129 lines
4 KiB
YAML
129 lines
4 KiB
YAML
|
abstract: 'Objective: To explore the factors affecting intra-household food
|
||
|
|
||
|
allocation practices to inform the development of interventions to
|
||
|
|
||
|
prevent low birth weight in rural plains of Nepal.
|
||
|
|
||
|
Design: Qualitative methodology using purposive sampling to explore the
|
||
|
|
||
|
barriers and facilitating factors to improved maternal nutrition.
|
||
|
|
||
|
Setting: Rural Dhanusha District, Nepal.
|
||
|
|
||
|
Subjects: We purposively sampled twenty-five young daughters-in-law from
|
||
|
|
||
|
marginalised groups living in extended families and conducted
|
||
|
|
||
|
semi-structured interviews with them. We also conducted one focus group
|
||
|
|
||
|
discussion with men and one with female community health volunteers who
|
||
|
|
||
|
were mothers-in-law.
|
||
|
|
||
|
Results: Gender and age hierarchies were important in household decision
|
||
|
|
||
|
making. The mother-in-law was responsible for ensuring that a meal was
|
||
|
|
||
|
provided to productive household members. The youngest daughter-in-law
|
||
|
|
||
|
usually cooked last and ate less than other family members, and showed
|
||
|
|
||
|
respect for other family members by cooking only when permitted and
|
||
|
|
||
|
deferring to others'' choice of food. There were limited opportunities
|
||
|
|
||
|
for these women to snack between main meals. Daughters-in-law'' movement
|
||
|
|
||
|
outside the household was restricted and therefore family members
|
||
|
|
||
|
perceived that their nutritional need was less. Poverty affected food
|
||
|
|
||
|
choice and families considered cost before nutritional value.
|
||
|
|
||
|
Conclusions: It is important to work with the whole household,
|
||
|
|
||
|
particularly mothers-in-law, to improve maternal nutrition. We present
|
||
|
|
||
|
five barriers to behaviour change: poverty; lack of knowledge about
|
||
|
|
||
|
cheap nutritional food, the value of snacking, and cheap nutritional
|
||
|
|
||
|
food that does not require cooking; sharing food; lack of
|
||
|
|
||
|
self-confidence: and deference to household guardians. We discuss how we
|
||
|
|
||
|
have targeted our interventions to develop knowledge, discuss strategics
|
||
|
|
||
|
to overcome barriers, engage mothers-in-law, and build the confidence
|
||
|
|
||
|
and social support networks of pregnant women.'
|
||
|
affiliation: 'Morrison, J (Corresponding Author), UCL, Inst Global Hlth, 30 Guilford
|
||
|
St, London WC1N 1EH, England.
|
||
|
|
||
|
Morrison, Joanna; Harris-Fry, Helen; Costello, Anthony; Osrin, David; Saville, Naomi,
|
||
|
UCL, Inst Global Hlth, 30 Guilford St, London WC1N 1EH, England.
|
||
|
|
||
|
Dulal, Sophiya; Basnet, Machhindra; Sharma, Neha; Shrestha, Bhim; Manandhar, Dharma,
|
||
|
MIRA, Thapathali, Kathmandu, Nepal.'
|
||
|
author: Morrison, Joanna and Dulal, Sophiya and Harris-Fry, Helen and Basnet, Machhindra
|
||
|
and Sharma, Neha and Shrestha, Bhim and Manandhar, Dharma and Costello, Anthony
|
||
|
and Osrin, David and Saville, Naomi
|
||
|
author-email: joanna.morrison@ucl.ac.uk
|
||
|
author_list:
|
||
|
- family: Morrison
|
||
|
given: Joanna
|
||
|
- family: Dulal
|
||
|
given: Sophiya
|
||
|
- family: Harris-Fry
|
||
|
given: Helen
|
||
|
- family: Basnet
|
||
|
given: Machhindra
|
||
|
- family: Sharma
|
||
|
given: Neha
|
||
|
- family: Shrestha
|
||
|
given: Bhim
|
||
|
- family: Manandhar
|
||
|
given: Dharma
|
||
|
- family: Costello
|
||
|
given: Anthony
|
||
|
- family: Osrin
|
||
|
given: David
|
||
|
- family: Saville
|
||
|
given: Naomi
|
||
|
da: '2023-09-28'
|
||
|
doi: 10.1017/S1368980017002646
|
||
|
eissn: 1475-2727
|
||
|
files: []
|
||
|
issn: 1368-9800
|
||
|
journal: PUBLIC HEALTH NUTRITION
|
||
|
keywords: 'Nutrition; Gender; Neonatal health; Qualitative; Intra-household food
|
||
|
|
||
|
allocation'
|
||
|
keywords-plus: HEALTH; FOOD; STRATEGIES; ALLOCATION; AUTONOMY; MALARIA; GROWTH
|
||
|
language: English
|
||
|
month: FEB
|
||
|
number: '2'
|
||
|
number-of-cited-references: '34'
|
||
|
orcid-numbers: 'Dulal, Sophiya/0000-0002-2244-613X
|
||
|
|
||
|
Harris-Fry, Helen/0000-0003-2367-908X
|
||
|
|
||
|
Morrison, Joanna/0000-0002-9241-8863'
|
||
|
pages: 377-384
|
||
|
papis_id: 37b276e346b04b7b7e8fc6cb9baaaa70
|
||
|
ref: Morrison2018formativequalitative
|
||
|
researcherid-numbers: 'Osrin, David/C-5932-2008
|
||
|
|
||
|
'
|
||
|
times-cited: '29'
|
||
|
title: Formative qualitative research to develop community-based interventions addressing
|
||
|
low birth weight in the plains of Nepal
|
||
|
type: Article
|
||
|
unique-id: WOS:000438385300014
|
||
|
usage-count-last-180-days: '1'
|
||
|
usage-count-since-2013: '7'
|
||
|
volume: '21'
|
||
|
web-of-science-categories: Public, Environmental \& Occupational Health; Nutrition
|
||
|
\& Dietetics
|
||
|
year: '2018'
|