How Covid‐19 affected food systems, health service delivery and maternal and infant nutrition practices
Implications for moving forward in Kenya
Bibliographic Data
| ID | 15536614 |
|---|---|
| Authors | Brenda Ahoya (0000-0003-4933-7053, FIT Consulting (Italy), corresponding author), Justine A Kavle (0000-0003-0439-6308, Kadlec Clinic), Laura Kiige (0000-0003-4166-501X, United Nations Children's Fund), Constance Gathi (FIT Consulting (Italy)), Betty Samburu (0000-0003-2678-5187, United Nations Children's Fund), Lucy Maina (United Nations Children's Fund), Lacey Ramirez (Kadlec Clinic), Rose Wambu (Ministry of Health), Patrick Codjia (0009-0008-4175-3654, United Nations Children's Fund) |
| Year | 2022 |
| Volume | 19 |
| Issue | 2 |
| Pages | e13466-e13466 |
| Publication date | 2022-12-09 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.13466 |
| PMID | 36484395 |
| OpenAlex | W4311285707 |
| Language | EN |
| Citations received | 4 |
| References cited | 42 |
This implementation research study sought to examine the impact of the COVID-19 pandemic on maternal and infant nutrition practices, and related aspects of health and food systems in Nairobi and Uasin Gishu Counties, Kenya. The study triangulated in-depth interviews with 16 pregnant women, 31 lactating women (including COVID-19 positive), 10 facility health workers, 10 community health volunteers, 6 focus group discussions (FGDs) with food vendors, 4 FGDs and 15 stakeholder interviews with government and implementing partners. Trends from Kenyan Health Information System indicators (i.e., exclusive breastfeeding and initiation of breastfeeding, antenatal care) were also examined. During the COVID-19 pandemic, a decline in attendance of antenatal care, and maternity facilities was observed, and corroborated by Kenyan Health Information System data. Lack of clarity among health workers on COVID-19 breastfeeding guidance and fear of COVID-19 infection early in the pandemic were key drivers of early infant formula use, mother-child separation following delivery and delayed initiation of breastfeeding. Most women exclusively breastfed due to Government of Kenya restrictions in movement. Unemployment and job loss was linked to food insecurity and worsened by increased food prices and limited social protection measures. In response, pregnant and lactating women resorted to skipping meals and reducing quantity and variety of foods consumed. Efforts to build forward from COVID-19 in Kenya should include facility and community health education to prevent disruptions in breastfeeding and to support maternal dietary intake, and in the provision of targeted social protection measures alongside other multisectoral interventions (i.e., psychosocial support) for Kenyan pregnant and lactating women
Attendance · Breastfeeding · Business · Coronavirus disease 2019 (COVID-19 · Economic growth · Environmental health · Focus group · Government (linguistics · Pandemic · Psychological intervention · COVID-19 Impact on Reproduction · COVID-19 Pandemic Impacts · Food Security and Health in Diverse Populations · Medicine · Nursing · Pediatrics
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| Unique citing works | 4 |
|---|---|
| Citations per year | 1 |
| Citation span | 2022 - 2025 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |