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DOI10.1186/s12887-023-04517-w
Too hot to thrive: a qualitative inquiry of community perspectives on the effect of high ambient temperature on postpartum women and neonates in Kilifi, Kenya
发表日期2024
EISSN1471-2431
起始页码24
结束页码1
卷号24期号:1
英文摘要ObjectiveTo understand community perspectives on the effects of high ambient temperature on the health and wellbeing of neonates, and impacts on post-partum women and infant care in Kilifi.DesignQualitative study using key informant interviews, in-depth interviews and focus group discussions with pregnant and postpartum women (n = 22), mothers-in-law (n = 19), male spouses (n = 20), community health volunteers (CHVs) (n = 22) and stakeholders from health and government ministries (n = 16).SettingsWe conducted our research in Kilifi County in Kenya's Coast Province. The area is largely rural and during summer, air temperatures can reach 37C and rarely go below 23C.Data analysisData were analyzed in NVivo 12, using both inductive and deductive approaches.ResultsHigh ambient temperature is perceived by community members to have direct and indirect health pathways in pregnancy and postpartum periods, including on the neonates. The direct impacts include injuries on the neonate's skin and in the mouth, leading to discomfort and affecting breastfeeding and sleeping. Participants described babies as having no peace. Heat effects were perceived to be amplified by indoor air pollution and heat from indoor cooking fires. Community members believed that exclusive breastfeeding was not practical in conditions of extreme heat because it lowered breast milk production, which was, in turn, linked to a low scarcity of food and time spend by mothers away from their neonates performing household chores. Kangaroo Mother Care (KMC) was also negatively affected. Participants reported that postpartum women took longer to heal in the heat, were exhausted most of the time and tended not to attend postnatal care.ConclusionsHigh ambient temperatures affect postpartum women and their neonates through direct and indirect pathways. Discomfort makes it difficult for the mother to care for the baby. Multi-sectoral policies and programs are required to mitigate the negative impacts of high ambient temperatures on maternal and neonatal health in rural Kilifi and similar settings.
英文关键词Heat; Neonates; Kenya; Exclusive breastfeeding; Climate change; Maternal health; Infant care
语种英语
WOS研究方向Pediatrics
WOS类目Pediatrics
WOS记录号WOS:001142766900002
来源期刊BMC PEDIATRICS
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/291111
作者单位University of London; London School of Hygiene & Tropical Medicine; University of Oslo; University of London; London School of Hygiene & Tropical Medicine; Aga Khan University; Karolinska Institutet; University of London; London School of Hygiene & Tropical Medicine; Liverpool School of Tropical Medicine; University of Witwatersrand; University of Washington; University of Washington Seattle; University of Washington; University of Washington Seattle
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GB/T 7714
. Too hot to thrive: a qualitative inquiry of community perspectives on the effect of high ambient temperature on postpartum women and neonates in Kilifi, Kenya[J],2024,24(1).
APA (2024).Too hot to thrive: a qualitative inquiry of community perspectives on the effect of high ambient temperature on postpartum women and neonates in Kilifi, Kenya.BMC PEDIATRICS,24(1).
MLA "Too hot to thrive: a qualitative inquiry of community perspectives on the effect of high ambient temperature on postpartum women and neonates in Kilifi, Kenya".BMC PEDIATRICS 24.1(2024).
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