Pii Ngima: Consequences of Water Insecurity for Maternal and Child Health

Conditions

HIV, Maternal and Child Health

Keywords

Water insecurity

Brief summary

This study will implement the validated household-level water insecurity scale developed by study investigators among a cohort of postpartum women in Nyanza, Kenya and will assess a range of outcomes linked to water insecurity, such as viral load, hydration status, maternal depression, stress, food insecurity, and cognitive development.

Detailed description

This study will develop the first well-known household water insecurity scale. Currently, water insecurity cannot be measured at the level of the household or individual, i.e. at the endpoint of water use. Although there are myriad national, regional, community, and hydrological indexes of water availability, to the investigators' knowledge, there is no way of measuring water access at the household or individual levels. Without a comprehensive, validated scale to measure household water insecurity, the scientific, programmatic, and public health communities cannot empirically test the prevalence of household water insecurity access and its potential impacts on economic, nutrition, disease, and psychosocial health pathways and outcomes.

Gloria Guevara Alvarez, Joshua D. Miller, Marianne V. Santoso, Pauline Wekesa, Patrick Mbullo Owuor et al. (7 authors)

UNC Libraries2025-04-09

10.17615/q4fb-9074

Prevalence and Covariates of Food Insecurity Across the First 1000 Days Among Women of Mixed HIV Status in Western Kenya: A Longitudinal Perspective

Gloria Guevara Alvarez, Joshua D. Miller, Marianne V. Santoso, Pauline Wekesa, Patrick Mbullo Owuor et al. (7 authors)

Food and Nutrition Bulletin2021-05-205 citations

10.1177/0379572121999024

Persistent Food Insecurity, but not HIV, is Associated with Depressive Symptoms Among Perinatal Women in Kenya: A Longitudinal Perspective

Emily L. Tuthill, Ann E. Maltby, Jalang Conteh, Lila A. Sheira, Joshua D. Miller et al. (8 authors)

AIDS and Behavior2020-09-2516 citations

10.1007/s10461-020-03047-1

The syndemic effects of food insecurity, water insecurity, and HIV on depressive symptomatology among Kenyan women.

Boateng GO, Workman CL, Miller JD, Onono M, Neilands TB, Young SL.

2020-05-1558 citations

10.1016/j.socscimed.2020.113043

Development of a cumulative metric of vaccination adherence behavior and its application among a cohort of 12-month-olds in western Kenya.

Benzaken CL, Miller JD, Onono M, Young SL.

2020-03-144 citations

10.1016/j.vaccine.2020.03.011

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to 48 Years

Healthy volunteers

Yes

Inclusion criteria

* Women \>18 years of age with infants enrolled into the Pith Moromo (clinical trials ID: NCT02974972) study * Infants born to pregnant women enrolled in the cohort study

Exclusion criteria

* Individuals \<18 years of age that are not infants born to women enrolled in the cohort study

Design outcomes

Primary

Measure	Time frame	Description
Determine if water insecurity (novel scale) is detrimental to physical health (hemoglobin, hair cortisol, other biomarkers) in ways distinct from food insecurity (Individual Food Insecurity Access Scale)	2 years	The investigators are collecting longitudinal cohort data from women who were recruited during pregnancy and have been followed through the first 18 months of the infant's life. Participants are interviewed at regular intervals to gather information on the various pathways through which water insecurity (measured using a novel scale) may be deleterious in ways similar to food insecurity (measured using the Individual Food Insecurity Access Scale).
Determine if water insecurity (novel scale) is detrimental to nutrition (Household Dietary Diversity Scale) in ways distinct from food insecurity (Individual Food Insecurity Access Scale)	2 years	The investigators are collecting longitudinal cohort data from women who were recruited during pregnancy and have been followed through the first 18 months of the infant's life. Participants are interviewed at regular intervals to gather information on the various pathways through which water insecurity (measured using a novel scale) may be deleterious in ways similar to food insecurity (measured using the Individual Food Insecurity Access Scale).
Determine if water insecurity (novel scale) is detrimental to psychosocial health (Perceived Stress Scale, Center for Epidemiology Depression (CES-D) scale, etc.), in ways distinct from food insecurity (Individual Food Insecurity Access Scale)	2 years	The investigators are collecting longitudinal cohort data from women who were recruited during pregnancy and have been followed through the first 18 months of the infant's life. Participants are interviewed at regular intervals to gather information on the various pathways through which water insecurity (measured using a novel scale) may be deleterious in ways similar to food insecurity (measured using the Individual Food Insecurity Access Scale).
Determine if water insecurity (novel scale) is detrimental to economic security (asset index) in ways distinct from food insecurity (Individual Food Insecurity Access Scale)	2 years	The investigators are collecting longitudinal cohort data from women who were recruited during pregnancy and have been followed through the first 18 months of the infant's life. Participants are interviewed at regular intervals to gather information on the various pathways through which water insecurity (measured using a novel scale) may be deleterious in ways similar to food insecurity (measured using the Individual Food Insecurity Access Scale).

Secondary

Measure	Time frame	Description
Determining if water insecurity (measured using a novel tool) will differ by HIV status	2 years	The investigators collected longitudinal data to assess water insecurity among the cohort (using a novel tool) and will compare the prevalences and impacts of water insecurity by HIV status

Outcome results