Relationship of homestead food production with night blindness among children below 5 years of age in Bangladesh

Campbell, Ashley A.; Akhter, Nasima; Sun, Kai; Pee, Saskia de; Kraemer, Klaus; Moench-Pfanner, Regina; Rah, Jee Hyun; Badham, Jane; Bloem, Martin W.; Semba, Richard D.

doi:10.1017/s1368980011000693

Cited by 8 publications

(4 citation statements)

References 13 publications

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“…It is possible that gardens only improve household food intake in seasons when crop yields are high, food prices are lower, and households are already food secure. The latter association with WDDS is consistent with findings that a vegetable garden programme in Bangladesh improved macronutrient and micronutrient consumption [ 21 ].…”

Section: Discussionsupporting

confidence: 88%

Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study

Harris‐Fry¹,

Azad²,

Kuddus³

et al. 2015

J Health Popul Nutr

166

123

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BackgroundThere has been limited decline in undernutrition rates in South Asia compared with the rest of Asia and one reason for this may be low levels of household food security. However, the evidence base on the determinants of household food security is limited. To develop policies intended to improve household food security, improved knowledge of the determinants of household food security is required.MethodsHousehold data were collected in 2011 from a randomly selected sample of 2,809 women of reproductive age. The sample was drawn from nine unions in three districts of rural Bangladesh. Multinomial logistic regression was conducted to measure the relationship between selected determinants of household food security and months of adequate household food provisioning, and a linear regression to measure the association between the same determinants and women’s dietary diversity score.ResultsThe analyses found that land ownership, adjusted relative risk ratio (RRR) 0.28 (CI 0.18, 0.42); relative wealth (middle tertile 0.49 (0.29, 0.84) and top tertile 0.18 (0.10, 0.33)); women’s literacy 0.64 (0.46, 0.90); access to media 0.49 (0.33, 0.72); and women’s freedom to access the market 0.56 (0.36, 0.85) all significantly reduced the risk of food insecurity. Larger households increased the risk of food insecurity, adjusted RRR 1.46 (CI 1.02, 2.09). Households with vegetable gardens 0.20 (0.11, 0.31), rich households 0.46 (0.24, 0.68) and literate women 0.37 (0.20, 0.54) were significantly more likely to have better dietary diversity scores.ConclusionHousehold food insecurity remains a key public health problem in Bangladesh, with households suffering food shortages for an average of one quarter of the year. Simple survey and analytical methods are able to identify numerous interlinked factors associated with household food security, but wealth and literacy were the only two determinants associated with both improved food security and dietary diversity. We cannot conclude whether improvements in all determinants are necessarily needed to improve household food security, but new and existing policies that relate to these determinants should be designed and monitored with the knowledge that they could substantially influence the food security and nutritional status of the population.

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Section: Discussionsupporting

confidence: 88%

Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study

Harris‐Fry¹,

Azad²,

Kuddus³

et al. 2015

J Health Popul Nutr

166

123

View full text Add to dashboard Cite

show abstract

“…Surveillance mechanisms, for tracking of nutrition trends and to inform timely decision making, only exist in a few countries. [35][36][37][38] Advances in health management information systems and the growing availability of new technologies could facilitate the real-time monitoring of nutrition outcomes and programme coverage and quality. In brief, perceived expectations of joining SUN are that it provides a framework and platform for improved coordination and cooperation in nutrition.…”

Section: The Timeliness Credibility and Persuasiveness Of Datamentioning

confidence: 99%

The politics of reducing malnutrition: building commitment and accelerating progress

et al. 2013

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In the past 5 years, political discourse about the challenge of undernutrition has increased substantially at national and international levels and has led to stated commitments from many national governments, international organisations, and donors. The Scaling Up Nutrition movement has both driven, and been driven by, this developing momentum. Harmonisation has increased among stakeholders, with regard to their understanding of the main causes of malnutrition and to the various options for addressing it. The main challenges are to enhance and expand the quality and coverage of nutrition-specifi c interventions, and to maximise the nutrition sensitivity of more distal interventions, such as agriculture, social protection, and water and sanitation. But a crucial third level of action exists, which relates to the environments and processes that underpin and shape political and policy processes. We focus on this neglected level. We address several fundamental questions: how can enabling environments and processes be cultivated, sustained, and ultimately translated into results on the ground? How has high-level political momentum been generated? What needs to happen to turn this momentum into results? How can we ensure that high-quality, well-resourced interventions for nutrition are available to those who need them, and that agriculture, social protection, and water and sanitation systems and programmes are proactively reoriented to support nutrition goals? We use a six-cell framework to discuss the ways in which three domains (knowledge and evidence, politics and governance, and capacity and resources) are pivotal to create and sustain political momentum, and to translate momentum into results in high-burden countries.

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“…The biomarkers of haemoglobin concentration and serum retinol concentration were added to some surveillance systems. Surveillance data were used to answer questions about micronutrient deficiencies or about programmes to control them, particularly in two countries with well-functioning nutritional surveillance systems, Bangladesh and Indonesia [60][61][62][63]. A global system for the surveillance of vitamin and mineral nutrition was established in 1991, managed by the Department of Nutrition for Health and Development in the WHO [64].…”

Section: Development Of Nutrition Surveillancementioning

confidence: 99%

A perspective on the development and sustainability of nutrition surveillance in low-income countries

Tuffrey

2016

BMC Nutr

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Background: Many varied activities are encompassed by the term "nutrition(al) surveillance". Several national surveillance systems were initiated soon after the World Food Conference in 1974, but few have lasted. Most were complex, expensive, slow to produce findings, and were eventually stopped. This paper discusses why nutrition surveillance in low-income countries is so hard to sustain, and identifies the key factors in systems which have been maintained. Discussion: For nutrition surveillance activities to be sustainable, there needs to be: demand for the information; a reasonable cost as well as a cost-efficient process; speedy generation and dissemination of good quality information; secure allocation of resources from the government and/or donor; and a central, organizing institution for strong coordination of data collection, analysis, interpretation and communication. Investment in local individual and institutional capacity plus the retention of experienced staff are important. A periodic evaluation of the process should be an integral part of surveillance activities. For national systems the ideal coordinating institution should sit within a government structure separate from those with direct involvement in health or agriculture, such as a ministry of planning, as those who lead the surveillance must be independent of decision-makers but need to understand and prioritise their needs for information. The findings need to be communicated clearly and the means of presentation adapted to different audiences. To promote participation, the findings should be shared with stakeholders at all levels. Summary: This review of the development of nutrition surveillance in low-income countries over the last 40 years finds that sustainability hinges on cost, capacity development, location of the institutional base, demand for the products, and participation. These considerations are noteworthy given the pivotal role of nutrition surveillance information in national and sub-national policy-making, planning and programming. Information from nutrition surveillance also provides an increasingly important mechanism to hold governments to account and to allow progress towards international targets to be tracked.

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Relationship of homestead food production with night blindness among children below 5 years of age in Bangladesh

Cited by 8 publications

References 13 publications

Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study

Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study

The politics of reducing malnutrition: building commitment and accelerating progress

A perspective on the development and sustainability of nutrition surveillance in low-income countries

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