The PERUSANO study: Caregivers, health centre and day care centre influences on infant and young child feeding practices: codebook for analysis for the day care centres (CUNAMAS)

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.

The codebooks used for analysis for the day care centre (CUNAMAS) are available in both English and Spanish languages in this folder. Detailed sampling information according to interview type, location and stakeholder group can be found in Supplementary material 1. See also the README_CUNAMAS 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.

本数据集来源于一项旨在解决秘鲁城市周边地区6至23个月龄婴幼儿（IYC）多种形式营养不良（特别是生长迟缓、贫血及超重/肥胖风险）的跨学科项目（PERUSANO）的半结构化深度访谈、离职访谈和观察记录。该项目旨在深入研究家庭环境中主要照顾者、参与CRED护理（婴儿健康检查、营养咨询）的健康专业人员以及参与CUNAMAS国家项目日托服务的工作人员对于婴幼儿辅助喂养（IYCF）实践的影响因素。CUNAMAS是由2012年成立的包容性发展和社会融入部发起的一项大规模早期儿童发展计划，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月间的四个卫生中心和十四个CUNAMAS日托服务场所进行。参与者/关键信息提供者经过精心挑选，以涵盖卫生设施中的主要角色（参与CRED护理的健康专业人员、营养师、儿童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、地区托儿所技术经理、母亲指导者和儿童主要照顾者）。与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。观察活动无法继续进行。本文件夹中提供了日托中心（CUNAMAS）分析所使用的编码手册，英西双语版本。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。另请参阅附带的README_CUNAMAS文件。研究中的定量部分已在其他地方进行描述（Pradeilles等，2022）。定量调查问卷和数据可在10.17028/rd.lboro.18750458、10.17028/rd.lboro.16691455和10.17028/rd.lboro.21656348找到。