Barriers to Child Nutrition Security in Food Secure Households: A Study of Mjini Village in Bungoma, Kenya

Echoka, Elizabeth (2007) Barriers to Child Nutrition Security in Food Secure Households: A Study of Mjini Village in Bungoma, Kenya. Masters thesis, Kenyatta University.

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Abstract

Background: Food security is a key determinant of nutritional security. However, studies indicate that there are households that are food secure but still experience malnutrition, especially in children aged under five years of age. Objective: The study was undertaken to establish bi!!rier-s-to child nutrition security in food secure households. Methods: A cross-sectional study was conducted in Mjini village in Bungoma. A representative sample of some one hundred and seventy (170) food secure households with children aged 6-59 months was selected using multi stage sampling. Data was collected using an interview schedule, anthropometry, observation checklist and focus group discussions (FGD). Bivariate analysis using Pearson's chi-square and binary logistic regression analysis was used in data analysis. Results: The following were found to threaten children's nutritional security in food secure households. Lack of knowledge on frequency of feeding (60% vs. 38%, p=0.016, OR=2.5), and on the 3 major foods groups (52% vs.25.6%, p=0.006, OR=3.13), inadequate breastfeeding (48% vs. 13%, p=0.008, OR=6.2), untimely weaning (74% vs. 44%, p=O.OOI, OR=3.6), feeding child <3 times (59% vs.35%, p=0.009, OR=2.2), lack of stimulation when feeding child (47% vs. 18%, p=O.OOI, OR=4), lack of deworming (90% vs. 75%, p=0.004, OR=2.9), poor environmental sanitation (79% vs. 44%, p=O.OOI, OR=4.9), storing cooked food uncovered (74% vs. 18%, p=O.OOI, OR=6.8), feeding child with dirty hands (59% vs. 18%, p=O.OOI,OR=6.4) and diarrhoeal morbidity. Conclusion: Food availability alone is insufficient to assure nutrition security. It may have a limited effect on the nutritional well being of infants and children. Proper and sustained education of caregivers on care practices through multifaceted educational programmes dealing with behaviour/ attitude change and an evaluation and redesign of nutrition education are recommended.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
T Technology > TX Home economics
Divisions: Africana
Depositing User: Tim Khabala
Date Deposited: 06 Sep 2017 06:07
Last Modified: 06 Sep 2017 06:07
URI: http://thesisbank.jhia.ac.ke/id/eprint/2169

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