ArticlePublic health nutrition2015
Maternal perception of malnutrition among infants using verbal and pictorial methods in Kenya.
Article in Public health nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Carers' and health workers' perspectives on malnutrition in infants aged under six months in rural Ethiopia: A qualitative study.PloS one · 2022Article
- Caregiver perceptions of child development in rural Madagascar: a cross-sectional study.BMC public health · 2019Article
- Connecting the dots in child undernutrition.Public health nutrition · 2017Article
- Mothers screening for malnutrition by mid-upper arm circumference is non-inferior to community health workers: results from a large-scale pragmatic trial in rural Niger.Archives of public health = Archives belges de sante publique · 2016Article
- Comparison of fieldworker interview and a pictorial diary method for recording morbidity of infants in semi-urban slums.BMC public health · 2015Article
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
objectiveTo compare mothers' perceptions of their own infants' nutritional status with anthropometric indicators of undernutrition.
designA qualitative study and cross-sectional quantitative survey. The qualitative study involved developing tools to assess mother's perception. Two methods of verbal description and a pictorial scale were developed. The quantitative survey involved measuring maternal perception and comparing it with the anthropometric measures of weight-for-age Z-score (WAZ) and mid-upper arm circumference-for-age Z-score (MUACZ).
settingA rural community setting in Kenya. SUBJECTS: Seventy-four infants aged between 4 and 6 months, and their mothers, living in rural Kenya were enrolled.
resultsUsing verbal description, the positive and negative likelihood ratios were 3.57 (95 % CI 1.44, 9.98) and 0.69 (95 % CI 0.50, 0.96) respectively for MUACZ<-2; and 4.60 (95 % CI 1.60, 13.3) and 0.67 (95 % CI 0.49, 0.92) respectively for WAZ<-2. Using the pictorial scale, the positive and negative likelihood ratios were 8.30 (95 % CI 1.91, 36.3) and 0.69 (95 % CI 0.52, 0.93) respectively for MUACZ<-2; and 4.31 (95 % CI 1.22, 15.0) and 0.78 (95 % CI 0.61, 1.00) respectively for WAZ<-2.
conclusionsIn a rural community, mothers better identify undernutrition in their infants using a pictorial scale than verbal description. However, neither can replace formal anthropometric assessment. Objective anthropometric tools should be validated for identification of severe acute malnutrition among infants aged less than 6 months.
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