scholarly journals Factors influencing dietary practices in a transitioning food environment: a cross-sectional exploration of four dietary typologies among rural and urban Ugandan women using Photovoice

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Carolyn I. Auma ◽  
Rebecca Pradeilles ◽  
Megan K. Blake ◽  
David Musoke ◽  
Michelle Holdsworth

Abstract Background Healthy and sustainable dietary practices offer a possible solution to competing tensions between health and environmental sustainability, particularly as global food systems transition. To encourage such dietary practices, it is imperative to understand existing dietary practices and factors influencing these dietary practices. The aim of this study was to identify multi-level factors in lived rural and urban Ugandan food environments that influence existing dietary practices among women of reproductive age (WRA). Methods A mixed methods study was conducted. Multiple correspondence analysis followed by hierarchical cluster analysis were performed on dietary data collected among a sample (n = 73) of Ugandan WRA in Kampala (urban) and Wakiso (rural) districts to elicit dietary clusters. Dietary clusters, which were labelled as dietary typologies based on environmental impact and nutrition transition considerations, were reflective of dietary practices. Following this, a smaller sample of WRA (n = 18) participated in a Photovoice exercise and in-depth interviews to identify factors in their social, physical, socio-cultural and macro-level environments influencing their enactment of the identified dietary typologies, and therefore dietary practices. Results Four dietary typologies emerged: ‘urban, low-impact, early-stage transitioners’, ‘urban, medium-impact, mid-stage transitioners’, ‘rural, low-impact, early-stage transitioners’ and ‘rural, low-impact, traditionalists’. Although experienced somewhat differently, the physical environment (access, availability and cost), social networks (parents, other family members and friends) and socio-cultural environment (dietary norms) were cross-cutting influences among both urban and rural dietary typologies. Seasonality (macro-environment) directly influenced consumption of healthier and lower environmental impact, plant-based foods among the two rural dietary typology participants, while seasonality and transportation intersected to influence consumption of healthier and lower environmental impact, plant-based foods among participants in the two urban dietary typologies. Conclusion Participants displayed a range of dietary typologies, and therefore dietary practices. Family provides an avenue through which interventions aimed at encouraging healthier and lower environmental impact dietary practices can be targeted. Home gardens, urban farming and improved transportation could address challenges in availability and access to healthier, lower environmental impact plant-based foods among urban WRA.

Author(s):  
Rema V. Nair ◽  
Raja Preethi ◽  
M. Vijayalekshmi

Background: Vaginal discharge in reproductive age poses a serious problem in the developing countries. Bacterial vaginosis also known as non-specific vaginitis is the most common cause of vaginal infections, detecting the organism at an early stage and initiating a proper treatment is very difficult in our country due to lack of awareness and proper follow-up. The disease manifests in the form of vaginal discharge with or without itching. It has a strong association with preterm labor, preterm premature rupture of membranes and low birth weight in pregnancy. The objective of this study was to find out the prevalence of bacterial vaginosis among the reproductive age group women, in a tertiary care centre.Methods: A cross sectional study was conducted among 150 women of the reproductive age group in the department of obstetrics and gynaecology Sree Mookambika Institute of Medical Sciences over a period of one month October 2018 the diagnosis was made with history and nugents scoring system.Results: Out of the total 150 women enrolled in the study 74 had positive results, 50% of them were of the age group 26-30.Conclusions: The study shows us the high prevalence of bacterial vaginosis.


2019 ◽  
Author(s):  
Grace Waweru ◽  
Peter Chege ◽  
Eunice Njogu

Abstract Background The rapid changes in eating habits and lifestyles in Kenya have resulted to the overweight/obesity transition. Students are likely to make poor food choices which may affect their nutrition status during the beginning of college and this may continue throughout their life. This study aimed to establish the dietary practices, assess nutrition status based on body mass index and the relationship between selected dietary practices and nutrition status of female undergraduate students at Kenyatta University, Kenya. Methods The study adopted a cross-sectional analytical design involving sample of 422 female undergraduate students randomly selected from Kenyatta University. Food Frequency Questionnaire and the Minimum Dietary Diversity – Women were used to assess dietary practices. Weight and height were measured to assess the nutrition status of the female students. Results The results showed that 64.0% of the participants had consumed ≥ 5 food groups while 36% had consumed <5 food groups over a period of 24 hours. In terms of nutrition status, 68.4% of the participants had normal BMI while 23.9% were overweight, 5.55% were underweight and 2.3% were obese. MDDS-W was significantly associated with nutrition status (p=0.044). Conclusion The results illustrated unhealthy eating habits and sub-optimal nutrition status among a significant number of the female students. Policy makers should scale up interventions that would help improve dietary practices of women of reproductive age particularly university students.


2019 ◽  
Author(s):  
Abdinasir Abdullahi Jama ◽  
Ayodele O Arowojolu ◽  
IkeOluwapo O Ajay

Abstract Background: Homebirth (home delivery) is a birth that takes place in a residence rather than in a hospital or a birth center. Aims: The aim of the study is to determine factors influencing obstetric home delivery and the outcomes among women of reproductive age in Dusmareb district, Somalia. Methods: The study was used a descriptive cross-sectional study in Dusamreb district of Somalia with both qualitative and quantitative techniques of data collections and random technique was used to select 228 women of reproductive age. Well-structured questionnaires were administered by the interviewer to participants who gave their consent and also two focus group discussion sessions were conducted with discussion guides. Data were analysed using the Statistical Package for Social Sciences version 20.0. Descriptive , and Inferential statistics were used to test association, with the level of significance set at 5%. Results: The findings of this study show that 41% have had at least one child delivery at home. The mean age of the respondents was 32.9 ± 8.1 years; 15(6.6%) had tertiary education and Women with 4 – 6 children were four times more likely to have a home delivery (OR = 3.65, p = 0.002), Women with employment were 59% less likely to have a home delivery (OR = 0.41, p = 0.009); the study also found as outcome of home delivery that 22% of the women reported their baby was not okay and have taken to hospital, while 41(73.2%) reported the child died within 28 days following delivery while 24 (42.8%), women experienced prolonged labour during their last delivery at home.in the focus group discussion the women reported that there is poor communication relationship between the mothers and health staff. Conclusion: the study is highly recommended the government to create employment for the women,also the hospital directors were recommended to monitor the relationship between the care giver and the pregnant mother.


Author(s):  
Dasari Gayathry ◽  
Anil Moluguri ◽  
Sachin Gurnule ◽  
Chandra Sekhar ◽  
Visweswara Rao Guthi

Background: Family planning in which the major component is use of contraceptive methods is a key constituent of health services. The growing use of contraception around the world has given couples the ability to have child as they wish and has tremendous life-saving benefits. Therefore, the current study was conducted to assess the family planning practice among the couples of reproductive age group in the field practice areas.Methods: A cross - sectional study was conducted during February 2013-January 2014 among the couples residing in the field practice study areas. A semi-structured questionnaire regarding practices towards family planning was administered to 406 couples of the study area.Results: It has been observed that about, 250 (61.6%) couples were practicing contraception, while 156 (38.4%) were not practicing any method. There was no statistically significant difference observed between the family planning practices of couples in rural and urban area (p=0.54).Conclusions: The study revealed that most of the couples were practicing at least one family planning method with marginal difference in urban and rural area. Among those who were practicing, most common method was tubectomy followed by vasectomy, OCPs and IUDs and most of them were satisfied regarding the adopted method. Sustained efforts on dissemination of information, providing education and increasing communication with couple in reproductive ages and improved family welfare service along with regular availability of contraceptive level would also help in improving adoption and use of family planning measures.


Author(s):  
Steven Y. Yu ◽  
Hong-Chao Zhang ◽  
Atila Ertas

Abstract Industrial companies are facing more pressure to improve the recyclability performance of their new designed products. The concept of Environmental Conscious Design (ECD) has been adopted to assist more concerning about the environmental impact of the products at the early stage of designing. This new trend requires that the design strategy should be modified to integrate environmental constraints. This paper develops an Environmental Design Support Tool (EDST) to help designers improve their product in aspect of the environment. The proposed EDST is capable of evaluating the new designed product in terms of environmental sustainability, i.e., material selection, recyclability evaluation, and disassemblability analyses.


2019 ◽  
Author(s):  
Grace Waweru ◽  
Peter Chege ◽  
Eunice Njogu

Abstract Background The rapid changes in eating habits and lifestyles in Kenya have resulted to the overweight/obesity transition. Students are likely to make poor food choices which may affect their nutrition status during the beginning of college and this may continue throughout their life. This study aimed to establish the dietary practices, assess nutrition status based on body mass index and the relationship between selected dietary practices and nutrition status of female undergraduate students at Kenyatta University, Kenya.Method s: The study adopted a cross-sectional analytical design involving sample of 422 female undergraduate students randomly selected from Kenyatta University. Food Frequency Questionnaire and the Minimum Dietary Diversity – Women were used to assess dietary practices. Weight and height were measured to assess the nutrition status of the female students.Results The results showed that 64.0% of the participants had consumed ≥ 5 food groups while 36% had consumed <5 food groups over a period of 24 hours. In terms of nutrition status, 68.4% of the participants had normal BMI while 23.9% were overweight, 5.55% were underweight and 2.3% were obese MDDS-W was significantly associated with nutrition status (p=0.044).Conclusion The results illustrated unhealthy eating habits and sub-optimal nutrition status among a significant number of the female students. Policy makers should scale up interventions that would help improve dietary practices of women of reproductive age particularly university students.


Author(s):  
Nabeel Ahmed Gadi ◽  
Randhir Kumar ◽  
Anmol Goyal

Background: Preference for male child is well known phenomenon from ages. Sex ratio is an important social indicator measuring extent of prevailing equity between males and females in society. Changes in sex ratio reflect underlying socioeconomic, cultural patterns of a society. The situation has seemed to have gone out of hand in North India. The objectives of the study were to determine the factors influencing the gender preference of a child among women in reproductive age group; to assess the knowledge and practice about female feticide and pre-natal sex determination among them.Methods: A community based cross-sectional study was conducted by interviewing married women of reproductive age group (15-49 years) attending general OPD and antenatal clinics in rural and urban health centers which are the field practice area of MMIMSR Mullana, Ambala district, Haryana. Data was analyzed using SPSS 21.0.Results: Out of 400 women, 353 participated in the study. Preference towards male child was observed among 47% of women while only 14.2% preferred female child and 38.8% don’t state any specific preference. Literacy level and type of family significantly influenced gender preference among women p=0.0007 and p<0.0001 respectively.Conclusions: Female feticide is still in practice in spite of awareness programs and existing law. There is a dire need to gear up the efforts against this social malady of son preference by intensive IEC campaigns about rules forbidding pre-natal sex determination and strict implementation of PC-PNDT Act especially in rural areas.


2021 ◽  
Vol 17 ◽  
Author(s):  
Kalpna Kulshrestha ◽  
Debbarma Sukla ◽  
Kalpana Verma

Background: India is the second-most populous country in the world. Appropriate knowledge and usage of contraception are important. Objective: This cross-sectional observational study was done to assess the awareness and usage of different methods of contraception among women of reproductive age group. Material and methods: Six hundred women between age groups of 18-45 years, attending Gynae OPD at SIMS, Hapur were interviewed with the help of a predesigned questionnaire from May 2019 to January 2020. Women having medical disorders were excluded. Results: Among 600 women, 52.5% were between 21 to 30 years of age. 81.2% had parity equal to or more than two. 86% of women were of rural origin & 66.5% belonged to the Muslim community. 85.3% women were aware of barrier contraception, 81% were aware of natural methods, 47.7% knew about IUCD & 57.5% were aware of OCP’s. 78.2% were aware of permanent methods of family planning. 96.3% of women were aware of at least one method of contraception. Only 37.4% of women were using contraception. There was a statistical difference among the rural and urban populations for awareness and usage of contraception. Conclusion: Despite awareness of contraception, in our study population, the acceptance of contraception was low, in comparison to many studies. Fear of side effects is the most common reason for less usage.


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