Contribution of homestead food production to improved household food security and nutrition status - lessons learned from Bangladesh, Cambodia, Nepal and the Philippines.

Talukder, Aminuzzaman; Osei, Akoto; Haselow, Nancy; Kroeun, Hou; Uddin, Amin; Quinn, Victoria J.

doi:10.1079/9781780642994.0058

Cited by 28 publications

(54 citation statements)

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“…Homestead food production programs have shown to change diets and reduce anemia among women and children. This is a promising intervention that has been used in Bangladesh and Nepal, among other countries (Olney, Pedehombga, Ruel, & Dillon, ; Talukder et al, ).…”

Section: Discussionmentioning

confidence: 99%

Determinants of anemia among women and children in Nepal and Pakistan: An analysis of recent national survey data

Harding

Aguayo²,

Namirembe

et al. 2017

Maternal & Child Nutrition

106

107

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Anemia remains one of the most intractable public health challenges in South Asia. This paper analyzes individual-level and household-level determinants of anemia among children and women in Nepal and Pakistan. Applying multivariate modified Poisson models to recent national survey data, we find that the prevalence of anemia was significantly higher among women from the poorest households in Pakistan (adjusted prevalence ratio and more than 5% of all years lost to disability (YLD) globally (2013).In 2012, South Asia accounted for 38% of the entire world's YLD associated with anemia (Kassebaum et al., 2014;Stevens et al., 2013). The region has made little progress in resolving this problem, despite decades of economic growth. The modeled data suggest that between 1995 and 2011, the prevalence of anemia among nonpregnant women in South Asia declined slightly from 53% (95% credibility interval: 42-64%) to 47% (33-59%) and there --------------------------------------------------------------------------------------------------------------------------------This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Determinants of anemia among women and children in Nepal and Pakistan: An analysis of recent national survey data

Harding

Aguayo²,

Namirembe

et al. 2017

Maternal & Child Nutrition

106

107

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“…However, each of these interventions has been shown to reduce anaemia among children in other studies (Talukder et al . ; De‐Regil et al . ; Rah et al .…”

Section: Discussionmentioning

confidence: 99%

Adding multiple micronutrient powders to a homestead food production programme yields marginally significant benefit on anaemia reduction among young children inNepal

Osei

Pandey

Spiro

et al. 2015

Maternal & Child Nutrition

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Anaemia affects 46% of preschool-aged children in Nepal. A cluster-randomised study was conducted in rural Nepal to test whether providing micronutrient powders (MNP) in addition to enhanced homestead food production (EHFP) programme, consisting of home gardens, poultry and nutrition education, could lead to a higher reduction in anaemia compared with providing only EHFP. This sub-study enrolled 335 children aged 6-9 months into one of three groups: (1) EHFP + MNP; (2) EHFP; or (3) control. The EHFP + MNP group received 60 sachets of MNP for flexible consumption at the start and 6 months later for a total supplementation period of 11 months. The MNP contained 15 micronutrients including iron (10 mg encapsulated ferrous fumarate). Haemoglobin and anthropometry were measured at baseline and post-MNP supplementation. Mean ± SE haemoglobin concentration increased significantly in all groups, with a slightly higher but non-significant increase in the EHFP + MNP and EHFP compared with control (difference-in-differences: 4.1 g L −1 for EHFP + MNP vs. control; 3.6 g L −1 for EHFP vs. control; 0.5 g L −1 for EHFP + MNP vs. EHFP). Anaemia decreased at a slightly higher magnitude in the EHFP + MNP [51.5 percentage points (PP)] than the EHFP (48.6 PP) and control (39.6 PP), with adjusted odds ratios (95% CI) at post-supplementation of 0.52 (0.25-1.12) for EHFP + MNP and 0.69 (0.35-1.36) for EHFP, compared with control. There was no impact on child growth. Combining EHFP and MNP programmes yielded a marginally significant reduction in anaemia among children.

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“…The sale of such products also improved household income and the families used this income to purchase additional food for the household. Anemia prevalence among children in program households decreased in all the countries ( 66 ).…”

Section: Successful Dietary Diversification Interventions In Developimentioning

confidence: 99%

Food-Based Interventions to Modify Diet Quality and Diversity to Address Multiple Micronutrient Deficiency

Nair

Augustine

Konapur

2016

Front. Public Health

120

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Global data indicate a high prevalence of hidden hunger among population. Deficiencies of certain micronutrients such as folic acid, iodine, iron, and vitamin A have long lasting effects on growth and development and therefore have been a National priority from many decades. The strategy implemented so far limits to the use of supplemental sources or fortified foods in alleviating the burden of deficiencies. These approaches however undermine the food-based strategies involving dietary diversification as the long-term sustainable strategy. There is lack of understanding on the level of evidence needed to implement such strategies and the level of monitoring required for impact evaluation. Dietary diversity concerns how to ensure access for each individual to a quality and safe diet with adequate macro- and micronutrients. The key to success in using dietary diversity as a strategy to tackle hidden hunger is in integrating it with the principles of bioavailability, translated to efficient food synergies with due emphasis on food accessibility, affordability, and outdoor physical activity/life style modifications. Promoting enabling environment and sustainable agriculture is crucial for practicing dietary diversification with behavior change communication as an integral segment. It can be concluded that food-based strategies require careful understanding of the factors associated with it and moderate it to form an effective strategy for controlling multiple micronutrient deficiencies.

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Contribution of homestead food production to improved household food security and nutrition status - lessons learned from Bangladesh, Cambodia, Nepal and the Philippines.

Cited by 28 publications

References 0 publications

Determinants of anemia among women and children in Nepal and Pakistan: An analysis of recent national survey data

Determinants of anemia among women and children in Nepal and Pakistan: An analysis of recent national survey data

Adding multiple micronutrient powders to a homestead food production programme yields marginally significant benefit on anaemia reduction among young children inNepal

Food-Based Interventions to Modify Diet Quality and Diversity to Address Multiple Micronutrient Deficiency

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