Most countries implement nutrition counselling interventions as part of programmes to support breastfeeding and complementary feeding. However, data to track coverage of counselling interventions are rarely available. As a result, little is known about the coverage of counselling on infant and young child feeding (IYCF). Survey-based data collection systems generally collect data on IYCF practices but do not collect data on coverage of interventions to support IYCF, and those surveys that do collect this information do not do so consistently. We present a framework to guide the design of survey questions to measure IYCF counselling coverage. We provide examples of how large-scale surveys for programme evaluation and national monitoring have included survey questions to address these data gaps. Our review suggests that elements relevant to designing survey questions to capture coverage of counselling interventions include timing of contact, target behaviour and message content, place of contact, type of service provider, frequency of contact and mode of intervention. Application of this framework may help strengthen harmonized measurement of IYCF counselling coverage to enable better tracking of programme investments, document progress in scaling up nutrition services and allow for cross-country comparisons. Thus, improving measurement of counselling coverage may lead to improved reach of programmes to support optimal IYCF practices.

中文翻译：

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衡量婴幼儿喂养咨询干预的覆盖范围：调查问题设计的框架和实证考虑。

大多数国家将营养咨询干预措施作为支持母乳喂养和补充喂养计划的一部分。然而，跟踪咨询干预覆盖率的数据很少可用。因此，人们对婴幼儿喂养咨询 (IYCF) 的覆盖面知之甚少。以调查为基础的数据收集系统通常收集关于国际青年基金会实践的数据，但不收集关于支持国际青年基金会的干预措施覆盖范围的数据，而且那些收集这些信息的调查并不一致。我们提出了一个框架来指导调查问题的设计，以衡量 IYCF 咨询覆盖率。我们提供了用于项目评估和国家监测的大规模调查如何包括调查问题以解决这些数据差距的例子。我们的审查表明，与设计调查问题以获取咨询干预覆盖面相关的要素包括联系时间、目标行为和信息内容、联系地点、服务提供者类型、联系频率和干预模式。该框架的应用可能有助于加强对 IYCF 咨询覆盖面的统一衡量，以便更好地跟踪计划投资、记录扩大营养服务的进展并允许进行跨国比较。因此，改进对咨询覆盖面的衡量可能会导致支持最佳国际青年基金会实践的计划的覆盖面扩大。接触频率和干预方式。该框架的应用可能有助于加强对 IYCF 咨询覆盖面的统一衡量，以便更好地跟踪计划投资、记录扩大营养服务的进展并允许进行跨国比较。因此，改进对咨询覆盖面的衡量可能会导致支持最佳国际青年基金会实践的计划的覆盖面扩大。接触频率和干预方式。该框架的应用可能有助于加强对 IYCF 咨询覆盖面的统一衡量，以便更好地跟踪计划投资、记录扩大营养服务的进展并允许进行跨国比较。因此，改进对咨询覆盖面的衡量可能会导致支持最佳国际青年基金会实践的计划的覆盖面扩大。