Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal

Juan M. Moreno, Annabel J. Chapman, Chike C. Ebido, Ndèye Marième Sougou, Amadou H. Diallo, Rahel N. Tening, Fatou B. Dial, Jessica Massonnie, Mahsa Firoozmand, Cheikh El Hadji Abdoulaye Niang, Claire Heffernan, Marie K. Harder

Research output: Contribution to journalArticlepeer-review


Objective: This work aims to demonstrate an original approach to identify links between locally-situated shared values and contextual factors of stunting. Stunting results from multi-factorial and multi-sectoral determinants, but interventions typically neglect locally-situated lived experiences, which contributes to problematic designs that are not meaningful for those concerned, and/or relatively ineffective. Design: This case study investigates relevant contextual factors in two steps: by first facilitating local stakeholder groups (n=11) to crystallize their shared-values-in-action using a specialised method from sustainability studies (WeValue-InSitu). Secondly, participants (n=44) have focus group discussions about everyday practices around child feeding/food systems, education, and/or family life. Because the first step strongly grounds participants in local shared values, the FGDs can reveal deep links between contextual factors and potential influences on stunting. Setting: Kaffrine, Senegal, an "Action Against Stunting Hub"site. December 2020. Participants: Eleven stakeholder groups of mothers, fathers, grandmothers, pre-school teachers, community health-workers, farmers, market traders, public administrators. Results: Local contextual factors of stunting were identified, including traditional beliefs concerning eating and growing practices; fathers as decision-makers; health worker trust; financial non-autonomy for women; insufficient water for preferred crops; merchants' non-access to quality produce; religious teachings; and social structures affecting children's food environment. Conclusions: Local contextual factors were identified. Pre-knowledge of these could significantly improve effectiveness of intervention designs locally, with possible applicability at other sites. The WeValue-InSitu approach proved efficient and useful for making tangible contextual factors and their potential links to stunting, via a lens of local shared values, showing general promise for intervention research.

Original languageEnglish
Pages (from-to)2418-2432
Number of pages15
JournalPublic Health Nutrition
Issue number11
Publication statusPublished - 8 Jun 2023

Bibliographical note

Publisher Copyright:
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society.


  • Child Stunting
  • Contextual Factors
  • Senegal
  • Shared Values
  • Undernutrition
  • WeValue InSitu


Dive into the research topics of 'Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal'. Together they form a unique fingerprint.

Cite this