Maternal perception of malnutrition among infants using verbal and pictorial methods in Kenya
<p style="text-align:justify;"> <b>Objective:</b> To compare mothers’ perceptions of their own infants’ nutritional status with anthropometric indicators of undernutrition.<br/> <b>Design:</b> A qualitative study and cross-sectional quantitative survey....
| Main Authors: | , , , |
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| Format: | Journal article |
| Language: | English |
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Cambridge University Press
2014
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| _version_ | 1826303584561528832 |
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| author | Mwangome, M Fegan, G Prentice, A Berkley, J |
| author_facet | Mwangome, M Fegan, G Prentice, A Berkley, J |
| author_sort | Mwangome, M |
| collection | OXFORD |
| description | <p style="text-align:justify;"> <b>Objective:</b> To compare mothers’ perceptions of their own infants’ nutritional status with anthropometric indicators of undernutrition.<br/> <b>Design:</b> A qualitative study and cross-sectional quantitative survey. The qualitative study involved developing tools to assess mother’s perception. Two methods of verbal description and a pictorial scale were developed. The quantitative survey involved measuring maternal perception and comparing it with the anthropometric measures of weight-for-age Z-score (WAZ) and mid-upper arm circumference-for-age Z-score (MUACZ).<br/> <b>Setting:</b> A rural community setting in Kenya.<br/> <b>Subjects:</b> Seventy-four infants aged between 4 and 6 months, and their mothers, living in rural Kenya were enrolled.<br/> <b>Results:</b> Using verbal description, the positive and negative likelihood ratios were 3·57 (95 % CI 1·44, 9·98) and 0·69 (95 % CI 0·50, 0·96) respectively for MUACZ<−2; and 4·60 (95 % CI 1·60, 13·3) and 0·67 (95 % CI 0·49, 0·92) respectively for WAZ<−2. Using the pictorial scale, the positive and negative likelihood ratios were 8·30 (95 % CI 1·91, 36·3) and 0·69 (95 % CI 0·52, 0·93) respectively for MUACZ<−2; and 4·31 (95 % CI 1·22, 15·0) and 0·78 (95 % CI 0·61, 1·00) respectively for WAZ<−2.<br/> <b>Conclusions:</b> In a rural community, mothers better identify undernutrition in their infants using a pictorial scale than verbal description. However, neither can replace formal anthropometric assessment. Objective anthropometric tools should be validated for identification of severe acute malnutrition among infants aged less than 6 months.</p> |
| first_indexed | 2024-03-07T06:04:56Z |
| format | Journal article |
| id | oxford-uuid:ed8103c4-d50c-42ea-9cd2-2ba520bb560c |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:04:56Z |
| publishDate | 2014 |
| publisher | Cambridge University Press |
| record_format | dspace |
| spelling | oxford-uuid:ed8103c4-d50c-42ea-9cd2-2ba520bb560c2022-03-27T11:25:32ZMaternal perception of malnutrition among infants using verbal and pictorial methods in KenyaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ed8103c4-d50c-42ea-9cd2-2ba520bb560cEnglishSymplectic Elements at OxfordCambridge University Press2014Mwangome, MFegan, GPrentice, ABerkley, J <p style="text-align:justify;"> <b>Objective:</b> To compare mothers’ perceptions of their own infants’ nutritional status with anthropometric indicators of undernutrition.<br/> <b>Design:</b> A qualitative study and cross-sectional quantitative survey. The qualitative study involved developing tools to assess mother’s perception. Two methods of verbal description and a pictorial scale were developed. The quantitative survey involved measuring maternal perception and comparing it with the anthropometric measures of weight-for-age Z-score (WAZ) and mid-upper arm circumference-for-age Z-score (MUACZ).<br/> <b>Setting:</b> A rural community setting in Kenya.<br/> <b>Subjects:</b> Seventy-four infants aged between 4 and 6 months, and their mothers, living in rural Kenya were enrolled.<br/> <b>Results:</b> Using verbal description, the positive and negative likelihood ratios were 3·57 (95 % CI 1·44, 9·98) and 0·69 (95 % CI 0·50, 0·96) respectively for MUACZ<−2; and 4·60 (95 % CI 1·60, 13·3) and 0·67 (95 % CI 0·49, 0·92) respectively for WAZ<−2. Using the pictorial scale, the positive and negative likelihood ratios were 8·30 (95 % CI 1·91, 36·3) and 0·69 (95 % CI 0·52, 0·93) respectively for MUACZ<−2; and 4·31 (95 % CI 1·22, 15·0) and 0·78 (95 % CI 0·61, 1·00) respectively for WAZ<−2.<br/> <b>Conclusions:</b> In a rural community, mothers better identify undernutrition in their infants using a pictorial scale than verbal description. However, neither can replace formal anthropometric assessment. Objective anthropometric tools should be validated for identification of severe acute malnutrition among infants aged less than 6 months.</p> |
| spellingShingle | Mwangome, M Fegan, G Prentice, A Berkley, J Maternal perception of malnutrition among infants using verbal and pictorial methods in Kenya |
| title | Maternal perception of malnutrition among infants using verbal and pictorial methods in Kenya |
| title_full | Maternal perception of malnutrition among infants using verbal and pictorial methods in Kenya |
| title_fullStr | Maternal perception of malnutrition among infants using verbal and pictorial methods in Kenya |
| title_full_unstemmed | Maternal perception of malnutrition among infants using verbal and pictorial methods in Kenya |
| title_short | Maternal perception of malnutrition among infants using verbal and pictorial methods in Kenya |
| title_sort | maternal perception of malnutrition among infants using verbal and pictorial methods in kenya |
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