Evidence map›Paper›PMID 39823504›Full record

ArticlePloS one2025

Intersection between individual, household, environmental and system level factors in defining risk and resilience for children in Kenya's ASAL: A qualitative study.

Esther Jebor Chongwo, Barack Aoko, Martha Kaniala, Moses Esala, Phillis Magoma, Eunice Njoroge, Susan Nyamanya, Joyce Marangu, Anil Khamis, John Ng'asike and 2 more

Abstract read
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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Esther Jebor ChongwoInstitute for Human Development, Aga Khan University, Nairobi, Kenya.ORCID 0000-0002-5091-2361
Barack AokoInstitute for Human Development, Aga Khan University, Nairobi, Kenya.
Martha KanialaInstitute for Human Development, Aga Khan University, Nairobi, Kenya.
Moses EsalaInstitute for Human Development, Aga Khan University, Nairobi, Kenya.
Phillis MagomaInstitute for Human Development, Aga Khan University, Nairobi, Kenya.
Eunice NjorogeInstitute for Human Development, Aga Khan University, Nairobi, Kenya.
Susan NyamanyaInstitute for Human Development, Aga Khan University, Nairobi, Kenya.
Joyce MaranguInstitute for Human Development, Aga Khan University, Nairobi, Kenya.
Anil KhamisInstitute for Human Development, Aga Khan University, Nairobi, Kenya.
John Ng'asikeTurkana University College, Lodwar, Kenya.
Anja C HuizinkFaculty of Behavioural and Movement Sciences, Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Amina AbubakarInstitute for Human Development, Aga Khan University, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildren growing up in arid and semi-arid regions of Sub-Saharan Africa (SSA) face heightened risks, often resulting in poor developmental outcomes. In Kenya, the arid and semi-arid lands (ASAL) exhibit the lowest health and developmental indicators among children. Despite these risks, some children grow up successfully and overcome the challenges. However, there is limited comprehensive data on sources of risks and resilience in these children, particularly research that incorporates community perspectives and indigenous knowledge. Systematic documentation of factors influencing child outcomes is crucial for understanding the overall burden, informing policy and implementing targeted interventions. This study aimed at bridging this gap.

methodsThe study was conducted in 10 ASAL counties in Kenya. Purposive and snowballing techniques were used to recruit 11 key informants per site with varied levels of involvement in early childhood development and primary caregivers. Using a semi-structured interview guide, 103 telephonic interviews were conducted between June and August 2022, involving 68 key informants and 35 caregivers. Thematic approach was used to analyze the data, using NVIVO software.

resultsThe mean age of the participants was 44years (SD = 11 years). The findings, viewed through the lens of Bronfenbrenner's ecological systems theory, reveal a complex interplay of contextual factors impacting children's development. These factors range from individual and biological aspects to family, community, systemic, and environmental level, including climatic challenges. Identified risk factors encompassed issues such as young caregiver's age, low literacy, mental health issues, drug abuse, domestic violence, malnutrition, poverty, lack of paternal involvement, early marriages, female genital mutilation, drought, heat stress, and insecurity. Nonetheless, sources of resilience include breastfeeding, immunization, responsive caregiving, family and community support, higher socio-economic status (SES), cultural practices, self-motivation, hard work, community role models, religious activities and quality service provision.

conclusionUrgent attention is needed to address the multifaceted challenges faced by children in ASAL regions. The study underscores the importance of addressing the root causes of risks while harnessing community strengths and resources to safeguard and promote the holistic development of these children.

Indexed as

Child DevelopmentResilience, PsychologicalAdolescentAdultChildChild, PreschoolEnvironmentFamily CharacteristicsFemaleHumansKenyaMaleMiddle AgedQualitative ResearchRisk FactorsSocioeconomic Factors

Identifiers

PMID39823504
PMCPMC11741590

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LicenceCC BY
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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.