Hunger and malnutrition are burdens that are pronounced in developing countries where they manifest themselves in the forms of protein energy malnutrition. Malnutrition compromises the child's immune system leading to direct mortality and increased vulnerability to infectious diseases stunting and poor brain development. This study sought to analyze the food consumption patterns of children 3 -5 years old attending Mateka Primary school, Bungoma County. This study adopted a cross sectional survey. One hundred and twenty five (125) children selected from three ECD classes in the school formed the sample size. Purposive and simple random sampling techniques were used to select the study area and the children respectively. Structured questionnaires were administered to the caregivers of the children. Information on demographics, socio-economic status, and food consumption patterns were gathered. Food consumption patterns were assessed using a HDDS and a quantitative food frequency questionnaire. Socio-demographic data was analyzed using (SPSS) Version 21 (2007) and dietary data was analyzed using Nutri-Survey for Windows (2007). Results revealed that most of the households were of low socio-economic characteristics. The most consumed foods were cereals, roots and tubers. Majority (55.2%) of the children had low dietary diversity, 29.1% had medium dietary diversity and 15.7% had greater dietary diversity. The children were deficient in energy, protein, Vitamin A, Iron and Zinc. It can be concluded that the diets fed to the children are inadequate to meet their nutrient intakes for physiological development and growth. Further research should be done to document the prevalence of micronutrient malnutrition among the children.

Dental caries is a major public health problem associated with diet and nutrition affecting 60-90% of children globally with the burden in both industrialized and less industrialized countries undergoing nutrition transition. The aim of this study was to assess the relation between the dietary intake and nutritional status on dental caries prevalence of 5-year-old school children in urban and rural areas of Uasin-Gishu County.  In this study, 382 five year old children and their parents/caregivers were sampled from urban and rural schools in Uasin-Gishu County to participate in the study. Dental caries status was assessed based on the criteria proposed by WHO for oral health surveys. Structured questionnaires was used to gather information on demographic and socio-economic status. A quantitative food frequency questionnaire was used to collect data on dietary intake. Dietary intake data was analyzed using ENA for SMART computer programmes and the rest of the data was analyzed using the Statistical Package for Social Sciences (SPSS) Version 21 (2007). The prevalence of dental caries stood at 39.3% with a mean dft of 1.55 and 60.7% being dental caries free. Children met their nutrient requirements for protein, vitamin C, calcium, and phosphorus, but did not meet the requirements for energy, folate, vitamin A, and iron. Many children from urban than rural areas consumed sweets/candies at 33.5% and 15.3% respectively.  Children from urban areas (288) had the highest mean dft of 1.83±1.37 while those from rural areas (154) had a mean dft score of 1.16±1.13. This was significantly different (p<0.05). Overweight was higher in the urban population compared to the rural population at 13.64% and 8.96% respectively. The prevalence of underweight was higher in rural areas at 10.7%, stunting at 14.6% and wasting at 6.8%. There is inadequate intake of Energy, Vitamin A and Iron in the diet consumed by the 5-year-old which might be contributing to dental caries prevalence both in the urban and rural areas of Uasin – Gishu County, Kenya. Children should be fed on nutrient rich foods and cariogenic foods should be consumed occasionally.

A Positive Deviance (PD) Hearth intervention is a home and neighborhood-based nutrition program for children who are at risk for protein-energy malnutrition in a low resource community. The intervention uses the ‘Positive Deviance’ approach to identify those behaviors practiced by the mothers or caretakers of well-nourished children from poor families and transfers such positive practices to other mothers who are equally disadvantaged economically. Positive Deviance Hearth intervention is designed to treat malnourished children, enable the families to sustain their rehabilitation at home on their own and to prevent malnutrition in younger siblings. However, PD Hearth intervention monitoring system in Migori only assesses a program’s ability to treat, one of the three PD Hearth objectives. Thus, there was need for impact evaluation to measure outcomes of the PD Hearth intervention to sustain rehabilitation and prevent malnutrition in younger siblings. The objectives of the study were to determine the level to which PD Hearth enables families to sustain rehabilitation at home on their own and to identify the practices which influence PD Hearth outcomes. The study was designed as a pipeline quasi-experimental and mixed method was used to collect data and perform statistical analyses. Single stage cluster sampling was used to identify 53 and 54 children on the intervention and comparison group in five communities. Weight measurements of the children on the intervention aged 6 to 59 months at the entry, exit and graduation stages were retrieved from Kenya Medical Research Institute Family AIDS Care and Education Services programme activities reports. Anthropometry (height measurements) for the children on the intervention and comparison children was taken. Caregivers filled in a questionnaire, assisted by the researchers as necessary. At entry, 18.9% children on the intervention had moderate underweight while 43.4% had mild underweight. At current status though, 3.8% and 34.0% had moderate and mild underweight respectively. The regression model predicted that Weight-for-Height (WAZ) of the children on the intervention at current status lied on 51.5 percentile, thus, normal for underweight. Increased feeding frequency made the largest contribution to weight gain than other caregiver practices. Therefore, the Migori County government in collaboration with the Ministry of Health needs to scale up PD Hearth intervention to reverse cases of Moderate Acute Malnutrition (MAM) and prevent Severe Acute Malnutrition (SAM) in the County.

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Street-vended foods are a major threat to public health because of their microbial contamination. This study investigated hygiene practices and microbial contamination of street foods in Kenyatta University’s environs. Both cross-sectional and experimental designs were adopted. Four (4) major vending stalls at the main entrance to Kenyatta University, gate (A) and at the hind gate at KM shopping center were identified for this study. Twelve (12) food samples were collected from these stalls; sausages, samosas and kachumbari. The foods were collected and transported in cooler boxes to the Microbiology Laboratory at Kenyatta University within 3 hours for analyses. Standard microbiological methods were used for enumeration of Salmonella, coliforms and Escherichia coli. No Salmonella was detected per 25g in all food samples tested. Fifty percent (50%) of kachumbari samples tested positive for E.coli whereas samosas and sausages tested negative. Kachumbari, from all vending stalls, had total coliform levels 4.12 log10 cfu/g, 4.26 log10 cfu/g and 4.21 log10 cfu/g, that did not meet the quality standards (4.00 log10 cfu/g) for ready-to-eat foods. Total coliform counts were below detection limits in samosas and sausages. All (100%) the stalls were exposed to potential contaminants: 75% of the vendors did not wear protective clothing, they handled money and sold food simultaneously, and polythene bags exposed to open air, were used for packaging take away rations. All the foods evaluated were safe for human consumption except kachumbari. Policies on safe street food to be enforced and education and training of vendors on environmental and personal hygiene to be strengthened.

Low Birth Weight (LBW) is defined by the World Health Organization as weight at birth less than 2,500g. LBW continues to be a significant public health problem globally and is associated with a range of both short and long term consequences. The purpose of this study was to investigate the prevalence and determine probable factors associated with LBW at the Kapsabet Referral Hospital in Nandi County, Kenya. This study adopted a hospital based cross-sectional study design. A total of one hundred and seventy-eight (178) mothers were selected using the simple random sampling method. A researcher administered semi-structured questionnaire was the main tool for data collection. Data was analyzed using the Epi Info version 3.3.2. A probability value of <0.05 was considered significant. Prevalence of LBW was found to be 16.6%. About two thirds (59.5%) of the mothers were between 20-29 years. The mean birth weight of the infants was 2728±351 grams. Fifty two percent (52.1%) were female infants while forty seven percent (47.9%) were male. The following factors were significantly associated with LBW: sex of infant (OR=2.34, 95% C.I.=2.45-13.50), age of the mother at child birth (OR=3.41, 95% C.I. =1.53-13.43), education level of the mother (OR=2.95, 95% C.I. = 1.43-12.45), LBW delivery in a previous birth (OR=2.75, 95% C.I. =2.45-12.23), premature births (OR=1.78, 95% C.I. =1.89-13.67) and the nutrition status of the mother at child birth (OR= 3.37, 95% C.I. = 2.56-12.97). Independent predictors of LBW were gestational age, mode of delivery, pregnancy complications and iron & folic acid supplementation during pregnancy. Prevalence of LBW in this hospital was higher than the national prevalence and therefore urgent mitigation measures are necessary to tackle this problem. Keywords: Low birth weight, prevalence, determinants, infant

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