PDF(Pubmed)
Abstract：
UNASSIGNED: To explore challenges with current nutrition education for teenage pregnant women in a drought-prone community in Kenya and to elicit the communities\' suggestions on how to best adapt it in the face of climate change.
UNASSIGNED: Nine serial focus group discussions (four with adolescents, two with their parents, two with community health volunteers and one with healthcare workers) were conducted on a purposively selected study population in Kaloleni, Kilifi County, Kenya. Data collection took place between March and November 2022, with a total of 73 participants. An inductive approach was used, and interpretive thematic coding was done as the primary analytic strategy to allow themes derived from participants\' reflections.
UNASSIGNED: First, participants reported that unpredictable rainfall patterns had affected nutrition intake and variety due to reduced yield from farmland, diseases in livestock and insufficient income. Second, participants reported barriers to accessing nutrition education, as it was mainly given in clinics and not targeted at adolescents or men. Third, they experienced challenges in applying nutrition education in daily life due to a mismatch between available foods and cultural practices. Recommendations for the future encompassed equipping individuals with practical cooking skills tailored to available nutrients, initiatives aimed at water conservation and addressing animal health concerns, enhancing accessibility through community-based training programmes and fostering collaborative efforts to ensure the provision of essential nutrients.
UNASSIGNED: Food choices in Kilifi County are getting more limited due to unpredicted rainfall patterns. Therefore, a reorientation of nutrition education is needed in order to build resilience in the community. Strengthening community action, including developing skills to increase long-term local support, would be needed to ensure the adequate nutrition status of vulnerable groups like pregnant adolescent women.
UNASSIGNED: Nine serial focus group discussions (four with adolescents, two with their parents, two with community health volunteers and one with healthcare workers) were conducted on a purposively selected study population in Kaloleni, Kilifi County, Kenya. Data collection took place between March and November 2022, with a total of 73 participants. An inductive approach was used, and interpretive thematic coding was done as the primary analytic strategy to allow themes derived from participants\' reflections.
UNASSIGNED: First, participants reported that unpredictable rainfall patterns had affected nutrition intake and variety due to reduced yield from farmland, diseases in livestock and insufficient income. Second, participants reported barriers to accessing nutrition education, as it was mainly given in clinics and not targeted at adolescents or men. Third, they experienced challenges in applying nutrition education in daily life due to a mismatch between available foods and cultural practices. Recommendations for the future encompassed equipping individuals with practical cooking skills tailored to available nutrients, initiatives aimed at water conservation and addressing animal health concerns, enhancing accessibility through community-based training programmes and fostering collaborative efforts to ensure the provision of essential nutrients.
UNASSIGNED: Food choices in Kilifi County are getting more limited due to unpredicted rainfall patterns. Therefore, a reorientation of nutrition education is needed in order to build resilience in the community. Strengthening community action, including developing skills to increase long-term local support, would be needed to ensure the adequate nutrition status of vulnerable groups like pregnant adolescent women.
摘要：
探讨肯尼亚一个干旱多发社区的青少年孕妇营养教育面临的挑战，并向社区提出如何在气候变化的情况下最好地适应营养教育的建议。
■九次连续焦点小组讨论(四次与青少年，两个人和他们的父母，两个与社区卫生志愿者一起，一个与医护人员一起）在Kaloleni的有目的地选择的研究人群中进行，基利菲县,肯尼亚。数据收集于2022年3月至11月进行，共有73名参与者。使用了归纳法，解释性主题编码是作为主要的分析策略，允许主题从参与者的反思中得出。
■首先，参与者报告说，由于农田产量下降，不可预测的降雨模式影响了营养摄入量和品种，牲畜疾病和收入不足。第二,参与者报告了获得营养教育的障碍，因为它主要在诊所提供，而不是针对青少年或男性。第三，由于现有食物和文化习俗之间的不匹配，他们在日常生活中应用营养教育方面遇到了挑战。未来的建议包括为个人提供适合现有营养素的实用烹饪技能，旨在节约用水和解决动物健康问题的举措，通过以社区为基础的培训方案提高可及性，并促进合作努力，以确保提供基本营养。
■由于无法预测的降雨模式，基利菲县的食物选择越来越有限。因此,需要重新调整营养教育的方向，以建立社区的复原力。加强社区行动，包括发展技能以增加当地的长期支持，将需要确保怀孕的青少年妇女等弱势群体的充分营养状况。
■九次连续焦点小组讨论(四次与青少年，两个人和他们的父母，两个与社区卫生志愿者一起，一个与医护人员一起）在Kaloleni的有目的地选择的研究人群中进行，基利菲县,肯尼亚。数据收集于2022年3月至11月进行，共有73名参与者。使用了归纳法，解释性主题编码是作为主要的分析策略，允许主题从参与者的反思中得出。
■首先，参与者报告说，由于农田产量下降，不可预测的降雨模式影响了营养摄入量和品种，牲畜疾病和收入不足。第二,参与者报告了获得营养教育的障碍，因为它主要在诊所提供，而不是针对青少年或男性。第三，由于现有食物和文化习俗之间的不匹配，他们在日常生活中应用营养教育方面遇到了挑战。未来的建议包括为个人提供适合现有营养素的实用烹饪技能，旨在节约用水和解决动物健康问题的举措，通过以社区为基础的培训方案提高可及性，并促进合作努力，以确保提供基本营养。
■由于无法预测的降雨模式，基利菲县的食物选择越来越有限。因此,需要重新调整营养教育的方向，以建立社区的复原力。加强社区行动，包括发展技能以增加当地的长期支持，将需要确保怀孕的青少年妇女等弱势群体的充分营养状况。
