Healthy maternal nutrition is very important both for child health and the pregnant woman. However, adherence to dietary guidelines is limited in pregnant women, especially for those with a low socio-economic status (SES). Promotion of healthy diet in midwifery practise is promising as midwives are their first and most important source of information. Pregnant women are aware of the importance of healthy nutrition and are open to dietary changes. Unfortunately, nutrition communication by Dutch midwives is currently limited. The Participatory Action Research aims to optimize dietary intake of low SES women by contributing to (further) development/adjustment of a tool to support midwives.
This Participatory Action Research is part of a running study of Wageningen University, Chair group Health and Society. The following four questions need to be answered:
- What individual (e.g. food preferences, information seeking behaviours), interpersonal and sociocultural (e.g. family, social networks and social media) factors drive low SES pregnant women’s dietary intake?
- What does current midwives’ knowledge and practice look like, and what resources do they need to improve pregnant women’s dietary intake
- What adequate and feasible tools to improve low SES pregnant women’s dietary intake are available or should be developed
- Based on the results of question 1-3: What existing tool can be used/adapted or what new tool should be developed
- After implementation of the tool(s)? What are the barriers and facilitating factors that play a role in the implementation of the tool?.
Healthy nutrition for pregnant women
|Project name||The Inclusive City|
|Start date||February 2019|
|Action Researcher||Rianne Hoopman|
|Number of action researchers||1|
Each Participatory Action Research starts from a community issue, addressed by its problem owners at location. As such, we make sure the action research is based on local demand rather than donor demand. Together with these local stakeholders, we design the action research in a way that fits the local context, from the problem framing up to methodology and concept definitions.
Pregnant women with a low social economic status have no optimal dietary intake that is needed for good health of both mother and child.
Improve the dietary intake of pregnant women with a low SES, through facilitating the co-development of a tool that midwives can use in their midwifery practice.
What is an adequate and feasible tool for midwives to help pregnant women with a low SES in improving their dietary intake?
- What is currently successful concerning healthy eating among pregnant women with a low SES?
- What are barriers concerning healthy eating among the pregnant women?
- How do pregnant women currently evaluate existing tools?
- Under what circumstances or conditions would pregnant women be more for healthy eating?
- What can be done by different stakeholders to meet the circumstances or conditions for pregnant women?
Each PAR-project delivers direct outcomes for the local community on the addressed issue: we can share how many people have been reached, what their perspective is on the current and desired situation and what final Community Action Plan (CAP) they have co-created and implemented. In a later stage, local stakeholders will evaluate the impact of the CAP.
To be determined after the action research
Sustainable Development Goals
The final report will be uploaded after finishing this PAR.