Food and Nutrition Bulletin最新文献

BackgroundThis study is a process evaluation of a nutrition education intervention that is part of a large-scale development program targeting vulnerable tribal groups in Odisha, India.ObjectiveThe objectives are to examine whether the intervention is operating as planned (implementation fidelity), investigate potential pathways to achieve greater impact, and provide recommendations on how to design nutrition education interventions in similar contexts.MethodsA program impact pathway forms the basis of this process evaluation, tracing inputs, processes, outputs, outcomes, and impacts. The study's mixed-methods approach includes semistructured interviews, focus group discussions, and Process Net-Mapping. Narrative analysis was applied to examine the transcripts. Data were analyzed in the context of the program impact pathway.ResultsThe intervention was not delivered as intended (low implementation fidelity). Flexibility was key in providing nutrition education to beneficiaries despite challenges, such as the inability to utilize behavior change communication, inadequate funding, and language and cultural barriers. Despite low fidelity, the qualitative results show that the intervention improved awareness of nutrition and health among beneficiaries.ConclusionsProviding adequate resources for training frontline workers and beneficiaries is required for nutrition education programs to achieve their desired effectiveness and impact. Utilizing existing organizations, integration into production-based interventions, and incorporating easy-to-understand nutrition models, practical demonstrations, and videos would increase frontline worker and beneficiary engagement and understanding, leading to improved maternal and child nutritional and health outcomes.

BackgroundIn Ethiopia, a school-based weekly iron and folic acid supplementation (WIFAS) program is being implemented to reduce burden of anemia in adolescent girls. While the program's impact on iron levels is well-studied, there is limited evidence on its effect on folate status.ObjectiveThe study was aimed at assessing the effect of the WIFAS on serum folate levels of school adolescent girls in Sidama Region, Southern Ethiopia.MethodsA school-based cross-sectional study that compared the serum folate concentration among adolescent girls (10-19 years) enrolled in schools with (n = 165) and without (n = 165) the WIFAS program was carried out. Adolescent girls from both groups were sampled using multistage sampling procedure. The serum folate was compared between the 2 groups using mixed effects linear regression model.ResultsThe study presented significantly higher mean (±standard deviation) serum folate concentration among girls from schools implementing the WIFAS program (9.76 ± 4.02 ng/mL) than their counterparts (7.38 ± 4.53 ng/mL) (β = 2.28, P < .001). The mean hemoglobin level was also higher in the WIFAS arm (13.07 ± 1.81 g/dL) than the comparator group (12.4 ± 1.93 g/dL (β = 0.86, P = .034).ConclusionThe school-based WIFAS program showed positive association with serum folate and hemoglobin concentration in adolescent girls. This evidence should be used for advocating the scale-up of the program to areas with high prevalence of anemia and folic acid deficiencies.

Background: The gender-gap in power is still persistent around the globe. Nutrition-Sensitive Agriculture (NSA) interventions have been implemented to increase women's empowerment as a goal in itself, and as a pathway to food and nutrition security (FNS). However, contradicting evidence exists on whether the interventions, besides food security, realize women's empowerment. Furthermore, the concept of women's empowerment has different meanings across different cultures, regions, and countries.

Objective: To assess the understanding of, and perspectives on, women's empowerment among different stakeholders in the context of an NSA project in Laos, and to assess whether this project contributes to women's empowerment and FNS.

Methods: Semistructured interviews were conducted with local implementers of NSA interventions (n = 13) and senior program managers and advisors (n = 5). Six focus group discussions were conducted with community members (n = 46).

Results: Our findings reveal that community members had a materialistic understanding and local implementers an instrumental understanding, in contrast to senior program managers and advisors, who had an egalitarian understanding of women's empowerment. The level of women's empowerment in Nong was considered low by all respondents. Furthermore, respondents reported that the NSA interventions had a positive impact on FNS, but not on women's empowerment.

Conclusions: In a community in which both women's empowerment and FNS are low, working with women may contribute to FNS, but not necessarily contribute to women's empowerment. Nevertheless, from an emic perspective, women do feel more empowered as the interventions contributed to increased household capacity to address FNS.

Does our project lead to having enough food and improved women's status in communities living in rural, mountainous areas in Laos?

Background: Food environments are rapidly changing in low- and middle-income countries (LMICs), leading to dietary shifts. Many gaps exist in the measurement of food environments in LMICs making it difficult to characterize the linkages between food environments and diets.

Objective: The objective of this study was to examine the feasibility of implementing USAID Advancing Nutrition's Market Food Environment Assessment (MFEA)-a suite of 7 non-resource intensive food environment assessments.

Methods: We implemented the MFEA package in 4 countries (Liberia, Honduras, Nigeria, and Timor-Leste) and assessed the feasibility of implementing the package by conducting a descriptive analysis, using both qualitative and quantitative data of enumerators' feedback collected through training evaluations, feedback forms, detailed notes from meetings, and final reports from in-country partners.

Results: Overall, we found it feasible to implement the MFEA, some assessments being easier to implement and more practical than others. Several key themes related to the MFEA implementation were identified across the countries, including: the potential for vendors to be hesitant to engage in assessments; the importance of ascertaining buy-in from local officials; the need to shift toward electronic, rather than paper-based, data collection; difficulties in selecting markets; the time constraints of conducting some of the assessments; and the need for better alignment between the instructions, data collection, and data analysis sheets.

Conclusions: The package of food environment assessments, with minimal additional refinement, can be used to characterize market food environments in LMIC settings to inform context-specific interventions.

Testing the feasibility of implementing a package of 7 assessments to measure factors influencing food access in low-resource settings.

Background: Many recent efforts focus on promoting neglected and underutilized species (NUS) for improved nutrition, but consumption depends on various factors.

Objective: With this in mind, this study aims to understand the factors associated with the consumption patterns of Adansonia digitata, Ocimum gratissimum, Vigna radiata, and Moringa oleifera by households in Atacora, northern Benin.

Methods: To achieve this, a food consumption survey was carried out in 3 communes. Two villages per commune were randomly selected to carry out the food consumption frequencies of households through a 7-day recall for periods of abundance and scarcity. A multinomial regression model was used to explain the consumption frequency of species depending on socio-demographic factors and seasonality.

Results: Different parts of these different species targeted were used in various forms to prepare sauces, porridges, juices, etc. Baobab- and moringa-based foods appeared to be the most widely consumed foods, regardless of the season. Even though fresh moringa leaves sauce and baobab seeds sauce were consumed mostly in periods of scarcity. The probability of rarely consuming foods made from these species was lower for households living in Toucoutouna and Tanguiéta compared to Natitingou. Furthermore, the consumption of these foods was usually higher for mothers who were students, hairdressers or seamstresses compared to housewives (P < 0.05).

Conclusion: The consumption patterns then vary from species to species and are influenced by demographic factors such as household location and mother's occupation. Promoting NUS among the population is essential to increase awareness of their nutritional importance and improve their consumption.

Plain language title: Factors Affecting Consumption of Neglected and Underutilized Species in Atacora, Northern Benin.

Background: Water and food security in Israel and the Palestinian Authority are deeply interconnected due to the region's arid climate and water scarcity, shared water resources, and interrelated agricultural sectors. Therefore, jointly addressing water reuse is vital to supporting sustainable agricultural production and ensuring food safety.

Objectives: This paper examines the food safety implications of the cross-border trade of fresh fruits and vegetables between the Palestinian Authority and Israel, with an emphasis on the influence of, water technologies, agricultural practices, and environmental health.

Methods: This paper provides a comprehensive review of existing data to assess water irrigation quality, food safety, and water reuse regulations in the Palestinian Authority and Israel.

Results: Significant discrepancies in food safety, food quality, and exposure to contaminants from fresh produce result from different water reuse regulations, practices, and socioeconomic conditions. Given the volume of trade, consumer mobility, and environmental sustainability, coupled with geopolitical limitations between the Palestinian Authority and Israel, there is an urgent need for a unified regulatory strategy for wastewater reuse ensuring food safety and security. We propose a single, coordinated approach to overseeing wastewater reuse to enhance public health and address contaminants of emerging concern that are not currently regulated. Navigating the political and legislative complexities in a proactive stance requires both Israeli and Palestinian decision-makers to address the matter conscientiously. Existing data and the precautionary principle are sufficient to propose an interim prohibition on treated wastewater irrigation for leafy vegetables to mitigate pollution risks and act as a catalyst for improving irrigation water quality.

Conclusions: Our proposed strategy for a unified water reuse regulation emphasizes the necessary steps for its implementation and addresses potential obstacles. This strategy underscores the importance of responsible wastewater management in advancing common goals of environmental sustainability, food safety, and human health.

Short synopsis: We propose a coordinated Israeli-Palestinian approach to wastewater reuse to ensure food safety based on shared environmental and health concerns, economic considerations, and the precautionary principle.

A Call for Joint Israeli-Palestinian Guidelines for Water Recycling to Improve Food Security and Safety.