2023-09-28 14:46:10 +00:00
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abstract: 'Maternal and newborn health disparities and the health impacts of
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climate change present grand challenges for global health equity, and
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there remain knowledge gaps in our understanding of how these challenges
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intersect. This study examines the pathways through which mothers are
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affected by seasonal and meteorological factors in sub-Saharan Africa in
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general, and Kanungu District (Uganda), in particular. We conducted a
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community-based study consisting of focus group discussions with mothers
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and interviews with health care workers in Kanungu District. Using a
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priori and a posteriori coding, we found a diversity of perspectives on
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the impacts of seasonal and weather exposures, with reporting of more
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food available in the rainy season. The rainy season was also identified
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as the period in which women performed physical labour for longer time
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periods, while work conditions in the dry season were reported to be
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more difficult due to heat. The causal pathways through which weather
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and seasonality may be affecting size at birth as reported by Kanungu
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mothers were consistent with those most frequently reported in the
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literature elsewhere, including maternal energy balance (nutritional
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intake and physical exertion output) and seasonal illness. While both
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Indigenous and non-Indigenous mothers described similar pathways,
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however, the severity of these experiences differed. Non-Indigenous
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mothers frequently relied on livestock assets or opportunities for less
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taxing physical work than Indigenous women, who had fewer options when
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facing food shortages or transport costs. Findings point to specific
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entry points for intervention including increased nutritional support in
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dry season periods of food scarcity, increased diversification of wage
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labour opportunities, and increased access to contraception.
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Interventions should be particularly targeted towards Indigenous mothers
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as they face greater food insecurity, may have fewer sources of income,
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and face greater overall deprivation than non-Indigenous mothers. (C)
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2017 Published by Elsevier Ltd.'
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affiliation: 'MacVicar, S (Corresponding Author), McGill Univ, Dept Geog, Burnside
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Hall Bldg,Room 705, Montreal, PQ H3A 0B9, Canada.
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MacVicar, Sarah; Berrang-Ford, Lea; Ross, Nancy, McGill Univ, Dept Geog, Burnside
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Hall Bldg,Room 705, Montreal, PQ H3A 0B9, Canada.
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Harper, Sherilee; Steele, Vivienne, Univ Guelph, Sch Populat Med, Ontario Vet Coll,
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Guelph, ON N1G 2W1, Canada.
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Lwasa, Shuaib, Makerere Univ, Coll Agr \& Environm Sci, Sch Forestry Environm \&
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Geog Sci, Dept Geog Geoinformat \& Climat Sci, POB 7062,Arts Bldg, Kampala, Uganda.
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Bambaiha, Didacus Namanya, Ugandan Minist Hlth, Dept Community Hlth, Plot 6,Lourdel
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Rd,POB 7272, Kampala, Uganda.
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Twesigomwe, Sabastien, Batwa Dev Programme, Kinkizi, Kanungu, Uganda.
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Asaasira, Grace, IHACC Res Team, Kinkizi, Uganda.'
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author: MacVicar, Sarah and Berrang-Ford, Lea and Harper, Sherilee and Steele, Vivienne
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and Lwasa, Shuaib and Bambaiha, Didacus Namanya and Twesigomwe, Sabastien and Asaasira,
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Grace and Ross, Nancy and Team, IHACC Res
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author-email: 'sarah.macvicar@mail.mcgill.ca
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lea.berrangford@mcgill.ca
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harpers@uoguelph.ca
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vivienne@uoguelph.ca
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lwasa\_s@caes.mak.ac.ug
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didamanya@yahoo.com
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twesigomwe.sabastian@yahoo.com
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graceasaasira@gmail.com
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nancy.ross@mcgill.ca'
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author_list:
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- family: MacVicar
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given: Sarah
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- family: Berrang-Ford
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given: Lea
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- family: Harper
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given: Sherilee
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- family: Steele
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given: Vivienne
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- family: Lwasa
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given: Shuaib
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- family: Bambaiha
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given: Didacus Namanya
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- family: Twesigomwe
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given: Sabastien
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- family: Asaasira
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given: Grace
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- family: Ross
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given: Nancy
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- family: Team
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given: IHACC Res
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da: '2023-09-28'
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doi: 10.1016/j.socscimed.2017.06.021
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: 'Uganda; Perinatal health; Climate change; Weather; Season; Indigenous
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health'
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keywords-plus: 'LOW-BIRTH-WEIGHT; CLIMATE-CHANGE; QUALITATIVE RESEARCH; PARTICIPATORY
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RESEARCH; CRITICAL REALISM; FETAL ORIGINS; PRETERM BIRTH; VULNERABILITY;
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DETERMINANTS; TEMPERATURE'
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language: English
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month: AUG
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number-of-cited-references: '98'
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orcid-numbers: 'Lwasa, Shuaib/0000-0003-4312-2836
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Ford, James/0000-0002-2066-3456'
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pages: 39-48
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papis_id: e4b90e0579b674cf9d5f8de0b0508ab0
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ref: Macvicar2017howseasonality
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researcherid-numbers: 'Lwasa, Shuaib/G-3723-2014
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Ford, James/A-4284-2013'
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times-cited: '13'
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title: 'How seasonality and weather affect perinatal health: Comparing the experiences
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of indigenous and non-indigenous mothers in Kanungu District, Uganda'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000407405100005
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usage-count-last-180-days: '1'
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usage-count-since-2013: '22'
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volume: '187'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '2017'
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