‘Because the baby asks for it’: a mixed-methods study on local perceptions toward nutrition during pregnancy among marginalised migrant women along the Myanmar–Thailand border

Autor: Kremlin Wickramasinghe, Mary Ellen Gilder, Rose McGready, Mu Chae Darakamon, Prakaykaew Charunwatthana, Verena I. Carrara, Emma Plugge, Chaisiri Angkurawaranon, Moo Kho Paw, Suphak Nosten, Ahmar Hashmi
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Adult
Health Knowledge
Attitudes
Practice
nutrition awareness
genetic structures
media_common.quotation_subject
Nutritional Status
Myanmar
Infant outcomes
Body Mass Index
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
Environmental health
Perception
medicine
Humans
030212 general & internal medicine
Eating behaviour
Nutrition in pregnancy
media_common
2. Zero hunger
Transients and Migrants
030219 obstetrics & reproductive medicine
business.industry
Health Policy
lcsh:Public aspects of medicine
dietary preferences
Public Health
Environmental and Occupational Health
eating behaviours
lcsh:RA1-1270
Focus Groups
Middle Aged
medicine.disease
Thailand
Health Literacy
Pregnancy Complications
Cross-Sectional Studies
Original Article
Female
business
Nutrition during pregnancy
Zdroj: Global Health Action, Vol 11, Iss 1 (2018)
Global Health Action
ISSN: 1654-9880
1654-9716
Popis: Background Under- and over-nutrition during pregnancy are known risk factors for pregnancy complications and adverse pregnancy and infant outcomes. Understanding perceptions around nutrition in pregnancy can create culturally appropriate interventions for improved health outcomes. Objective A mixed-methods study was performed to explore local perceptions and practices of diet and physical activity in pregnancy in a marginalised population along the Myanmar– Thailand border. Methods From April to July 2017, a cross-sectional survey and focus group discussions were conducted with pregnant women reporting to antenatal care; in-depth interviews were conducted with senior midwives at participating organisations along the Myanmar– Thailand border. Results A total of 388 pregnant women were interviewed at two clinic sites along the Myanmar–Thailand border. A high proportion of women had limited knowledge of and poor dietary practices. Consuming a sweetened drink in the last 24 hours as well as being a non-teenage, multigravida woman was significantly associated with high body mass index (BMI) compared to normal BMI. Qualitative analysis combined focus group discussions (n = 66) and in-depth interviews (n = 4) summarising emergent themes: common foods eaten or avoided and rationale; benefits of nutrition; perceptions of overweight and weight gain during pregnancy; barriers to a healthy diet; and sources of diet information. Conclusions There is limited awareness about healthy diets and lifestyle in these marginalised, migrant communities along the Myanmar–Thailand border. This study suggests that simple, culturally appropriate messaging should be provided to women and communities with low health literacy to generate awareness about healthy lifestyles and their effects on pregnancy outcomes as an important element of a broader strategy to address maternal nutrition in this population. However, more studies to determine the effectiveness of a broad range of interventions in low- and middle-income countries (LMIC) are needed, especially in marginalised migrant populations.
Databáze: OpenAIRE
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