Nutritional service needs of pregnant and lactating adolescent girls in Trans-Mara East Sub-County, Narok County: focus on access and utilization of nutritional advice and services

Autor: Maureen Olyaro, David Omondi Okeyo, Elly O. Munde, Nanlop Ogbureke, Sophie Efange, Sussy Gumo, Charles O. Opiyo, Zablon O. Omungo, Rachel K. Ndirangu, Collins Ouma
Rok vydání: 2019
Předmět:
Adolescent
Adolescent Nutritional Physiological Phenomena
Qualitative property
Health Promotion
Pregnant
Disease cluster
lcsh:Gynecology and obstetrics
Health Services Accessibility
Young Adult
03 medical and health sciences
0302 clinical medicine
Quality of life
Pregnancy
Environmental health
Health care
Nutritional needs
Humans
Lactation
Medicine
Maternal Health Services
030212 general & internal medicine
Child
lcsh:RG1-991
Service (business)
030219 obstetrics & reproductive medicine
business.industry
Infant
Newborn
Obstetrics and Gynecology
Maternal Nutritional Physiological Phenomena
Odds ratio
Patient Acceptance of Health Care
Kenya
Focus group
Breast Feeding
Cross-Sectional Studies
Adolescent Health Services
Female
Nutrition Therapy
business
Lactating
Needs Assessment
Research Article
Qualitative research
Zdroj: BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-10 (2019)
ISSN: 1471-2393
DOI: 10.1186/s12884-019-2391-7
Popis: Background An understanding of the association between adolescent nutrition, adolescent pregnancy and their quest for healthcare services may elucidate a basis for intervention and formulation of programs that enhance post-partum and increase the lifespan of the newborn, improve the quality of life and bridge morbidity, mortality and healthcare-associated cost. However, the nutritional needs of pregnant and lactating adolescent girls aged below 10 years resident in Trans Mara East Sub-County, Kenya remained unestablished. The objective of this study was to assess the nutritional needs of pregnant and lactating adolescent girls (under 19) when accessing and utilizing nutritional advice and services in Trans-Mara East Sub-County, Narok County. Methods The study adopted a cross-sectional approach that employed mixed methods with both quantitative and qualitative research approaches. Cochran formula was applied to arrive at a minimum of 291 households. Probability proportionate to size sampling techniques using cluster and simple random methods were used to practically access adolescents who are pregnant or lactating. Data was collected using questionnaires, in-depth interview and Focus Group Discussion. Quantitative data was analyzed descriptively using frequencies and inferentially using odds ratio and z-test. Framework analysis was employed to analyze qualitative data. p ≤ 0.05 was considered statistically significant. Results The study revealed that access of pieces of nutritional-related advice represented by 67.8% was significantly higher than expected frequency of 50%. Nutrition supplementation, food fortification or blending and complementary feeding were significantly below the expectant frequency (p
Databáze: OpenAIRE
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