How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya
Abstract This implementation research study sought to examine the impact of the COVID‐19 pandemic on maternal and infant nutrition practices, and related aspects of health and food systems in Nairobi and Uasin Gishu Counties, Kenya. The study triangulated in‐depth interviews with 16 pregnant women,...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-04-01
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| Series: | Maternal and Child Nutrition |
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| Online Access: | https://doi.org/10.1111/mcn.13466 |
| _version_ | 1797869261750796288 |
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| author | Brenda Ahoya Justine A. Kavle Laura Kiige Constance Gathi Betty Samburu Lucy Maina Lacey Ramirez Rose Wambu Patrick Codjia |
| author_facet | Brenda Ahoya Justine A. Kavle Laura Kiige Constance Gathi Betty Samburu Lucy Maina Lacey Ramirez Rose Wambu Patrick Codjia |
| author_sort | Brenda Ahoya |
| collection | DOAJ |
| description | Abstract This implementation research study sought to examine the impact of the COVID‐19 pandemic on maternal and infant nutrition practices, and related aspects of health and food systems in Nairobi and Uasin Gishu Counties, Kenya. The study triangulated in‐depth interviews with 16 pregnant women, 31 lactating women (including COVID‐19 positive), 10 facility health workers, 10 community health volunteers, 6 focus group discussions (FGDs) with food vendors, 4 FGDs and 15 stakeholder interviews with government and implementing partners. Trends from Kenyan Health Information System indicators (i.e., exclusive breastfeeding and initiation of breastfeeding, antenatal care) were also examined. During the COVID‐19 pandemic, a decline in attendance of antenatal care, and maternity facilities was observed, and corroborated by Kenyan Health Information System data. Lack of clarity among health workers on COVID‐19 breastfeeding guidance and fear of COVID‐19 infection early in the pandemic were key drivers of early infant formula use, mother–child separation following delivery and delayed initiation of breastfeeding. Most women exclusively breastfed due to Government of Kenya restrictions in movement. Unemployment and job loss was linked to food insecurity and worsened by increased food prices and limited social protection measures. In response, pregnant and lactating women resorted to skipping meals and reducing quantity and variety of foods consumed. Efforts to build forward from COVID‐19 in Kenya should include facility and community health education to prevent disruptions in breastfeeding and to support maternal dietary intake, and in the provision of targeted social protection measures alongside other multisectoral interventions (i.e., psychosocial support) for Kenyan pregnant and lactating women. |
| first_indexed | 2024-04-10T00:08:44Z |
| format | Article |
| id | doaj.art-50ae0b1bdbbe488f8433f38ecb0f0610 |
| institution | Directory Open Access Journal |
| issn | 1740-8695 1740-8709 |
| language | English |
| last_indexed | 2024-04-10T00:08:44Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Maternal and Child Nutrition |
| spelling | doaj.art-50ae0b1bdbbe488f8433f38ecb0f06102023-03-16T13:27:43ZengWileyMaternal and Child Nutrition1740-86951740-87092023-04-01192n/an/a10.1111/mcn.13466How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in KenyaBrenda Ahoya0Justine A. Kavle1Laura Kiige2Constance Gathi3Betty Samburu4Lucy Maina5Lacey Ramirez6Rose Wambu7Patrick Codjia8Kavle Consulting LLC Nairobi KenyaKavle Consulting LLC Washington District of Columbia USANutrition Division UNICEF Kenya Nairobi KenyaKavle Consulting LLC Nairobi KenyaNutrition Division UNICEF Kenya Nairobi KenyaNutrition Division UNICEF Kenya Nairobi KenyaKavle Consulting LLC Washington District of Columbia USADivision of Nutrition and Dietetics Ministry of Health Nairobi KenyaNutrition Division UNICEF Kenya Nairobi KenyaAbstract This implementation research study sought to examine the impact of the COVID‐19 pandemic on maternal and infant nutrition practices, and related aspects of health and food systems in Nairobi and Uasin Gishu Counties, Kenya. The study triangulated in‐depth interviews with 16 pregnant women, 31 lactating women (including COVID‐19 positive), 10 facility health workers, 10 community health volunteers, 6 focus group discussions (FGDs) with food vendors, 4 FGDs and 15 stakeholder interviews with government and implementing partners. Trends from Kenyan Health Information System indicators (i.e., exclusive breastfeeding and initiation of breastfeeding, antenatal care) were also examined. During the COVID‐19 pandemic, a decline in attendance of antenatal care, and maternity facilities was observed, and corroborated by Kenyan Health Information System data. Lack of clarity among health workers on COVID‐19 breastfeeding guidance and fear of COVID‐19 infection early in the pandemic were key drivers of early infant formula use, mother–child separation following delivery and delayed initiation of breastfeeding. Most women exclusively breastfed due to Government of Kenya restrictions in movement. Unemployment and job loss was linked to food insecurity and worsened by increased food prices and limited social protection measures. In response, pregnant and lactating women resorted to skipping meals and reducing quantity and variety of foods consumed. Efforts to build forward from COVID‐19 in Kenya should include facility and community health education to prevent disruptions in breastfeeding and to support maternal dietary intake, and in the provision of targeted social protection measures alongside other multisectoral interventions (i.e., psychosocial support) for Kenyan pregnant and lactating women.https://doi.org/10.1111/mcn.13466breastfeedingCOVID‐19food systemhealth serviceshealth systeminfant nutrition |
| spellingShingle | Brenda Ahoya Justine A. Kavle Laura Kiige Constance Gathi Betty Samburu Lucy Maina Lacey Ramirez Rose Wambu Patrick Codjia How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya Maternal and Child Nutrition breastfeeding COVID‐19 food system health services health system infant nutrition |
| title | How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya |
| title_full | How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya |
| title_fullStr | How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya |
| title_full_unstemmed | How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya |
| title_short | How COVID‐19 affected food systems, health service delivery and maternal and infant nutrition practices: Implications for moving forward in Kenya |
| title_sort | how covid 19 affected food systems health service delivery and maternal and infant nutrition practices implications for moving forward in kenya |
| topic | breastfeeding COVID‐19 food system health services health system infant nutrition |
| url | https://doi.org/10.1111/mcn.13466 |
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