) trial. This trial aims to deliver an innovative, feasible, affordable, and sustainable intervention that can achieve delivery at a scale of known effective interventions that maximize child development, growth, and survival and improve maternal psychosocial well-being in rural India and Pakistan.
authors.affiliation: Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
authors.forename: Raghu
authors.initials: R
authors.lastname: Lingam
authors.affiliation: Action Research and Training for Health, Udaipur, Rajasthan, India.
authors.forename: Pallavi
authors.initials: P
authors.lastname: Gupta
authors.affiliation: Human Development Research Foundation, Islamabad, Pakistan.
authors.forename: Shamsa
authors.initials: S
authors.lastname: Zafar
authors.affiliation: Institute for Global Health, University College London, London, United Kingdom.
authors.forename: Zelee
authors.initials: Z
authors.lastname: Hill
authors.affiliation: Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
authors.forename: Aisha
authors.initials: A
authors.lastname: Yousafzai
authors.affiliation: Action Research and Training for Health, Udaipur, Rajasthan, India.
authors.forename: Sharad
authors.initials: S
authors.lastname: Iyengar
authors.affiliation: Human Development Research Foundation, Islamabad, Pakistan.
authors.forename: Siham
authors.initials: S
authors.lastname: Sikander
authors.affiliation: Human Development Research Foundation, Islamabad, Pakistan.
authors.forename: Zaeem Ul
authors.initials: ZU
authors.lastname: Haq
authors.affiliation: Action Research and Training for Health, Udaipur, Rajasthan, India.
authors.forename: Shilpa
authors.initials: S
authors.lastname: Mehta
authors.affiliation: Institute for Global Health, University College London, London, United Kingdom.
authors.forename: Jolene
authors.initials: J
authors.lastname: Skordis-Worrel
authors.affiliation: Institute of Psychology, Health, and Society, University of Liverpool, Liverpool, United Kingdom.
authors.forename: Atif
authors.initials: A
authors.lastname: Rahman
authors.affiliation: Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
authors.forename: Betty
authors.initials: B
authors.lastname: Kirkwood
mesh_terms: D001942:Breast Feeding; D002657:Child Development; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D018479:Early Intervention, Educational; D061345:Early Medical Intervention; D005191:Family Characteristics; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D007194:India; D007231:Infant, Newborn; D008297:Male; D010154:Pakistan; D010988:Play and Playthings; D011247:Pregnancy
keywords: SPRING; child development; feeding; formative research