Constraints on the Delivery of Animal-Source Foods to Infants and Young Children: Case Studies from Five Countries

Pachón, Helena; Simondon, Kirsten; Fall, Safietou T.; Menon, Purnima; Ruel, Marie T.; Hotz, Christine; Creed-Kanashiro, Hilary; Arce, Blanca; Liria-Domínguez, María Reyna; Frongillo, Edward A.; Brown, Daniel S.

doi:10.1177/156482650702800211

Cited by 33 publications

(33 citation statements)

References 30 publications

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“…This finding differs from that of Bandoh and Kenu [61], who found a higher level of fish consumption among children in fishing communities in Ghana, but similar to Thorne-Lyman, Valpiani et al [62]'s study of fish-farming households in rural Bangladesh where animal-source foods (fish and meat) were withheld from the diets of infants and young children. Socio-cultural practices, including gender norms, and food taboos are recognised as affecting whom within a household receives different foods, and portions thereof, and, as we found here, this can particularly affect pregnant and lactating women and young children [63]. In our study, as in Thorne-Lyman, Valpiani et al [62], cultural beliefs about the benefits and harms of fish for children were at play.…”

Section: Discussionsupporting

confidence: 68%

Dietary diversity and fish consumption of mothers and their children in fisher households in Komodo District, eastern Indonesia

et al. 2020

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Small-scale coastal fisheries contribute directly and indirectly to the food and nutrition security of marine-dependent households. Fishers can apportion part of their catch for household consumption or use the income earned to purchase staples and other desired foods. Fish are an important animal-source food rich in micronutrients essential for cognitive development of children and for adult health, and a valuable addition to rice-based diets. Furthermore, the engagement of women in fisheries value chains and increased control over income may facilitate decision-making which improves nutrition outcomes for women and their children. Despite these contributions, food insecurity remains prevalent in many low and middle income fish-producing countries. This paper reports findings from an exploration of the interplaying factors leading to food and nutrition insecurity in three marine-dependent coastal communities in eastern Indonesia, focusing on the consumption pathway, that is, the contribution of fish to the diets and nutrition of women and children. The research was undertaken as a mixed-methods case study. The study found that over 50% of mother-child pairs failed to meet the minimum recommended dietary diversity, and, while fish was the main animal-source food in diets, the introduction of fish to infant and young child diets was delayed due to fears of allergies and illnesses. Moreover, access to nutrient-dense foods was affected by variable and insufficient income from fisheries-based livelihoods, isolation from markets, and the broader food environment. Given the shift towards 'nutrition-sensitive interventions' to improve the livelihoods and well-being of fisher households, these results highlight the need for analysis of the intra-household sharing of fish within fisher households, culturally-appropriate strategies to improve the quality of family and especially complementary foods, and efforts to increase physical access to nutrient-dense foods.

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Section: Discussionsupporting

confidence: 68%

Dietary diversity and fish consumption of mothers and their children in fisher households in Komodo District, eastern Indonesia

et al. 2020

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“…At least half of the children 6 to 23 months of age in the Mexico, Peru, Haiti, and Senegal case studies had consumed an animal-source food in the previous day, whereas 27% to 51% of Ethiopian children under 36 months of age in the case study had consumed an animalsource food in the same period. 22 The median intake and density of protein was above the recommendation for all the study IYC (Tables 3 and 4). The protein intake, while meeting requirements, was from foods of poor protein quality, and there was no evidence of combining grains with pulses.…”

Section: Discussionmentioning

confidence: 78%

Use of pulse crops in complementary feeding of 6-23-month-old infants and young children in Taba Kebele, Damot Gale District, Southern Ethiopia

Mesfin

Henry

Girma

et al. 2016

J Public Health Africa

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Poor complementary feeding practices contribute to infants and young children (IYC) malnutrition, with lack of protein-containing food and micronutrients as major concerns. A cross-sectional survey was conducted to assess the dietary diversity, nutrient contents and use of pulse crops in complementary feeding at Taba kebele, Southern Ethiopia. A questionnaire was used to collect socio-demographic and dietary diversity data from a random sample of 128 mother-child pairs. A one day weighed food record assessed IYC median nutrient intake. Focus group discussion explored mothers’ perceptions and use of pulse crops in complementary food preparation. Dietary diversity assessment found that 43.7% consumed pulses, and only 18.7% consumed meat and 26.6% eggs. Focus group discussion showed that mothers had little interest in incorporating pulses into complementary foods. Raising awareness of mothers/caregivers on food diversification and promoting the inclusion of pulses in food preparation for infants and young children are vital to nutritional status of IYC.

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“…Within some cultures, taboos exist around the feeding of eggs to young children. 73 In Nepal, cultural and religious beliefs about whether foods are "hot, " "cold, " or "pollution" or have "strengthening" or "weakening" properties can play strong roles in food choices during certain stages of the life cycle, such as pregnancy and early childhood, or during recovery from illness. 38 Within the Baitadi, Brahmin, and Chhetri castes, poultry are not reared because they are believed to be unclean.…”

Section: Cultural Issues and Eggsmentioning

confidence: 99%

“…In Ethiopia, some mothers reported that eggs are good for children's health and should be fed to allow children to "grow physically and mentally strong. " 77,78 In Zimbabwe, Niger, Haiti, Peru, and Mali, eggs are thought to be good for children 73,[80][81][82] because they are rich in vitamins, they increase weight, and they make children feel good 80 or are thought to provide strength and energy and to help children grow well. 81,82 Perception of cost constraints may limit the consumption of eggs by young children.…”

Section: Cultural Issues and Eggsmentioning

confidence: 99%

Eggs: the uncracked potential for improving maternal and young child nutrition among the world's poor

et al. 2014

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Constraints on the Delivery of Animal-Source Foods to Infants and Young Children: Case Studies from Five Countries

Abstract: Background. Mexico and Peru (195 and 180 g/day, respectively) and

Cited by 33 publications

References 30 publications

Dietary diversity and fish consumption of mothers and their children in fisher households in Komodo District, eastern Indonesia

Dietary diversity and fish consumption of mothers and their children in fisher households in Komodo District, eastern Indonesia

Use of pulse crops in complementary feeding of 6-23-month-old infants and young children in Taba Kebele, Damot Gale District, Southern Ethiopia

Eggs: the uncracked potential for improving maternal and young child nutrition among the world's poor

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