ArticleBMC health services research2024
'Counselling is not just providing information': perceptions of caregivers and stakeholders on the design of nutrition and health counselling interventions for families with young children in rural Kenya.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Associations between dietary patterns and adequate intake of climate-sensitive micronutrients among young children living in Siaya County, Kenya: Findings from the ALIMUS study baseline data.Journal of health, population, and nutrition · 2026Trial
- Seasonal Food Availability, Preservation Practices, and Dietary Diversity in Children Under 5 in Western Kenya.Public health challenges · 2026Article
- Exploring the role of maternal routine and problem-solving actions in promoting child health and nutrition in Kenyan drylands: a qualitative study.Journal of health, population, and nutrition · 2026Article
- Prevention of wasting and nutritional oedema: evidence gaps identified during WHO guideline development.BMJ global health · 2025Article
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7 authors.
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Abstract
backgroundGlobally, a fifth of the children continue to face chronic undernutrition with a majority of them situated in the Low- and Middle-Income Countries (LMIC). The rising numbers are attributed to aggravating factors like limited nutrition knowledge, poor feeding practices, seasonal food insecurity, and diseases. Interventions targeting behaviour change may reduce the devastating nutrition situation of children in the LMICs.
objectiveFor the co-design of a Behaviour Change Communication (BCC) intervention for young children in rural Kenya, we aimed to identify the experiences, barriers, facilitators, and preferences of caregivers and stakeholders regarding nutrition and health counselling.
designWe employed a qualitative study design and used a semi-structured interview guide. The in-depth interviews were recorded, transcribed, and analysed using content analysis, facilitated by the software NVivo.
settingHealth and Demographic Surveillance System (HDSS) area in Siaya County, rural Kenya.
participantsWe interviewed 30 caregivers of children between 6 and 23 months of age and 29 local stakeholders with experience in implementing nutrition projects in Kenya.
resultsNutrition and health counselling (NHC) was usually conducted in hospital settings with groups of mothers. Barriers to counselling were long queues and delays, long distances and high travel costs, the inapplicability of the counselling content, lack of spousal support, and a high domestic workload. Facilitators included the trust of caregivers in Community Health Volunteers (CHVs) and counselling services offered free of charge. Preferences comprised (1) delivering of counselling by CHVs, (2) offering individual and group counselling, (3) targeting male and female caregivers.
conclusionThere is a disconnect between the caregivers' preferences and the services currently offered. Among these families, a successful BCC strategy that employs nutrition and health counselling should apply a community-based communication channel through trusted CHVs, addressing male and female caregivers, and comprising group and individual sessions.
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