This document summarizes the pretesting of infant and young child feeding counseling cards in Haiti. It describes the methodology used, which involved focus group discussions and key informant interviews across urban, semi-urban, and rural sites to get feedback on the understandability, relevance, and cultural appropriateness of the materials from mothers, grandmothers, and community health agents. The goals of pretesting were to ensure the messages were conveyed clearly and in a way that different audiences would endorse before finalizing the materials. Feedback from the pretesting was then used to refine the counseling cards.
12. Pretesting plan Methodology Set pretested URBAN Set pretested PERI-URBAN Set pretested RURAL DAY 1 Morning 1 FGD (mothers) A C E Afternoon 1 FGD (mothers) B D F DAY 2 Morning 1 KIG (community health agents) C E A Afternoon 1 KIG (community health agents) D F B DAY 3 Morning 1 FGD (grandmothers) E A C Afternoon 1 FGD (grandmothers) F B D
13. Separating the images SET Card #, pretested in only one group Card #, pretested in all groups A 1, 4, 7, 10, 13 6, 11, 12 B 16, 19, 22, 25, 28 24, 26, 27 C 2, 5, 8, 11, 14 6, 12, 19 D 17, 20, 23, 26, 29 22, 24, 25, 27 E 3, 6, 9, 12, 15 11, 19, 22 F 18, 21, 24, 27, 30, cover, positive counseling card 25, 26
Process for determining a target group’s reaction to and understanding of messages or information before materials are finalized Goal is to ensure the materials convey information in a way audience members endorse During pretesting, members of the target group are asked to react to d raft materials. Their responses are analyzed, then the materials are revised. Pretesting may be conducted several times before final materials are produced. If people do not understand the materials, or do not like them or do not know how to use them the message is lost. It is easier to change materials before they are finalized than to find out that the materials are inappropriate after a large investment of time and expense.
Print materials (brochures, posters, flyers) Job aids (counseling cards, tools) – for job aids, it is important to test with both health workers and the clients they will use the materials with Training curricula Logos Songs Games Radio programs
Pretesting lets you know if your messages and materials are appropriate. It helps ensure that your materials contain understandable language, appropriate illustrations and effective messages. Pretesting with your target group can tell you whether the language, pictures, music and messages in your materials are: Understandable – both the content and how the content is presented; not too many messages; text can be read easily Relevant – the target audience thinks the message or information is for them; they can identify with the materials Culturally appropriate Believable and realistic Acceptable to the audience Visually appealing – catches the target audience’s attention Informative Motivating – encourage people to act (do the desired behavior)
Pretesting can save the project money and time by assuring that the target group understands materials and responds favorably to the messages. Correcting controversial or ineffective materials after they have been produced is very expensive and time-consuming. The number of people may vary according to your situation. However, in many cases ten to twenty individual interviews will give you adequate information. If you are using the focus group discussion method, two to four focus groups with eight to ten people will probably give you enough feedback. Use convenience sample to identify target audience Focus group discussion or individual interviews 10-20 individual interviews or Two-four focus groups with 8-10 people For training curricula you can conduct a TOT and incorporate participants’ feedback. This also helps for participants to feel like part of the process and create a sense of ownership.
These two publications, which are both available online, provide step-by-step guidance for conducting pretests. They include sample interview and focus group discussion guides and instructions and forms to help with analysis. While both were developed for HIV/AIDS projects the content can be used with maternal and child health programs.
After 2008 hurricanes USAID mission in Haiti requested IYCN provide TA to Ministry of Health and MSH and partners to…
2009 IYCN completes qualitative research on infant and young child feeding practices (IYCF) 1) complement other research, 2) guide IYCN’s next steps in supporting the improvement of nutrition in Haiti.
-A cost-related decision. -Pretest images and layout only with mothers and grandmothers
-Controversial/new information, complicated) *Used cards during counseling sessions 1 week prior pretest for feedback Team leader conducted KIGs with health care workers in each one of three communities
-(mothers, or grandmothers, or community health agents) -Cards 7, 8, 9, 10, 12, 13, 14, 15, 16, 17, 18, 19, 24, 25, 26, 28.
Pretesting conducted in two different sessions with different participants. Each team responsible for 4 focus groups and 2 key informant groups.
Cards A and B pretested in one community with one audience. Cards C and D pretested with a second audience. Cards E and F with a third audience.
-(assisted in note taking) -Introduction to IYCF materials linked to IYCF norms in Haiti. Review each counseling card - Pretesting protocol, including methodology (methods, tools, participants) training team, coordination of pretesting exercise, conduct KIGs with health workers
Containing key messages related to national norms.
-Keeps discussions under 2 hours, allows all images to be pretested with all audiences