Context-specific complementary feeding recommendations developed using Optifood could improve the diets of breast-fed infants and young children from diverse livelihood groups in northern Kenya

Vossenaar, Marieke; Knight, Frances; Tumilowicz, Alison; Hotz, Christine; Chege, Peter; Ferguson, Elaine

doi:10.1017/s1368980016003116

Cited by 33 publications

(83 citation statements)

References 18 publications

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“…Thus, achieving nutritional goals for infants aged 6–8 months needed a substantial increase in nutrient-dense foods such as pulses and seeds, small dried fish, fruits and vegetables. Previous studies conducted in Kenya reported similar findings about the required dietary modification based on age group [ 15 , 18 ]. These two Kenyan studies revealed that achieving nutritional goals for infants and young children needs additional modification to local diets.…”

Section: Discussionsupporting

confidence: 69%

“…The linear programming (LP) approach can facilitate the optimal use of locally available foods to improve the dietary adequacy of vulnerable populations [ 14 ]. The LP approach needs to be carried out based on local availability and accessibility of nutrient-dense foods in the target population [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, the Mozambique’s study used EARs instead of RNIs in the LP models, meaning that the selected diet would not meet the requirements of 50% of the population for those nutrients at 100% of the EAR. Two recent studies in Kenya that used RNIs in LP models showed that it is difficult to achieve nutrient requirements for infants and young children using locally available foods only [ 15 , 18 ]. Despite the mixed results from previous and recent studies, the LP has proven useful in identifying the cheapest possible combination of food ingredients that meet a set of nutritional requirements in low-income communities [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Optimal formulations of local foods to achieve nutritional adequacy for 6–23-month-old rural Tanzanian children

Raymond

Kassim

Rose

et al. 2017

Food & Nutrition Research

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Background: Achieving nutritional goals of infants and young children while maintaining the intake of local and culture-specific foods can be a daunting task. Diet optimisation using linear goal programming (LP) can effectively generate optimal formulations incorporating local and culturally acceptable foods.Objective: The primary objective of this study was to determine whether a realistic and affordable diet that achieves dietary recommended intakes (DRIs) for 22 selected nutrients can be formulated for rural 6–23-month-old children in Tanzania.Design: Dietary intakes of 400 children aged 6–23 months were assessed using a weighed dietary record (WDR), 24-hour dietary recalls and a 7-days food record. A market survey was also carried out to estimate the cost per 100 g of edible portion of foods that are commonly consumed in the study area. Dietary and market survey data were then used to define LP model parameters for diet optimisation. All LP analyses were done using linear program solver (LiPS) version 1.9.4 to generate optimal food formulations.Results: Optimal formulations that achieved DRIs for 20 nutrients for children aged 6–11 months and all selected nutrients for children aged 12–23 months were successfully developed at a twofold cost of the observed food purchase across age groups. Optimal formulations contained a mixture of ingredients such as wholegrain cereals, Irish potatoes, pulses and seeds, fish and poultry meat as well as fruits and vegetables that can be sourced locally.Conclusions: Our findings revealed that given the available food choices, it is possible to develop optimal formulations that can improve dietary adequacy for rural 6–23-month-old children if food budget for the child’s diets is doubled. These findings suggest the need for setting alternative interventions which can help households increase access to nutrient-dense foods that can fill the identified nutrient gaps.

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Optimal formulations of local foods to achieve nutritional adequacy for 6–23-month-old rural Tanzanian children

Raymond

Kassim

Rose

et al. 2017

Food & Nutrition Research

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“…The approach was based on the recommended methods of Pro PAN and Optifood (Daelmans et al, ). Pro PAN and Optifood have been used to develop complementary feeding in several other countries where complementary feeding practices are inadequate (Ferguson et al, ; Hlaing et al, ; Santika et al, ; Skau et al, ; Vossenaar et al, ). Trials of improved practices (Manoff‐Group, ), a standard approach, were used to test the feasibility and acceptability of the FBCFRs.…”

Section: Discussionmentioning

confidence: 99%

“…Optifood is a linear programming software tool that can be applied to provide an evidence base for the development of messages used to improve IYCF practices (Daelmans et al, 2013). ProPAN and Optifood tools have previously been used to develop context-specific food-based complementary feeding recommendations in Kenya (Vossenaar et al, 2017); Myanmar (Hlaing et al, 2016); Cambodia (Skau et al, 2013); and Indonesia (Santika, Fahmida, & Ferguson, 2009).…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of food‐based complementary feeding recommendations using Trials of Improved Practices among poor families in rural Eastern and Western Uganda

Bekele

Turyashemererwa

2019

Food Science & Nutrition

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Inadequate complementary feeding practices are a major contributor to stunting among children in Uganda. The WHO recommends the promotion of local food‐based complementary feeding recommendations (FBCFRs) to address nutrient gaps during complementary feeding. This study tested the feasibility and acceptability of FBCFRs, using trials of improved practices (TIPs). Qualitative and quantitative methods were used in a cross‐sectional survey over three household visits. At first household visit, information on socio‐demographic factors and food frequency was collected and FBCFRs introduced. The second household visit assessed the use and barriers related to the FBCFRs, while the third household visit assessed the continued use of the FBCFRs. Focus group discussions and key informant interviews provided the insights into community norms on the FBCFRs. Most FBCFRs were feasible and acceptable. However, caretakers found it difficult to implement a full set of FBCFRs together with the recommended frequencies. Caretakers were more likely to try and continue using FBCFRs that had familiar methods of preparation and commonly used ingredients. Seasonality and cost were major barriers to use. Through TIPs, mothers demonstrated that they are open to try new ways of improving their children's nutrition.

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2022

Food Security, Poverty and Nutrition Policy Analysis

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Context-specific complementary feeding recommendations developed using Optifood could improve the diets of breast-fed infants and young children from diverse livelihood groups in northern Kenya

Abstract: Objective: To formulate age-and context-specific complementary feeding recommendations (CFR) for infants and young children (IYC) and to compare the potential of filling population-level nutrient gaps using common sets of CFR across age groups.

Cited by 33 publications

References 18 publications

Optimal formulations of local foods to achieve nutritional adequacy for 6–23-month-old rural Tanzanian children

Optimal formulations of local foods to achieve nutritional adequacy for 6–23-month-old rural Tanzanian children

Feasibility and acceptability of food‐based complementary feeding recommendations using Trials of Improved Practices among poor families in rural Eastern and Western Uganda

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