Kenda Cunningham
Datos Biográficos
| ID | 6696855 |
|---|---|
| NOMBRE | Kenda Cunningham |
| NOMBRES | Kenda |
| APELLIDO | Cunningham |
| FIRMA | CUNNINGHAM K |
| AFILIACIONES | Helen Keller International Nepal |
| ORCID | 0000-0002-4067-1349 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 23 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 23 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2015 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 0 |
Exposure to Suaahara II Interventions and Knowledge of Maternal and Child Nutrition and Health Among Mothers, Grandmothers, and Male Household Heads
Suaahara was a USAID-funded multi-sectoral integrated nutrition program that aimed to improve the nutritional status of children under the age of five and their mothers in Nepal. The program included multiple interventions targeted to mothers and children, as well as other caregivers. Caregiver knowledge of optimal nutrition and health practices among household members is an important driver of healthy child and maternal nutrition behaviors. This…
Dietary Diversity, Haemoglobin and Anaemia in Nepali Adolescent Girls
Adolescent girls and young women in Nepal are vulnerable to poor diets and anaemia, yet the extent of these risks remains overlooked. We assessed changes in dietary diversity, haemoglobin, and anaemia, and identified associated factors among adolescent girls and young women in Nepal. We analysed data from a longitudinal panel study including never-married and not-pregnant participants, enroled at 10-19 years in 2017 (n = 770) and followed up in 2…
Impact of Suaahara , an integrated nutrition programme, on maternal and child nutrition at scale in Nepal
Suaahara was an innovative, complex, multi-sectoral, large-scale, nutrition programme in Nepal to increase exposure to nutrition-related information and services, improve nutrition-related knowledge and practices among pregnant women and mothers of infants and young children, and improve their nutrition. This study evaluated the effectiveness of Suaahara to improve nutrition and nutrition-related practices by comparing changes over 10 years betwe…
The costs of Suaahara II, a complex scaled‐up multisectoral nutrition programme in Nepal
Limited evidence exists on the costs of scaled-up multisectoral nutrition programmes. Such evidence is crucial to assess intervention value and affordability. Evidence is also lacking on the opportunity costs of implementers and participants engaging in community-level interventions. We help to fill this gap by estimating the full financial and economic costs of the United States Agency for International Development-funded Suaahara II (SII) progr…
Text messages to improve young child diets
The objective of this study was to test whether adding a text message campaign about the importance of eating eggs and other nutrition-related behaviours to an on-going package of large-scale, diverse social and behaviour change interventions would improve four types of nutrition-related knowledge and behaviour outcomes: child diets (egg consumption as the primary outcome), maternal diets, maternal nutrition knowledge, and maternal participation …
Impact of Suaahara , an at‐scale multisectoral nutrition programme, on health workers' maternal and child health, and nutrition knowledge and skills in Nepal
Suaahara, an at-scale multisectoral nutrition programme in Nepal, aimed to advance knowledge and skills of frontline health workers to improve the quality of nutrition and health services at health facility and community levels. This study assessed the impact of Suaahara interventions on knowledge and skills of health facility workers and Female Community Health Volunteers (FCHVs). The study used a quasi-experimental design in which four Suaahara…
Text messages to improve child diets
Given the role of malnutrition in childhood morbidity and mortality, the prioritisation of maternal and child nutrition programmes has grown significantly in the 21st century. Policies and programmes aim to improve infant and young child feeding, but questions persist about the most effective combination of interventions to achieve desired behaviour change. There is increasing interest in mobile-based interventions globally, but scant evidence ex…
Like a frog in a well'. A qualitative study of adolescent girls’ life aspirations in Western Nepal
Adolescents’ aspirations are important for a healthy transition into adulthood. Knowledge about girls’ aspirations and their formation in a low-income context is scant. Framed within life course theory, this qualitative study aimed to understand adolescent girls’ life aspirations, with a specific focus on school, work, family life, health and diets, and explore how aspirations are shaped within girls’ everyday life context, in Nawalpur and Parasi…
Associations between parents' exposure to a multisectoral programme and infant and young child feeding practices in Nepal
In Nepal, an at-scale, multisectoral programme-Suaahara (2011-2023)-aims to improve nutrition behaviours. Suaahara II (2016-2023) transitioned from a mother/child dyad focus to explicitly targeting all family members. Evidence is scant, however, regarding how exposure by men to social and behaviour change interventions relates to nutrition outcomes. This study uses a 2019 cross-sectional monitoring dataset to test associations between maternal an…
Introduction
In all cultures, women and children are embedded in family systems that determine roles, relationships, patterns of communication and authority between family members. Especially in non-western societies, maternal and child nutrition practices are determined not only by the biological parents but also by other influential family members. Most maternal and child nutrition research and interventions do not consider the constellation of family roles…
Barriers and facilitators to growth monitoring and promotion in Nepal
Growth monitoring and promotion (GMP) is both a service for diagnosing inadequate child growth in its earliest stages and a delivery platform for nutrition counselling. The widespread use of GMP services in developing countries has the potential to substantially reduce persistent child undernutrition through early diagnosis and by linking caregivers and their children to key health and nutrition services. However, researchers have questioned the …
Covid‐19 and maternal and child food and nutrition insecurity
Globally, the COVID-19 pandemic has already led to major increases in unemployment and is expected to lead to unprecedented increases in poverty and food and nutrition insecurity, as well as poor health outcomes. Families where young children, youth, pregnant and lactating women live need to be protected against the ongoing protracted pandemic and the aftershocks that are very likely to follow for years to come. The future wellbeing of the vast m…
Maternal Decision-Making Input and Health-Seeking Behaviors Between Pregnancy and the Child’s Second Birthday
Our findings indicated that empowering women and mothers in household decision-making might warrant greater attention when developing future policies and programs in Nepal
Parental depression and nutrition
Objective: The present study aims to assess associations between parental depression and parental and child nutritional status and diets in Nepal. Design: A cross-sectional survey conducted from June to September 2017. Setting: This monitoring survey was conducted in sixteen of forty-two Suaahara intervention districts spanning mountains, hills and plains in Nepal. Multi-stage cluster sampling was used to sample communities in this survey. Partic…
Women's bargaining power and child feeding in Nepal
Women's intra-household bargaining power is an important determinant of child nutritional status, but there is limited evidence on how it relates to infant and young child feeding (IYCF) practices. We conducted a cross-sectional analysis using 2012 baseline data from the impact evaluation of Suaahara, a multisectoral programme in Nepal, focusing on households with children 0-23 months (n = 1787). We examined if women's bargaining power was relate…
Water, sanitation, and hygiene practices mediate the association between women's empowerment and child length‐for‐age z ‐scores in Nepal
In Nepal, more than one-third of children are stunted. Prior studies have shown that women's empowerment in agriculture is associated with child (<2 years) length-for-age z-scores (LAZ) in Nepal. This study tests whether child dietary diversity (DD) and household water, sanitation, and hygiene (WASH) facilities and practices mediate the associations between women's empowerment and LAZ. With a cross-sectional dataset of 4,080 households from 240 r…
Nutrition‐sensitive agricultural interventions and gender dynamics
Undernutrition and low women's status persist as major development obstacles in South Asia and specifically, Nepal. Multi-sectoral approaches, including nutrition-sensitive agriculture, are potential avenues for further reductions in undernutrition. Although evidence is growing, many questions remain regarding how gender mediates the translation of agricultural production activities into nutritional benefit. In this study, we examined how gender …
Improving maternal, infant and young child nutrition in Nepal via peer mobilization
Objective To evaluate the impact of a peer facilitator (PF) approach for improving mothers’ knowledge and practices relating to maternal and child nutrition. Design A quasi-experimental design nested within a large-scale integrated nutrition programme, Suaahara , in Nepal. Suaahara interventions were implemented in all study sites, but peer facilitators were used in only half of the study sites. Setting Rural, disadvantaged villages in three dist…
Suaahara in Nepal
The burden of undernutrition in South Asia is greater than anywhere else. Policies and programmatic efforts increasingly address health and non-health determinants of undernutrition. In Nepal, one large-scale integrated nutrition program, Suaahara, aimed to reduce undernutrition among women and children in the 1,000-day period, while simultaneously addressing inequities. In this study, we use household-level process evaluation data (N = 480) to a…
Grandmothers’ knowledge positively influences maternal knowledge and infant and young child feeding practices
Objective To examine associations between grandmothers’ knowledge and infant and young child feeding (IYCF) practices and to test whether the associations are independent of or operate via maternal knowledge. Design Cross-sectional household survey data from households with a child under 5 years ( n 4080). We used multivariate regression analyses, adjusted for child, maternal, grandmother and household characteristics, and district-level clusteri…
Women's empowerment and child nutritional status in S outh A sia
Women's disempowerment is hypothesised to contribute to high rates of undernutrition among S outh A sian children. However, evidence for this relationship has not been systematically reviewed. This review of empirical studies aims to: (1) synthesise the evidence linking women's empowerment and child nutritional status in S outh A sia and (2) suggest directions for future research. We systematically searched G lobal H ealth, E mbase (classic and O…
Women’s Empowerment Mitigates the Negative Effects of Low Production Diversity on Maternal and Child Nutrition in Nepal
We use household survey data from Nepal to investigate relationships between women’s empowerment in agriculture and production diversity on maternal and child dietary diversity and anthropometric outcomes. Production diversity is positively associated with maternal and child dietary diversity, and weight-for-height z-scores. Women’s group membership, control over income, reduced workload, and overall empowerment are positively associated with bet…
Women’s empowerment in agriculture and child nutritional status in rural Nepal
Objective To examine the association between women’s empowerment in agriculture and nutritional status among children under 2 years of age in rural Nepal. Design Cross-sectional survey of 4080 households conducted in 2012. Data collected included: child and maternal anthropometric measurements; child age and sex; maternal age, education, occupation and empowerment in agriculture; and household size, number of children, religion, caste and agro-ec…
Sin obras prominentes en esta página.
Women's empowerment and child nutritional status in S outh A sia
Women's disempowerment is hypothesised to contribute to high rates of undernutrition among S outh A sian children. However, evidence for this relationship has not been systematically reviewed. This review of empirical studies aims to: (1) synthesise the evidence linking women's empowerment and child nutritional status in S outh A sia and (2) suggest directions for future research. We systematically searched G lobal H ealth, E mbase (classic and O…
Women’s Empowerment Mitigates the Negative Effects of Low Production Diversity on Maternal and Child Nutrition in Nepal
We use household survey data from Nepal to investigate relationships between women’s empowerment in agriculture and production diversity on maternal and child dietary diversity and anthropometric outcomes. Production diversity is positively associated with maternal and child dietary diversity, and weight-for-height z-scores. Women’s group membership, control over income, reduced workload, and overall empowerment are positively associated with bet…
Women’s empowerment in agriculture and child nutritional status in rural Nepal
Objective To examine the association between women’s empowerment in agriculture and nutritional status among children under 2 years of age in rural Nepal. Design Cross-sectional survey of 4080 households conducted in 2012. Data collected included: child and maternal anthropometric measurements; child age and sex; maternal age, education, occupation and empowerment in agriculture; and household size, number of children, religion, caste and agro-ec…
Suaahara in Nepal
The burden of undernutrition in South Asia is greater than anywhere else. Policies and programmatic efforts increasingly address health and non-health determinants of undernutrition. In Nepal, one large-scale integrated nutrition program, Suaahara, aimed to reduce undernutrition among women and children in the 1,000-day period, while simultaneously addressing inequities. In this study, we use household-level process evaluation data (N = 480) to a…
Grandmothers’ knowledge positively influences maternal knowledge and infant and young child feeding practices
Objective To examine associations between grandmothers’ knowledge and infant and young child feeding (IYCF) practices and to test whether the associations are independent of or operate via maternal knowledge. Design Cross-sectional household survey data from households with a child under 5 years ( n 4080). We used multivariate regression analyses, adjusted for child, maternal, grandmother and household characteristics, and district-level clusteri…
Water, sanitation, and hygiene practices mediate the association between women's empowerment and child length‐for‐age z ‐scores in Nepal
In Nepal, more than one-third of children are stunted. Prior studies have shown that women's empowerment in agriculture is associated with child (<2 years) length-for-age z-scores (LAZ) in Nepal. This study tests whether child dietary diversity (DD) and household water, sanitation, and hygiene (WASH) facilities and practices mediate the associations between women's empowerment and LAZ. With a cross-sectional dataset of 4,080 households from 240 r…
Nutrition‐sensitive agricultural interventions and gender dynamics
Undernutrition and low women's status persist as major development obstacles in South Asia and specifically, Nepal. Multi-sectoral approaches, including nutrition-sensitive agriculture, are potential avenues for further reductions in undernutrition. Although evidence is growing, many questions remain regarding how gender mediates the translation of agricultural production activities into nutritional benefit. In this study, we examined how gender …
Improving maternal, infant and young child nutrition in Nepal via peer mobilization
Objective To evaluate the impact of a peer facilitator (PF) approach for improving mothers’ knowledge and practices relating to maternal and child nutrition. Design A quasi-experimental design nested within a large-scale integrated nutrition programme, Suaahara , in Nepal. Suaahara interventions were implemented in all study sites, but peer facilitators were used in only half of the study sites. Setting Rural, disadvantaged villages in three dist…
Women's bargaining power and child feeding in Nepal
Women's intra-household bargaining power is an important determinant of child nutritional status, but there is limited evidence on how it relates to infant and young child feeding (IYCF) practices. We conducted a cross-sectional analysis using 2012 baseline data from the impact evaluation of Suaahara, a multisectoral programme in Nepal, focusing on households with children 0-23 months (n = 1787). We examined if women's bargaining power was relate…
Barriers and facilitators to growth monitoring and promotion in Nepal
Growth monitoring and promotion (GMP) is both a service for diagnosing inadequate child growth in its earliest stages and a delivery platform for nutrition counselling. The widespread use of GMP services in developing countries has the potential to substantially reduce persistent child undernutrition through early diagnosis and by linking caregivers and their children to key health and nutrition services. However, researchers have questioned the …
Covid‐19 and maternal and child food and nutrition insecurity
Globally, the COVID-19 pandemic has already led to major increases in unemployment and is expected to lead to unprecedented increases in poverty and food and nutrition insecurity, as well as poor health outcomes. Families where young children, youth, pregnant and lactating women live need to be protected against the ongoing protracted pandemic and the aftershocks that are very likely to follow for years to come. The future wellbeing of the vast m…
Maternal Decision-Making Input and Health-Seeking Behaviors Between Pregnancy and the Child’s Second Birthday
Our findings indicated that empowering women and mothers in household decision-making might warrant greater attention when developing future policies and programs in Nepal
Parental depression and nutrition
Objective: The present study aims to assess associations between parental depression and parental and child nutritional status and diets in Nepal. Design: A cross-sectional survey conducted from June to September 2017. Setting: This monitoring survey was conducted in sixteen of forty-two Suaahara intervention districts spanning mountains, hills and plains in Nepal. Multi-stage cluster sampling was used to sample communities in this survey. Partic…
Associations between parents' exposure to a multisectoral programme and infant and young child feeding practices in Nepal
In Nepal, an at-scale, multisectoral programme-Suaahara (2011-2023)-aims to improve nutrition behaviours. Suaahara II (2016-2023) transitioned from a mother/child dyad focus to explicitly targeting all family members. Evidence is scant, however, regarding how exposure by men to social and behaviour change interventions relates to nutrition outcomes. This study uses a 2019 cross-sectional monitoring dataset to test associations between maternal an…
Introduction
In all cultures, women and children are embedded in family systems that determine roles, relationships, patterns of communication and authority between family members. Especially in non-western societies, maternal and child nutrition practices are determined not only by the biological parents but also by other influential family members. Most maternal and child nutrition research and interventions do not consider the constellation of family roles…
Like a frog in a well'. A qualitative study of adolescent girls’ life aspirations in Western Nepal
Adolescents’ aspirations are important for a healthy transition into adulthood. Knowledge about girls’ aspirations and their formation in a low-income context is scant. Framed within life course theory, this qualitative study aimed to understand adolescent girls’ life aspirations, with a specific focus on school, work, family life, health and diets, and explore how aspirations are shaped within girls’ everyday life context, in Nawalpur and Parasi…
Text messages to improve child diets
Given the role of malnutrition in childhood morbidity and mortality, the prioritisation of maternal and child nutrition programmes has grown significantly in the 21st century. Policies and programmes aim to improve infant and young child feeding, but questions persist about the most effective combination of interventions to achieve desired behaviour change. There is increasing interest in mobile-based interventions globally, but scant evidence ex…
Impact of Suaahara , an integrated nutrition programme, on maternal and child nutrition at scale in Nepal
Suaahara was an innovative, complex, multi-sectoral, large-scale, nutrition programme in Nepal to increase exposure to nutrition-related information and services, improve nutrition-related knowledge and practices among pregnant women and mothers of infants and young children, and improve their nutrition. This study evaluated the effectiveness of Suaahara to improve nutrition and nutrition-related practices by comparing changes over 10 years betwe…
The costs of Suaahara II, a complex scaled‐up multisectoral nutrition programme in Nepal
Limited evidence exists on the costs of scaled-up multisectoral nutrition programmes. Such evidence is crucial to assess intervention value and affordability. Evidence is also lacking on the opportunity costs of implementers and participants engaging in community-level interventions. We help to fill this gap by estimating the full financial and economic costs of the United States Agency for International Development-funded Suaahara II (SII) progr…
Text messages to improve young child diets
The objective of this study was to test whether adding a text message campaign about the importance of eating eggs and other nutrition-related behaviours to an on-going package of large-scale, diverse social and behaviour change interventions would improve four types of nutrition-related knowledge and behaviour outcomes: child diets (egg consumption as the primary outcome), maternal diets, maternal nutrition knowledge, and maternal participation …
Impact of Suaahara , an at‐scale multisectoral nutrition programme, on health workers' maternal and child health, and nutrition knowledge and skills in Nepal
Suaahara, an at-scale multisectoral nutrition programme in Nepal, aimed to advance knowledge and skills of frontline health workers to improve the quality of nutrition and health services at health facility and community levels. This study assessed the impact of Suaahara interventions on knowledge and skills of health facility workers and Female Community Health Volunteers (FCHVs). The study used a quasi-experimental design in which four Suaahara…
Exposure to Suaahara II Interventions and Knowledge of Maternal and Child Nutrition and Health Among Mothers, Grandmothers, and Male Household Heads
Suaahara was a USAID-funded multi-sectoral integrated nutrition program that aimed to improve the nutritional status of children under the age of five and their mothers in Nepal. The program included multiple interventions targeted to mothers and children, as well as other caregivers. Caregiver knowledge of optimal nutrition and health practices among household members is an important driver of healthy child and maternal nutrition behaviors. This…
Dietary Diversity, Haemoglobin and Anaemia in Nepali Adolescent Girls
Adolescent girls and young women in Nepal are vulnerable to poor diets and anaemia, yet the extent of these risks remains overlooked. We assessed changes in dietary diversity, haemoglobin, and anaemia, and identified associated factors among adolescent girls and young women in Nepal. We analysed data from a longitudinal panel study including never-married and not-pregnant participants, enroled at 10-19 years in 2017 (n = 770) and followed up in 2…
Child Nutrition and Water Access (19 obras) · Medicine (19 obras) · Environmental health (14 obras) · Nursing (10 obras) · Psychological intervention (9 obras) · Economic growth (8 obras) · Geography (8 obras) · Global Maternal and Child Health (8 obras) · Poverty, Education, and Child Welfare (8 obras) · Dietary diversity (6 obras)