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肯尼亚内罗毕低收入非正规住区的男性参与母婴营养

Male involvement in maternal and child nutrition in low-income informal settlements, Nairobi, Kenya.

机构信息

Department of Anthropology, Gender, and African Studies (DAGAS), University of Nairobi (UON), Nairobi, Kenya.

出版信息

J Health Popul Nutr. 2024 Apr 4;43(1):47. doi: 10.1186/s41043-023-00476-1.

Abstract

BACKGROUND

Maternal and child nutrition is a significant public health concern because adequate nutrition is essential for the health, development, and well-being of mothers and children. Men can play a critical role in improving maternal and child health, including through their involvement in the nutrition of the mother and child. However, little has been studied on male involvement in maternal and child nutrition; therefore, this qualitative exploratory study focused on the level of male involvement and factors influencing male involvement in maternal and child nutrition in low-income urban informal settings.

METHODS

Qualitative data collection methods were triangulated in the exploratory study to inform the study objectives. In-depth interviews (IDIs) were conducted with 30 men and 20 women based on the inclusion criteria that they have children aged between 6 and 23 months. An additional 10 key informant interviews with stakeholders in nutrition within the study setting were also carried out. Data from the qualitative interviews were captured in audio files with informed consent and permission to record from the study participants. The interviews were transcribed and translated into English transcripts for coding and analysis. Themes were derived from the five levels of the socio-ecological model of human behavior, namely, (i) individual factors; (ii) interpersonal factors; (iii) community factors; (iv) institutional factors guided the analysis.

RESULTS

Findings from the study revealed that personal beliefs and values, the nature of work, mistrust and stigma and discrimination, and the association clinic visits with HIV testing, were some of the factors that influenced male involvement in maternal and child nutrition.

CONCLUSION

It is important to recognize the potential value of research on the role of men in maternal and child nutrition and to identify ways to overcome the barriers to their involvement. By better understanding the factors that influence male involvement in maternal and child nutrition and the impact of this involvement on maternal and child nutrition, it may be possible to develop more effective interventions to promote the nutritional well-being of mothers and children.

摘要

背景

母婴营养是一个重大的公共卫生问题,因为充足的营养对于母亲和儿童的健康、发育和幸福至关重要。男性可以通过参与母婴营养等方式在改善母婴健康方面发挥关键作用。然而,关于男性参与母婴营养的研究甚少;因此,这项定性探索性研究侧重于男性参与度以及影响男性参与低收入城市非正规环境中母婴营养的因素。

方法

在探索性研究中,使用定性数据收集方法进行三角测量,以了解研究目标。根据纳入标准,对 30 名男性和 20 名女性进行了深入访谈(IDIs),这些标准是他们的孩子年龄在 6 至 23 个月之间。还对营养领域的 10 名利益攸关方进行了额外的关键信息访谈。从定性访谈中获取的数据经参与者同意并允许记录后,以音频文件的形式进行记录。访谈内容被转录并翻译成英文记录进行编码和分析。主题源自人类行为的社会生态模式的五个层次,即:(i)个人因素;(ii)人际因素;(iii)社区因素;(iv)机构因素,指导分析。

结果

研究结果表明,个人信念和价值观、工作性质、不信任和耻辱感以及歧视,以及与艾滋病毒检测相关的诊所就诊,是影响男性参与母婴营养的一些因素。

结论

认识到研究男性在母婴营养中的作用的潜在价值并确定克服其参与障碍的方法非常重要。通过更好地了解影响男性参与母婴营养的因素以及这种参与对母婴营养的影响,可能会制定出更有效的干预措施,促进母亲和儿童的营养健康。

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