Katenga-Kaunda, Lillian Ziyenda;
Iversen, Per Ole;
Kamudoni, Penjani Rhoda;
Holmboe-Ottesen, Gerd;
Fjeld, Heidi E
Food-based nutrition counselling and education intervention for improved diets of pregnant women in rural Malawi: a qualitative study of factors influencing dietary behaviour change
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Media type:
E-Article
Title:
Food-based nutrition counselling and education intervention for improved diets of pregnant women in rural Malawi: a qualitative study of factors influencing dietary behaviour change
Contributor:
Katenga-Kaunda, Lillian Ziyenda;
Iversen, Per Ole;
Kamudoni, Penjani Rhoda;
Holmboe-Ottesen, Gerd;
Fjeld, Heidi E
imprint:
Cambridge University Press (CUP), 2022
Published in:
Public Health Nutrition, 25 (2022) 9, Seite 2436-2447
Description:
<jats:title>Abstract</jats:title><jats:sec id="S1368980022000593_as1"><jats:title>Objective:</jats:title><jats:p>We wanted to identify factors related to dietary behavioural change among impoverished pregnant women in the face of nutrition education and counselling, describing what creates an enabling environment and barriers for dietary change.</jats:p></jats:sec><jats:sec id="S1368980022000593_as2"><jats:title>Design:</jats:title><jats:p>We used qualitative data from a cluster-randomised maternal education trial and conducted a thematic analysis using a social ecological framework to describe the factors that influenced dietary adherence.</jats:p></jats:sec><jats:sec id="S1368980022000593_as3"><jats:title>Setting:</jats:title><jats:p>Mangochi district in rural Malawi.</jats:p></jats:sec><jats:sec id="S1368980022000593_as4"><jats:title>Participants:</jats:title><jats:p>We interviewed ten pregnant women and conducted four sets of focus group discussions with twenty-two significant family members (husbands and mothers-in-law) and twelve counsellors.</jats:p></jats:sec><jats:sec id="S1368980022000593_as5"><jats:title>Results:</jats:title><jats:p>The participants’ experiences showed that the main barriers of adherence to the intervention were taste, affordability and poverty. The use of powders and one-pot dishes, inclusion of both women and significant family members and a harmonisation with local food practices enabled adherence to the intervention. We found it crucial to focus the dietary education and counselling intervention on locally available ingredients and food processing methods.</jats:p></jats:sec><jats:sec id="S1368980022000593_as6"><jats:title>Conclusions:</jats:title><jats:p>Use of contextualised food-based solutions to combat maternal malnutrition was observed to be relatively cheap and sustainable. However, there is need for more research on local foods used as nutrition supplements. We suggest that investments need to be directed not only to nutrition education and counselling but also to the enabling factors that enhance adherence. The original cluster-randomised controlled trial was registered with Clinical trials.gov ID: NCT03136393.</jats:p></jats:sec>