Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
1.
J Dev Orig Health Dis ; 9(1): 20-29, 2018 02.
Article in English | MEDLINE | ID: mdl-29345603

ABSTRACT

Studies in urban informal settlements show widespread inappropriate infant and young child feeding (IYCF) practices and high rates of food insecurity. This study assessed the association between household food security and IYCF practices in two urban informal settlements in Nairobi, Kenya. The study adopted a longitudinal design that involved a census sample of 1110 children less than 12 months of age and their mothers aged between 12 and 49 years. A questionnaire was used to collect information on: IYCF practices and household food security. Logistic regression was used to determine the association between food insecurity and IYFC practices. The findings showed high household food insecurity; only 19.5% of the households were food secure based on Household Insecurity Access Score. Infant feeding practices were inappropriate: 76% attained minimum meal frequency; 41% of the children attained a minimum dietary diversity; and 27% attained minimum acceptable diet. With the exception of the minimum meal frequency, infants living in food secure households were significantly more likely to achieve appropriate infant feeding practices than those in food insecure households: minimum meal frequency (adjusted odds ratio (AOR)=1.26, P=0.530); minimum dietary diversity (AOR=1.84, P=0.046) and minimum acceptable diet (AOR=2.35, P=0.008). The study adds to the existing body of knowledge by demonstrating an association between household food security and infant feeding practices in low-income settings. The findings imply that interventions aimed at improving infant feeding practices and ultimately nutritional status need to also focus on improving household food security.


Subject(s)
Feeding Behavior , Food Supply/economics , Infant Nutritional Physiological Phenomena/economics , Nutritional Status , Poverty , Adolescent , Adult , Family Characteristics , Female , Humans , Infant , Kenya , Longitudinal Studies , Male , Middle Aged , Nutrition Surveys/statistics & numerical data , Urban Population/statistics & numerical data , Young Adult
2.
J Dev Orig Health Dis ; 7(2): 172-84, 2016 Apr.
Article in English | MEDLINE | ID: mdl-26708714

ABSTRACT

Early nutrition is critical for later health and sustainable development. We determined potential effectiveness of the Kenyan Community Health Strategy in promoting exclusive breastfeeding (EBF) in urban poor settings in Nairobi, Kenya. We used a quasi-experimental study design, based on three studies [Pre-intervention (2007-2011; n=5824), Intervention (2012-2015; n=1110) and Comparison (2012-2014; n=487)], which followed mother-child pairs longitudinally to establish EBF rates from 0 to 6 months. The Maternal, Infant and Young Child Nutrition (MIYCN) study was a cluster randomized trial; the control arm (MIYCN-Control) received standard care involving community health workers (CHWs) visits for counselling on antenatal and postnatal care. The intervention arm (MIYCN-Intervention) received standard care and regular MIYCN counselling by trained CHWs. Both groups received MIYCN information materials. We tested differences in EBF rates from 0 to 6 months among four study groups (Pre-intervention, MIYCN-Intervention, MIYCN-Control and Comparison) using a χ(2) test and logistic regression. At 6 months, the prevalence of EBF was 2% in the Pre-intervention group compared with 55% in the MIYCN-Intervention group, 55% in the MIYCN-Control group and 3% in the Comparison group (P<0.05). After adjusting for baseline characteristics, the odds ratio for EBF from birth to 6 months was 66.9 (95% CI 45.4-96.4), 84.3 (95% CI 40.7-174.6) and 3.9 (95% CI 1.8-8.4) for the MIYCN-Intervention, MIYCN-Control and Comparison group, respectively, compared with the Pre-intervention group. There is potential effectiveness of the Kenya national Community Health Strategy in promoting EBF in urban poor settings where health care access is limited.


Subject(s)
Breast Feeding/methods , Child Nutrition Disorders/prevention & control , Community Health Services , Counseling , Health Promotion , Nutritional Status , Adolescent , Adult , Breast Feeding/statistics & numerical data , Case-Control Studies , Child , Child Nutrition Disorders/epidemiology , Child, Preschool , Community Health Planning , Early Intervention, Educational , Female , Humans , Infant , Infant, Newborn , Kenya/epidemiology , Male , Middle Aged , Patient Education as Topic , Quality Improvement , Research Design , Socioeconomic Factors , Urban Population , Young Adult
SELECTION OF CITATIONS
SEARCH DETAIL
...