family interventions were 'real' from the field and not the
hypothetical ones. Initially, it was a bit difficult to make
the mothers understand the purpose of the intervention programme.
Only a few women cooperated and appreciated the objectives
of this programme. Some mothers who had no trust in government
schemes alleged that these programmes were being carried out
for the employee's benefit and therefore they refused to talk
to the visiting team. Some of the mothers even became hostile
during the talks. All these difficulties, the questions raised
by the mothers, their arguments and objections to the intervention
programme and the advice that could be offered to them were
enlisted by the team. First, these were discussed between
the research officer and the research assistants and later
on things were discussed with the investigators to work out
a solution to each problem or a strategy to handle it. The
investigators listened to the problems experienced during
the visits and kept up the team's morale. They asked the team
not to get irritated or criticize the mothers when they make
negative remarks about the team or the programme. The team
was also asked not to avoid visiting the unco-operative or
hostile families unless it was really impossible to work with
them. The investigators provided continuous support to the
research team throughout the family intervention programme.
As a result of this, the team was trained to help families.
The research team was told to understand this process of preceptorship
because they would have to similarly support the AWS in the
family intervention. Management of each risk factor (HRC)
was discussed in detail and sometimes opinion from outside
was taken. The idea was to offer to the family, skills with
which they could have more nutritious diet or earn more money.
For example, growing vegetables or banana in a small plot
near or in their house, keeping goats, or trying more remunerative
occupation like daily wages work instead of, say, cycle repair
work were suggested to the families. The main reason for carrying
out such an intensive training programme for the research
workers was that the research team was supposed to impart
this training to the AWs in the due course of time.
The intervention programme
Though the broad principles of intel'Vention were the same
there were mild inter center differences in its execution.
A. Bangalore Centre
The intervention programme progressed in the following stages:
1. Pilot Phase.
2. Actual Intervention.