'I know how stressful it is to lack water!' Exploring the lived experiences of household water insecurity among pregnant and postpartum women in western Kenya

'I know how stressful it is to lack water!' Exploring the lived experiences of household water insecurity among pregnant and postpartum women in western Kenya
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DOI:
10.1080/17441692.2018.1521861
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发表时间:
2019-05-04
影响因子:
3.3
通讯作者:
Young, Sera L.
Young, Sera L.
中科院分区:
医学3区
文献类型:
--
作者:
Collins, Shalean M.;Owuor, Patrick Mbullo;Young, Sera L.

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关于一般成年人水不安全的文献发展迅速,但在怀孕和产后脆弱时期或艾滋病毒感染情况下,水不安全的作用在很大程度上被忽视。因此,我们进行了一项探索性的研究,使用去沿着采访,照片启发式采访,和桩排序与40名孕妇和产后肯尼亚妇女生活在艾滋病毒高流行率的地区。我们试图(1)描述他们的生活经验,水的获取,优先级和使用(2)探讨水不安全的后果。结果表明,水不安全在这一时期特别严重,并以深远和意想不到的方式影响妇女。我们提出了一个更广泛的概念,水不安全,包括考虑水不安全的后果,孕产妇和婴儿的心理和身体健康,营养和经济福祉。
There is rapidly evolving literature on water insecurity in the general adult population, but the role of water insecurity during the vulnerable periods of pregnancy and postpartum, or in the context of HIV, has been largely overlooked. Therefore, we conducted an exploratory study, using Go Along interviews, photo-elicitation interviews, and pile sorts with 40 pregnant and postpartum Kenyan women living in an area of high HIV prevalence. We sought to (1) describe their lived experiences of water acquisition, prioritisation, and use and (2) explore the consequences of water insecurity. The results suggest that water insecurity is particularly acute in this period, and impacts women in far-reaching and unexpected ways. We propose a broader conceptualisation of water insecurity to include consideration of the consequences of water insecurity for maternal and infant psychosocial and physical health, nutrition, and economic well-being.