{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:22:55Z","timestamp":1792092175643,"version":"4.4.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","award":["72DFFP19CA00003"],"award-info":[{"award-number":["72DFFP19CA00003"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp;amp; Child Nutrition"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute malnutrition in children under 5 years is persistent in Eastern Africa's arid and semiarid lands. This study aimed to identify the drivers of acute malnutrition in Turkana and Samburu counties, Kenya. This was a population\u2010based longitudinal mixed\u2010methods observational study. Qualitative and quantitative data were collected at Wave 1, but only quantitative data were collected during follow\u2010up. Participants were a representative sample of children and their primary caregivers from households with children under 3 years at Wave 1. Anthropometric measurements of all children under 5 years in the sampled households were taken at Wave 1 (May to July 2021), and one child under 3 years was randomly selected for follow\u2010up about every 4 months over 2 years for six data collection waves. The study also collected data on sociodemographics; child feeding practices and morbidity; household water and food insecurity; shocks; coping strategies, social safety nets and economic safeguards; water, sanitation and hygiene; women's decision\u2010making and food consumption. Qualitative data were collected through community dialogues, focus group discussions, in\u2010depth interviews, photovoice and key informant interviews with mothers and fathers with children under 5 years, community leaders, county officials and staff of nongovernmental organisations. Data collection is complete and analysis is ongoing. The analysis includes thematic analysis of qualitative data and descriptive and multi\u2010variable regression analyses of quantitative data.<\/jats:p>","DOI":"10.1111\/mcn.13744","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T09:39:44Z","timestamp":1730108384000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Examining the complex dynamics influencing acute malnutrition in Turkana and Samburu counties: Study protocol"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6606-6534","authenticated-orcid":false,"given":"Calistus","family":"Wilunda","sequence":"first","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estelle","family":"Sidze","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith","family":"Thuita","sequence":"additional","affiliation":[{"name":"International Development Group RTI International Nairobi Kenya"},{"name":"Department of Public and Global Health University of Nairobi Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dickson","family":"Amugsi","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanuel","family":"Abajobir","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Mutua","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonventure","family":"Mwangi","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Iddi","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1601-4645","authenticated-orcid":false,"given":"Chessa","family":"Lutter","sequence":"additional","affiliation":[{"name":"RTI International Research Triangle Park North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0200-3355","authenticated-orcid":false,"given":"Valerie L.","family":"Flax","sequence":"additional","affiliation":[{"name":"RTI International Research Triangle Park North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Webale","sequence":"additional","affiliation":[{"name":"International Development Group RTI International Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Anono","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazel","family":"Odhiambo","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Theme African Population and Health Research Center, APHRC Campus Kitisuru 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