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Fathers and grandmothers experiences participating in nutrition peer dialogue groups in Vihiga County, Kenya

Grandmothers and fathers are key influencers of maternal and child nutrition and are increasingly included in interventions. Yet, there is limited research exploring their experiences participating in interventions. This study reports on findings from a qualitative process evaluation of a quasi‐expe...

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Autores principales: Thuita, Faith, Mukuria, Altrena, Muhomah, Teresia, Locklear, Kamryn, Grounds, Samantha, Martin, Stephanie L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269141/
https://www.ncbi.nlm.nih.gov/pubmed/34241953
http://dx.doi.org/10.1111/mcn.13184
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author Thuita, Faith
Mukuria, Altrena
Muhomah, Teresia
Locklear, Kamryn
Grounds, Samantha
Martin, Stephanie L.
author_facet Thuita, Faith
Mukuria, Altrena
Muhomah, Teresia
Locklear, Kamryn
Grounds, Samantha
Martin, Stephanie L.
author_sort Thuita, Faith
collection PubMed
description Grandmothers and fathers are key influencers of maternal and child nutrition and are increasingly included in interventions. Yet, there is limited research exploring their experiences participating in interventions. This study reports on findings from a qualitative process evaluation of a quasi‐experimental study that we conducted with grandmother and father peer dialogue groups to support maternal, infant and young child feeding practices in western Kenya. The aim was to explore grandmother and father experiences participating in interventions and how participation influences care and feeding practices. Grandmother and father peer educators received training to facilitate discussions about maternal and child nutrition, HIV and infant feeding, family communication, and family members' roles. Father peer educators also received training on gender inequities and power dynamics. In the original quasi‐experimental study, the intervention was associated with increased social support and improvements in some complementary feeding practices. The process evaluation explored participants' experiences and how participation influenced infant care and feeding practices. We used Atlas.ti to thematically analyse data from 18 focus group discussions. The focus group discussions revealed that grandmothers and fathers valued their groups, the topics discussed and what they learned. Grandmothers reported improved infant feeding and hygiene practices, and fathers reported increased involvement in child care and feeding and helping with household tasks. Both described improved relationships with daughters‐in‐law or wives. This study highlights the importance of engaging influential family members to support child nutrition and identifies factors to build cohesion among group members, by building on grandmothers' roles as advisors and expanding fathers' roles in nutrition through gender transformative activities.
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spelling pubmed-82691412021-07-13 Fathers and grandmothers experiences participating in nutrition peer dialogue groups in Vihiga County, Kenya Thuita, Faith Mukuria, Altrena Muhomah, Teresia Locklear, Kamryn Grounds, Samantha Martin, Stephanie L. Matern Child Nutr Special Issue on a Family Systems Approach to Promote Maternal and Child Nutrition Grandmothers and fathers are key influencers of maternal and child nutrition and are increasingly included in interventions. Yet, there is limited research exploring their experiences participating in interventions. This study reports on findings from a qualitative process evaluation of a quasi‐experimental study that we conducted with grandmother and father peer dialogue groups to support maternal, infant and young child feeding practices in western Kenya. The aim was to explore grandmother and father experiences participating in interventions and how participation influences care and feeding practices. Grandmother and father peer educators received training to facilitate discussions about maternal and child nutrition, HIV and infant feeding, family communication, and family members' roles. Father peer educators also received training on gender inequities and power dynamics. In the original quasi‐experimental study, the intervention was associated with increased social support and improvements in some complementary feeding practices. The process evaluation explored participants' experiences and how participation influenced infant care and feeding practices. We used Atlas.ti to thematically analyse data from 18 focus group discussions. The focus group discussions revealed that grandmothers and fathers valued their groups, the topics discussed and what they learned. Grandmothers reported improved infant feeding and hygiene practices, and fathers reported increased involvement in child care and feeding and helping with household tasks. Both described improved relationships with daughters‐in‐law or wives. This study highlights the importance of engaging influential family members to support child nutrition and identifies factors to build cohesion among group members, by building on grandmothers' roles as advisors and expanding fathers' roles in nutrition through gender transformative activities. John Wiley and Sons Inc. 2021-07-09 /pmc/articles/PMC8269141/ /pubmed/34241953 http://dx.doi.org/10.1111/mcn.13184 Text en © 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Special Issue on a Family Systems Approach to Promote Maternal and Child Nutrition
Thuita, Faith
Mukuria, Altrena
Muhomah, Teresia
Locklear, Kamryn
Grounds, Samantha
Martin, Stephanie L.
Fathers and grandmothers experiences participating in nutrition peer dialogue groups in Vihiga County, Kenya
title Fathers and grandmothers experiences participating in nutrition peer dialogue groups in Vihiga County, Kenya
title_full Fathers and grandmothers experiences participating in nutrition peer dialogue groups in Vihiga County, Kenya
title_fullStr Fathers and grandmothers experiences participating in nutrition peer dialogue groups in Vihiga County, Kenya
title_full_unstemmed Fathers and grandmothers experiences participating in nutrition peer dialogue groups in Vihiga County, Kenya
title_short Fathers and grandmothers experiences participating in nutrition peer dialogue groups in Vihiga County, Kenya
title_sort fathers and grandmothers experiences participating in nutrition peer dialogue groups in vihiga county, kenya
topic Special Issue on a Family Systems Approach to Promote Maternal and Child Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269141/
https://www.ncbi.nlm.nih.gov/pubmed/34241953
http://dx.doi.org/10.1111/mcn.13184
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