Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal
Abstract Objective: This work aims to demonstrate an original approach to identify links between locally situated shared values and contextual factors of stunting. Stunting results from multi-factorial and multi-sectoral determinants, but interventions typically neglect locally situated lived expe...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-11-01
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| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980023001088/type/journal_article |
| _version_ | 1797634693868290048 |
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| author | Juan Manuel Moreno Annabel J Chapman Chike C Ebido Ndèye Marième Sougou Amadou H Diallo Rahel Neh Tening Fatou Binetou Dial Jessica Massonnié Mahsa Firoozmand Cheikh El Hadji Abdoulaye Niang Claire Heffernan Marie K Harder |
| author_facet | Juan Manuel Moreno Annabel J Chapman Chike C Ebido Ndèye Marième Sougou Amadou H Diallo Rahel Neh Tening Fatou Binetou Dial Jessica Massonnié Mahsa Firoozmand Cheikh El Hadji Abdoulaye Niang Claire Heffernan Marie K Harder |
| author_sort | Juan Manuel Moreno |
| collection | DOAJ |
| description |
Abstract
Objective:
This work aims to demonstrate an original approach to identify links between locally situated shared values and contextual factors of stunting. Stunting results from multi-factorial and multi-sectoral determinants, but interventions typically neglect locally situated lived experiences, which contributes to problematic designs that are not meaningful for those concerned and/or relatively ineffective.
Design:
This case study investigates relevant contextual factors in two steps: by first facilitating local stakeholder groups (n 11) to crystallise their shared-values-in-action using a specialised method from sustainability studies (WeValue_InSitu (WVIS)). Secondly, participants (n 44) have focus group discussions (FGD) about everyday practices around child feeding/food systems, education and/or family life. Because the first step strongly grounds participants in local shared values, the FGD can reveal deep links between contextual factors and potential influences on stunting.
Setting:
Kaffrine, Senegal, an ‘Action Against Stunting Hub’ site. December 2020.
Participants:
Eleven stakeholder groups of mothers, fathers, grandmothers, pre-school teachers, community health workers, farmers, market traders and public administrators.
Results:
Local contextual factors of stunting were identified, including traditional beliefs concerning eating and growing practices; fathers as decision-makers; health worker trust; financial non-autonomy for women; insufficient water for preferred crops; merchants’ non-access to quality produce; religious teachings and social structures affecting children’s food environment.
Conclusions:
Local contextual factors were identified. Pre-knowledge of these could significantly improve effectiveness of intervention designs locally, with possible applicability at other sites. The WVIS approach proved efficient and useful for making tangible contextual factors and their potential links to stunting, via a lens of local shared values, showing general promise for intervention research.
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| first_indexed | 2024-03-11T12:11:14Z |
| format | Article |
| id | doaj.art-ee963abdc4d64c6ba52d42b21f63d116 |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-03-11T12:11:14Z |
| publishDate | 2023-11-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-ee963abdc4d64c6ba52d42b21f63d1162023-11-07T13:10:40ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-11-01262418243210.1017/S1368980023001088Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, SenegalJuan Manuel Moreno0https://orcid.org/0000-0003-4989-0342Annabel J Chapman1Chike C Ebido2Ndèye Marième Sougou3Amadou H Diallo4Rahel Neh Tening5Fatou Binetou Dial6Jessica Massonnié7https://orcid.org/0000-0002-6229-883XMahsa Firoozmand8Cheikh El Hadji Abdoulaye Niang9Claire Heffernan10Marie K Harder11Values and Sustainability Research Group, School of Architecture, Technology and Engineering, University of Brighton, Brighton BN2 4GJ, UKValues and Sustainability Research Group, School of Architecture, Technology and Engineering, University of Brighton, Brighton BN2 4GJ, UKDepartment of Environmental Science and Engineering, Fudan University, Shanghai, People’s Republic of China Department of Zoology and Environmental Biology, University of Nigeria, Nsukka, NigeriaPreventive Medicine and Public Health, Université Cheikh Anta Diop (UCAD), Dakar, SenegalInternational Research Laboratory (IRL 3189), Environnement santé et sociétés/CNRS /UCAD, Dakar, SenegalDepartment of Environmental Science and Engineering, Fudan University, Shanghai, People’s Republic of ChinaLaboratory of Cultural Anthropology, IFAN, Université Cheikh Anta Diop (UCAD), Dakar, SenegalDepartment of Psychology and Human Development, University College London, Institute of Education, London, UK Faculty of Humanities and Social Sciences, School of Education, Languages and Linguistics, University of Portsmouth, Portsmouth, UKValues and Sustainability Research Group, School of Architecture, Technology and Engineering, University of Brighton, Brighton BN2 4GJ, UKLaboratory of Cultural Anthropology, IFAN, Université Cheikh Anta Diop (UCAD), Dakar, SenegalLondon International Development Centre, London, UKValues and Sustainability Research Group, School of Architecture, Technology and Engineering, University of Brighton, Brighton BN2 4GJ, UK Department of Environmental Science and Engineering, Fudan University, Shanghai, People’s Republic of China Abstract Objective: This work aims to demonstrate an original approach to identify links between locally situated shared values and contextual factors of stunting. Stunting results from multi-factorial and multi-sectoral determinants, but interventions typically neglect locally situated lived experiences, which contributes to problematic designs that are not meaningful for those concerned and/or relatively ineffective. Design: This case study investigates relevant contextual factors in two steps: by first facilitating local stakeholder groups (n 11) to crystallise their shared-values-in-action using a specialised method from sustainability studies (WeValue_InSitu (WVIS)). Secondly, participants (n 44) have focus group discussions (FGD) about everyday practices around child feeding/food systems, education and/or family life. Because the first step strongly grounds participants in local shared values, the FGD can reveal deep links between contextual factors and potential influences on stunting. Setting: Kaffrine, Senegal, an ‘Action Against Stunting Hub’ site. December 2020. Participants: Eleven stakeholder groups of mothers, fathers, grandmothers, pre-school teachers, community health workers, farmers, market traders and public administrators. Results: Local contextual factors of stunting were identified, including traditional beliefs concerning eating and growing practices; fathers as decision-makers; health worker trust; financial non-autonomy for women; insufficient water for preferred crops; merchants’ non-access to quality produce; religious teachings and social structures affecting children’s food environment. Conclusions: Local contextual factors were identified. Pre-knowledge of these could significantly improve effectiveness of intervention designs locally, with possible applicability at other sites. The WVIS approach proved efficient and useful for making tangible contextual factors and their potential links to stunting, via a lens of local shared values, showing general promise for intervention research. https://www.cambridge.org/core/product/identifier/S1368980023001088/type/journal_articleChild stuntingContextual factorsShared valuesSenegalUndernutritionWeValue_InSitu |
| spellingShingle | Juan Manuel Moreno Annabel J Chapman Chike C Ebido Ndèye Marième Sougou Amadou H Diallo Rahel Neh Tening Fatou Binetou Dial Jessica Massonnié Mahsa Firoozmand Cheikh El Hadji Abdoulaye Niang Claire Heffernan Marie K Harder Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal Public Health Nutrition Child stunting Contextual factors Shared values Senegal Undernutrition WeValue_InSitu |
| title | Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal |
| title_full | Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal |
| title_fullStr | Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal |
| title_full_unstemmed | Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal |
| title_short | Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal |
| title_sort | local contextual factors of child stunting found via shared values of stakeholder groups an exploratory case study in kaffrine senegal |
| topic | Child stunting Contextual factors Shared values Senegal Undernutrition WeValue_InSitu |
| url | https://www.cambridge.org/core/product/identifier/S1368980023001088/type/journal_article |
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