Evidence map›Paper›PMID 27645101›Full record

ArticlePublic health nutrition2017

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

Sophie M Goudet, Elizabeth W Kimani-Murage, Frederick Wekesah, Milka Wanjohi, Paula L Griffiths, Barry Bogin, Nyovani J Madise

Abstract readEvaluation Study
In one paragraph

Article in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sophie M Goudet1School of Sport, Exercise & Health Sciences, Loughborough University,Epinal Way, Loughborough,Leicestershire,LE11 3TU,UK.
Elizabeth W Kimani-Murage2African Population and Health Research Center (APHRC),Research Nairobi,Nairobi,Kenya.
Frederick Wekesah2African Population and Health Research Center (APHRC),Research Nairobi,Nairobi,Kenya.
Milka Wanjohi2African Population and Health Research Center (APHRC),Research Nairobi,Nairobi,Kenya.
Paula L Griffiths1School of Sport, Exercise & Health Sciences, Loughborough University,Epinal Way, Loughborough,Leicestershire,LE11 3TU,UK.
Barry Bogin1School of Sport, Exercise & Health Sciences, Loughborough University,Epinal Way, Loughborough,Leicestershire,LE11 3TU,UK.
Nyovani J Madise4Centre for Global Health, Population, Poverty & Policy,University of Southampton,Southampton,UK.

Funding

Wellcome TrustWellcome Trust 097146/Z/11/Z
6 · The paper itself

Abstract

objectiveChildren 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.

designAnalysis 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.

settingTwo 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).

resultsParticipants demonstrated an understanding of undernutrition in children.

conclusionsFindings 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.

Indexed as

Nutritional StatusPoverty AreasAdultAgedChildChild, PreschoolFemaleFocus GroupsHumansInfantKenyaMaleMalnutritionMiddle AgedPovertyQualitative ResearchInfant and young childNairobiRoot causeSlumsUndernutrition

Identifiers

PMID27645101
PMCPMC5468798

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.