Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

How does poverty affect children’s nutritional status in Nairobi slums? A qualitative study of the root causes of undernutrition

Bibliographic Data

ID15091055
AuthorsSophie Goudet (0000-0002-8172-569X, Loughborough University, corresponding author), Sophie M Goudet, Elizabeth W Kimani-Murage, Elizabeth Kimani‐Murage (0000-0001-5272-616X, African Population and Health Research Center), Frederick Murunga Wekesah (0000-0003-2333-3054, African Population and Health Research Center), Frederick Wekesah, Milka Wanjohi (0000-0003-4289-4762, African Population and Health Research Center), Paula L Griffiths, P Griffiths (0000-0002-0591-9724, Loughborough University), B Bogin (0000-0002-1688-0087, Loughborough University), Nyovani J Madise, Nyovani Madise (0000-0002-2813-5295, University of Southampton)
Year2017
Volume20
Issue4
Pages608-619
Publication date2017-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980016002445
PMID27645101
OpenAlexW2523388070
LanguageEN
Citations received4
References cited56

Objective Children in slums are at high risk of undernutrition, which has long-term negative consequences on their physical growth and cognitive development. Severe undernutrition can lead to the child’s death. The present paper aimed to understand the causes of undernutrition in children as perceived by various groups of community members in Nairobi slums, Kenya. Design Analysis of ten focus group discussions and ten individual interviews with key informants. The main topic discussed was the root causes of child undernutrition in the slums. The focus group discussions and key informant interviews were recorded and transcribed verbatim. The transcripts were coded in NVivo by extracting concepts and using a constant comparison of data across the different categories of respondents to draw out themes to enable a thematic analysis. Setting Two slum communities in Nairobi, Kenya. Subjects Women of childbearing age, community health workers, elders, leaders and other knowledgeable people in the two slum communities ( n 90). Results Participants demonstrated an understanding of undernutrition in children. Conclusions Findings inform target criteria at community and household level that can be used to identify children at risk of undernutrition. To tackle the immediate and underlying causes of undernutrition, interventions recommended should aim to: (i) improve maternal health and nutrition; (ii) promote optimal infant and young children feeding practices; (iii) support mothers in their working role; (iv) increase access to family planning; (v) improve water, sanitation and hygiene (WASH); (vi) address alcohol problems at all levels; and (vii) address street food issues with infant feeding counselling

Affect (linguistics · Economic growth · Environmental health · Focus group · Malnutrition · Population · Poverty · Psychological intervention · Qualitative research · Sanitation · Slum · Sociology · Thematic analysis · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology · Gerontology

  • In the shadows of clinics! intimate encounters with ethics, emotions, and healthcare crises in slums of Guwahati Metropolitan City, India

    Open Access•Nitish Gogoi, A Deka•Ethics Medicine and Public Health•2026

  • Testing the impact of orphan status, illness in the household, and a child's relationship to the household head on wasting in Nigeria

    Aramide Kazeem, J Musalia•Journal of Family Studies•2021

  • Effect of maternal nutritional education and counselling on children’s stunting prevalence in urban informal settlements in Nairobi, Kenya

    Open Access•CK Nyamasege, EW Kimani-Murage et al.•Public Health Nutrition•2021

  • Critical Commentary

    Open Access•James Duminy•Urban Studies•2023

  • What works? Interventions for maternal and child undernutrition and survival

    Open Access•Zulfiqar A Bhutta, Tahmeed Ahmed et al.•The Lancet•2008

  • Reducing Child Malnutrition

    Lisa B Haddad, L Haddad•The World Bank Economic Review•2003

  • Urban-Rural Inequality in Living Standards in Africa

    David E Sahn•Journal of African Economies•2003

  • Evidence-based interventions for improvement of maternal and child nutrition

    Open Access•Zulfiqar A Bhutta, Jai K Das et al.•The Lancet•2013

  • Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in K enya

    Open Access•Elizabeth Kimani‐Murage, Frederick Murunga Wekesah et al.•Maternal and Child Nutrition•2014

  • Inequities in under-five child malnutrition in South Africa

    Open Access•Eyob Zere, Di Mcintyre et al.•International Journal for Equity…•2003

  • Childhood vaccination in informal urban settlements in Nairobi, Kenya

    Open Access•Martin Kavao Mutua, Elizabeth Kimani‐Murage et al.•BMC Public Health•2011

  • Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya

    Open Access•Elizabeth W Kimani-Murage, Elizabeth Kimani‐Murage et al.•BMC Public Health•2011

  • A population-based survey of prevalence of diabetes and correlates in an urban slum community in Nairobi, Kenya

    Open Access•Richard Ayah, Mark Joshi et al.•BMC Public Health•2013

  • Progress towards the child mortality millennium development goal in urban sub-Saharan Africa

    Open Access•Jean-Christophe Fotso, Jean‐christophe Fotso et al.•BMC Public Health•2007

  • Non-home prepared foods

    Open Access•Hilda van't Riet, Hilda van’t Riet et al.•Public Health Nutrition•2002

  • The nutrition profile of the slum dwellers

    Nazmul Hassan, K Ahmad•Ecology of Food and Nutrition•1991

  • Interventions to tackle malnutrition and its risk factors in children living in slums

    Open Access•Sophie Goudet, P Griffiths et al.•Annals of Human Biology•2017

  • Trends in childhood mortality in Kenya

    Open Access•Elizabeth Kimani‐Murage, E W Kimani-Murage et al.•Health & Place•2014

  • Urban–rural differentials in child malnutrition

    Open Access•Jean-Christophe Fotso, Jean‐christophe Fotso•Health & Place•2006

  • Urban health in developing countries

    Open Access•Trudy Harpham•Health & Place•2008

  • Child growth in urban deprived settings

    Open Access•Jean-Christophe Fotso, Nyovani Madise et al.•Health & Place•2011

  • Monitoring of Health and Demographic Outcomes in Poor Urban Settlements

    Open Access•Jacques Emina, Donatien Beguy et al.•Journal of Urban Health•2011

  • Quality of Water the Slum Dwellers Use

    Open Access•Elizabeth Kimani‐Murage, Elizabeth Wambui Kimani-Murage et al.•Journal of Urban Health•2007

  • Social Capital and Healthy Urbanization in a Globalized World

    Open Access•Pat Pridmore, Liz Thomas et al.•Journal of Urban Health•2007

  • Are Urban Poverty and Undernutrition Growing? Some Newly Assembled Evidence

    Open Access•Lawrence Haddad, Marie T Ruel et al.•World Development•1999

  • Pregnant Women's and Community Health Workers' Perceptions of Root Causes of Malnutrition Among Infants and Young Children in the Slums of Dhaka, Bangladesh

    Sophie Goudet, Sophie M Goudet et al.•American Journal of Public Health•2011

  • Are urban children really healthier? Evidence from 47 developing countries

    Open Access•Ellen Van De Poel, Owen O''Donnell et al.•Social Science & Medicine•2007

  • Mental health, quality of life, and nutritional status of adolescents in Dhaka, Bangladesh

    Open Access•Takashi Izutsu, Atsuro Tsutsumi et al.•Social Science & Medicine•2006

  • Heterogeneity of child nutritional status between households

    Nyovani J Madise, Nyovani Madise et al.•Population Studies•1999

  • Unplanned childbearing in Kenya

    Open Access•Monica Akinyi Magadi, Monica Magadi•Social Science & Medicine•2003

  • The referral process and urban health care in sub-Saharan Africa

    Open Access•Stephen Atkinson, Sarah Atkinson et al.•Social Science & Medicine•1999

  • Techniques to Identify Themes

    Open Access•Gery W Ryan, H R Bernard•CAM•2003

Unique citing works4
Citations per year0,8
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae