Parental Food Beliefs on Pre-School-Aged Children in Kaski District of Nepal: A Qualitative Review
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2020,
Vol. 7 No. 01 > Parental Food Beliefs on Pre-School-Aged Children in Kaski District of Nepal: A Qualitative Review
Published: October 14, 2020
Authors
Jib Acharya, E V Teijlingen, J Murphy, B Ellahi
Keywords
Malnutrition, Knowledge, Taboos, Culture, Poverty, South Asia
Abstract
Background: This study explores food beliefs among poor mothers related to feeding their offspring. Mothers’ misconception of a healthy diet is one of the major causes of nutritional problems in preschool-aged children in Nepal and these beliefs and attitudes can result in the inappropriate feeding of young children.
Objectives: The main objectives of this study were:
- identify major barriers for recommending healthy food that are associated with existing cultures, religions and ethnic divisions;
- assess the knowledge, attitudes, and beliefs about nutritious food amongst mothers;
- assess health-seeking behaviour for children of low socio-economic status.
Methods: Study used a qualitative focus group discussion. Fifty participants took part in seven focus groups to explore their food beliefs. The qualitative focus groups aimed to collect in-depth information around food beliefs and data were thematically analysed.
Results: The study identified six key themes: (a) poverty; (b) knowledge; (c) policy; (d) beliefs about breastfeeding; (e) food beliefs: and (f) health-seeking behaviours/cultural influences. Many participants thought that illiterate and underserved populations are generally exposed due to financial scarcity, poor knowledge and strongly rooted in cultural practices, and beliefs. This study found ‘diversified views’ as a major barrier to food and health-seeking behaviours. Some groups recognised the negative effects of existing beliefs and taboos. However, the spiritual healers highlighted the importance of linking beliefs with cultural and religious norms and values. They showed the complex relationships between food and health-seeking behaviours and food recommendations with financial status and the perceived cultural practices of society.
Conclusions: This study suggests that a public health approach is needed to address nutrition problems associated with behaviour and revealed major barriers which were associated with poverty, resources, and mothers’ education level.
References
- Acharya, O., Zotor, F., Chaudhary, P., Deepak, K., Amuna, P., & Ellahi, B. (2016). Maternal Nutritional Status, Food Intake and Pregnancy Weight Gain in Nepal. Journal of Health Management, 18(1), 1-12. https://doi.org/10.1177/0972063415625537
- Acharya, J., Teijlingen, E., Murphy, J., & Hind, M. (2015). A Comparative Study on Nutritional Problems in Preschool Aged Children of Nepal. European Journal of Nutrition & Food Safety, 5(5), 389-389. https://doi.org/10.9734/ejnfs/2015/20873
- Acharya, J., Van Teijlingen, E., Hind, M., & Murphy, J. (2017). Food belief practices amongst rural and urban mothers in Nepal: A qualitative overview. In: BNAC 15th Nepal Study Days, 12-13 April 2017, EBC Bournemouth University. Retrieved on September 27, 2018 from http://eprints.bournemouth.ac.uk/28834/
- Acharya, B. (2013). Food Belief And Practices During Postoperative Period Among Post-Operative Patient. https://fdocuments.in/document/food-belief-and-practices-during-postoperative-period-among-post-operative-patient-by-binita-acharya-2013-bn.html
- Adhikari, D. (2013, August 09). Malnutrition is Alarmingly High in Nepal. Spotlight. Retrieved from https://www.spotlightnepal.com/News/Article/nepal-malnutrition-high
- Adhikari, R. (2010). Food Utilization Practices, Beliefs and Taboos in Nepal (No. 10-01-367). https://pdf.usaid.gov/pdf_docs/pnaeb772.pdf
- Azugbene, E. (2017). Maternal Health Literacy and Maternal and Child Health Outcomes: A Review of the Literature. Annals of Global Health, 83(1), 94. https://doi.org/10.1016/j.aogh.2017.03.208
- Bista, K.P., Karki, Y., & Thapa, K. (2010). Myths and Misconceptions about Abortion Among Marginalized Underserved Community. Journal of Nepal Medical Association, 48(176), 276-280. https://doi.org/10.31729/jnma.353
- BizaZepro, N. (2015). Food Taboos and Misconceptions Among Pregnant Women of Shashemene District, Ethiopia, 2012. Science Journal of Public Health, 3(3), 410-416. https://doi.org/10.11648/j.sjph.20150303.27
- Bowling, A. (2014). Research methods in health: investigating health and health services (4th edition). Open University Press.
- Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
- Christian, P., Srihari, S.B., Thorne-Lyman, A., Khatry, S., LeClerq, S., & Shrestha, S.R. (2006). Eating Downin Pregnancy: Exploring Food-Related Beliefs and Practices of Pregnancy in Rural Nepal. Ecology of Food and Nutrition, 45(4), 253-278. https://doi.org/10.1080/03670240600846336
- Devkota, M.D., Uprety, A., Subedi, N., & Poudel, R. (2012). Identification of gaps and priority interventions for maternal nutrition in Nepal: A review child health division.¬ Kathmandu, Ministry of Health and Population and World Health Organization. https://dohs.gov.np/wp-content/uploads/chd/Nutrition/Maternal_Nutrition_Review_Report_23_March_2012.pdf.
- Ellahi, B. (2014). Dietary intake patterns of south Asian men attending mosques in Burnley UK. Webmadecentral Biology, 5(10): WMC004721. https://doi.org/10.9754/journal.wmc.2014.004721
- Fieldhouse, P. (1995). Customs and Culture (2nd edition). London: Chapman & Hall.
- HKI (2014). Helping Families Grow Better Food: Improving Nutrition. http://www.hki.org/our-work/improving-nutrition/helping-families-grow-better-food
- Horton, R. (2008). Maternal and child under nutrition: an urgent opportunity. The Lancet, 371(9608), 179. https://doi.org/10.1016/s0140-6736(07)61869-8
- Hunter, M., & Shaw, C. (1989). Nutrition and the elderly. Nursing Standard, 4(2), 38-40. https://doi.org/10.7748/ns.4.2.38.s38
- Joshi, S.K., Barakoti, B., & Lamsal, S. (2012). Colostrum Feeding: Knowledge, Attitude and Practice in Pregnant Women in a Teaching Hospital in Nepal. Webmedcentral Medical Education, 3(8): WMC003601. https://doi.org/10.9754/journal.wmc.2012.003601
- Karkee, R., Lee, A., Khanal, V., & Binns, C. (2014). Infant feeding information, attitudes, and practices: a longitudinal survey in central Nepal. International Breastfeeding Journal, 9(1), 14. https://doi.org/10.1186/1746-4358-9-14
- Karkee, R., Lee, A.H., & Binns, C.W. (2013). Why Women do not Utilize Maternity Services in Nepal: A Literature review. WHO South-East Asian Journal of Public Health, 2(3-4), 135-141.
- Lindeman, M., Keskivaara, P., & Roschier, M. (2000). Assessment of Magical Beliefs about Food and Health. Journal of Health Psychology, 5(2), 195-209. https://doi.org/10.1177/135910530000500210
- Lobstein, T., & Davies, S. (2008). Defining and labelling ‘healthy’ and ’unhealthy’ food. Public Health Nutrition, 12(3), 331-340. https://doi.org/10.1017/S1368980008002541
- Meyer-Rochow, V.B. (2009). Food taboos: their origins and purposes. Journal of Ethnobiology and Ethnomedicine, 5(1), 18. https://doi.org/10.1186/1746-4269-5-18
- MoHP, New Era, ICF. (2017). Nepal Demographic And Health Survey 2016: Key Indicators. Kathmandu, Nepal: Ministry of Health.
- Mishra, V.K., & Retherford, R.D. (2000). Women’s education can improve child nutrition in India. Mumbai, India: International Institute for Population Sciences and Honolulu: East-West Center. https://scholarspace.manoa.hawaii.edu/handle/10125/3468
- Government of India (1995). National Plan for Action on Nutrition. Food and Nutrition Board and Ministry of Women & Child Development. http://www.nipccd-earchive.wcd.nic.in/sites/default/files/PDF/National%20Plan%20of%20Action%20on%20nutrition%20-1995.pdf
- Najar, N., & Sharma, B. (2015, July 28). 11 arrested following ‘human sacrifice’ in Nepal. The Hindu. https://www.thehindu.com/news/international/11-arrested-following-human-sacrifice-in-nepal/article7471410.ece.
- Government of Nepal (2012). National Population and Housing Census 2011. Government of Nepal: National Planning Commission. https://unstats.un.org/unsD/demographic/sources/census/wphc/Nepal/Nepal-Census-2011-Vol1.pdf
- Odent, P.L.G. (2011). Early infant feeding and neonatal survival in Nepal: breastfeeding, colostrum, and discarding of the first milk. Doctoral Thesis, UCL (University College London). https://discovery.ucl.ac.uk/id/eprint/1310430/
- Onta, S. (2003). Knowledge, practice, and coverage final survey in Kanchanpur district Nepal. https://pdf.usaid.gov/pdf_docs/Pnadc698.pdf
- Pokharel, R.K., Houston, R., Harvey, P., Bishwakarma, R., Adhikari, J., Pant, K.D., & Gartoulla, R. (2009). Nepal nutrition assessment and gap analysis. Kathmandu: MOHP. https://pdf.usaid.gov/pdf_docs/pnaea792.pdf
- Pool, R. (1987). Hot and cold as an explanatory model: The example of Bharuch district in Gujarat, India. Social Science & Medicine, 25(4), 389-399. https://doi.org/10.1016/0277-9536(87)90277-2
- Pokharel, R.K., Houston, R., Harvey, P., Bishwakarma, R., Adhikari, J., Pant, K.D., & Gartoulla, R. (2013). Nepal Nutrition Assessment And Gap Analysis Final Report Nutrition Assessment Team. Kathmandu, Nepal: Child Health Division, MOHP.
- Sah, N. (2005). Determinants of child malnutrition in Nepal: A case analysis from Dhanusha, central Terai of Nepal. Journal of Nepal Health Research Council, 2(2), 50-55.
- Shakya, M. (2006). Traditional Food and Health Beliefs. Education and Development, 2006(Special Issue), 58-68.
- Sibeko, L., Dhansay, M.A., Charlton, K.E., Johns, T., & Gray-Donald, K. (2005). Beliefs, Attitudes, and Practices of Breastfeeding Mothers From a Periurban Community in South Africa. Journal of Human Lactation, 21(1), 31-38. https://doi.org/10.1177/0890334404272388
- Sreeramareddy, C.T., Shankar, R.P., Sreekumaran, B.V., Subba, S.H., Joshi, H.S., & Ramachandran, U. (2006). Care seeking behaviour for childhood illness- a questionnaire survey in western Nepal. BMC International Health & Human Rights, 6(1), 7. https://doi.org/10.1186/1472-698x-6-7
- Storer, J. (1977). ‘Hot’ and ‘Cold’ food beliefs in an Indian community and their significance. Journal of Human Nutrition, 31(1), 33-40.
- Subedi, M. (2008). Healer choice in medically pluralistic cultural settings: An overview of Nepali medical pluralism. Occasional Papers in Sociology and Anthropology, 8, 128-158. https://doi.org/10.3126/opsa.v8i0.1125
- Subedi, M. (2002). Explanatory model of Food, Health and Illness Ideology in Newar Town of Kirtipur. https://www.academia.edu/4037779/Explanatory_model_of_ Food_Health_and_Illness_ Ideology_in_Newar_Town_of_Kirtipur.
- Subba, S.H., Chandrashekhar, T.S., Binu, V.S., Joshi, H.S., Rana, M., & Dixit, S.B. (2007). Infant feeding practices of mothers in an urban area in Nepal. Kathmandu University Medical Journal, 5(1), 42-47.
- Tamang, A., & Broom, A. (2010). The practice and meanings of spiritual healing in Nepal. South Asian History and Culture, 1(2), 328-340.
- Toyama, N. (2000). Young children’s awareness of socially mediated rejection of food. Cognitive Development, 15(4), 523-541. https://doi.org/10.1016/s0885-2014(01)00041-7
- UNICEF (2013). Capacity Building to Strengthen Local Government and Community Participation in Multi-Sectoral Nutrition Programmes in Nepal. https://wphna.org/wp-content/uploads/2013/10/multisectoral-nutrition-programs-NEPAL.pdf
- Van Teijlingen, E., & Hundley, V. (2005). Pilot studies in family planning and reproductive health care. Journal of Family Planning and Reproductive Health Care, 31(3), 219–221.
How to Cite
Jib Acharya, E V Teijlingen, J Murphy, B Ellahi. Parental Food Beliefs on Pre-School-Aged Children in Kaski District of Nepal: A Qualitative Review.
J. Multidiscip. Res. Healthcare. 2020, 07, 1-12