Values and Sustainability Research Group, School of Architecture, Technology and Engineering, University of Brighton, BrightonBN2 4GJ, UK.
Department of Environmental Science and Engineering, Fudan University, Shanghai, People's Republic of China.
Public Health Nutr. 2023 Nov;26(11):2418-2432. doi: 10.1017/S1368980023001088. Epub 2023 Jun 8.
This work aims to demonstrate an original approach to identify links between locally situated shared values and contextual factors of stunting. Stunting results from multi-factorial and multi-sectoral determinants, but interventions typically neglect locally situated lived experiences, which contributes to problematic designs that are not meaningful for those concerned and/or relatively ineffective.
This case study investigates relevant contextual factors in two steps: by facilitating local stakeholder groups ( 11) to crystallise their shared-values-in-action using a specialised method from sustainability studies (WeValue_InSitu (WVIS)). , participants ( 44) have focus group discussions (FGD) about everyday practices around child feeding/food systems, education and/or family life. Because the first step strongly grounds participants in local shared values, the FGD can reveal deep links between contextual factors and potential influences on stunting.
Kaffrine, Senegal, an 'Action Against Stunting Hub' site. December 2020.
Eleven stakeholder groups of mothers, fathers, grandmothers, pre-school teachers, community health workers, farmers, market traders and public administrators.
Local contextual factors of stunting were identified, including traditional beliefs concerning eating and growing practices; fathers as decision-makers; health worker trust; financial non-autonomy for women; insufficient water for preferred crops; merchants' non-access to quality produce; religious teachings and social structures affecting children's food environment.
Local contextual factors were identified. Pre-knowledge of these could significantly improve effectiveness of intervention designs locally, with possible applicability at other sites. The WVIS approach proved efficient and useful for making tangible contextual factors and their potential links to stunting, via a lens of local shared values, showing general promise for intervention research.
本研究旨在展示一种识别与发育迟缓相关的局部共享价值观与情境因素之间联系的新方法。发育迟缓是由多因素和多部门决定因素引起的，但干预措施通常忽略了当地的生活经验，导致设计存在问题，对相关人员来说没有意义和/或效果不理想。
本案例研究分两步调查相关情境因素：通过促进当地利益相关者小组（11 人）利用可持续性研究中的一种专门方法（WeValue_InSitu（WVIS））来明确其行动中的共享价值观。参与者（44 人）进行了有关儿童喂养/食品系统、教育和/或家庭生活日常实践的焦点小组讨论（FGD）。由于第一步使参与者深入了解当地的共享价值观，因此 FGD 可以揭示情境因素与潜在发育迟缓影响之间的深层联系。
塞内加尔卡夫林的一个“发育迟缓防治中心”。2020 年 12 月。
11 个利益相关者群体，包括母亲、父亲、祖母、学前教师、社区卫生工作者、农民、市场商人、和公职人员。
确定了发育迟缓的局部情境因素，包括有关饮食和生长实践的传统观念；父亲作为决策者；卫生工作者的信任；妇女经济上不自主；首选作物缺乏足够的水；商人无法获得优质产品；宗教教义和社会结构影响儿童的食物环境。
确定了局部情境因素。预先了解这些因素可能会显著提高当地干预设计的效果，在其他地点也可能具有适用性。WVIS 方法通过当地共享价值观的视角证明了其在揭示情境因素及其与发育迟缓的潜在联系方面的有效性和实用性，为干预研究提供了广阔的前景。
