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Health seeking behaviors and childcare patterns in an informal settlement of Nairobi, Kenya: A cross-sectional study

Children in urban informal settlements experience high risks for poor health and development. Understanding health seeking behaviors and childcare patterns of caregivers in urban informal settlements is important for devising effective interventions. This study describes household characteristics an...

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Autores principales: Ssewanyana, Derrick, Zhang, Linlin, Martin, Marie-Claude, Proulx, Kerrie, Malti, Tina, Abubakar, Amina, Angwenyi, Vibian, Kabue, Margaret, Marangu, Joyce, Odhiambo, Rachel, Njoroge, Eunice, Ombech, Eunice, Mokaya, Mercy Moraa, Obulemire, Emmanuel Kepha, Moran, Greg, Marfo, Kofi, Lye, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021912/
https://www.ncbi.nlm.nih.gov/pubmed/36962422
http://dx.doi.org/10.1371/journal.pgph.0000738
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author Ssewanyana, Derrick
Zhang, Linlin
Martin, Marie-Claude
Proulx, Kerrie
Malti, Tina
Abubakar, Amina
Angwenyi, Vibian
Kabue, Margaret
Marangu, Joyce
Odhiambo, Rachel
Njoroge, Eunice
Ombech, Eunice
Mokaya, Mercy Moraa
Obulemire, Emmanuel Kepha
Moran, Greg
Marfo, Kofi
Lye, Stephen
author_facet Ssewanyana, Derrick
Zhang, Linlin
Martin, Marie-Claude
Proulx, Kerrie
Malti, Tina
Abubakar, Amina
Angwenyi, Vibian
Kabue, Margaret
Marangu, Joyce
Odhiambo, Rachel
Njoroge, Eunice
Ombech, Eunice
Mokaya, Mercy Moraa
Obulemire, Emmanuel Kepha
Moran, Greg
Marfo, Kofi
Lye, Stephen
author_sort Ssewanyana, Derrick
collection PubMed
description Children in urban informal settlements experience high risks for poor health and development. Understanding health seeking behaviors and childcare patterns of caregivers in urban informal settlements is important for devising effective interventions. This study describes household characteristics and aspects of nurturing care among caregivers of children aged 0–2 years in Dagoretti informal settlement, Nairobi-Kenya. In this cross sectional study, data were collected on household socio-demographic characteristics, antenatal care and child delivery practices, infant and young child feeding practices, activities that promote play, learning and school readiness, and on childcare and protection practices. Descriptive statistics of proportions and means were used to summarize the data. The study covers a total of 458 Kenyan and 118 immigrant households. Caregivers from immigrant households, with low education and from the younger age-group (less than 20 years) were vulnerable to sub-optimal caregiving and health seeking practices, including relatively lower rates of age-appropriate breastfeeding and poor dietary diversity. Seventy-five percent of expectant mothers attended less than four antenatal care visits. Households surveyed had limited possession of children’s books (2% with three or more books), limited access to play materials (43% had two or more play materials), and low paternal involvement in child stimulation and early learning activities (14%). One-third and half of the children were left with inadequate care and disciplined using both violent and non-violent methods, respectively. Our findings highlight the urgent need for contextually appropriate and integrated interventions anchored in the WHO’s nurturing care framework. These interventions can benefit from extensive involvement of caregivers, facility and community-based healthcare workers, policy makers, and other relevant stakeholders.
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spelling pubmed-100219122023-03-17 Health seeking behaviors and childcare patterns in an informal settlement of Nairobi, Kenya: A cross-sectional study Ssewanyana, Derrick Zhang, Linlin Martin, Marie-Claude Proulx, Kerrie Malti, Tina Abubakar, Amina Angwenyi, Vibian Kabue, Margaret Marangu, Joyce Odhiambo, Rachel Njoroge, Eunice Ombech, Eunice Mokaya, Mercy Moraa Obulemire, Emmanuel Kepha Moran, Greg Marfo, Kofi Lye, Stephen PLOS Glob Public Health Research Article Children in urban informal settlements experience high risks for poor health and development. Understanding health seeking behaviors and childcare patterns of caregivers in urban informal settlements is important for devising effective interventions. This study describes household characteristics and aspects of nurturing care among caregivers of children aged 0–2 years in Dagoretti informal settlement, Nairobi-Kenya. In this cross sectional study, data were collected on household socio-demographic characteristics, antenatal care and child delivery practices, infant and young child feeding practices, activities that promote play, learning and school readiness, and on childcare and protection practices. Descriptive statistics of proportions and means were used to summarize the data. The study covers a total of 458 Kenyan and 118 immigrant households. Caregivers from immigrant households, with low education and from the younger age-group (less than 20 years) were vulnerable to sub-optimal caregiving and health seeking practices, including relatively lower rates of age-appropriate breastfeeding and poor dietary diversity. Seventy-five percent of expectant mothers attended less than four antenatal care visits. Households surveyed had limited possession of children’s books (2% with three or more books), limited access to play materials (43% had two or more play materials), and low paternal involvement in child stimulation and early learning activities (14%). One-third and half of the children were left with inadequate care and disciplined using both violent and non-violent methods, respectively. Our findings highlight the urgent need for contextually appropriate and integrated interventions anchored in the WHO’s nurturing care framework. These interventions can benefit from extensive involvement of caregivers, facility and community-based healthcare workers, policy makers, and other relevant stakeholders. Public Library of Science 2022-07-14 /pmc/articles/PMC10021912/ /pubmed/36962422 http://dx.doi.org/10.1371/journal.pgph.0000738 Text en © 2022 Ssewanyana et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ssewanyana, Derrick
Zhang, Linlin
Martin, Marie-Claude
Proulx, Kerrie
Malti, Tina
Abubakar, Amina
Angwenyi, Vibian
Kabue, Margaret
Marangu, Joyce
Odhiambo, Rachel
Njoroge, Eunice
Ombech, Eunice
Mokaya, Mercy Moraa
Obulemire, Emmanuel Kepha
Moran, Greg
Marfo, Kofi
Lye, Stephen
Health seeking behaviors and childcare patterns in an informal settlement of Nairobi, Kenya: A cross-sectional study
title Health seeking behaviors and childcare patterns in an informal settlement of Nairobi, Kenya: A cross-sectional study
title_full Health seeking behaviors and childcare patterns in an informal settlement of Nairobi, Kenya: A cross-sectional study
title_fullStr Health seeking behaviors and childcare patterns in an informal settlement of Nairobi, Kenya: A cross-sectional study
title_full_unstemmed Health seeking behaviors and childcare patterns in an informal settlement of Nairobi, Kenya: A cross-sectional study
title_short Health seeking behaviors and childcare patterns in an informal settlement of Nairobi, Kenya: A cross-sectional study
title_sort health seeking behaviors and childcare patterns in an informal settlement of nairobi, kenya: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021912/
https://www.ncbi.nlm.nih.gov/pubmed/36962422
http://dx.doi.org/10.1371/journal.pgph.0000738
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