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