Bangladesh’s story of change in nutrition: Strong improvements in basic and underlying determinants with an unfinished agenda for direct community level support

Nisbett, Nicholas; Davis, Peter; Yosef, Sivan; Akhtar, Nazneen

doi:10.1016/j.gfs.2017.01.005

Cited by 66 publications

(61 citation statements)

References 10 publications

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“…Our analysis of the household food access data showed that 83% of the selected households experienced food insecurity. In 2017, Global Food Security reported similar results for Bangladesh. The National Micronutrient Status Survey of 2011–2012 also reported that 17% of the slum households in Bangladesh suffered from severe food insecurity.…”

Section: Discussionmentioning

confidence: 82%

Children living in the slums of Bangladesh face risks from unsafe food and water and stunted growth is common

et al. 2018

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AimThis study investigated the microbial quality of food and water consumed by children in four slums in Dhaka, the capital of Bangladesh, together with the associated risk factors.MethodsThis cross‐sectional study took place from December 2015 to May 2016 and focused on 360 children under the age of five. We recorded household food security, namely adequate food for a healthy life, socio‐economic and nutritional status, hygiene and feeding practices. Food and water samples were analysed.ResultsWe found that 63% of the children were malnourished and 58% were stunted. Yeast and moulds were detected in 86% of the food samples and coliforms in 73%. All the water samples were contaminated with faecal coliforms, yeasts and moulds and Staphylococcus. Food insecurity affected 83% of households. Children were twice as likely to be malnourished if they were born with a perceived low birthweight or their mothers did not wash their hands with soap after cleaning the child's bottom following defecation. Exclusively breastfed children were less likely to develop malnutrition.ConclusionChildren from the Dhaka slums were frequently stunted and malnourished and contaminated food and water was common. Integrated efforts are essential to create public awareness about hygiene.

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Section: Discussionmentioning

confidence: 82%

Children living in the slums of Bangladesh face risks from unsafe food and water and stunted growth is common

et al. 2018

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“…During this time, the prevalence of stunting and anemia among children younger than five years old declined (51% to 38% for stunting and 52% to 37% for anemia). Anemia among women 15-49 years of age also decreased during this time (from 26% to 19% in 2015 2 ). Improvements across a range of health, fertility and socio-economic factors known to contribute nutrition outcomes were also seen.…”

Section: Drivers Of Changementioning

confidence: 89%

“…Additionally, greater clarity is needed on the role that commitment, program and policy coherence, and context-specific factors, play in creating enabling environments to reduce malnutrition. The Stories of Change (SoC) case studies, originally conducted in Bangladesh, Ethiopia, India (Odisha state), Nepal, Senegal, and Zambia, and now in Rwanda, aim to fill some of these knowledge gaps by examining the "drivers of change" in reducing malnutrition across different contexts [2]- [7].…”

Section: Executive Summarymentioning

confidence: 99%

“…Over the last 25 years (1992-2017), Rwanda has experienced civil war, the 1994 genocide against Tutsi, and the reconstruction of the country post these unfortunate events. Though the country continues to face high burdens of malnutrition, it has experienced some positive trends in reducing the prevalence of wasting, stunting and anemia between 2005 and 2015, During this time, among children less than 5 years of age, wasting decreased from 5% to 2% and stunting decreased by 13 percentage points (pp) (from 51% to 38%) [2,3]. Anemia also decreased among children 6 to 59 months of age (from 52% in 2005 to 37% in 2015) and among women 15-49 years of age (from 26% to 19%).…”

Section: Rwandan Contextmentioning

confidence: 99%

“…During the reconstruction phase, Rwanda has experienced positive trends in the reduction of undernutrition. Between 2005 to 2015, wasting decreased from 5% to 2% among children less than 5 years of age [2]. Stunting has also decreased from 51% in 2005 to 38% in 2015.…”

Section: Introductionmentioning

confidence: 99%

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