Courtney Schnefke

ORCID: 0000-0003-0181-1502
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About
Contact & Profiles
Research Areas
  • Child Nutrition and Water Access
  • Child Nutrition and Feeding Issues
  • Breastfeeding Practices and Influences
  • Poverty, Education, and Child Welfare
  • Obesity, Physical Activity, Diet
  • Food Security and Health in Diverse Populations
  • Consumer Attitudes and Food Labeling
  • HIV/AIDS Impact and Responses
  • Child Development and Digital Technology
  • Nutritional Studies and Diet
  • Nutrition and Health in Aging
  • Iron Metabolism and Disorders
  • Agriculture and Rural Development Research
  • AI in cancer detection
  • Public Health and Nutrition
  • Digital Imaging for Blood Diseases
  • Image Retrieval and Classification Techniques
  • Child and Adolescent Health

RTI International
2017-2023

University of Waterloo
2018

Harvard University
2018

Tufts University
2018

Université Laval
2018

Although most health facilities in urban Nigeria are privately owned, interventions to promote optimal breastfeeding practices private have not previously been implemented.

10.1093/jn/nxab450 article EN cc-by Journal of Nutrition 2022-01-03

Fathers are key influencers of complementary feeding practices, but few studies in low- and middle-income countries have measured the effects social behavior change communication (SBCC) targeted at both fathers mothers.

10.1093/cdn/nzac075 article EN cc-by-nc-nd Current Developments in Nutrition 2022-04-08

As overweight/obesity prevalence increases in sub-Saharan Africa, information is needed about factors influencing food purchases households with overweight members. This study assessed purchasing decisions of Malawian mothers young children (N = 54 dry season, N 55 rainy season) among whom the mother, child, or both were overweight. Research assistants completed structured observations shopping for during season and types quantities foods mothers' homes season. After each observation,...

10.1016/j.appet.2020.104855 article EN cc-by Appetite 2020-08-30

Infant and young child feeding (IYCF) interventions in low-resource countries mainly target pregnant women mothers of children; however, fathers grandmothers also influence IYCF practices. We conducted focus group discussions with mothers, children across three time points areas where an social behaviour change intervention was implemented Nigeria to explore differences by participant type shifts over attitudes, beliefs norms related breastfeeding dietary diversity (DD). Overall, points, we...

10.1111/mcn.13524 article EN cc-by Maternal and Child Nutrition 2023-05-12

Low- and middle-income countries (LMIC) are increasingly experiencing the double burden of malnutrition. Studies to identify 'double-duty' actions that address both undernutrition overweight in sub-Saharan Africa needed. We aimed acceptable behaviours achieve more optimal feeding physical activity practices among under- children Rwanda, a LMIC with one largest recent increases child overweight.

10.1017/s1368980019001551 article EN Public Health Nutrition 2019-06-21

Abstract Objective: To validate digitally displayed photographic portion-size estimation aids (PSEA) against a weighed meal record and compare findings with an atlas of printed PSEA actual prepared-food in low-income country. Design: Participants served themselves water five prepared foods, which were separately before the again after to measure any leftovers. returned following day completed recall. They estimated quantities foods consumed three times using different randomized order....

10.1017/s1368980019002428 article EN Public Health Nutrition 2019-09-09

Abstract As part of a formative evaluation micronutrient powder (MNP) trial in Ethiopia that was organized according to programme impact pathway model, we conducted in‐depth focused ethnographic interviews with caregivers children between 6 and 23 months who had accepted try “Desta,” locally branded MNP. After stratification into two subgroups by child age, respondents were randomly selected from lists received MNP government health workers 1 3 prior the interview date. Thirty women either...

10.1111/mcn.12708 article EN cc-by Maternal and Child Nutrition 2019-10-01

Infant and young child feeding (IYCF) practices are important for survival healthy growth, but IYCF remain suboptimal in Nigeria. The objective of this study was to measure the impact Alive & Thrive's social behavior change communication intervention on early initiation breastfeeding, exclusive minimum dietary diversity Kaduna Lagos States.

10.1371/journal.pone.0277137 article EN cc-by PLoS ONE 2022-12-08

Objectives: Current dietary recall methods used in low-resource settings are prone to errors portion size estimation.This study investigated the preference for, ease of use perceptions, and accuracy visual variables estimation aids (PSEAs) for Malawi.Visual tested included food shapes compared with photos, number options, photo angle, simultaneous sequential image presentation.Methods: Ninety-six women aged 18-45 y served themselves portions 5 foods (groundnuts, bananas, nsima, bean relish,...

10.1093/cdn/nzy045 article EN cc-by-nc-nd Current Developments in Nutrition 2018-11-01

Eggs are nutrient rich and have the potential to improve maternal nutrition during pregnancy birth outcomes, but cultural beliefs may inhibit consumption pregnancy.To understand knowledge, attitudes, beliefs, practices, facilitators, barriers related consuming eggs in Kenya.The study had 3 phases. Phase I included in-depth interviews free-listing pile-sorting exercises with pregnant women (n = 36), husbands 12), mothers-in-law 12) of women, health providers 24). II involved egg preparation...

10.1177/0379572119839516 article EN Food and Nutrition Bulletin 2019-05-27

Abstract Objective: To investigate preferences for and ease-of-use perceptions of different aspects printed digitally displayed photographic portion-size estimation aids (PSEA) in a low-resource setting to document accuracy selections using PSEA with visual characteristics. Design: A convergent mixed-methods design stepwise approach were used assess characteristics interest isolation. Participants served themselves food water, which weighed before after consumption measure leftovers quantity...

10.1017/s1368980019001733 article EN Public Health Nutrition 2019-07-22

Easy-to-use tools to facilitate portion size estimation in low-income countries are needed. The objective of this study was validate digitally displayed photographic aids (PSEAs) against a weighed meal record and compare findings with an atlas printed PSEAs actual prepared food country. In Blantyre Chikwawa Districts, Malawi, we enrolled 300 women 18–45 years age equally divided by urban/rural residence education (≤4 >4 years). Participants served themselves water five foods, which were...

10.1093/cdn/nzz036.p13-012-19 article EN cc-by-nc-nd Current Developments in Nutrition 2019-06-01

As obesity increases in sub-Saharan Africa, information is needed about factors influencing food choices households with overweight members. The objective of this study was to assess women's purchasing decisions mother-child dyads Malawi. We enrolled 50 (age 6–59 months) which either the mother, child, or both were Lilongwe and Kasungu Districts. Research assistants accompanied each woman on a shopping trip filled out structured observation form types purchased locations purchases. Upon...

10.1093/cdn/nzz034.fs01-05-19 article EN cc-by-nc-nd Current Developments in Nutrition 2019-06-01

As obesity increases in sub-Saharan Africa, information is needed about factors influencing food choices households with overweight members. The objective of this study was to assess women's purchasing decisions mother-child dyads Malawi. We enrolled 50 (age 6–59 months) which either the mother, child, or both were Lilongwe and Kasungu Districts. Research assistants accompanied each woman on a shopping trip filled out structured observation form types purchased locations purchases. Upon...

10.1093/cdn/nzz028.fs01-05-19 article EN cc-by-nc-nd Current Developments in Nutrition 2019-06-01

Eggs are nutrient-rich and have the potential to improve maternal nutrition during pregnancy birth outcomes, but cultural beliefs may inhibit consumption pregnancy. This study sought understand pregnant women's key influencers' knowledge, attitudes, beliefs, practices as well facilitators barriers related consuming eggs in Kenya. The was conducted an urban (Nairobi) rural (Kiambu) area, had 3 phases primarily used mixed qualitative methods triangulate data. Phase I included in-depth...

10.1093/cdn/nzz034.p10-054-19 article EN cc-by-nc-nd Current Developments in Nutrition 2019-06-01

The objective of this study was to evaluate the impact Alive & Thrive Nigeria's infant and young child feeding (IYCF) behavior change communication (BCC) activities, including interpersonal in health facilities, community mobilization, mass media, on early initiation breastfeeding, exclusive minimum dietary diversity. Local government areas Kaduna Lagos States were randomized intervention or comparison cross-sectional surveys households with children aged 0–23 months [N = 6,266 baseline...

10.1093/cdn/nzac060.024 article EN cc-by-nc-nd Current Developments in Nutrition 2022-06-01

Interventions to improve breastfeeding practices have not been tested in private facilities Nigeria, although most urban are private. The objective of this study was measure the impact Alive & Thrive's intervention on intentions, early initiation breastfeeding, and exclusive among clients Lagos, Nigeria. included interpersonal communication during facility visits, text/WhatsApp messages, WhatsApp support groups, social behavior change materials. Logistic regression models adjusted for...

10.1093/cdn/nzab045_024 article EN cc-by-nc-nd Current Developments in Nutrition 2021-06-01

The objective of this study was to measure the effects a social behavior change communication (SBCC) intervention on fathers' and mothers' complementary feeding knowledge attitudes, support for feeding, children's dietary diversity meal frequency. This used cross-sectional surveys cohabiting fathers mothers with child 6–23 months before (N = 497) after 495) in Igabi local government area, Kaduna State, Nigeria. Participants were randomly sampled within 99 clusters selected proportional...

10.1093/cdn/nzab045_023 article EN cc-by-nc-nd Current Developments in Nutrition 2021-06-01
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