Results of Applying Cultural Domain Analysis Techniques and Implications for the Design of Complementary Feeding Interventions in Northern Senegal

Autor: Brittney Wittenbrink, Nikhila Kalra, Stephanie Zobrist, Issa Wone, Tidiane Ndoye, Gretel H. Pelto, Peiman Milani, Megan Parker, A. Diallo
Rok vydání: 2017
Předmět:
Adult
0301 basic medicine
Gerontology
Health Knowledge
Attitudes
Practice
Adolescent
Geography
Planning and Development
Population
Psychological intervention
Nutrition knowledge
Interviews as Topic
Young Adult
03 medical and health sciences
0302 clinical medicine
Intervention (counseling)
Food classification
Humans
Domain analysis
030212 general & internal medicine
Infant Nutritional Physiological Phenomena
education
Anthropology
Cultural
education.field_of_study
Cultural Characteristics
030109 nutrition & dietetics
Nutrition and Dietetics
Nutrition Interventions
Infant
Newborn
Nutritional Requirements
Infant
Gender studies
Feeding Behavior
Focus Groups
Middle Aged
Senegal
Caregivers
Child
Preschool
Female
Infant Food
Implementation research
Child Nutritional Physiological Phenomena
Psychology
Food Science
Zdroj: Food and Nutrition Bulletin. 38:512-527
ISSN: 1564-8265
0379-5721
DOI: 10.1177/0379572117720749
Popis: Background: Designing effective nutrition interventions for infants and young children requires knowledge about the population to which the intervention is directed, including insights into the cognitive systems and values that inform caregiver feeding practices. Objective: To apply cultural domain analysis techniques in the context of implementation research for the purpose of understanding caregivers’ knowledge frameworks in Northern Senegal with respect to infant and young child (IYC) feeding. This study was intended to inform decisions for interventions to improve infant and young child nutrition. Methods: Modules from the Focused Ethnographic Study for Infant and Young Child Feeding Manual were employed in interviews with a sample of 126 key informants and caregivers from rural and peri-urban sites in the Saint-Louis region of northern Senegal. Descriptive statistics, cluster analysis, and qualitative thematic analysis were used to analyze the data. Results: Cluster analysis showed that caregivers identified 6 food clusters: heavy foods, light foods, snack foods, foraged foods, packaged foods, and foods that are good for the body. The study also revealed similarities and differences between the 2 study sites in caregivers’ knowledge frameworks. Conclusions: The demonstration of differences between biomedical concepts of nutrition and the knowledge frameworks of northern Senegalese women with regard to IYC feeding highlights the value of knowledge about emic perspectives of local communities to help guide decisions about interventions to improve nutrition.
Databáze: OpenAIRE
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