A&T Ethiopia Complementary Feeding Baseline Survey 2015: Health Development Army Team Leaders

This dataset is the result of the health development army team leaders (HDATL) survey that was conducted to gather data at baseline as part of the study assessing the impact of the A&T social and behavior change communication (SBCC) interventions in the Amhara region of Ethiopia. A&T is a global initiative that supports the scaling up of nutrition interventions to save lives, prevent illnesses, and contribute to healthy growth and development through improved maternal nutrition, breastfeeding and complementary feeding practices. A&T's focus in this phase of the study in Ethiopia (with program implementation from late 2014 to 2017) is on operationalizing the IYCF component of the Government of Ethiopia’s National Nutrition Plan (NNP) in one region, Amhara.The objectives of the A&T initiative in Amhara are as follows: 1) Sustain high rates of EBF among children 0–5.9 months at over 70 percent in A&T program areas, 2) Increase the proportion of children 6–23.9 months of age who receive a diverse diet (at least four food groups) by 10 percentage points in A&T program area, and 3) Increase the proportion of breastfed and non-breastfed children 6–23.9 months of age who receive solid, semi-solid, or soft foods at least the minimum number of times per day by 10 percentage points in A&T program areas. A cluster-randomized design with repeated cross-sectional surveys at baseline (2015) and endline (2017) were used to assess impact of the A&T social and behavior change communication (SBCC) interventions in Amhara region, particularly the community-based interventions (interpersonal communication and social mobilization) and mass media activities. The evaluation includes household and frontline worker (FLW) surveys. Twenty woredas (districts) were purposively selected as potential areas of work by A&T HQ and Save the Children, and the select woredas were randomly assigned as 10 intervention (or A&T-intensive, A&T-I) and 10 comparison (or A&T-Non intensive, A&T-NI) woredas. The baseline survey applied four structured questionnaires: (1) household questionnaire and anthropometric measurements of children and mothers, (2) community questionnaire, (3) frontline worker questionnaire: Health extension worker (HEW), and (4) Frontline worker questionnaire: Health development army team leader (HDATL). The health development army (HDA) volunteers are cadres of women within a community that support and extend the field-related activities of HEWs. HDAs are comprised of up to 30 households (HH) in the same neighborhood that meet in smaller groups of six members, commonly referred to as 1for5 networks. HDA team leaders, which oversee the 30 HHs, are selected by the members. The health development army team leaders (HDATL) questionnaire (along with the HEW questionnaire) was applied to those working close to or in the community. These questionnaires aim at assessing four major issues: (1) frequency of interactions between FLWs and mothers/caregivers and modes of interactions; (2) content of the interactions between FLWs and mothers/caregivers, especially discussions about IYCF messages and the time spent on IYCF-related discussions; (3) IYCF knowledge and training received by FLWs; and (4) FLWs’ motivation and satisfaction about their jobs. These are captured by questions on perceptions related to workload and level of job satisfaction.

本数据集为健康发展军团队长（Health Development Army Team Leaders, HDATL）调研成果，该调研作为评估埃塞俄比亚阿姆哈拉地区A&T社会与行为改变沟通（Social and Behavior Change Communication, SBCC）干预措施影响研究的基线数据收集环节开展。
A&T是一项全球倡议，旨在通过改善孕产妇营养、母乳喂养及辅助喂养实践，推广营养干预措施以挽救生命、预防疾病并助力健康成长发育。本研究在埃塞俄比亚的本阶段项目实施周期为2014年末至2017年，A&T在阿姆哈拉地区的工作重点是将埃塞俄比亚政府《国家营养计划》（National Nutrition Plan, NNP）中的婴幼儿喂养（Infant and Young Child Feeding, IYCF）模块落地推广。
A&T倡议在阿姆哈拉地区的目标如下：1）将A&T项目覆盖区域内0至5.9月龄婴儿的纯母乳喂养率维持在70%以上；2）将A&T项目覆盖区域内6至23.9月龄儿童的多样化膳食（至少摄入四类食物）普及率提升10个百分点；3）将A&T项目覆盖区域内6至23.9月龄母乳喂养及非母乳喂养儿童每日摄入固体、半固体或软性食物的最低频次达标率提升10个百分点。
本研究采用整群随机设计，于基线（2015年）和终线（2017年）开展重复横断面调查，以评估A&T社会与行为改变沟通干预措施在阿姆哈拉地区的实施效果，尤其是基于社区的干预措施（人际沟通与社会动员）及大众媒体宣传活动。本次评估涵盖家庭及一线工作者（Frontline Worker, FLW）调研。A&T总部与救助儿童会定向选定了20个埃塞俄比亚准县级行政区（woreda）作为潜在项目区域，随后将选定的准县级行政区随机划分为10个干预组（或称A&T密集型区域，A&T-I）及10个对照组（或称A&T非密集型区域，A&T-NI）。
基线调研采用四份结构化问卷：（1）家庭问卷及儿童、母亲人体测量学检测；（2）社区问卷；（3）一线工作者问卷：健康拓展员（Health Extension Worker, HEW）；（4）一线工作者问卷：健康发展军团队长（HDATL）。健康发展军（Health Development Army, HDA）志愿者是社区内的女性骨干，负责协助并拓展健康拓展员的现场工作。健康发展军以同一社区内的30户家庭为单位，再细分为6人一组的小组，通常称为“1对5”网络。由成员推选产生的健康发展军团队长负责统筹这30户家庭的工作。
健康发展军团队长（HDATL）问卷（与健康拓展员问卷一同）面向社区内及贴近社区的工作人员发放。该问卷旨在评估四大核心议题：（1）一线工作者与母亲/照护者的互动频次及互动模式；（2）一线工作者与母亲/照护者的沟通内容，尤其是关于婴幼儿喂养相关信息的讨论时长及讨论内容；（3）一线工作者掌握的婴幼儿喂养知识及接受的培训情况；（4）一线工作者的工作动机与职业满意度。上述内容通过围绕工作负荷及职业满意度的感知类问题进行采集。