Pub Date : 2022-12-31DOI: 10.26596/wn.202213415-20
A. Dash, Shahab Ali Siddiqui, Debashmita Bhaumik, A. Dhargupta
Background: Malnutrition is a multifaceted problem requiring interventions that address the multi-sectoral determinants contributing to it. As per National Family Health Survey - 5 (2019-21), with 33.8% stunted, 20.3% wasted, and 32.2% underweight children, West Bengal is one of the high burden states for childhood undernutrition in India. Objectives: The objective of the study was to assess household-level access (i.e. the percentage of households availing select services) to various nutrition-specific and nutrition-sensitive interventions and understand the extent to which convergent action has taken place in the most hard-to-reach areas of the Sundarbans. Methods: Cross-sectional survey following 30 x 30 cluster sampling; the sampling was done based on population proportion to size (PPS) methodology. A total of 912 households were recruited for a quantitative survey, and the data was collected through computer-assisted personal interview (CAPI) tools. Data was collected from October 15-25, 2021 from households having at least one child in the age group of 6 – 24 months. Result: The study focused on 19 nutrition-specific and sensitive interventions. Household-level coverage of 13 of these interventions was 1.5%; coverage of the six others was 4.2%. The estimated coverage of all 19 interventions was found to be almost non-existent (0.2%). Conclusion: The conspicuously low coverage of services at the household level is a clear indicator of poor convergence of government schemes and programs, reflecting, in turn, disjointed action on the part of the various departments of the government. The results suggest the need for reconsidering the household-level delivery of services as a wholesome package of interventions rather than seeing them as discrete departmental deliverables.
{"title":"Assessing the multi-sectoral convergence of interventions impacting nutrition at the household level: Lessons from Sundarbans, West Bengal, India","authors":"A. Dash, Shahab Ali Siddiqui, Debashmita Bhaumik, A. Dhargupta","doi":"10.26596/wn.202213415-20","DOIUrl":"https://doi.org/10.26596/wn.202213415-20","url":null,"abstract":"Background: Malnutrition is a multifaceted problem requiring interventions that address the multi-sectoral determinants contributing to it. As per National Family Health Survey - 5 (2019-21), with 33.8% stunted, 20.3% wasted, and 32.2% underweight children, West Bengal is one of the high burden states for childhood undernutrition in India. \u0000Objectives: The objective of the study was to assess household-level access (i.e. the percentage of households availing select services) to various nutrition-specific and nutrition-sensitive interventions and understand the extent to which convergent action has taken place in the most hard-to-reach areas of the Sundarbans. \u0000 Methods: Cross-sectional survey following 30 x 30 cluster sampling; the sampling was done based on population proportion to size (PPS) methodology. A total of 912 households were recruited for a quantitative survey, and the data was collected through computer-assisted personal interview (CAPI) tools. Data was collected from October 15-25, 2021 from households having at least one child in the age group of 6 – 24 months. \u0000 Result: The study focused on 19 nutrition-specific and sensitive interventions. Household-level coverage of 13 of these interventions was 1.5%; coverage of the six others was 4.2%. The estimated coverage of all 19 interventions was found to be almost non-existent (0.2%). \u0000Conclusion: The conspicuously low coverage of services at the household level is a clear indicator of poor convergence of government schemes and programs, reflecting, in turn, disjointed action on the part of the various departments of the government. The results suggest the need for reconsidering the household-level delivery of services as a wholesome package of interventions rather than seeing them as discrete departmental deliverables.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88760330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.26596/wn.202213488-89
Dr. Soekirman
{"title":"Alan Berg and his contribution to the development of nutrition manpower in Indonesia in the 1980s","authors":"Dr. Soekirman","doi":"10.26596/wn.202213488-89","DOIUrl":"https://doi.org/10.26596/wn.202213488-89","url":null,"abstract":"","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75717807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.26596/wn.202213464-70
Raghul M
The irradiation method has been widely used in treating food for its many advantages, perhaps giving inadequate attention toits dark side. Based on many scientific studies, irradiation has a direct impact on food components, affecting the food’s attributes. But could consuming irradiated food for a long period of time have adverse health effects? The aim of this paper is to provide a brief overview of the scientific background of the use of radiation in the food industry and its effects on human health.
{"title":"Food Irradiation: A call for caution","authors":"Raghul M","doi":"10.26596/wn.202213464-70","DOIUrl":"https://doi.org/10.26596/wn.202213464-70","url":null,"abstract":"The irradiation method has been widely used in treating food for its many advantages, perhaps giving inadequate attention toits dark side. Based on many scientific studies, irradiation has a direct impact on food components, affecting the food’s attributes. But could consuming irradiated food for a long period of time have adverse health effects? The aim of this paper is to provide a brief overview of the scientific background of the use of radiation in the food industry and its effects on human health.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90780859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.26596/wn.202213360-65
C. Schuftan
How and where have right to food (RTF) campaigns evolved, how have they connected to each other, what have been their achievements? Allow me to perhaps take a devil’s advocate position in my analysis on global perspectives on right to food campaigns with the specific intent to provoke a discussion. You can write letters to the editor to react. Providing a global perspective on RTF campaigns is not easy; it would have to be interpreted in the various national contexts, particularly given that both South Asia and Africa are so different. There are not many functioning campaigns as such (and less so RTF movements proper). There are thus more emerging lessons learned than actual achievements or positive experiences to report on. There are not many tools used and to be shared in this endeavor as such either.
{"title":"A global perspective on right to food campaigns: some questions and answers","authors":"C. Schuftan","doi":"10.26596/wn.202213360-65","DOIUrl":"https://doi.org/10.26596/wn.202213360-65","url":null,"abstract":"How and where have right to food (RTF) campaigns evolved, how have they connected to each other, what have been their achievements? Allow me to perhaps take a devil’s advocate position in my analysis on global perspectives on right to food campaigns with the specific intent to provoke a discussion. You can write letters to the editor to react. Providing a global perspective on RTF campaigns is not easy; it would have to be interpreted in the various national contexts, particularly given that both South Asia and Africa are so different. There are not many functioning campaigns as such (and less so RTF movements proper). There are thus more emerging lessons learned than actual achievements or positive experiences to report on. There are not many tools used and to be shared in this endeavor as such either.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83125039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.26596/wn.202213340-51
M. Wahlqvist
We and our habitat are forms of energy, endowed with life, and irrevocably earthlings. A cosmological-to-locality appreciation of energy in food and nutrition science, practice and policy is overdue. Our livelihood, and any function we have, are energy dependent, as is planetary habitability. Energy cognisance has become an existential necessity in an increasingly self-destructive ‘anthropocene’ era when our own energy equilibrium is compromised. This is manifest in destruction and loss of our ecology, our livelihood expectations, and practices, and, in turn, our wellbeing and health. Most problematic has been the domination, skewing and loss of biomass caused by humans, both their over-population of the earth, and their exploitation of its natural resources. These resources provide fuel for warmth, cooking and transport, textiles, and clothing; are subject to land and aquatic harvest, are replaced by dwellings and infrastructural buildings, and yet are recreational assets. Wastage has been of scant regard. Energy misuse besets the entire food system. This has followed the development of the wood and coal-fired steam engine, the advent of gasoline powered internal combustion engines, use and transmission of electricity, and an insatiable arms industry. Now, we are at the brink of extinction. Profiteering and conflict over energy control has fostered unfettered industrial materialism, a major extinction risk factor. Not only is energy the power we need, but it has also underwritten the powerful. Can we be sufficiently insightful and collaborative to change this energy trajectory and survive healthfully on a habitable planet? Individuals, households, and communities, as opposed to unaccountable monopolies, could achieve control of the energy systems on which our livelihoods depend and render them sustainable, accessible, and affordable. Interconnected food and energy system ownership could be devolved to ‘The Commons’ as a cooperative, sustainability strategy. The social momentum and appropriate technology for energy conservation, renewability and personalisation is now available for mobilisation to address our food, nutrition, and health insecurity.
{"title":"Energy: life, power, and livelihood","authors":"M. Wahlqvist","doi":"10.26596/wn.202213340-51","DOIUrl":"https://doi.org/10.26596/wn.202213340-51","url":null,"abstract":"We and our habitat are forms of energy, endowed with life, and irrevocably earthlings. A cosmological-to-locality appreciation of energy in food and nutrition science, practice and policy is overdue. Our livelihood, and any function we have, are energy dependent, as is planetary habitability. Energy cognisance has become an existential necessity in an increasingly self-destructive ‘anthropocene’ era when our own energy equilibrium is compromised. This is manifest in destruction and loss of our ecology, our livelihood expectations, and practices, and, in turn, our wellbeing and health. Most problematic has been the domination, skewing and loss of biomass caused by humans, both their over-population of the earth, and their exploitation of its natural resources. These resources provide fuel for warmth, cooking and transport, textiles, and clothing; are subject to land and aquatic harvest, are replaced by dwellings and infrastructural buildings, and yet are recreational assets. Wastage has been of scant regard. Energy misuse besets the entire food system. This has followed the development of the wood and coal-fired steam engine, the advent of gasoline powered internal combustion engines, use and transmission of electricity, and an insatiable arms industry. Now, we are at the brink of extinction. Profiteering and conflict over energy control has fostered unfettered industrial materialism, a major extinction risk factor. Not only is energy the power we need, but it has also underwritten the powerful. Can we be sufficiently insightful and collaborative to change this energy trajectory and survive healthfully on a habitable planet? Individuals, households, and communities, as opposed to unaccountable monopolies, could achieve control of the energy systems on which our livelihoods depend and render them sustainable, accessible, and affordable. Interconnected food and energy system ownership could be devolved to ‘The Commons’ as a cooperative, sustainability strategy. The social momentum and appropriate technology for energy conservation, renewability and personalisation is now available for mobilisation to address our food, nutrition, and health insecurity.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"2014 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88031090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.26596/wn.202213331-39
Dr. Ajay Daphale, Dr. Amit Daphale, Dr. Surita Daphale, Dr. Vaishali Thakare
Background Deficiency of the sunshine vitamin, vitamin D, is a major public health issue which affects people all over the world. Vitamin D deficiency was common among populations in the Amravati district of India, particularly among females, young adults in rural areas and the elderly. While many studies have focused on vitamin D levels in individuals, few have compared vitamin D status in younger and older as well rural and urban populations. Methodology The present study was conducted in the pathology department of a tertiary health care centre serving both a rural and urban population. 481 adult patients were examined from Jun 2017 to May 2019, age 20 to 78, of both sexes. Result We found that there was a high frequency of vitamin-D deficiency/inadequacy. The overall prevalence of vitamin D deficiency (<20 ng/ml of serum 25- Hydroxyvitamin D) was 40%. There was significantly more deficiency in urban than rural areas. However, we found no significant differences by age or sex. Conclusion Vitamin-D deficiency is very common in India. The clinically identified cases, on the other hand, are just the tip of the iceberg. Given the numerous effects that this deficiency might produce, this hidden pandemic slows the country's development. Vitamin-D deficiency must be managed with care and attention. Vitamin-D supplementation is critical for these residents who are vitamin-D deficient. Food fortification should be explored as the best long-term public health measure to improve the vitamin D status of the entire population.
{"title":"Comparative analysis of vitamin D levels in younger and older populations in rural vs. urban areas of Amravati district: An epidemiological survey","authors":"Dr. Ajay Daphale, Dr. Amit Daphale, Dr. Surita Daphale, Dr. Vaishali Thakare","doi":"10.26596/wn.202213331-39","DOIUrl":"https://doi.org/10.26596/wn.202213331-39","url":null,"abstract":"Background Deficiency of the sunshine vitamin, vitamin D, is a major public health issue which affects people all over the world. Vitamin D deficiency was common among populations in the Amravati district of India, particularly among females, young adults in rural areas and the elderly. While many studies have focused on vitamin D levels in individuals, few have compared vitamin D status in younger and older as well rural and urban populations. \u0000 Methodology The present study was conducted in the pathology department of a tertiary health care centre serving both a rural and urban population. 481 adult patients were examined from Jun 2017 to May 2019, age 20 to 78, of both sexes. \u0000 Result We found that there was a high frequency of vitamin-D deficiency/inadequacy. The overall prevalence of vitamin D deficiency (<20 ng/ml of serum 25- Hydroxyvitamin D) was 40%. There was significantly more deficiency in urban than rural areas. However, we found no significant differences by age or sex. \u0000 Conclusion Vitamin-D deficiency is very common in India. The clinically identified cases, on the other hand, are just the tip of the iceberg. Given the numerous effects that this deficiency might produce, this hidden pandemic slows the country's development. Vitamin-D deficiency must be managed with care and attention. Vitamin-D supplementation is critical for these residents who are vitamin-D deficient. Food fortification should be explored as the best long-term public health measure to improve the vitamin D status of the entire population.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90364818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.26596/wn.202213312-18
S. Uprety, Anjita Khadka, D. Shrestha
It is necessary to significantly accelerate the progress for optimal young child feeding practices in order to attain global nutrition goals and targets. Innovative and compelling communication approaches should be explored and tested to change social behaviours towards nutrition. A concept promoted in Nepal known as Poshan Nanglo (Nutrition Tray), is an interactive demonstration of locally available and nutritiously diverse foods. Using qualitative methodology, this study adopts the phenomenology method to understand preferences and perceptions of Poshan Nanglo among mothers of young children. A total of 305 mothers of children aged 6 to 23 months were interviewed from September 2019 to January 2020. 90%preferred Poshan Nanglo over printed materials. Three themes emerged: a simple and an easy way to learn, the use of real foods help to understand better and it is a practical approach. Thus mothers preferred and appreciated Poshan Nanglo to improve their understanding of good child feeding practices. These mothers also showed improvements in relating the importance of locally available nutritious foods for optimal dietary diversity. Approaching behaviour change should be informed and shaped by the beneficiaries’ interests and preferences. As a simple and sustainable approach in communicating about dietary diversity and good nutrition, Poshan Nanglo has wide relevance and potential.
{"title":"Mothers of Young Children in Nepal Prefer Poshan Nanglo (Nutrition Tray) for Nutrition Social Behaviour Change Communication","authors":"S. Uprety, Anjita Khadka, D. Shrestha","doi":"10.26596/wn.202213312-18","DOIUrl":"https://doi.org/10.26596/wn.202213312-18","url":null,"abstract":"It is necessary to significantly accelerate the progress for optimal young child feeding practices in order to attain global nutrition goals and targets. Innovative and compelling communication approaches should be explored and tested to change social behaviours towards nutrition. A concept promoted in Nepal known as Poshan Nanglo (Nutrition Tray), is an interactive demonstration of locally available and nutritiously diverse foods. \u0000 Using qualitative methodology, this study adopts the phenomenology method to understand preferences and perceptions of Poshan Nanglo among mothers of young children. A total of 305 mothers of children aged 6 to 23 months were interviewed from September 2019 to January 2020. 90%preferred Poshan Nanglo over printed materials. Three themes emerged: a simple and an easy way to learn, the use of real foods help to understand better and it is a practical approach. \u0000 Thus mothers preferred and appreciated Poshan Nanglo to improve their understanding of good child feeding practices. These mothers also showed improvements in relating the importance of locally available nutritious foods for optimal dietary diversity. Approaching behaviour change should be informed and shaped by the beneficiaries’ interests and preferences. As a simple and sustainable approach in communicating about dietary diversity and good nutrition, Poshan Nanglo has wide relevance and potential.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83186939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.26596/wn.202213319-30
Begüm Çelebi, Ipek Cicekli, Duygu Sağlam, G. Colak
Introduction: It has been shown that the contribution of beverage energy to total energy intake may increase the risk of diseases in various countries. The aim of this study is to evaluate the relationship between the consumption of added sugar from beverages and nutritional status, anthropometric measurements and biochemical blood parameters in adults. Materials and Methods: This study was designed as an analytical and cross-sectional study and conducted on 100 adult females aged 18-65 who applied to the private diet outpatient clinic in Istanbul/Turkey between November 2020 and April 2021. The demographic characteristics of the individuals were applied to the participants using the food frequency questionnaire, eating habits, physical activity habits and beverage consumption frequency questionnaires. Results: The mean age of the women in the study was 31.8 years . Total energy intake from beverages in women over 25 years old was found to be 145.3 kcal and significantly lower. All women in the study consumed tea and coffee. The consumption rate of all beverages except energy drinks was found to be higher in the younger adults. A positive correlation was found between the results of an insulin resistance test and the total amount of added sugar from the beverages consumed (r=0.297 p=0.043). Conclusions: Lower levels of consumption of sugar-sweetened beverages may result in a lower burden of chronic diseases. Future studies should explore consumption patterns of added sugar beverages and individual-level associations with such consumption.
{"title":"The association between daily beverage consumption and risk of chronic disease among adult women in Turkey","authors":"Begüm Çelebi, Ipek Cicekli, Duygu Sağlam, G. Colak","doi":"10.26596/wn.202213319-30","DOIUrl":"https://doi.org/10.26596/wn.202213319-30","url":null,"abstract":"Introduction: It has been shown that the contribution of beverage energy to total energy intake may increase the risk of diseases in various countries. The aim of this study is to evaluate the relationship between the consumption of added sugar from beverages and nutritional status, anthropometric measurements and biochemical blood parameters in adults. \u0000 Materials and Methods: This study was designed as an analytical and cross-sectional study and conducted on 100 adult females aged 18-65 who applied to the private diet outpatient clinic in Istanbul/Turkey between November 2020 and April 2021. The demographic characteristics of the individuals were applied to the participants using the food frequency questionnaire, eating habits, physical activity habits and beverage consumption frequency questionnaires. \u0000 Results: The mean age of the women in the study was 31.8 years . Total energy intake from beverages in women over 25 years old was found to be 145.3 kcal and significantly lower. All women in the study consumed tea and coffee. The consumption rate of all beverages except energy drinks was found to be higher in the younger adults. A positive correlation was found between the results of an insulin resistance test and the total amount of added sugar from the beverages consumed (r=0.297 p=0.043). \u0000 Conclusions: Lower levels of consumption of sugar-sweetened beverages may result in a lower burden of chronic diseases. Future studies should explore consumption patterns of added sugar beverages and individual-level associations with such consumption.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72785132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.26596/wn.202213352-59
George Kent
I am writing this because an article of mine on The Benefits of World Hunger was unclear. Some readers have taken it to mean I advocate having more hunger in the world. That was not my intention. I have been pushing for reduction of hunger for decades. I am writing this to explain my views relating to who benefits from hunger.
{"title":"Who Benefits from Persistent Hunger?","authors":"George Kent","doi":"10.26596/wn.202213352-59","DOIUrl":"https://doi.org/10.26596/wn.202213352-59","url":null,"abstract":"I am writing this because an article of mine on The Benefits of World Hunger was unclear. Some readers have taken it to mean I advocate having more hunger in the world. That was not my intention. I have been pushing for reduction of hunger for decades. I am writing this to explain my views relating to who benefits from hunger.","PeriodicalId":23779,"journal":{"name":"World review of nutrition and dietetics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82991196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Dash, P. Chanda, Sharmistha Das, Atefh Ali, Debashmita Bhaumik, M. Rana, Neha Santwani
Background: India bears a disproportionate burden of undernutrition. Access to an affordable, nutritious diet is one of the critical challenges. There is a need to assess the cost of a nutritious diet and find ways to understand and minimise the affordability gap through a comprehensive approach. Objective: The present study was conducted in the West Singhbhum district of Jharkhand, India. Its objective was to find out the cost of various diets, and their affordability, based on households’ accounting for their total food expenditure, and assessing the coverage of essential governments’ nutrition-specific interventions to use a model for suggesting ways to minimise the affordability gap. We also estimate the potential impact of nutrition-sensitive programmes on household food affordability. Methodology: The study employed the Cost of the Diet (CotD) methodology, a mixed-method, cross-sectional assessment, where the research team conducted surveys in 16 markets, 12 focus group discussions (FGDs) and 96 individual interviews (IDIs). Additionally, 434 household-level surveys were conducted to understand income, expenditure patterns in the localities and uptake of key nutrition-sensitive interventions. Secondary information from the 68th round of the National Sample Survey 2012 were used to assess rural Jharkhand’s non-food expenditure (NFE). Data were analysed primarily using the Save the Children’s Cost of the Diet software version 2.5.2. Results: The cost of the diet increased with an increase in the diet quality – from a basic energy-only diet costing INR 33,892 ($505.85)[1] per year for a standard household with 6 members to a food-habit nutritious diet (FHAB) costing INR 70,627 ($1054.13) per year. More than half of the sampled households could not afford a nutritious diet. The poorest quartile was spending 56.8% of income on food, compared to 33.7% for the richest quintile. Conclusion: The cost of a FHAB diet should be used as a benchmark to track the progress of beneficiary groups in upcoming socio-economic assessments. Changes in the affordability gap should be observed to assess whether new initiatives have worked. Optimal coverage of existing nutrition-specific and nutrition-sensitive programmes has the potential to reduce the cost of a FHAB nutritious diet by up to 30%. [1] $1=INR 67 (The exchange rate at the time of data collection, December 2019)
背景:印度承受着不成比例的营养不良负担。获得负担得起的营养饮食是关键挑战之一。有必要评估营养饮食的成本，并通过综合方法找到了解和尽量减少负担能力差距的方法。目的:本研究在印度贾坎德邦的西辛格姆区进行。它的目标是根据家庭对其食品总支出的核算，找出各种饮食的成本及其可负担性，并评估政府基本营养特定干预措施的覆盖范围，以便使用一个模型提出最小化可负担性差距的方法。我们还估计了营养敏感型计划对家庭食品负担能力的潜在影响。方法:该研究采用了饮食成本(CotD)方法，这是一种混合方法，横断面评估，研究小组在16个市场进行了调查，12次焦点小组讨论(fgd)和96次个人访谈(IDIs)。此外，还进行了434次家庭调查，以了解当地的收入、支出模式以及关键营养敏感干预措施的采用情况。来自2012年第68轮全国抽样调查的次要信息用于评估贾坎德邦农村的非食品支出(NFE)。数据分析主要使用Save the Children 's Cost of the Diet 2.5.2版软件。结果:饮食成本随着饮食质量的提高而增加——从一个标准六口之家每年花费33,892印度卢比(505.85美元)[1]的基本能量饮食到每年花费70,627印度卢比(1054.13美元)的饮食习惯营养饮食(FHAB)。超过一半的抽样家庭负担不起营养饮食。最贫穷的四分之一家庭在食品上的支出占收入的56.8%，而最富裕的五分之一家庭的这一比例为33.7%。结论:在即将进行的社会经济评估中，应将FHAB饮食的成本作为跟踪受益群体进展的基准。应观察负担能力差距的变化，以评估新举措是否奏效。现有营养特异性和营养敏感型规划的最佳覆盖率有可能将FHAB营养饮食的成本降低多达30%。[1] 1美元= 67卢比(数据收集时的汇率，2019年12月)
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