The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya

Dietary practices in Kenya often fail to provide adequate nutrition during the first 1000 days of life, from conception to 2 years of age. We developed and qualitatively assessed the acceptability of easy-to-use dietary tools consisting of a marked bowl, slotted spoon and illustrated counselling car...

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Autores principales: Kram, N., Melgen, S., Kedera, E., Collison, D.K., Colton, J., Blount, W., Grant, F., Girard, Amy W.
Formato: Journal Article
Lenguaje:Inglés
Publicado: Cambridge University Press 2016
Materias:
Acceso en línea:https://hdl.handle.net/10568/72499
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author Kram, N.
Melgen, S.
Kedera, E.
Collison, D.K.
Colton, J.
Blount, W.
Grant, F.
Girard, Amy W.
author_browse Blount, W.
Collison, D.K.
Colton, J.
Girard, Amy W.
Grant, F.
Kedera, E.
Kram, N.
Melgen, S.
author_facet Kram, N.
Melgen, S.
Kedera, E.
Collison, D.K.
Colton, J.
Blount, W.
Grant, F.
Girard, Amy W.
author_sort Kram, N.
collection Repository of Agricultural Research Outputs (CGSpace)
description Dietary practices in Kenya often fail to provide adequate nutrition during the first 1000 days of life, from conception to 2 years of age. We developed and qualitatively assessed the acceptability of easy-to-use dietary tools consisting of a marked bowl, slotted spoon and illustrated counselling card to support appropriate dietary practices during pregnancy, exclusive breast-feeding and complementary feeding of children aged 6–24 months.We conducted qualitative research to assess community acceptability and obtain feedback on the design of the dietary tools.This research took place in urban and rural communities in Western Kenya.We conducted twelve focus group discussions with community members (mothers, husbands, mothers-in-law, community leaders) and five interviews with government nutritionists to assess acceptability and obtain recommendations on design and delivery of the tools. We conducted 24–28 d of user testing with fourteen pregnant women, fourteen breast-feeding women and thirty-two mothers with infants aged 6–18 months.Tools were positively received by communities. Mothers perceived improvements in their own and their children’s food intakes including quantity, frequency, consistency and diversity. Many attributed perceived own and child’s weight gain and/or increased energy to tool use. A minority reported using the bowl for other activities (n 9) or not using the bowl due to food insecurity (n 5).Results suggest that such tools have the potential to positively impact maternal and child dietary practices. Future work should quantitatively assess the impact on diet and nutrition outcomes and the underlying behavioural domains associated with changes.
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spelling CGSpace724992024-11-15T08:53:12Z The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya Kram, N. Melgen, S. Kedera, E. Collison, D.K. Colton, J. Blount, W. Grant, F. Girard, Amy W. nutrition human feeding Dietary practices in Kenya often fail to provide adequate nutrition during the first 1000 days of life, from conception to 2 years of age. We developed and qualitatively assessed the acceptability of easy-to-use dietary tools consisting of a marked bowl, slotted spoon and illustrated counselling card to support appropriate dietary practices during pregnancy, exclusive breast-feeding and complementary feeding of children aged 6–24 months.We conducted qualitative research to assess community acceptability and obtain feedback on the design of the dietary tools.This research took place in urban and rural communities in Western Kenya.We conducted twelve focus group discussions with community members (mothers, husbands, mothers-in-law, community leaders) and five interviews with government nutritionists to assess acceptability and obtain recommendations on design and delivery of the tools. We conducted 24–28 d of user testing with fourteen pregnant women, fourteen breast-feeding women and thirty-two mothers with infants aged 6–18 months.Tools were positively received by communities. Mothers perceived improvements in their own and their children’s food intakes including quantity, frequency, consistency and diversity. Many attributed perceived own and child’s weight gain and/or increased energy to tool use. A minority reported using the bowl for other activities (n 9) or not using the bowl due to food insecurity (n 5).Results suggest that such tools have the potential to positively impact maternal and child dietary practices. Future work should quantitatively assess the impact on diet and nutrition outcomes and the underlying behavioural domains associated with changes. 2016-07 2016-03-08T13:36:06Z 2016-03-08T13:36:06Z Journal Article https://hdl.handle.net/10568/72499 en Open Access Cambridge University Press Kram, N.; Melgen, S.; Kedera, E.; Collison, D.K.; Colton, J.; Blount, W.; Grant, F.; Girard, A.W. 2015. The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya. Public Health Nutrition. (UK). ISSN 1368-9800. Published online 3 Dic 2015:11 p
spellingShingle nutrition
human feeding
Kram, N.
Melgen, S.
Kedera, E.
Collison, D.K.
Colton, J.
Blount, W.
Grant, F.
Girard, Amy W.
The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya
title The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya
title_full The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya
title_fullStr The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya
title_full_unstemmed The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya
title_short The acceptability of dietary tools to improve maternal and child nutrition in Western Kenya
title_sort acceptability of dietary tools to improve maternal and child nutrition in western kenya
topic nutrition
human feeding
url https://hdl.handle.net/10568/72499
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