29 results on '"Kiige, Laura"'
Search Results
2. Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya
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Wilunda, Calistus, primary, Israel‐Ballard, Kiersten, additional, Wanjohi, Milka, additional, Lang'at, Nelson, additional, Mansen, Kimberly, additional, Waiyego, Mary, additional, Kibore, Minnie, additional, Kamande, Eva, additional, Zerfu, Taddese, additional, Kithua, Angela, additional, Muganda, Rosemarie, additional, Muiruri, Juliana, additional, Maina, Beth, additional, Njuguna, Emily, additional, Njeru, Faith, additional, Kiige, Laura W., additional, Codjia, Patrick, additional, Samburu, Betty, additional, Mogusu, Esther, additional, Ngwiri, Thomas, additional, Mirie, Waithera, additional, and Kimani‐Murage, Elizabeth W., additional
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- 2023
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3. Evidence‐based complementary feeding recipe book for Kenyan caregivers: A novel approach
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Lowe, Alyssa, primary, Callis, Amy, additional, DiGirolamo, Ann, additional, Girard, Amy W., additional, Boakye, Amma, additional, Ogutu, Emily, additional, Omosa, Esther, additional, Okeyo, Frida, additional, Odollo, Lawrence, additional, Samburu, Betty, additional, Arimi, Caroline, additional, Kamudoni, Penjani, additional, Gonzalez, Wendy, additional, Codjia, Patrick, additional, and Kiige, Laura, additional
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- 2023
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4. Improving complementary feeding practices, programs and policies for optimal early childhood nutrition in Kenya: What would work?
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Codjia, Patrick, Kiige, Laura, Rudert, Christiane, Nordhagen, Stella, Beal, Ty, Kirogo, Veronica, Ortenzi, Flaminia, Gonzalez, Wendy, Kamudoni, Penjani, and Garg, Aashima
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FOOD safety , *FOOD security , *INFANTS , *SANITATION , *HYGIENE , *NUTRITIONAL requirements , *INFANT nutrition , *WATER supply , *SOCIAL security , *RESPONSIBILITY , *NUTRITION policy , *HEALTH promotion - Abstract
Complementary feeding practices are greatly influenced by local contexts. Therefore, national home‐grown evidence, policies and guidelines are critical to improving infant and young children's diets. This Special Issue has provided a comprehensive, evidence‐based analysis of the situation, gaps and context‐specific opportunities for improving young children's diets in Kenya. The primary research findings of the Special Issue supported the identification of a set of recommendations articulated across the four systems (food, health, water, sanitation and hygiene [WASH] and social protection) to improve food availability and accessibility in Kenya at the national and subnational levels. It is anticipated that the decentralised government functions seen in Kenya provide a strong opportunity to develop and mainstream context‐specific recommendations into action. This Special Issue recommends adopting a multi‐sectoral systems approach, including a shared vision, joint planning, implementation and monitoring, towards improving young children's diets with a focus on service delivery as well as scaled‐up community social behaviour change interventions. In particular, the approach should entail advocacy for policy revisions for service delivery that support complementary feeding and development of costed implementation strategies in support of the same, across four critical systems—food, health, WASH and social protection, along with, the strengthening of national coordination, monitoring and accountability structures as per the Kenya Nutrition Action Plan. Finally, the development of a legal framework for enhanced accountability from all relevant sectors towards sustainable, nutritious, safe and affordable children's diets. These recommendations provide a clear direction in addressing the complementary feeding challenges, which the primary research of this Special Issue has presented. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Evidence‐based complementary feeding recipe book for Kenyan caregivers: A novel approach.
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Lowe, Alyssa, Callis, Amy, DiGirolamo, Ann, Girard, Amy W., Boakye, Amma, Ogutu, Emily, Omosa, Esther, Okeyo, Frida, Odollo, Lawrence, Samburu, Betty, Arimi, Caroline, Kamudoni, Penjani, Gonzalez, Wendy, Codjia, Patrick, and Kiige, Laura
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PROFESSIONAL practice ,CAREGIVERS ,INFANTS ,MOTIVATION (Psychology) ,STAKEHOLDER analysis ,NUTRITIONAL requirements ,EVIDENCE-based medicine ,INTERVIEWING ,BEHAVIOR ,PSYCHOLOGY ,NUTRITION education ,INTER-observer reliability ,COMPARATIVE studies ,CONCEPTUAL structures ,BOOKS ,COMMUNICATION ,THEORY ,RESEARCH funding ,MICRONUTRIENTS ,DATA analysis software ,CONTENT analysis ,HEALTH promotion - Abstract
The Kenyan Ministry of Health (MOH) and a consortium of nutritionists, researchers and communication, and design specialists developed a novel approach to create an evidence‐based recipe book promoting complementary feeding (CF) in Kenya. The ADAPT approach includes five steps: applied research (A), dialogue with stakeholders (D), adapted behaviour change communication (BCC) theories (A), purpose‐driven visual communication (P), and tailoring to priority audiences (T). Through this approach, the recipe book addresses key knowledge gaps using behaviour change theories and visual communication best practice to increase accessibility, acceptability, retention and motivation for behaviour change. The book addresses barriers to CF identified through formative applied research. Dialogue with stakeholders helped ensure cultural appropriateness and the book's alignment with MOH recommendations and key messages. The book uses behaviour change theories to approach the reader in a respectful way that motivates behaviour change. The use of consistent, purpose‐driven visuals helps ensure key messages are easily understood and accessible to all caregivers regardless of literacy level. The book's tone and content are tailored to its audiences’ attributes, needs and preferences. This five‐step process inspired the development of ADAPT, a novel approach that integrates behaviour change and visual communication for greater impact. This paper outlines how the consortium used the ADAPT approach to develop an evidence‐based book that thoughtfully and holistically addresses a wide range of barriers, provides practical solutions and increases self‐efficacy around CF. It offers a blueprint for public health practitioners from any field who are interested in using visual behaviour change communication to promote healthy behaviour. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Modelling policies to improve affordability and consumption of nutritious foods for complementary feeding in Kenya.
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Traoré, Fousseini, Omolo, Miriam, Beal, Ty, Nordhagen, Stella, Codjia, Patrick, Kiige, Laura, Kamudoni, Penjani, Arimi, Caroline, Kirogo, Veronica, Ortenzi, Flaminia, and Wouabe, Eric Djimeu
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FOOD habits ,NUTRITION ,INFANTS ,NUTRITIONAL requirements ,MALNUTRITION ,CHILD welfare ,DESCRIPTIVE statistics ,RESEARCH funding - Abstract
In Kenya 26% of children under age 5 experience stunted growth, 4% are wasted and 11% are underweight. In pregnant women, the prevalence of iron deficiency is 36% and iron‐deficiency anaemia prevalence is 26%. Previous studies have identified affordability as a key barrier to the intake of nutrients, particularly from animal‐source foods (ASFs). Thus, this study analyzes to what extent the affordability of ASF in Kenya can be improved. It focuses on four ASFs: eggs, milk, chicken and beef. Using a computable general equilibrium model, three policy simulations were undertaken to establish the impact of potential changes on nutritious ASF availability and affordability: a 20% increase in total factor productivity (TFP) for the four products; a 20% TFP increase plus a 25% reduction in trade and transportation margins; and a 20% TFP increase for ASF and maize (a key input in animal feed). Simulations suggest increasing the productivity of the four ASF products would increase their availability and lower consumer prices (up to 17% lower). Household consumption of the four commodities would increase, resulting in improved household dietary diversity. Rural households would gain more compared with urban households. Poor households (the lowest 40%) would register larger welfare (Equivalent Variation) gains than other households in both urban and rural areas. The richest 20% of the population would neither lose nor gain following the policy changes. Reducing transportation costs and trade margins and increasing maize productivity could further reduce the price of ASFs through lower production costs and increased consumption. [ABSTRACT FROM AUTHOR]
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- 2024
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7. A subnational affordability assessment of nutritious foods for complementary feeding in Kenya.
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Ryckman, Theresa, Codjia, Patrick, Nordhagen, Stella, Arimi, Caroline, Kirogo, Veronica, Kiige, Laura, Kamudoni, Penjani, and Beal, Ty
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VITAMINS ,INFANT development ,VEGETABLES ,INFANTS ,FOOD security ,FOOD consumption ,NUTRITIONAL requirements ,INFANT nutrition ,FOOD portions ,SURVEYS ,DIETARY supplements ,FOOD supply ,COST analysis ,MALNUTRITION ,RESEARCH funding ,NATURAL foods ,FOOD quality ,MICRONUTRIENTS ,NUTRITIONAL status ,GROWTH disorders ,DISEASE risk factors - Abstract
Complementary feeding among children aged 6–23 months is a key determinant of micronutrient deficiencies and childhood stunting, the burdens of which remain high in Kenya. This study examines the affordability of complementary foods to increase young children's nutrient consumption across eight provinces in Kenya. We combined data from household surveys, food composition tables and published sources to estimate the cost of portion sizes that could meet half of the children's daily iron, vitamin A, calcium, zinc, folate, vitamin B
12 and protein requirements from complementary feeding. These costs were compared to current household food expenditures. The selection of foods and price and expenditure data were stratified by province. Our analysis indicates that vitamin A, vitamin B12 and folate are affordable to most households in Kenya via liver, beans and in some provinces, orange‐fleshed fruits and vegetables, avocado and small dried fish. Calcium, animal‐ source protein, zinc and iron were less affordable and there was more provincial variation. In some provinces, small dried fish were an affordable source of calcium, protein and zinc. In others (North Eastern, Central, Eastern, parts of Rift Valley and Coast), small dried fish were not commonly consumed and other foods were less affordable. Future research should consider interventions aimed at reducing prices, increasing availability and changing behaviours related to these foods. Solutions such as supplementation and fortification may be needed for iron and zinc in some locations. Food affordability presented the greatest barriers in North Eastern province, which had lower dietary diversity and may require additional targeted interventions. [ABSTRACT FROM AUTHOR]- Published
- 2024
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8. Diets of infants and young children in two counties of Kenya: Key drivers and barriers to improvement.
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Kimiywe, Judith, Craig, Hope, Agyapong, Abigail, Thorne‐Lyman, Andrew, Matsisa, Patrick, Kiige, Laura, Codjia, Patrick, Rudert, Christiane, Katua, Stacy, Wambu, Rose, Samburu, Betty, Kamudoni, Penjani, Chimanya, Kudakwashe, and Nordhagen, Stella
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CAREGIVERS ,PSYCHOLOGY of mothers ,RESEARCH methodology ,DIET ,INTERVIEWING ,INFANT nutrition ,ETHNOLOGY research ,QUALITATIVE research ,FOOD preferences ,DECISION making ,RESEARCH funding ,DATA analysis software - Abstract
Infant and young child feeding (IYCF) practices are influenced by many context‐ specific factors related to local food systems as well as social and cultural practices. Understanding these local contextual perspectives is essential for designing effective programs and policies. This paper uses focused ethnographic study methods to examine challenges experienced by mothers related to IYCF in two counties in Kenya, a country with considerable heterogeneity in agriculture, food systems, and cultures. A two‐phase qualitative study was undertaken in each of Kilifi County and West Pokot County, entailing interviews and rating activities with mothers, health workers, and vendors. Interviews were audio‐recorded, transcribed, translated into English, coded, and analysed by topic. Results show low levels of dietary diversity in both counties; in West Pokot, the level of adequate meal frequency is also low. Core foods in young child diets included maize porridge and family foods such as ugali (stiff maize porridge), vegetables, beans, fish, and plantains. Food safety, acceptability, and acquisition ease were the main drivers of food choice. Mothers generally felt that all core foods fed to young children are healthy and safe, but there was more variability regarding child acceptance, acquisition ease, cost, and convenience. Common barriers to feeding nutrient‐dense foods to children included child illness, economic constraints, and limited knowledge of modification strategies, skills, or tools to make the foods suitable for young children. Potential actions to address these barriers include sharing information on child‐appropriate recipes; raising awareness on local, affordable nutrient‐dense foods; and improving WASH practices to reduce illness frequency. [ABSTRACT FROM AUTHOR]
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- 2024
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9. Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya.
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Wilunda, Calistus, Israel‐Ballard, Kiersten, Wanjohi, Milka, Lang'at, Nelson, Mansen, Kimberly, Waiyego, Mary, Kibore, Minnie, Kamande, Eva, Zerfu, Taddese, Kithua, Angela, Muganda, Rosemarie, Muiruri, Juliana, Maina, Beth, Njuguna, Emily, Njeru, Faith, Kiige, Laura W., Codjia, Patrick, Samburu, Betty, Mogusu, Esther, and Ngwiri, Thomas
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BREAST milk collection & preservation ,LACTATION ,MATERNAL health services ,MOTHERS ,LENGTH of stay in hospitals ,PILOT projects ,SOCIAL support ,CAREGIVERS ,CONFIDENCE intervals ,CLINICAL trials ,BREAST milk ,RESEARCH methodology ,HOSPITAL care of newborn infants ,REGRESSION analysis ,PREGNANCY outcomes ,PRE-tests & post-tests ,PUBLIC hospitals ,DESCRIPTIVE statistics ,RESEARCH funding ,ODDS ratio ,DATA analysis software ,CHILDREN - Abstract
We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre–post intervention study collected data from mothers/caregivers and their vulnerable neonates or term babies who lacked sufficient mother's milk for several reasons admitted in the NBU. The intervention included establishing a human milk bank and strengthening lactation support. Preintervention data were collected between 5 October 2018 and 11 November 2018, whereas postintervention data were collected between 4 September 2019 and 6 October 2019. Propensity score‐matched analysis was performed to assess the effect of the intervention on exclusive use of human milk, use of human milk as the first feed, feeding intolerance and duration of NBU stay. The surveys included 123 and 116 newborns at preintervention and postintervention, respectively, with 160 newborns (80 in each group) being included in propensity score matched analysis. The proportion of neonates who exclusively used human milk during NBU stay increased from 41.3% preintervention to 63.8% postintervention (adjusted odds ratio [OR]: 2.68; 95% confidence interval [CI]: 1.31, 5.53) and those whose first feed was human milk increased from 55.0% preintervention to 83.3% postintervention (adjusted OR: 5.09; 95% CI: 2.18, 11.88). The mean duration of NBU stay was 27% (95% CI: 5.8%, 44.0%) lower in the postintervention group than in the preintervention group. The intervention did not affect feeding intolerance. Integrating human milk banking and lactation support may improve exclusive use of human milk among vulnerable neonates in a resource limited setting. Key messages: Mother's milk is recommended for feeding preterm and low birthweight neonates.However, when the provision of mother's milk is not feasible, the use of donor human milk—from a human milk bank—is recommended.In this quasi‐experimental study, human milk banking and lactation support intervention increased the exclusive use of human milk during hospital stay and the use of human milk as the first feed among neonates admitted in the newborn unit at Pumwani Maternity Hospital, Kenya.The intervention also reduced the duration of stay in the newborn unit and there was no impact on feeding intolerance.Human milk banking and lactation support may improve the exclusive use of human milk among vulnerable neonates in a resource‐limited setting. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Design and implementation of a community-based mother-to-mother peer support programme for the follow-up of low birthweight infants in rural western Kenya
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Wright, Jemma L., primary, Achieng, Florence, additional, Tindi, Linda, additional, Patil, Manasi, additional, Boga, Mwanamvua, additional, Kimani, Mary, additional, Barsosio, Hellen C., additional, Juma, Dan, additional, Kiige, Laura, additional, Manu, Alexander, additional, Kariuki, Simon, additional, Mathai, Matthews, additional, and Nabwera, Helen M., additional
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- 2023
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11. Breastfeeding support for mothers of low birth weight infants using mother-to-mother peers in rural western Kenya - a feasibility study
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Dickinson, Fiona M, primary, Achieng, Florence, additional, K’Oloo, Alloys, additional, Otiti, Iwaret, additional, Tindi, Linda, additional, Boga, Mwanamvua, additional, Kimani, Mary, additional, Kiige, Laura, additional, Mellor, Kathy, additional, Dellicour, Stephanie, additional, Barsosio, Hellen C., additional, Kariuki, Simon, additional, and Nabwera, Helen M, additional
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- 2023
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12. Building forward better—An exploration of nutrition practices, food choice, and coping behaviors among Kenyan adolescents during COVID ‐19: Experiences and program implications
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Kavle, Justine A., primary, Codjia, Patrick, additional, Gathi, Constance, additional, Ahoya, Brenda, additional, Ramirez, Lacey, additional, Katua, Stacy, additional, Mugo, Florence, additional, and Kiige, Laura, additional
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- 2022
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13. How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya
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Ahoya, Brenda, primary, Kavle, Justine A., additional, Kiige, Laura, additional, Gathi, Constance, additional, Samburu, Betty, additional, Maina, Lucy, additional, Ramirez, Lacey, additional, Wambu, Rose, additional, and Codjia, Patrick, additional
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- 2022
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14. Diets of infants and young children in two counties of Kenya: Key drivers and barriers to improvement
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Kimiywe, Judith, primary, Craig, Hope, additional, Agyapong, Abigail, additional, Thorne‐Lyman, Andrew, additional, Matsisa, Patrick, additional, Kiige, Laura, additional, Codjia, Patrick, additional, Rudert, Christiane, additional, Katua, Stacy, additional, Wambu, Rose, additional, Samburu, Betty, additional, Kamudoni, Penjani, additional, Chimanya, Kudakwashe, additional, and Nordhagen, Stella, additional
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- 2022
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15. 1145 Improving postnatal breastfeeding support for mothers of low-birth-weight infants in rural Kenyan hospitals- a feasibility study
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Dickinson, Fiona, primary, Achieng, Florence, additional, K’Oloo, Alloys, additional, Tindi, Linda, additional, Boga, Mwanamvua, additional, Kimani, Mary, additional, Kiige, Laura, additional, Mellor, Kathy, additional, Barsosio, Hellen, additional, Kariuki, Simon, additional, and Nabwera, Helen, additional
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- 2022
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16. How COVID-19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya.
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Ahoya, Brenda, Kavle, Justine A., Kiige, Laura, Gathi, Constance, Samburu, Betty, Maina, Lucy, Ramirez, Lacey, Wambu, Rose, and Codjia, Patrick
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EVALUATION of medical care ,MOTHERS ,LACTATION ,FOCUS groups ,HEALTH services accessibility ,UNEMPLOYMENT ,VEGETABLES ,STAKEHOLDER analysis ,FOOD security ,FOOD consumption ,NUTRITIONAL requirements ,INTERVIEWING ,PREGNANT women ,COMMUNITY health services ,INFANT nutrition ,QUALITATIVE research ,DAIRY products ,BREASTFEEDING ,DESCRIPTIVE statistics ,QUESTIONNAIRES ,FOOD ,RESEARCH funding ,DIETARY carbohydrates ,COVID-19 pandemic ,FOOD service ,MEALS - Abstract
This implementation research study sought to examine the impact of the COVID-19 pandemic on maternal and infant nutrition practices, and related aspects of health and food systems in Nairobi and Uasin Gishu Counties, Kenya. The study triangulated in-depth interviews with 16 pregnant women, 31 lactating women (including COVID-19 positive), 10 facility health workers, 10 community health volunteers, 6 focus group discussions (FGDs) with food vendors, 4 FGDs and 15 stakeholder interviews with government and implementing partners. Trends from Kenyan Health Information System indicators (i.e., exclusive breastfeeding and initiation of breastfeeding, antenatal care) were also examined. During the COVID-19 pandemic, a decline in attendance of antenatal care, and maternity facilities was observed, and corroborated by Kenyan Health Information System data. Lack of clarity among health workers on COVID-19 breastfeeding guidance and fear of COVID-19 infection early in the pandemic were key drivers of early infant formula use, mother-child separation following delivery and delayed initiation of breastfeeding. Most women exclusively breastfed due to Government of Kenya restrictions in movement. Unemployment and job loss was linked to food insecurity and worsened by increased food prices and limited social protection measures. In response, pregnant and lactating women resorted to skipping meals and reducing quantity and variety of foods consumed. Efforts to build forward from COVID-19 in Kenya should include facility and community health education to prevent disruptions in breastfeeding and to support maternal dietary intake, and in the provision of targeted social protection measures alongside other multisectoral interventions (i.e., psychosocial support) for Kenyan pregnant and lactating women. [ABSTRACT FROM AUTHOR]
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- 2023
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17. A subnational affordability assessment of nutritious foods for complementary feeding in Kenya
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Ryckman, Theresa, primary, Codjia, Patrick, additional, Nordhagen, Stella, additional, Arimi, Caroline, additional, Kirogo, Veronica, additional, Kiige, Laura, additional, Kamudoni, Penjani, additional, and Beal, Ty, additional
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- 2022
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18. Building forward better—An exploration of nutrition practices, food choice, and coping behaviors among Kenyan adolescents during COVID‐19: Experiences and program implications.
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Kavle, Justine A., Codjia, Patrick, Gathi, Constance, Ahoya, Brenda, Ramirez, Lacey, Katua, Stacy, Mugo, Florence, and Kiige, Laura
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COVID-19 pandemic ,KENYANS ,JUNK food ,NUTRITION ,AGRICULTURE ,HEALTH facilities - Abstract
This implementation research study sought to examine the impact of the COVID‐19 pandemic on adolescent nutrition practices and related behaviors in Nairobi and Uasin Gishu Counties, Kenya. Eight focus group discussions (FGDs) were conducted with adolescents 10–19 years of age, in‐depth interviews with 10 health facility providers, and a combination of FGDs (n‐4) and key informant interviews with government stakeholder and implementing partners (n = 9). During the pandemic, adolescents tended to avoid commonly consumed junk foods, in favor of "immune boosting, protective" foods. Widespread unemployment and reductions in parental income rendered some food items such as meat, eggs, and fruits unaffordable for families of adolescents. Adolescents relayed experiences of skipping meals and reducing the amount and variety of foods consumed. Adolescents also described employing strategies such as working in the informal sector and selling personal items to support families financially, in response to rising food insecurity. School closures mandated during the pandemic likely contributed to reductions in overall physical activity. To improve the diets of adolescents, programs should build on the healthy mindset brought on by the pandemic, while strengthening, targeting, and improving access to social protection measures and agricultural initiatives for vulnerable families with adolescents to cushion them from rising food insecurity as an effect of COVID‐19. Building practical adolescent life skills to encourage healthy nutrition actions will also be key to building forward from the COVID‐19 pandemic in Kenya. [ABSTRACT FROM AUTHOR]
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- 2023
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19. Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya
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Kimani-Murage, Elizabeth W, Wilunda, Calistus, Macharia, Teresia Njoki, Kamande, Eva Watiri, Gatheru, Peter Muriuki, Zerfu, Tadesse, Donfouet, Hermann Pythagore Pierre, Kiige, Laura, Jabando, Susan, Dinga, Lynette Aoko, Samburu, Betty, Lilford, Richard, Griffiths, Paula, Jackson, Debra, Begin, France, and Moloney, Grainne
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Exclusive breastfeeding (EBF) during the first 6 months of life is crucial for optimizing child growth, development and survival, as well as the mother's wellbeing. Mother's employment may hinder optimal breastfeeding, especially in the first 6 months. We assessed the effectiveness of a baby-friendly workplace support intervention on EBF in Kenya. This pre-post intervention study was conducted between 2016 and 2018 on an agricultural farm in Kericho County. The intervention targeted pregnant/breastfeeding women residing on the farm and consisted of workplace support policies and programme interventions including providing breastfeeding flexi-time and breaks for breastfeeding mothers; day-care centres (crèches) for babies near the workplace and lactation centres with facilities for breast milk expression and storage at the crèches; creating awareness on available workplace support for breastfeeding policies; and home-based nutritional counselling for pregnant and breastfeeding women. EBF was measured through 24-h recall. The effect of the intervention on EBF was estimated using propensity score weighting. The study included 270 and 146 mother-child dyads in the nontreated (preintervention) group and treated (intervention) group, respectively. The prevalence of EBF was higher in the treated group (80.8%) than in the nontreated group (20.2%); corresponding to a fourfold increased probability of EBF [risk ratio (RR) 3.90; 95% confidence interval (CI) 2.95-5.15]. The effect of the intervention was stronger among children aged 3-5 months (RR 8.13; 95% CI 4.23-15.64) than among those aged
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- 2021
20. Gender, Underweight and Dietary Practices Among Male and Female Adolescents in Pastoral Community, Kenya
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Munga, Judith, primary, Kiige, Laura, additional, Maina-Gathigi, Lucy, additional, L'Parnoi, Peter, additional, Lengewa, Catherine Mesianto, additional, Kiplamai, Festus, additional, and Kariuki, Esther, additional
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- 2021
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21. 97Effectiveness of baby-friendly workplace support interventions on exclusive breastfeeding in Kenya: a propensity score-weighted analysis
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Kimani-Murage, Elizabeth, primary, Wilunda, Calistus, additional, Zerfu, Tadesse, additional, Macharia, Teresia, additional, Kamande, Eva, additional, Gacheru, Peter, additional, Donfouet, Hermann, additional, Kiige, Laura, additional, Jabando, Susan, additional, Dinga, Lynette, additional, Samburu, Betty, additional, Atinda, Joyce, additional, Lilford, Richard, additional, Griffiths, Paula, additional, Jackson, Debra, additional, Begin, France, additional, and Moloney, Grainne, additional
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- 2021
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22. Communities and employers show a high level of preparedness in supporting working mothers to combine breastfeeding with work in rural Kenya
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Zerfu, Taddese Alemu, primary, Griffiths, Paula, additional, Macharia, Teresia, additional, Kamande, Eva W., additional, Anono, Esther, additional, Kiige, Laura, additional, Gatheru, Peter Muriuki, additional, Jobando, Susan, additional, Moloney, Grainne, additional, and Kimani‐Murage, Elizabeth Wambui, additional
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- 2021
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23. Assessment of the feasibility and potential effectiveness of a baby-friendly workplace support initiative in rural Kenya: a study protocol
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Kimani-Murage, Elizabeth W., primary, Macharia, Teresia N., additional, Kamande, Eva W., additional, Gatheru, Peter M., additional, Donfouet, Hermann P. P., additional, Alemu, Taddese, additional, Kiige, Laura, additional, Jobando, Susan, additional, Dinga, Lynnette A., additional, Samburu, Betty, additional, Atinda, Joyce, additional, Watson, Samuel, additional, Mitchell, Claudia, additional, Griffiths, Paula, additional, Lilford, Richard, additional, Jackson, Debra, additional, Begin, France, additional, and Moloney, Grainne, additional
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- 2021
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24. Individualized breastfeeding support for acutely ill, malnourished infants under 6 months old
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Mwangome, Martha, Murunga, Sheila, Kahindi, Jane, Gwiyo, Prinilla, Mwasho, Grace, Talbert, Alison, Kiige, Laura, Samburu, Betty, Mturi, Neema, Abubakar, Amina, Jones, Caroline, Berkley, James A., Leerstoel Baar, and Development and Treatment of Psychosocial Problems
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infants under 6 months ,exclusive breatfeeding ,peer supporters ,acute malnutrition - Abstract
Reestablishing exclusive breastfeeding is the cornerstone of the 2013 World Health Organization (WHO) treatment guidelines for acute malnutrition in infants less than 6 months. However, no studies have investigated guideline implementation and subsequent outcomes in a public hospital setting in Africa. To facilitate implementation of the WHO 2013 guidelines in Kilifi County Hospital, Kenya, we developed standard operating procedure, recruited, and trained three breastfeeding peer supporters (BFPS). Between September 2016 and January 2018, the BFPS provided individual breastfeeding support to mothers of infants aged 4 weeks to 4 months admitted to Kilifi County Hospital with an illness and acute malnutrition (mid‐upper‐arm circumference < 11.0 cm OR weight‐for‐age z score < −2 OR weight‐for‐length z score < ‐2). Infants were followed daily while in hospital then every 2 weeks for 6 weeks after discharge with data collected on breastfeeding, infant growth, morbidity, and mortality. Of 106 infants with acute malnutrition at admission, 51 met the inclusion criteria for the study. Most enrolled mothers had multiple breastfeeding challenges, which were predominantly technique based. Exclusive breastfeeding was 55% at admission and 81% at discharge; at discharge 67% of infants had attained a weight velocity of >5 g/kg/day for three consecutive days on breastmilk alone. Gains in weight‐for‐length z score and weight‐for‐age z score were generally not sustained beyond 2 weeks after discharge. BFPS operated effectively in an inpatient setting, applying the 2013 updated WHO guidelines and increasing rates of exclusive breastfeeding at discharge. However, lack of continued increase in anthropometric Z scores after discharge suggests the need for more sustained interventions.
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- 2020
25. Individualized breastfeeding support for acutely ill, malnourished infants under 6 months old
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Mwangome, Martha, primary, Murunga, Sheila, additional, Kahindi, Jane, additional, Gwiyo, Prinilla, additional, Mwasho, Grace, additional, Talbert, Alison, additional, Kiige, Laura, additional, Samburu, Betty, additional, Mturi, Neema, additional, Abubakar, Amina, additional, Jones, Caroline, additional, and Berkley, James A., additional
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- 2019
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26. Perceptions on donated human milk and human milk banking in Nairobi, Kenya
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Kimani‐Murage, Elizabeth Wambui, primary, Wanjohi, Milka Njeri, additional, Kamande, Eva Watiri, additional, Macharia, Teresia Njoki, additional, Mwaniki, Elizabeth, additional, Zerfu, Taddese, additional, Ziraba, Abdhalah, additional, Muiruri, Juliana Waithera, additional, Samburu, Betty, additional, Govoga, Allan, additional, Kiige, Laura Wangui, additional, Ngwiri, Thomas, additional, Mirie, Waithira, additional, Musoke, Rachel, additional, Amundson‐Mansen, Kimberly, additional, and Israel‐Ballard, Kiersten, additional
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- 2019
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27. Baby‐Friendly Community Initiative—From national guidelines to implementation: A multisectoral platform for improving infant and young child feeding practices and integrated health services
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Kavle, Justine A., primary, Ahoya, Brenda, additional, Kiige, Laura, additional, Mwando, Rael, additional, Olwenyi, Florence, additional, Straubinger, Sarah, additional, and Gathi, Constance M., additional
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- 2019
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28. Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya.
- Author
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Kimani-Murage EW, Wilunda C, Macharia TN, Kamande EW, Gatheru PM, Zerfu T, Donfouet HPP, Kiige L, Jabando S, Dinga LA, Samburu B, Lilford R, Griffiths P, Jackson D, Begin F, and Moloney G
- Subjects
- Counseling, Female, Health Education, Humans, Infant, Kenya, Mothers, Pregnancy, Breast Feeding, Workplace
- Abstract
Exclusive breastfeeding (EBF) during the first 6 months of life is crucial for optimizing child growth, development and survival, as well as the mother's wellbeing. Mother's employment may hinder optimal breastfeeding, especially in the first 6 months. We assessed the effectiveness of a baby-friendly workplace support intervention on EBF in Kenya. This pre-post intervention study was conducted between 2016 and 2018 on an agricultural farm in Kericho County. The intervention targeted pregnant/breastfeeding women residing on the farm and consisted of workplace support policies and programme interventions including providing breastfeeding flexi-time and breaks for breastfeeding mothers; day-care centres (crèches) for babies near the workplace and lactation centres with facilities for breast milk expression and storage at the crèches; creating awareness on available workplace support for breastfeeding policies; and home-based nutritional counselling for pregnant and breastfeeding women. EBF was measured through 24-h recall. The effect of the intervention on EBF was estimated using propensity score weighting. The study included 270 and 146 mother-child dyads in the nontreated (preintervention) group and treated (intervention) group, respectively. The prevalence of EBF was higher in the treated group (80.8%) than in the nontreated group (20.2%); corresponding to a fourfold increased probability of EBF [risk ratio (RR) 3.90; 95% confidence interval (CI) 2.95-5.15]. The effect of the intervention was stronger among children aged 3-5 months (RR 8.13; 95% CI 4.23-15.64) than among those aged <3 months (RR 2.79; 95% CI 2.09-3.73). The baby-friendly workplace support intervention promoted EBF especially beyond 3 months in this setting., (© 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons, Ltd.)
- Published
- 2021
- Full Text
- View/download PDF
29. Individualized breastfeeding support for acutely ill, malnourished infants under 6 months old.
- Author
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Mwangome M, Murunga S, Kahindi J, Gwiyo P, Mwasho G, Talbert A, Kiige L, Samburu B, Mturi N, Abubakar A, Jones C, and Berkley JA
- Subjects
- Adult, Cohort Studies, Female, Hospitalization statistics & numerical data, Humans, Infant, Kenya epidemiology, Patient Discharge statistics & numerical data, Pilot Projects, Prospective Studies, World Health Organization, Breast Feeding, Guidelines as Topic, Health Plan Implementation methods, Infant Nutrition Disorders
- Abstract
Reestablishing exclusive breastfeeding is the cornerstone of the 2013 World Health Organization (WHO) treatment guidelines for acute malnutrition in infants less than 6 months. However, no studies have investigated guideline implementation and subsequent outcomes in a public hospital setting in Africa. To facilitate implementation of the WHO 2013 guidelines in Kilifi County Hospital, Kenya, we developed standard operating procedure, recruited, and trained three breastfeeding peer supporters (BFPS). Between September 2016 and January 2018, the BFPS provided individual breastfeeding support to mothers of infants aged 4 weeks to 4 months admitted to Kilifi County Hospital with an illness and acute malnutrition (mid-upper-arm circumference < 11.0 cm OR weight-for-age z score < -2 OR weight-for-length z score < -2). Infants were followed daily while in hospital then every 2 weeks for 6 weeks after discharge with data collected on breastfeeding, infant growth, morbidity, and mortality. Of 106 infants with acute malnutrition at admission, 51 met the inclusion criteria for the study. Most enrolled mothers had multiple breastfeeding challenges, which were predominantly technique based. Exclusive breastfeeding was 55% at admission and 81% at discharge; at discharge 67% of infants had attained a weight velocity of >5 g/kg/day for three consecutive days on breastmilk alone. Gains in weight-for-length z score and weight-for-age z score were generally not sustained beyond 2 weeks after discharge. BFPS operated effectively in an inpatient setting, applying the 2013 updated WHO guidelines and increasing rates of exclusive breastfeeding at discharge. However, lack of continued increase in anthropometric Z scores after discharge suggests the need for more sustained interventions., (© 2019 The Authors Maternal & Child Nutrition Published by John Wiley & Sons, Ltd.)
- Published
- 2020
- Full Text
- View/download PDF
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