ArticlePublic health nutrition2023
A mixed methods assessment of knowledge, attitudes and practices related to aflatoxin contamination and exposure among caregivers of children under 5 years in western Kenya.
Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- Pharmaceutical Waste Management and Awareness at Household Level: A Cross-Sectional Survey of Katlehong and Lambton in Ekurhuleni Municipality.Health science reports · 2026Article
- Assessing aflatoxin knowledge, perceptions, and related practices, in a rural coastal community: a population-based cross-sectional survey.BMC public health · 2026Article
- Smallholder farmers' knowledge, practices and dietary responses to aflatoxin contamination in Baringo county, Kenya.Mycotoxin research · 2026Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
Abstract
objectiveIdentifying factors that may influence aflatoxin exposure in children under 5 years of age living in farming households in western Kenya.
designWe used a mixed methods design. The quantitative component entailed serial cross-sectional interviews in 250 farming households to examine crop processing and conservation practices, household food storage and consumption and local understandings of aflatoxins. Qualitative data collection included focus group discussions (
settingThe study was carried out in Asembo, a rural community where high rates of child stunting exist.
participantsA total of 250 female primary caregivers of children under 5 years of age and thirteen experts in farming and food management participated.
resultsStudy results showed that from a young age, children routinely ate maize-based dishes. Economic constraints and changing environmental patterns guided the application of sub-optimal crop practices involving early harvest, poor drying, mixing spoiled with good cereals and storing cereals in polypropylene bags in confined quarters occupied by humans and livestock and raising risks of aflatoxin contamination. Most (80 %) smallholder farmers were unaware of aflatoxins and their harmful economic and health consequences.
conclusionsYoung children living in subsistence farming households may be at risk of exposure to aflatoxins and consequent ill health and stunting. Sustained efforts to increase awareness of the risks of aflatoxins and control measures among subsistence farmers could help to mitigate practices that raise exposure.
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Registered trials
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