Risk factors associated with feeding children under 2 years in rural Malawi – a formative study

Kondwani Chidziwisano, Elizabeth Tilley, Rossanie Malolo, Save Kumwenda, Janelisa Musaya, Tracy Morse

Research output: Contribution to journalArticle

Abstract

Diarrhoeal disease remains one of the leading causes of morbidity and mortality in the under-five population, particularly in low income settings such as sub-Saharan Africa. Despite significant progress in sanitation and water access, faecal-oral infections persist in these populations. Therefore, a better understanding of these transmission pathways, and how potential risk factors can be reduced within low income contexts is needed. This study, conducted in Southern Malawi from June to October 2017, used a mixed methods approach to collect data from household surveys (n = 323), checklists (n = 31), structured observations (n = 80), and microbiological food samples (n = 20). Results showed that food prepared for immediate consumption (primarily porridge for children) posed a low health risk. Poor hygiene practices increased the risk of contamination from shared family meals. Faecal and nosocomial bacteria were associated with poor hand hygiene and unhygienic eating conditions. Leftover food storage and inadequate pre-consumption heating increased the risk of contamination. Improvements in food hygiene and hand hygiene practices at critical points could reduce the risk of diarrhoeal disease for children under 2 years but must consider the contextual structural barriers to improved practice like access to handwashing facilities, soap, food and water storage.

LanguageEnglish
Article number2146
Number of pages21
JournalInternational Journal of Environmental Research and Public Health
Volume16
Issue number12
Early online date17 Jun 2019
DOIs
Publication statusE-pub ahead of print - 17 Jun 2019

Fingerprint

Malawi
Food Storage
Hand Hygiene
Hygiene
Food
Hand Disinfection
Soaps
Sanitation
Water
Africa South of the Sahara
Checklist
Heating
Population
Meals
Eating
Morbidity
Bacteria
Mortality
Health
Infection

Keywords

  • food hygiene
  • food safety
  • complementary foods
  • child feeding
  • Malawi

Cite this

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title = "Risk factors associated with feeding children under 2 years in rural Malawi – a formative study",
abstract = "Diarrhoeal disease remains one of the leading causes of morbidity and mortality in the under-five population, particularly in low income settings such as sub-Saharan Africa. Despite significant progress in sanitation and water access, faecal-oral infections persist in these populations. Therefore, a better understanding of these transmission pathways, and how potential risk factors can be reduced within low income contexts is needed. This study, conducted in Southern Malawi from June to October 2017, used a mixed methods approach to collect data from household surveys (n = 323), checklists (n = 31), structured observations (n = 80), and microbiological food samples (n = 20). Results showed that food prepared for immediate consumption (primarily porridge for children) posed a low health risk. Poor hygiene practices increased the risk of contamination from shared family meals. Faecal and nosocomial bacteria were associated with poor hand hygiene and unhygienic eating conditions. Leftover food storage and inadequate pre-consumption heating increased the risk of contamination. Improvements in food hygiene and hand hygiene practices at critical points could reduce the risk of diarrhoeal disease for children under 2 years but must consider the contextual structural barriers to improved practice like access to handwashing facilities, soap, food and water storage.",
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Risk factors associated with feeding children under 2 years in rural Malawi – a formative study. / Chidziwisano, Kondwani; Tilley, Elizabeth ; Malolo, Rossanie ; Kumwenda, Save; Musaya, Janelisa ; Morse, Tracy.

In: International Journal of Environmental Research and Public Health, Vol. 16, No. 12, 2146, 17.06.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Risk factors associated with feeding children under 2 years in rural Malawi – a formative study

AU - Chidziwisano, Kondwani

AU - Tilley, Elizabeth

AU - Malolo, Rossanie

AU - Kumwenda, Save

AU - Musaya, Janelisa

AU - Morse, Tracy

PY - 2019/6/17

Y1 - 2019/6/17

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AB - Diarrhoeal disease remains one of the leading causes of morbidity and mortality in the under-five population, particularly in low income settings such as sub-Saharan Africa. Despite significant progress in sanitation and water access, faecal-oral infections persist in these populations. Therefore, a better understanding of these transmission pathways, and how potential risk factors can be reduced within low income contexts is needed. This study, conducted in Southern Malawi from June to October 2017, used a mixed methods approach to collect data from household surveys (n = 323), checklists (n = 31), structured observations (n = 80), and microbiological food samples (n = 20). Results showed that food prepared for immediate consumption (primarily porridge for children) posed a low health risk. Poor hygiene practices increased the risk of contamination from shared family meals. Faecal and nosocomial bacteria were associated with poor hand hygiene and unhygienic eating conditions. Leftover food storage and inadequate pre-consumption heating increased the risk of contamination. Improvements in food hygiene and hand hygiene practices at critical points could reduce the risk of diarrhoeal disease for children under 2 years but must consider the contextual structural barriers to improved practice like access to handwashing facilities, soap, food and water storage.

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