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