The Healthy Baby Flipbook: piloting home-based counseling for refugee mothers to improve infant feeding and water, sanitation, and hygiene (WASH) practices

Figures & data

Table 1. Outcomes of interest for feeding, hygiene, and sanitation behaviors in the 24 hours prior to cross-sectional survey (WHO 2007).

Outcomes of interest	Definition
Exclusive breastfeeding	Infants < 6 months fed breast milk while receiving no other food or liquid, not even water, except for vitamins, mineral supplements, or medicine
Predominant breastfeeding	Infants < 6 months receiving predominantly breast milk and also receiving liquids, but not soft food
Partial breastfeeding	Infants < 6 months receiving breast milk and any soft food
Minimum Dietary diversity	Infant ≥ 6 months fed 4 or more food groups
Meal frequency	Minimum of 2 meals for infants 6–8 months and 3 meals for infants 9–12 months if breastfed; minimum of 4 meals aged 6–12 months if not breastfed
Minimum acceptable diet	Infant ≥ 6 months meeting minimum requirements for dietary diversity and meal frequency
Handwashing	Of mothers preparing meals, those who appropriately washed hands before meal preparation
Safe stool disposal	Of mothers with an improved form of sanitation (latrine, flush, or pour-flush toilet), those that discarded infant stool using an improved form of sanitation
Safe water	Infants ≥ 6 months fed boiled or bottled water

Figure 1. Examples of pages in the “Healthy Baby Flipbook” flipbook. (a) and (b) includes examples of script tailored to behaviors common among refugee mothers; (c) has food items listed to remind the counselor, while the opposite side (d) features photos of locally available, nutritious foods facing the mother receiving counseling.