Journal article
Designing a Food Hygiene Intervention in Low-Income, Peri-Urban Context of Kisumu, Kenya: Application of the Trials of Improved Practices Methodology
The American journal of tropical medicine and hygiene, Vol.102(5), pp.1116-1123
05/2020
DOI: 10.4269/ajtmh.19-0629
PMCID: PMC7204591
PMID: 32157996
Abstract
Food contamination during weaning and complementary feeding can result in high diarrheal incidence among infants. Caregiver practices are important determinants of exposure to foodborne pathogens, and can therefore play a role in reduction in infant food contamination. Through a qualitative approach, we used the Trials of Improved Practices methodology to design a food hygiene intervention in a low-income settlement of Kisumu city in Kenya. These settlements in Kisumu city host a large portion of the city's population and are faced with a high diarrheal disease burden. Caregivers were selected if they had a child aged 6-9 months, and together, we codesigned a combination of hardware and messaging components targeting handwashing with soap, hygienic feeding, reheating, and hygienic storage of infant food. Caregivers received up to six engagement visits with the research team. The visits were aimed at improving the designed hardware and messaging components. Results showed that feeding items were easily adopted by caregivers, whereas reheating of food was less observed. Households reportedly improved their food storage and handwashing practices. As a result, the hardware components were further refined and tested among the caregivers. Messaging components spurred the aspirations that caregivers had for their children and acted as reminders of practicing good food hygiene. The outcomes of the codesign process provided valuable insights on the knowledge of caregivers, a delivery approach for implementing the intervention, and further informed a subsequent trial that adopted the designed intervention to target early childhood exposure to enteric pathogens through contaminated food.
Details
- Title: Subtitle
- Designing a Food Hygiene Intervention in Low-Income, Peri-Urban Context of Kisumu, Kenya: Application of the Trials of Improved Practices Methodology
- Creators
- Sheillah Simiyu - African Population and Health Research Center, Nairobi, KenyaAlexandra Czerniewska - Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United KingdomEvalyne R Aseyo - Great Lakes University of Kisumu, Kisumu, KenyaKelly K Baker - Department of Occupational and Environmental Health, University of Iowa, Iowa City, IowaOliver Cumming - Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United KingdomJane Awiti Odhiambo Mumma - Great Lakes University of Kisumu, Kisumu, KenyaRobert Dreibelbis - Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom
- Resource Type
- Journal article
- Publication Details
- The American journal of tropical medicine and hygiene, Vol.102(5), pp.1116-1123
- DOI
- 10.4269/ajtmh.19-0629
- PMID
- 32157996
- PMCID
- PMC7204591
- NLM abbreviation
- Am J Trop Med Hyg
- ISSN
- 0002-9637
- eISSN
- 1476-1645
- Publisher
- United States
- Grant note
- P30 ES005605 / NIEHS NIH HHS
- Language
- English
- Date published
- 05/2020
- Academic Unit
- Occupational and Environmental Health; Epidemiology
- Record Identifier
- 9984066342802771
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