Précis of nutrition of children and women in Haiti: analyses of data from 1995 to 2012

Ayoya, Mohamed Ag; Heidkamp, Rebecca; Ngnie‐Teta, Ismael; Mamadoultaibou, Aissa; Daniel, Eddy Felix; Durandisse, Emmanuela Blain; Saint-Fleur, Jean Ernst; Beauliere, Jean Max; Koïta, Youssouf; M'Mbakwa, Bienfait Eca; Stoltzfus, Rebecca J.; Pierre, Joseline Marhone

doi:10.1111/nyas.12373

Cited by 8 publications

(10 citation statements)

References 30 publications

(85 reference statements)

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“… 87 Systematic data analysis in Haiti has helped to elucidate many factors that promoted good nutrition governance, including ‘effective evidence-based advocacy, partnerships and design, implementation and scale-up of nutrition-specific and sensitive interventions’. 88 …”

Section: Findings and Discussionmentioning

confidence: 99%

Undernutrition, obesity and governance: a unified framework for upholding the right to food

Bump

2018

BMJ Glob Health

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This paper addresses the need for conceptual and analytic clarity on nutrition governance, an essential underpinning of more effective approaches for undernutrition, the ‘single greatest constraint to global development’ and obesity, which already accounts for 4% of the world’s disease burden and is growing rapidly.The governance of nutrition, which is essential to designing and implementing policies to realise the right to food, is among the most important and most defining duties of society. But research and action on nutrition governance are hampered by the absence of conceptual rigour, even as the continuing very high burden of undernutrition and the rapid rise in obesity highlight the need for such structures. The breadth of nutrition itself suggests that governance is both needed and sure to be complicated.This analysis explores the reasons attention has come to governance in development policy making, and why it has focused on nutrition governance in particular. It then assesses how the concept of nutrition governance has been used, finding that it has become increasingly prominent in scholarship on poor nutritional outcomes, but remains weakly specified and is invoked by different authors to mean different things. Undernutrition analysts have stressed coordination problems and structural issues related to the general functioning of government. Those studying obesity have emphasised international trade policies, regulatory issues and corporate behaviour.This paper argues that the lack of a clear, operational definition of governance is a serious obstacle to conceptualising and solving major problems in nutrition. To address this need, it develops a unified definition of nutrition governance consisting of three principles: accountability, participation and responsiveness. These are justified with reference to the social contract that defines modern nations and identifies citizens as the ultimate source of national power and legitimacy. A unified framework is then employed to explore solutions to nutrition governance problems.

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Section: Findings and Discussionmentioning

confidence: 99%

Undernutrition, obesity and governance: a unified framework for upholding the right to food

Bump

2018

BMJ Glob Health

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“…In Haiti, government policies to address anemia support IFA supplementation as part of routine ANC services (15) provided by a mix of public and private health facilities and community agents (16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

The Role of Health Facilities in Supporting Adherence to Iron-folic Acid in Haiti and Malawi: A Study Linking Health Facility Survey and Population Survey Data

Wang

Benedict²,

Mallick³

2020

Preprint

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Background: Iron-folic acid (IFA) supplementation during pregnancy is key to prevent maternal anemia. In Malawi and Haiti, consumption of IFA supplements remains suboptimal. This study examined the IFA-related services provided in health facilities and their association with women’s adherence to IFA supplementation during pregnancy.Methods: This study used data from the Demographic and Health surveys (DHS) and the Service Provision Assessment (SPA) in Haiti and Malawi. Using GPS data collected in both surveys, each DHS cluster was linked to health facilities surveyed in the SPA within a specified buffer distance (5 km for urban areas and 10 km for rural areas). IFA-related services were examined for health facilities within the buffer, including the availability of IFA supplements, prescription of IFA, and client counseling on IFA. Adherence to IFA supplementation was examined for women who received antenatal care (ANC) for their most recent live birth in the 2 years preceding the DHS survey. Multilevel logistic regressions stratified by urban and rural locale were used to model associations between women’s consumption of IFA supplements and the health facility service environment, controlling for relevant covariates.Results: More than two-thirds of facilities with ANC services in Haiti and almost all ANC facilities in Malawi had IFA supplements available. Over 60% of ANC clients in Haiti and over 80% in Malawi received IFA supplements or an IFA prescription. Counseling on IFA was less common and focused on how to use IFA; few women were counseled on side effects. Only 42% of women in Haiti and 35% of women in Malawi took IFA supplements for at least 90 days. Multivariable models indicated that in both countries, adherence to IFA supplementation in rural areas was significantly associated with a high level of availability of ANC facilities offering IFA. IFA counseling was also positively associated with the IFA supplement adherence in rural Malawi but not in Haiti. IFA supplement adherence was consistently associated with the completion of four or more ANC visits in both countries.Conclusions: Continued efforts are required to address access to IFA supplements through improving both the use of ANC services and their quality, particularly in provider counseling.

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“…Despite the earthquake, this represented a decline in each of the categories when compared to the 2005-2006 Haiti Demographic and Health Survey (DHS), and the rural-urban gap had also narrowed in all categories 24 . However, a follow-up survey in 2013 showed no significant further improvements in wasting, stunting, and underweight children 25 . Data from the DHS and the Multiple Indicator Surveys were also used to determine the prevalence of child stunting and differential access to food between restavèk and non-restavèk children in Haiti.…”

Section: Resultsmentioning

confidence: 98%

Health Outcomes for Children in Haiti Since the 2010 Earthquake: A Systematic Review

Dube

Moffatt

Davison

et al. 2017

Prehosp. Disaster med.

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Future health programs in Haiti should focus on provision of clean water, sanitation, and other measures to prevent infectious diseases. Mental health programming and services for children also appear to be greatly needed, and food insecurity/malnutrition must be addressed if children are to lead healthy, productive lives. Given the burden of injury after the 2010 earthquake, further research on long-term disabilities among children in Haiti is needed. Dube A , Moffatt M , Davison C , Bartels S . Health outcomes for children in Haiti since the 2010 earthquake: a systematic review. Prehosp Disaster Med. 2018;33(1):77-88.

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Précis of nutrition of children and women in Haiti: analyses of data from 1995 to 2012

Cited by 8 publications

References 30 publications

Undernutrition, obesity and governance: a unified framework for upholding the right to food

Undernutrition, obesity and governance: a unified framework for upholding the right to food

The Role of Health Facilities in Supporting Adherence to Iron-folic Acid in Haiti and Malawi: A Study Linking Health Facility Survey and Population Survey Data

Health Outcomes for Children in Haiti Since the 2010 Earthquake: A Systematic Review

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