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Citation Information

Type Thesis or Dissertation - Master Thesis
Title A comparative study on caregiver’s nutritional knowledge, attitude, practices and child’s nutritional status: positive deviance approach
Author(s)
Publication (Day/Month/Year) 2016
URL http://digitool.library.mcgill.ca/webclient/StreamGate?folder_id=0&dvs=1503579900442~759&usePid1=tru​e&usePid2=true
Abstract
Caregiver’s nutritional knowledge, attitude and practices (KAP) and child nutritional status were compared within a project of the Kenya Agricultural Research Institute (KARI) and McGill University. This initiative focused on development of gender responsive technologies and innovations to increase agricultural productivity for the achievement of food, nutrition and income security. The food security sub-team conducted both baseline and end line studies aimed to determine the health and nutrition impacts of the project, which in the present study focused on determinants of weight-for-age for the children. The data collected involved 94 caregiverchild pairs from Makueni County of Eastern Province consisting of 62 from a treatment arm and 32 from the control arm of the larger Innovation for Resilience Farming study being conducted in this area. Of these, weight-for-age z-score was used to identify well-nourished caregiver-child pairs (Positive deviance (PD) = 48) and malnourished caregiver-child pairs (Non-positive deviance (NPD) = 38). Data on caregiver’s knowledge, attitude and practices were collected using a designed knowledge, attitude and practices questionnaire and a KAP score generated. Data from focus group discussions was collected as well as caregiver’s socio-demographic and child nutrition indicators (weight-for-age, weight-for-height and height-for-age). Bivariate analyses showed no significant difference between caregiver’s mean knowledge, attitude and practices score between positive deviance and non-positive deviance households (p>0.05). No association was observed between caregiver’s knowledge attitude and practice score with the following variables: child’s growth status i.e. weight-for-age, weight-for- height and height-forage, caregiver’s gender, caregiver’s marital status and caregiver’s level of income. A significant association was noted between caregiver’s level of education and caregiver’s knowledge, attitude and practice score.

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