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Nutritional influences on the health of women and children in Cabo Delgado, Mozambique : a qualitative study

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Abstract
In 2017, the Government of Mozambique declared localized acute malnutrition crises in a range of districts across Mozambique including Cabo Delgado. This is in spite of intensive efforts by different non-governmental organizations (NGO) and the Government of Mozambique to expand access to information on good nutritional practices as well as promote nutrition-specific interventions, such as cooking demonstrations, home gardens and the distribution of micronutrient powder to children. This paper examines and discusses key nutritional influences on the health of pregnant and breastfeeding mothers in Cabo Delgado province, Mozambique. We conducted 21 key informant interviews (KIIs) with a wide range of stakeholders and 16 in-depth interviews (IDIs) with women. In addition, we conducted four focus group discussions with each of the following groups: (1) pregnant adolescent girls, (2) pregnant women >20 yrs, (3) women >20 yrs with babies <6 mths who were not practicing exclusive breastfeeding, (4) women >20 yrs of children <2 yrs and (5) with fathers of children <2 yrs. Data were analyzed thematically using NVIVO software. There is no single widely held influence on pregnant and breast-feeding women’s nutritional decision-making, choices and food consumption. Rather, variables such as social-cultural, environmental, economic, gender, knowledge and information intersect in their roles in nutritional food choices.
Keywords
mothers, women, breastfeeding, infants, children, malnutrition, undernutrition, stunting, Mozambique, MATERNAL NUTRITION, UNDERNUTRITION, MALNUTRITION

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MLA
Lusambili, Adelaide, et al. “Nutritional Influences on the Health of Women and Children in Cabo Delgado, Mozambique : A Qualitative Study.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol. 17, no. 17, 2020, doi:10.3390/ijerph17176205.
APA
Lusambili, A., Naanyu, V., Manda, G., Mossman, L., Wisofschi, S., Pell, R., … Temmerman, M. (2020). Nutritional influences on the health of women and children in Cabo Delgado, Mozambique : a qualitative study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 17(17). https://doi.org/10.3390/ijerph17176205
Chicago author-date
Lusambili, Adelaide, Violet Naanyu, Gibson Manda, Lindsay Mossman, Stefania Wisofschi, Rachel Pell, Sofia Jadavji, Jerim Obure, and Marleen Temmerman. 2020. “Nutritional Influences on the Health of Women and Children in Cabo Delgado, Mozambique : A Qualitative Study.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 17 (17). https://doi.org/10.3390/ijerph17176205.
Chicago author-date (all authors)
Lusambili, Adelaide, Violet Naanyu, Gibson Manda, Lindsay Mossman, Stefania Wisofschi, Rachel Pell, Sofia Jadavji, Jerim Obure, and Marleen Temmerman. 2020. “Nutritional Influences on the Health of Women and Children in Cabo Delgado, Mozambique : A Qualitative Study.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 17 (17). doi:10.3390/ijerph17176205.
Vancouver
1.
Lusambili A, Naanyu V, Manda G, Mossman L, Wisofschi S, Pell R, et al. Nutritional influences on the health of women and children in Cabo Delgado, Mozambique : a qualitative study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. 2020;17(17).
IEEE
[1]
A. Lusambili et al., “Nutritional influences on the health of women and children in Cabo Delgado, Mozambique : a qualitative study,” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol. 17, no. 17, 2020.
@article{8675899,
  abstract     = {In 2017, the Government of Mozambique declared localized acute malnutrition crises in a range of districts across Mozambique including Cabo Delgado. This is in spite of intensive efforts by different non-governmental organizations (NGO) and the Government of Mozambique to expand access to information on good nutritional practices as well as promote nutrition-specific interventions, such as cooking demonstrations, home gardens and the distribution of micronutrient powder to children. This paper examines and discusses key nutritional influences on the health of pregnant and breastfeeding mothers in Cabo Delgado province, Mozambique. We conducted 21 key informant interviews (KIIs) with a wide range of stakeholders and 16 in-depth interviews (IDIs) with women. In addition, we conducted four focus group discussions with each of the following groups: (1) pregnant adolescent girls, (2) pregnant women >20 yrs, (3) women >20 yrs with babies <6 mths who were not practicing exclusive breastfeeding, (4) women >20 yrs of children <2 yrs and (5) with fathers of children <2 yrs. Data were analyzed thematically using NVIVO software. There is no single widely held influence on pregnant and breast-feeding women’s nutritional decision-making, choices and food consumption. Rather, variables such as social-cultural, environmental, economic, gender, knowledge and information intersect in their roles in nutritional food choices.},
  articleno    = {6205},
  author       = {Lusambili, Adelaide and Naanyu, Violet and Manda, Gibson and Mossman, Lindsay and Wisofschi, Stefania and Pell, Rachel and Jadavji, Sofia and Obure, Jerim and Temmerman, Marleen},
  issn         = {1660-4601},
  journal      = {INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH},
  keywords     = {mothers,women,breastfeeding,infants,children,malnutrition,undernutrition,stunting,Mozambique,MATERNAL NUTRITION,UNDERNUTRITION,MALNUTRITION},
  language     = {eng},
  number       = {17},
  pages        = {27},
  title        = {Nutritional influences on the health of women and children in Cabo Delgado, Mozambique : a qualitative study},
  url          = {http://dx.doi.org/10.3390/ijerph17176205},
  volume       = {17},
  year         = {2020},
}

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