Browsing by Author "Menya, Diana"
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Publication Beyond Household Socioeconomic Status: Multilevel Modeling of Supply-Side Determinants of LPG Consumption among 5,500 Households in Sub- Saharan Africa(Research square, 2021-02-09) Shupler, Matthew; Mangeni, Judith; Sang, Edna; Baame, Miranda; Anderson de Cuevas, Rachel; Betang, Emmanuel; Saah, Jason; Quansah, Reginald; Puzzolo, Elisa; Mbatchou, Bertrand; Asante, Kwaku Poku; Menya, Diana; Pope, DanielHousehold transition to cleaner cooking fuels (e.g. liquefied petroleum gas (LPG)) has historically been understood as an “energy ladder” with clean energy access resulting from improvements in household socioeconomic status (SES). Recent studies have demonstrated the importance of supply-side determinants in increasing clean cooking, yet few large-scale studies have assessed their significance quantitatively. As part of the CLEAN-Air(Africa) study, a population-based survey was conducted (N = 5,638) assessing cooking practices in peri-urban communities within Cameroon, Kenya and Ghana. Multilevel logistic and log-linear regression were used to assess socioeconomic and supply-side determinants of LPG usage (primary versus secondary fuel) and consumption (kilograms/capita/year), respectively. Supply-side factors (e.g. cylinder refill and transportation costs) and using single versus multi-burner stoves were better predictors of both the probability of primarily cooking with LPG and annual LPG consumption than household SES. These results suggest the need for policies promoting LPG access and stove equipment that meet household needs.Publication Prevalence and determinants of under-and over-nutrition among adult Kenyan women; evidence from the Kenya Demographic and Health survey 2008-09(East African Public Health Association, 2013-12-01) Masibo, Peninah; Buluku, Elizabeth; Menya, Diana; C, MalitObjective: To analyze the prevalence and determinants of over- and under-nutrition among Kenyan adult women with data from the Kenya Demographic and Health Survey (KDHS) (2008-09)Methods: A nationally representative sample of 5,916 women aged 20 to 49 years in 2008-2009 DHS data was analyzed. The dependant variable was women’s nutritional status determined as Body Mass Index (BMI). A BMI <18.5 was considered underweight, above 24.9 was considered overweight and a BMI above 29.9 was considered obese. Results: The mean age was 31.9 ± (8.4 SD) years while the mean BMI was 23.4 ± (4.6 SD) kg/m2. Three quarters of the women lived in rural areas and Rift valley province contributed a majority of the participants (26.9%). More than half of the women (54.7%) had achieved primary level of education, 68.5% were married at the time of the survey while 27% were working in agricultural sector. Thirty percent of Kenyan women had over-nutrition as measured by overweight and obesity while 11% were underweight. Regional differentials existed in the distribution of women’s nutritional status. Those living in Eastern province were 2 times significantly more likely to be undernourished compared to those living in Nairobi (OR: 2.0, CI; 1.0 – 4.2; p=0.045). Women living in households of lower, lowest and middle wealth quintiles were 80%, 70% and 50% respectively less likely to have over-nutrition compared to those from the highest wealth index households (p<0.001). Women who are married were 1.9 times (CI 1.2 to 3.2) more likely to have over-nutrition compared to those who were not married (p=0.007).Conclusion: The burden of over-nutrition was higher than under-nutrition among Kenyan women in the 2008- 09 DHS survey. The key determinants of under-nutrition include; household wealth, province of residence and education achievement. The key determinants of over-nutrition were; women’s age, marital status, smoking status and partner’s educational status.