The PERUSANO study: Caregivers, health centre and day care centre influences on infant and young child feeding practices: dataset for caregivers

Qualitative data from semi-structured in-depth interviews, exit interviews and observations were collected as part of a wider interdisciplinary project (PERUSANO) aimed at addressing multiple forms of malnutrition, particularly stunting, anaemia, and risk of overweight/obesity in peri-urban Peruvian infants and young children (IYC) aged 6-23 months of age. The study took place in two peri-urban areas: Manchay in Lima and Huánuco district in the Andean highlands. 

Interviews and observations explored drivers of infant and young child complementary feeding (IYCF) practices from the perspective of primary caregivers within the home environment, health professionals involved in CRED care (well-baby checks, nutrition counselling) and staff involved in the CUNAMAS National Programme in day care services. The CUNAMAS is a large-scale early child development programme established by the Ministry of Development and Social Inclusion in 2012. It aims to support the holistic development of children under three living in poverty.

Data collection in four health centres and fourteen CUNAMAS day care services took place between October and December 2019. Participants/key informants were purposefully selected to cover the main roles within the health facilities (health professionals involved in CRED care, nutritionists, primary caregivers of children and community health agents), and CUNAMAS day care services (nursery caregivers, district nursery technical managers, mother guides, and primary caregivers of children). 

Interviews and observations with primary caregivers took place between January and mid-March 2020. A purposive quota sampling was employed to recruit mothers according to the child’s age, maternal working status and nutritional status from participants who had taken part in the quantitative survey of the PERUSANO project. In March 2020, face-to-face interviews stopped due to the COVID-19 pandemic and the remaining interviews with caregivers were conducted by telephone. Observations could no longer be conducted.

Transcripts (for primary caregivers) of interviews and observations in Spanish language are available upon request to the UK Principal Investigator Professor Emily Rousham ([e-mail]). Detailed sampling information according to interview type, location and stakeholder group can be found in Supplementary material 1. See also the README file attached. 

The quantitative component of the study has been described elsewhere (Pradeilles et al. 2022). Quantitative survey questionnaires and data can be found at 10.17028/rd.lboro.18750458, 10.17028/rd.lboro.16691455 and 10.17028/rd.lboro.21656348.

本数据集源自一项旨在解决多种形式营养不良问题，特别是针对居住在秘鲁城市周边地区6至23个月龄婴幼儿的矮小、贫血以及超重/肥胖风险的研究项目（PERUSANO）。该研究属于跨学科领域，数据收集包括半结构化深度访谈、离职访谈和观察。研究区域设于利马的曼查伊和安第斯高原的瓦努科区。访谈和观察内容围绕家庭环境中的主要照顾者、参与CRED护理（婴儿健康检查、营养咨询）的健康专业人士以及参与CUNAMAS国家日托服务项目的员工，从他们视角探讨婴幼儿补充喂养（IYCF）实践的影响因素。CUNAMAS是由2012年成立的秘鲁社会发展与包容部推出的大规模早期儿童发展项目，旨在支持生活在贫困中的3岁以下儿童的全面发展。数据收集于2019年10月至12月期间的四个健康中心和十四个CUNAMAS日托服务进行。参与者/关键信息提供者系有意选取，旨在涵盖医疗机构（参与CRED护理的健康专业人士、营养师、儿童的主要照顾者和社区健康工作者）以及CUNAMAS日托服务（托儿所照顾者、区级托儿所技术经理、母亲指导员和儿童的主要照顾者）的主要角色。主要照顾者的访谈和观察于2020年1月至3月中旬进行。根据儿童年龄、母亲工作状况和营养状况，采用目的性配额抽样方法从参与PERUSANO项目定量调查的参与者中招募母亲。由于COVID-19大流行，2020年3月面对面访谈停止，剩余的照顾者访谈通过电话进行。观察活动亦无法继续。西班牙语访谈和观察记录（针对主要照顾者）可供英国主要研究员Emily Rousham教授（[e-mail]）索取。根据访谈类型、地点和利益相关者群体，详细的抽样信息可在补充材料1中找到。有关README文件的更多信息，请参阅附件。研究中的定量部分已在其他地方进行了描述（Pradeilles等，2022）。定量调查问卷和数据可查阅于10.17028/rd.lboro.18750458、10.17028/rd.lboro.16691455和10.17028/rd.lboro.21656348。