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Table 5 Programmatic recommendations to minimize negative outcomes in future BFCI programs

From: Social value of a nutritional counselling and support program for breastfeeding in urban poor settings, Nairobi

Stakeholder Outcome Recommendations
Mothers Outcome 1.1: Increased expenditure on nutritious food and/or health care Provide social protection measures or empowerment for food and healthcare.
Outcome 1.2: More worried mother due to loss in baby weight and poor health Provide targeted counselling around complementary feeding introduction.
Outcome 1.9: Less income due to job loss Provide small subsidy such as cash transfer or empowerment of women for baby friendly income generating activities. Advocate for maternity leave benefits.
Children Outcome 2.2: Less healthy baby due to difficulty in introducing complementary feeding Provide targeted counselling around complementary feeding introduction.
Healthcare providers Outcome 6.2: Increased workload due to increased referrals and mothers seeking child checkups Provide extra staff and support via Ministry of Health.
CHVs Outcome 7.2: Increased stress due to the difficulties posed by the work Provide support to vulnerable mothers and children via social protection measure or financial empowerment.
Provide psycho social support to CHVs.
Data collectors Outcome 8.4: Financial strain due to financial aid given to vulnerable mothers Provide support to vulnerable mothers and children via social protection measure or financial empowerment.
Provide psycho social support to data collectors.
Day care centers Outcome 9.1: Increased stress due to increased enrollment without increased financial gains Provide small subsidy for food and hygiene or microfinance services.
Outcome 9.2: Increased in expenditure due to improved hygiene and nutritious food provided Provide small subsidy for food and hygiene or microfinance services.