Milka Wanjohi
Dados Biográficos
| ID | 6672887 |
|---|---|
| NOME | Milka Wanjohi |
| PRENOMES | Milka |
| SOBRENOME | Wanjohi |
| ASSINATURA | WANJOHI M |
| AFILIAÇÕES | African Population and Health Research Center |
| ORCID | 0000-0003-4289-4762 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAÇÕES | 6 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2014 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 2 |
Advertising ultra-processed foods around urban and rural schools in Kenya
Marketing of ultra-processed foods (UPFs) can influence children’s food preferences and consumption patterns. However, limited data exist on the extent and nature of UPF marketing around schools in low- and middle-income countries, including Kenya. This study assessed the extent, type, and content of food and beverage advertising near schools in urban and rural settings in Kenya. We conducted a cross-sectional study in June–July 2021 across three…
The effect of the Covid-19 pandemic on the baby-friendly community initiative and maternal infant and young child nutrition in Kenya
On balance, the pandemic negatively impacted the BFCI, MCH services and MIYCN practices in Kenya. In such a context, there is a need for innovative approaches to ensure continued provision of and access to facilities and community health services in the future if the country finds itself in a similar position with the challenges of a pandemic. The pandemic revealed that remote working support policies could have the potential to improve breastfee…
Magnitude, trends, transitions, and drivers of the double burden of malnutrition among adolescent girls in urban slums, Kenya
The prevalence of overweight/obesity, as well as transitions to overweight/obesity were higher compared to undernutrition (stunting and thinness). Double-duty and multi-sectoral interventions that consider demographic (family, ethnicity), environmental (neighbourhood, school), and psychosocial (ACE, depression score) factors that may drive DBM in adolescent girls living in urban slums are recommended, to address DBM and reverse the growing trend …
Drivers and solutions to unhealthy food consumption by adolescents in urban slums, Kenya
Objective: To explore the perceptions, drivers and potential solutions to the consumption of unhealthy, ultra-processed foods (UPF) and foods high in fat, salt and sugar (HFSS) and their contribution to the double burden of malnutrition among adolescents living in urban slums, Kenya. Design: Qualitative participatory research, through Photovoice, group discussions and community dialogues. Inductive, thematic analysis was undertaken. Setting: Thre…
The promotion of ultra-processed foods in modern retail food outlets in rural and urban areas in Kenya
Objective: To assess the availability and marketing of ultra-processed foods (UPF) in modern retail food outlets (supermarkets and minimarts) in Kenya and associated factors. Design: This cross-sectional study was conducted in Kenya from August 2021 to October 2021. Variables included the geographic location and the socio-economic status (SES) levels, the food items displayed for sale and advertised in the stores, and locations in the stores such…
Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya
We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre-post intervention study collected data from mothers/caregivers and their vulnerable neonates or term babies who lacked sufficient mother's milk for several reasons admitted in the NBU. The intervention included establishing a human milk bank and…
Community perceptions on the factors in the social food environment that influence dietary behaviour in cities of Kenya and Ghana
Objective: To explore communities’ perspectives on the factors in the social food environment that influence dietary behaviours in African cities. Design: A qualitative study using participatory photography (Photovoice). Participants took and discussed photographs representing factors in the social food environment that influence their dietary behaviours. Follow-up in-depth interviews allowed participants to tell the ‘stories’ of their photograph…
Association of women's empowerment with anaemia and haemoglobin concentration in children in sub‐Saharan Africa
We assessed the associations between women's empowerment and anaemia and haemoglobin concentration among children (6-59 months) in 31 sub-Saharan African (SSA) countries. We included 72,032 mother-child pairs from Demographic and Health Surveys conducted between 2006 and 2019. A three-dimensional women's empowerment index (attitude towards violence, decision making and social independence) was constructed using principal components analysis, and …
Nutrition-related non-communicable disease and sugar-sweetened beverage policies
Background: The burden of undernutrition is significant in Kenya. Obesity and related non-communicable diseases are also on the increase. Government action to prevent non-communicable diseases is critical. Taxation of sugar-sweetened beverages has been identified as an effective mechanism to address nutrition-related non-communicable diseases, although Kenya is not yet committed to this.Objective: To assess the policy and stakeholder landscape re…
The data availability landscape in seven sub-Saharan African countries and its role in strengthening sugar-sweetened beverage taxation
Timely, easily understood, concise, and locally relevant evidence is needed in order to inform policy development on SSBs. The relevant data are drawn from multiple sectors. Cross- sector collaboration is therefore needed. Indicators for SSBs should be developed and included in current data collection tools to ensure monitoring and evaluation for SSB taxation
The legal feasibility of adopting a sugar-sweetened beverage tax in seven sub-Saharan African countries
Sugar-sweetened beverage taxes are legally feasible in all seven countries Existing laws provide a means to implement taxes as a public health intervention
The political economy of sugar-sweetened beverage taxation
Background: Non-communicable diseases are on the rise across sub-Saharan Africa. The region has become a targeted growth market for sugar-sweetened beverages, which are associated with weight gain, cardiovascular diseases and diabetes.Objective: To identify politico-economic factors relevant to nutrition-related fiscal policies, and to draw lessons regarding strategies to strengthen sugar-sweetened beverages taxation in the region and globally.Me…
Study design
This paper reports on the design of a study to examine the policy landscape relevant to sugar-sweetened beverage taxation in seven sub-Saharan African countries. The study responds to the need for strong policy to address the rising burden of non-communicable diseases in the region. Sugar-sweetened beverage taxation has been widely recommended as a key component of a comprehensive policy approach to NCD prevention. However, it has proved a conten…
Effect of maternal nutritional education and counselling on children’s stunting prevalence in urban informal settlements in Nairobi, Kenya
Objective: To determine whether the prevalence of stunting differed between an intervention group and a control group and to identify factors associated with the children’s linear growth. Design: This was a follow-up study of mother–child pairs who participated in a 2012–2015 cluster randomised controlled trial. Linear mixed effects models were performed to model the children’s linear growth and identify the determinants of child linear growth. S…
Urban physical food environments drive dietary behaviours in Ghana and Kenya
We identified factors in the physical food environment that influence dietary behaviours among low-income dwellers in three African cities (Nairobi, Accra, Ho). We used Photovoice with 142 males/females (≥13 years). In the neighbourhood environment, poor hygiene, environmental sanitation, food contamination and adulteration were key concerns. Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods. Home …
Community perceptions and practices of early childhood development in an urban-poor setting in Nairobi
Factors influencing dietary behaviours in urban food environments in Africa
Objective: To identify factors influencing dietary behaviours in urban food environments in Africa and identify areas for future research. Design: We systematically reviewed published/grey literature (protocol CRD4201706893). Findings were compiled into a map using a socio-ecological model on four environmental levels: individual, social, physical and macro. Setting: Urban food environments in Africa. Participants: Studies involving adolescents a…
Perceptions on donated human milk and human milk banking in Nairobi, Kenya
Donor human milk (DHM) is recomended as the best alternative when use of mothers' own milk is not a feasible option. Kenya has not yet established human milk banks (HMBs) for provision of safe DHM, which is free from any physical, chemical, microbiological contaminants or pathogens. This study aimed to establish the perceptions on donating and using DHM, and establishing HMBs in Kenya. Qualitative data were collected through 17 focus group discus…
Integrated and simplified approaches to community management of acute malnutrition in rural Kenya
PACTR201811870943127 ; Pre-results. 26 November 2018
Social value of a nutritional counselling and support program for breastfeeding in urban poor settings, Nairobi
The MIYCN intervention showed an important social impact in which mothers and children benefited the most. The intervention resulted in better perceived health of mothers and children and increased confidence of mothers to provide care for their children, while it resulted in negative impacts for day care center owners and health care providers
Exploring the Experiences of Middle Income Mothers in Practicing Exclusive Breastfeeding in Nairobi, Kenya
Balancing paid work and child care in a slum of Nairobi, Kenya
As a growing number of women across sub-Saharan Africa engage in paid work, they face the challenge of finding suitable child care arrangements. Drawing on survey data from over 1,200 mothers and in-depth interviews with 31 of these women, we find that mothers living in a slum of Nairobi, Kenya, employ three main strategies to balance their work and child care responsibilities: (1) combine work and child care, (2) rely on kin and neighbours, or (…
Effectiveness of home-based nutritional counselling and support on exclusive breastfeeding in urban poor settings in Nairobi
BACKGROUND: Exclusive breastfeeding (EBF) improves infant health and survival. We tested the effectiveness of a home-based intervention using Community Health Workers (CHWs) on EBF for six months in urban poor settings in Kenya. METHODS: We conducted a cluster-randomized controlled trial in Korogocho and Viwandani slums in Nairobi. We recruited pregnant women and followed them until the infant's first birthday. Fourteen community clusters were ra…
How does poverty affect children’s nutritional status in Nairobi slums? A qualitative study of the root causes of undernutrition
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 k…
Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in K enya
Poor breastfeeding practices are widely documented in Kenya, where only a third of children are exclusively breastfed for 6 months and only 2% in urban poor settings. This study aimed to better understand the factors that contribute to poor breastfeeding practices in two urban slums in Nairobi, Kenya. In-depth interviews (IDIs), focus group discussions (FGDs) and key informant interviews (KIIs) were conducted with women of childbearing age, commu…
Balancing paid work and child care in a slum of Nairobi, Kenya
As a growing number of women across sub-Saharan Africa engage in paid work, they face the challenge of finding suitable child care arrangements. Drawing on survey data from over 1,200 mothers and in-depth interviews with 31 of these women, we find that mothers living in a slum of Nairobi, Kenya, employ three main strategies to balance their work and child care responsibilities: (1) combine work and child care, (2) rely on kin and neighbours, or (…
Urban physical food environments drive dietary behaviours in Ghana and Kenya
We identified factors in the physical food environment that influence dietary behaviours among low-income dwellers in three African cities (Nairobi, Accra, Ho). We used Photovoice with 142 males/females (≥13 years). In the neighbourhood environment, poor hygiene, environmental sanitation, food contamination and adulteration were key concerns. Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods. Home …
Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in K enya
Poor breastfeeding practices are widely documented in Kenya, where only a third of children are exclusively breastfed for 6 months and only 2% in urban poor settings. This study aimed to better understand the factors that contribute to poor breastfeeding practices in two urban slums in Nairobi, Kenya. In-depth interviews (IDIs), focus group discussions (FGDs) and key informant interviews (KIIs) were conducted with women of childbearing age, commu…
Effectiveness of home-based nutritional counselling and support on exclusive breastfeeding in urban poor settings in Nairobi
BACKGROUND: Exclusive breastfeeding (EBF) improves infant health and survival. We tested the effectiveness of a home-based intervention using Community Health Workers (CHWs) on EBF for six months in urban poor settings in Kenya. METHODS: We conducted a cluster-randomized controlled trial in Korogocho and Viwandani slums in Nairobi. We recruited pregnant women and followed them until the infant's first birthday. Fourteen community clusters were ra…
How does poverty affect children’s nutritional status in Nairobi slums? A qualitative study of the root causes of undernutrition
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 k…
Social value of a nutritional counselling and support program for breastfeeding in urban poor settings, Nairobi
The MIYCN intervention showed an important social impact in which mothers and children benefited the most. The intervention resulted in better perceived health of mothers and children and increased confidence of mothers to provide care for their children, while it resulted in negative impacts for day care center owners and health care providers
Exploring the Experiences of Middle Income Mothers in Practicing Exclusive Breastfeeding in Nairobi, Kenya
Balancing paid work and child care in a slum of Nairobi, Kenya
As a growing number of women across sub-Saharan Africa engage in paid work, they face the challenge of finding suitable child care arrangements. Drawing on survey data from over 1,200 mothers and in-depth interviews with 31 of these women, we find that mothers living in a slum of Nairobi, Kenya, employ three main strategies to balance their work and child care responsibilities: (1) combine work and child care, (2) rely on kin and neighbours, or (…
Perceptions on donated human milk and human milk banking in Nairobi, Kenya
Donor human milk (DHM) is recomended as the best alternative when use of mothers' own milk is not a feasible option. Kenya has not yet established human milk banks (HMBs) for provision of safe DHM, which is free from any physical, chemical, microbiological contaminants or pathogens. This study aimed to establish the perceptions on donating and using DHM, and establishing HMBs in Kenya. Qualitative data were collected through 17 focus group discus…
Integrated and simplified approaches to community management of acute malnutrition in rural Kenya
PACTR201811870943127 ; Pre-results. 26 November 2018
Factors influencing dietary behaviours in urban food environments in Africa
Objective: To identify factors influencing dietary behaviours in urban food environments in Africa and identify areas for future research. Design: We systematically reviewed published/grey literature (protocol CRD4201706893). Findings were compiled into a map using a socio-ecological model on four environmental levels: individual, social, physical and macro. Setting: Urban food environments in Africa. Participants: Studies involving adolescents a…
Nutrition-related non-communicable disease and sugar-sweetened beverage policies
Background: The burden of undernutrition is significant in Kenya. Obesity and related non-communicable diseases are also on the increase. Government action to prevent non-communicable diseases is critical. Taxation of sugar-sweetened beverages has been identified as an effective mechanism to address nutrition-related non-communicable diseases, although Kenya is not yet committed to this.Objective: To assess the policy and stakeholder landscape re…
The data availability landscape in seven sub-Saharan African countries and its role in strengthening sugar-sweetened beverage taxation
Timely, easily understood, concise, and locally relevant evidence is needed in order to inform policy development on SSBs. The relevant data are drawn from multiple sectors. Cross- sector collaboration is therefore needed. Indicators for SSBs should be developed and included in current data collection tools to ensure monitoring and evaluation for SSB taxation
The legal feasibility of adopting a sugar-sweetened beverage tax in seven sub-Saharan African countries
Sugar-sweetened beverage taxes are legally feasible in all seven countries Existing laws provide a means to implement taxes as a public health intervention
The political economy of sugar-sweetened beverage taxation
Background: Non-communicable diseases are on the rise across sub-Saharan Africa. The region has become a targeted growth market for sugar-sweetened beverages, which are associated with weight gain, cardiovascular diseases and diabetes.Objective: To identify politico-economic factors relevant to nutrition-related fiscal policies, and to draw lessons regarding strategies to strengthen sugar-sweetened beverages taxation in the region and globally.Me…
Study design
This paper reports on the design of a study to examine the policy landscape relevant to sugar-sweetened beverage taxation in seven sub-Saharan African countries. The study responds to the need for strong policy to address the rising burden of non-communicable diseases in the region. Sugar-sweetened beverage taxation has been widely recommended as a key component of a comprehensive policy approach to NCD prevention. However, it has proved a conten…
Effect of maternal nutritional education and counselling on children’s stunting prevalence in urban informal settlements in Nairobi, Kenya
Objective: To determine whether the prevalence of stunting differed between an intervention group and a control group and to identify factors associated with the children’s linear growth. Design: This was a follow-up study of mother–child pairs who participated in a 2012–2015 cluster randomised controlled trial. Linear mixed effects models were performed to model the children’s linear growth and identify the determinants of child linear growth. S…
Urban physical food environments drive dietary behaviours in Ghana and Kenya
We identified factors in the physical food environment that influence dietary behaviours among low-income dwellers in three African cities (Nairobi, Accra, Ho). We used Photovoice with 142 males/females (≥13 years). In the neighbourhood environment, poor hygiene, environmental sanitation, food contamination and adulteration were key concerns. Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods. Home …
Community perceptions and practices of early childhood development in an urban-poor setting in Nairobi
Association of women's empowerment with anaemia and haemoglobin concentration in children in sub‐Saharan Africa
We assessed the associations between women's empowerment and anaemia and haemoglobin concentration among children (6-59 months) in 31 sub-Saharan African (SSA) countries. We included 72,032 mother-child pairs from Demographic and Health Surveys conducted between 2006 and 2019. A three-dimensional women's empowerment index (attitude towards violence, decision making and social independence) was constructed using principal components analysis, and …
Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya
We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre-post intervention study collected data from mothers/caregivers and their vulnerable neonates or term babies who lacked sufficient mother's milk for several reasons admitted in the NBU. The intervention included establishing a human milk bank and…
Community perceptions on the factors in the social food environment that influence dietary behaviour in cities of Kenya and Ghana
Objective: To explore communities’ perspectives on the factors in the social food environment that influence dietary behaviours in African cities. Design: A qualitative study using participatory photography (Photovoice). Participants took and discussed photographs representing factors in the social food environment that influence their dietary behaviours. Follow-up in-depth interviews allowed participants to tell the ‘stories’ of their photograph…
The promotion of ultra-processed foods in modern retail food outlets in rural and urban areas in Kenya
Objective: To assess the availability and marketing of ultra-processed foods (UPF) in modern retail food outlets (supermarkets and minimarts) in Kenya and associated factors. Design: This cross-sectional study was conducted in Kenya from August 2021 to October 2021. Variables included the geographic location and the socio-economic status (SES) levels, the food items displayed for sale and advertised in the stores, and locations in the stores such…
Advertising ultra-processed foods around urban and rural schools in Kenya
Marketing of ultra-processed foods (UPFs) can influence children’s food preferences and consumption patterns. However, limited data exist on the extent and nature of UPF marketing around schools in low- and middle-income countries, including Kenya. This study assessed the extent, type, and content of food and beverage advertising near schools in urban and rural settings in Kenya. We conducted a cross-sectional study in June–July 2021 across three…
The effect of the Covid-19 pandemic on the baby-friendly community initiative and maternal infant and young child nutrition in Kenya
On balance, the pandemic negatively impacted the BFCI, MCH services and MIYCN practices in Kenya. In such a context, there is a need for innovative approaches to ensure continued provision of and access to facilities and community health services in the future if the country finds itself in a similar position with the challenges of a pandemic. The pandemic revealed that remote working support policies could have the potential to improve breastfee…
Magnitude, trends, transitions, and drivers of the double burden of malnutrition among adolescent girls in urban slums, Kenya
The prevalence of overweight/obesity, as well as transitions to overweight/obesity were higher compared to undernutrition (stunting and thinness). Double-duty and multi-sectoral interventions that consider demographic (family, ethnicity), environmental (neighbourhood, school), and psychosocial (ACE, depression score) factors that may drive DBM in adolescent girls living in urban slums are recommended, to address DBM and reverse the growing trend …
Drivers and solutions to unhealthy food consumption by adolescents in urban slums, Kenya
Objective: To explore the perceptions, drivers and potential solutions to the consumption of unhealthy, ultra-processed foods (UPF) and foods high in fat, salt and sugar (HFSS) and their contribution to the double burden of malnutrition among adolescents living in urban slums, Kenya. Design: Qualitative participatory research, through Photovoice, group discussions and community dialogues. Inductive, thematic analysis was undertaken. Setting: Thre…
Medicine (20 obras) · Child Nutrition and Water Access (16 obras) · Environmental health (16 obras) · Economic growth (12 obras) · Nursing (11 obras) · Obesity, Physical Activity, Diet (9 obras) · Business (8 obras) · Economics (8 obras) · Food Security and Health in Diverse Populations (7 obras) · Geography (7 obras)