Evidence map›Paper›PMID 38966109›Full record

ArticleBMJ nutrition, prevention & health2024

Reimagining nutrition education for pregnant adolescents in the face of climate change: a community approach.

Fleur de Meijer, Mary Kimanthi, Susan Cheruiyot, Alex Makau Muia, Donnah Goga, Soulthy Azamkhan Mohamed, Cecilia Njoga, Catherine Gathu, Felix Agoi, Nelson Nyamu and 1 more

Abstract read
In one paragraph

Article in BMJ nutrition, prevention & health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Fleur de MeijerFamily Medicine, The Aga Khan University, Nairobi, Kenya.ORCID 0000-0002-9034-8945
Mary KimanthiFamily Medicine, The Aga Khan University, Nairobi, Kenya.
Susan CheruiyotFamily Medicine, The Aga Khan University, Nairobi, Kenya.
Alex Makau MuiaFamily Medicine, The Aga Khan University, Nairobi, Kenya.
Donnah GogaFamily Medicine, The Aga Khan University, Nairobi, Kenya.
Soulthy Azamkhan MohamedFamily Medicine, The Aga Khan University, Nairobi, Kenya.
Cecilia NjogaFamily Medicine, The Aga Khan University, Nairobi, Kenya.
Catherine GathuFamily Medicine, The Aga Khan University, Nairobi, Kenya.
Felix AgoiPopulation Health, The Aga Khan University, Nairobi, Kenya.
Nelson NyamuFamily Medicine, The Aga Khan University, Nairobi, Kenya.
Jacob ShabaniFamily Medicine, The Aga Khan University, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To explore challenges with current nutrition education for teenage pregnant women in a drought-prone community in Kenya and to elicit the communities' suggestions on how to best adapt it in the face of climate change. Design: Nine serial focus group discussions (four with adolescents, two with their parents, two with community health volunteers and one with healthcare workers) were conducted on a purposively selected study population in Kaloleni, Kilifi County, Kenya. Data collection took place between March and November 2022, with a total of 73 participants. An inductive approach was used, and interpretive thematic coding was done as the primary analytic strategy to allow themes derived from participants' reflections. Results: First, participants reported that unpredictable rainfall patterns had affected nutrition intake and variety due to reduced yield from farmland, diseases in livestock and insufficient income. Second, participants reported barriers to accessing nutrition education, as it was mainly given in clinics and not targeted at adolescents or men. Third, they experienced challenges in applying nutrition education in daily life due to a mismatch between available foods and cultural practices. Recommendations for the future encompassed equipping individuals with practical cooking skills tailored to available nutrients, initiatives aimed at water conservation and addressing animal health concerns, enhancing accessibility through community-based training programmes and fostering collaborative efforts to ensure the provision of essential nutrients. Conclusion: Food choices in Kilifi County are getting more limited due to unpredicted rainfall patterns. Therefore, a reorientation of nutrition education is needed in order to build resilience in the community. Strengthening community action, including developing skills to increase long-term local support, would be needed to ensure the adequate nutrition status of vulnerable groups like pregnant adolescent women.

Indexed as

climate changecommunity healthcommunity oriented primary carefood insecuritynutrition education

Identifiers

PMID38966109
PMCPMC11221292

What OpenQuestion holds

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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.