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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.
Lusambili, Adelaide; Kovats, Sari; Nakstad, Britt; Filippi, Veronique; Khaemba, Peter; Roos, Nathalie; Part, Cherie; Luchters, Stanley; Chersich, Matthew; Hess, Jeremy; Kadio, Kadidiatou; Scorgie, Fiona.
Afiliación
  • Lusambili A; Environmental Health and Governance Center, Leadership and Governance Hub, School of Business, Africa International University, Nairobi, Kenya. adelaidelusambili@gmail.com.
  • Kovats S; Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK.
  • Nakstad B; Division of Pediatric and Adolescent Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
  • Filippi V; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
  • Khaemba P; Institute for Human Development, Aga Khan University, Nairobi, Kenya.
  • Roos N; Department of Medicine, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.
  • Part C; Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, UK.
  • Luchters S; Department of International Public Health, Liverpool School of Tropical Medicine (LSTM), Liverpool, UK.
  • Chersich M; Wits Reproductive Health and HIV Institute (Wits RHI), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
  • Hess J; Emergency Medicine, Env & Occ Health Sciences, and Global Health, University of Washington, Washington, USA.
  • Kadio K; Institute de Recherche en Siences de la Santé, Bobo-Dioulasso, Burkina Faso.
  • Scorgie F; Wits Reproductive Health and HIV Institute (Wits RHI), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
BMC Pediatr ; 24(1): 36, 2024 Jan 13.
Article en En | MEDLINE | ID: mdl-38216969
ABSTRACT

OBJECTIVE:

To 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.

DESIGN:

Qualitative 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). SETTINGS We conducted our research in Kilifi County in Kenya's Coast Province. The area is largely rural and during summer, air temperatures can reach 37˚C and rarely go below 23˚C. DATA

ANALYSIS:

Data were analyzed in NVivo 12, using both inductive and deductive approaches.

RESULTS:

High 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.

CONCLUSIONS:

High 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Método Madre-Canguro Tipo de estudio: Qualitative_research Límite: Child / Female / Humans / Infant / Male / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Kenia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Método Madre-Canguro Tipo de estudio: Qualitative_research Límite: Child / Female / Humans / Infant / Male / Newborn / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Pediatr Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Kenia Pais de publicación: Reino Unido