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other·pediatrics, public health, nutrition, epidemiology, family medicine·PMC10641654

Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal

Public Health Nutrition · 12 authors, 9 centres

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TL;DR

This exploratory case study used a two-step qualitative approach with 11 local stakeholder groups in Senegal to identify community-specific contextual factors influencing child stunting. The method, combining a shared-values workshop with focus group discussions, revealed interlinked factors such as traditional beliefs, gender roles, health worker trust, and resource access.

Full summary

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This exploratory case study employed a novel two-step qualitative approach in Kaffrine, Senegal. First, the WeValue_InSitu (WVIS) method was used with 11 local stakeholder groups (n=44 participants total) to crystallize their shared values. This was followed by specialized focus group discussions (FGD) on child feeding, food systems, education, and family life. The study identified several local contextual factors linked to stunting, including traditional beliefs about eating and growing, fathers as household decision-makers, trust in health workers, women's financial non-autonomy, insufficient water for preferred crops, merchants' limited access to quality produce, and the influence of religious teachings and social structures on children's food environment. The approach aimed to provide rich, culturally grounded data to inform more effective intervention designs.

STUDY TYPE

other

SPECIALTY

pediatrics

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10641654

Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal

Public Health Nutrition

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ABSTRACT

Objective: This work aims to demonstrate an original approach to identify links between locally situated shared values and contextual factors of stunting. Stunting results from multi-factorial and multi-sectoral determinants, but interventions typically neglect locally situated lived experiences, which contributes to problematic designs that are not meaningful for those concerned and/or relatively ineffective. Design: This case study investigates relevant contextual factors in two steps: by first facilitating local stakeholder groups ( n 11) to crystallise their shared-values-in-action using a specialised method from sustainability studies (WeValue_InSitu (WVIS)). Secondly , participants ( n 44) have focus group discussions (FGD) about everyday practices around child feeding/food systems, education and/or family life. Because the first step strongly grounds participants in local shared values, the FGD can reveal deep links between contextual factors and potential influences on stunting. Setting: Kaffrine, Senegal, an ‘Action Against Stunting Hub’ site. December 2020. Participants: Eleven stakeholder groups of mothers, fathers, grandmothers, pre-school teachers, community health workers, farmers, market traders and public administrators. Results: Local contextual factors of stunting were identified, including traditional beliefs concerning eating and growing practices; fathers as decision-makers; health worker trust; financial non-autonomy for women; insufficient water for preferred crops; merchants’ non-access to quality produce; religious teachings and social structures affecting children’s food environment. Conclusions: Local contextual factors were identified. Pre-knowledge of these could significantly improve effectiveness of intervention designs locally, with possible applicability at other sites. The WVIS approach proved efficient and useful for making tangible contextual factors and their potential links to stunting, via a lens of local shared values, showing general promise for intervention research.

CITATION EXPORT

Juan Manuel Moreno, Annabel J Chapman, Chike C Ebido et al.. Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal. Public Health Nutrition. (2023). https://doi.org/10.1017/S1368980023001088

AUTHORS

12 · 9 CENTRES

Juan Manuel Moreno, Annabel J Chapman, Chike C Ebido, Ndèye Marième Sougou, Amadou H Diallo, Rahel Neh Tening, Fatou Binetou Dial, Jessica Massonnié, Mahsa Firoozmand, Cheikh El Hadji Abdoulaye Niang, Claire Heffernan, Marie K Harder

1Values and Sustainability Research Group, School of Architecture, Technology and Engineering, University of Brighton, Brighton BN2 4GJ, UK
2Department of Environmental Science and Engineering, Fudan University, Shanghai, People’s Republic of China
3Department of Zoology and Environmental Biology, University of Nigeria, Nsukka, Nigeria
4Preventive Medicine and Public Health, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
5International Research Laboratory (IRL 3189), Environnement santé et sociétés/CNRS /UCAD, Dakar, Senegal
6Laboratory of Cultural Anthropology, IFAN, Université Cheikh Anta Diop (UCAD), Dakar, Senegal
7Department of Psychology and Human Development, University College London, Institute of Education, London, UK
8Faculty of Humanities and Social Sciences, School of Education, Languages and Linguistics, University of Portsmouth, Portsmouth, UK
9London International Development Centre, London, UK