IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i19p7269-d423913.html
   My bibliography  Save this article

Improvement of Dietary Diversity and Attitude toward Recommended Feeding through Novel Community Based Nutritional Education Program in Coastal Kenya—An Intervention Study

Author

Listed:
  • Mami Hitachi

    (Program for Nurturing Global Leaders in Tropical and Emerging Communicable Diseases, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan)

  • Violet Wanjihia

    (Centre for Public Health Research, Kenya Medical Research Institute (KEMRI), Nairobi 20752-00202, Kenya)

  • Lilian Nyandieka

    (Centre for Public Health Research, Kenya Medical Research Institute (KEMRI), Nairobi 20752-00202, Kenya)

  • Chepkirui Francesca

    (Department of Community Health and Epidemiology, School of Public Health, Kenyatta University, Nairobi 43844-00100, Kenya)

  • Norah Wekesa

    (Kenya Medical Research Institute, KEMRI graduate school, Nairobi 54840-00200, Kenya)

  • Juma Changoma

    (NUITM-KEMRI Project, Institute of Tropical Medicine (NUITM), Nagasaki University, Nairobi 19993-00202, Kenya)

  • Erastus Muniu

    (Centre for Public Health Research, Kenya Medical Research Institute (KEMRI), Nairobi 20752-00202, Kenya)

  • Phillip Ndemwa

    (Centre for Public Health Research, Kenya Medical Research Institute (KEMRI), Nairobi 20752-00202, Kenya)

  • Sumihisa Honda

    (Department of Nursing, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan)

  • Kenji Hirayama

    (Department of Immunogenetics, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan)

  • Mohammed Karama

    (Kenya Medical Research Institute, KEMRI graduate school, Nairobi 54840-00200, Kenya)

  • Satoshi Kaneko

    (Department of Eco-epidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan)

Abstract

Community-based nutritional intervention to improve the practice of dietary diversity and child nutrition by community health workers (CHWs) involving Nyumba Kumi as small neighborhood units (SNUs) in communities has not yet been explored. This study was conducted in two villages in rural Kenya between 2018 and 2019. In total, 662 participants (control vs. intervention: n = 339 vs. n = 323) were recruited. The intervention group received education on maternal and child nutrition and follow-up consultations. The custom-tailored educational guidelines were made based on Infant and Young Child Feeding and the mother and child health booklet. The educational effects on household caregivers’ feeding practice attitude and child nutritional status were analyzed using multiple linear regression. After the intervention, a total of 368 household caregivers (187 vs. 181) and 180 children (113 vs. 67) were analyzed separately. Between the groups, no significant difference was found in their background characteristics. This study successfully improved the dietary diversity score (β = 0.54; p < 0.01) and attitude score (β = 0.29; p < 0.01). The results revealed that the interventions using CHWs and SNUs were useful to improve dietary diversity and caregivers’ attitudes toward recommended feeding. This research has the potential to be successfully applied in other regions where child undernutrition remains.

Suggested Citation

  • Mami Hitachi & Violet Wanjihia & Lilian Nyandieka & Chepkirui Francesca & Norah Wekesa & Juma Changoma & Erastus Muniu & Phillip Ndemwa & Sumihisa Honda & Kenji Hirayama & Mohammed Karama & Satoshi Ka, 2020. "Improvement of Dietary Diversity and Attitude toward Recommended Feeding through Novel Community Based Nutritional Education Program in Coastal Kenya—An Intervention Study," IJERPH, MDPI, vol. 17(19), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7269-:d:423913
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/19/7269/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/19/7269/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wise, Victoria & Tefft, James F. & Kelly, Valerie A. & Staatz, John M., 2002. "Knowledge, Attitudes and Practices on Child Feeding and Care: Preliminary Insights from the Project on Linkages between Child Nutrition and Agricultural Growth," Food Security International Development Policy Syntheses 11467, Michigan State University, Department of Agricultural, Food, and Resource Economics.
    2. Pallas, S.W. & Minhas, D. & Pérez-Escamilla, R. & Taylor, L. & Curry, L. & Bradley, E.H., 2013. "Community health workers in low- and middle-income countries: What do we know about scaling up and sustainability?," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 74-82.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cristina Jardí & Byron David Casanova & Victoria Arija, 2021. "Nutrition Education Programs Aimed at African Mothers of Infant Children: A Systematic Review," IJERPH, MDPI, vol. 18(14), pages 1-19, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yemisrach B. Okwaraji & Zelee Hill & Atkure Defar & Della Berhanu & Desta Wolassa & Lars Åke Persson & Geremew Gonfa & Joanna A. Schellenberg, 2020. "Implementation of the ‘Optimising the Health Extension Program’ Intervention in Ethiopia: A Process Evaluation Using Mixed Methods," IJERPH, MDPI, vol. 17(16), pages 1-20, August.
    2. Netsanet Fetene & Erika Linnander & Binyam Fekadu & Hibret Alemu & Halima Omer & Maureen Canavan & Janna Smith & Peter Berman & Elizabeth Bradley, 2016. "The Ethiopian Health Extension Program and Variation in Health Systems Performance: What Matters?," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-19, May.
    3. Edward, Anbrasi & Branchini, Casey & Aitken, Iain & Roach, Melissa & Osei-Bonsu, Kojo & Arwal, Said Habib, 2015. "Toward universal coverage in Afghanistan: A multi-stakeholder assessment of capacity investments in the community health worker system," Social Science & Medicine, Elsevier, vol. 145(C), pages 173-183.
    4. Wise, Victoria & Ouattara, Fatimata & Tefft, James F. & Kelly, Valerie A. & Staatz, John M., 2003. "Amelioration des resultats nutritionnels grace aux initiatives de sante communautaires," Food Security International Development Policy Syntheses 11312, Michigan State University, Department of Agricultural, Food, and Resource Economics.
    5. Donela Besada & Daygan Eagar & Russel Rensburg & Gugu Shabangu & Salamina Hlahane & Emmanuelle Daviaud, 2020. "Resource requirements for community-based care in rural, deep-rural and peri-urban communities in South Africa: A comparative analysis in 2 South African provinces," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-19, January.
    6. Estelle D. Watson & Shabir Moosa & Dina C. Janse Van Rensburg & Martin Schwellnus & Estelle V. Lambert & Mark Stoutenberg, 2023. "Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?," IJERPH, MDPI, vol. 20(17), pages 1-13, August.
    7. Wise, Victoria & Ouattara, Fatimata & Tefft, James F. & Kelly, Valerie A. & Staatz, John M., 2002. "Improving Nutrition Outcomes Through Community Health Initiatives," Food Security International Development Policy Syntheses 11311, Michigan State University, Department of Agricultural, Food, and Resource Economics.
    8. Najafizada, Said Ahmad Maisam & Labonté, Ronald & Bourgeault, Ivy Lynn, 2017. "Stakeholder’s perspective: Sustainability of a community health worker program in Afghanistan," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 123-129.
    9. Hyejin Lee, 2017. "Sustainability in International Aid Programs; Identification of Working Concepts of Sustainability and Its Contributing Factors," International Journal of Social Science Studies, Redfame publishing, vol. 5(1), pages 7-19, January.
    10. Kane, Sumit & Kok, Maryse & Ormel, Hermen & Otiso, Lilian & Sidat, Mohsin & Namakhoma, Ireen & Nasir, Sudirman & Gemechu, Daniel & Rashid, Sabina & Taegtmeyer, Miriam & Theobald, Sally & de Koning, Ko, 2016. "Limits and opportunities to community health worker empowerment: A multi-country comparative study," Social Science & Medicine, Elsevier, vol. 164(C), pages 27-34.
    11. Saran, Indrani & Winn, Laura & Kipkoech Kirui, Joseph & Menya, Diana & Prudhomme O'Meara, Wendy, 2020. "The relative importance of material and non-material incentives for community health workers: Evidence from a discrete choice experiment in Western Kenya," Social Science & Medicine, Elsevier, vol. 246(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7269-:d:423913. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.