Selection and Use of US Title II Food Aid Products in Programming Contexts

Rogers, Beatrice; Webb, Patrick; Wanke, Christine; Sadler, Kate; Masterson, Amelia Reese; Bagriansky, Jack; Schlossman, Nina; Narayan, Anuradha; Tilahun, Jessica

doi:10.1177/15648265110323s303

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…24 Multiple cost metrics have been used to compare food aid products, including cost per metric ton, cost per kilogram, cost per beneficiary, cost per ration, or cost per desired outcome. 2,17,26 Other cost metrics have been determined in terms of cost per impact, cost per case treated, or more specifically as cost per kilocalorie, cost per gram of protein, or cost per gram of fat. 18 Cost has been especially important in recent years, as sharp increases in the price of food and fuel have led to an increased need for food aid and resulted in a decline in US food aid volumes from 5.0 million metric tons in 2002 to less than 1.8 million metric tons in 2012.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14][15] Sorghum, soybeans, and cowpeas are available locally in the project country of Tanzania, and sorghum and cowpeas are both nongenetically modified which could reduce costly import requirements imposed on products by certain African countries. 16,17 Kansas State University conducted shelf-life studies on SSBs and SCBs, an economic assessment, physical, nutritional, and sensory quality analyses, and field testing for nutritional efficacy and consumer acceptance in the Mara Region of Tanzania among young children ages 6 months to 2 years and 2 to 5 years. 6 Because SSBs and SCBs are higher quality products than existing FBFs, they are also more costly.…”

Section: Introductionmentioning

confidence: 99%

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Nutrient Cost-Effectiveness of Fortified Blended Food Aid Products

2019

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Background: Sorghum-Soy Blend (SSB) and Sorghum-Cowpea Blend (SCB) fortified blended food aid porridge products were developed as alternatives to Corn-Soy Blend Plus (CSB+) and Super Cereal Plus (SC+), the most widely used fortified blended food aid products. However, the cost and nutrient cost-effectiveness of these products procured from different geographical areas have not been determined. Objective: The objective of this study is to determine the nutrient cost-effectiveness of SSB and SCB compared to existing fortified blended foods. Methods: Nutritional data as well as ingredient, processing, and transportation cost for SSB, SCB, and existing fortified blended foods were compiled. Using the omega value, the ratio of the fortified blended food’s Nutrient Value Score to the total cost of the fortified blended food divided by an identical ratio of a different fortified blended food or the same fortified blended food produced in a different country and the nutrient cost-effectiveness of each of the fortified blended foods procured in the United States and several African countries were determined. Results: Both CSB+ and SC+ are less expensive than SSB and SCB, but they also have lower Nutrient Value Scores of 7.7 and 8.6, respectively. However, the omega values of CSB+ and SC+ are all above 1 when compared to SSB and SCB, suggesting that the existing fortified blended foods are more nutrient cost-effective. Conclusions: Comparing the nutrient cost-effectiveness of various food aid products could provide valuable information to food aid agencies prior to making procurement decisions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nutrient Cost-Effectiveness of Fortified Blended Food Aid Products

2019

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Factors that May Influence the Effectiveness of 4 Specialized Nutritious Foods in the Prevention of Stunting and Wasting in Children Aged 6–23 Months in Burkina Faso

Langlois

Cliffer

Nikièma³

et al. 2020

Current Developments in Nutrition

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Background A trial in Burkina Faso compared the cost-effectiveness of 4 specialized nutritious foods (SNFs) used to prevent stunting and wasting in children aged 6–23 mo. Objectives This article explores differences in SNF use that may have influenced effectiveness, specifically in relation to consumption by the recipient child and by any other person (i.e., sharing), other diversion from the recipient child, preparation, storage, and hygiene. Methods Subsamples from a geographically clustered, longitudinal trial with random assignment to Corn Soy Blend Plus with oil (CSB+ w/oil), Corn Soy Whey Blend with oil (CSWB w/oil), Super Cereal Plus (SC+), or ready-to-use supplementary food (RUSF) were selected for in-depth interviews, in-home observations, and focus group discussions. Results Sharing was common in all arms, with the highest reported in SC+ (73%) and highest observed in CSWB w/oil (36%). Some reported giving the ration away (highest in SC+ at 17%) or using it for other purposes (highest in CSWB w/oil at 17%). The recipient child was observed consuming the ration in 49% of households on average (38–60% by arm in CSB+ w/oil and RUSF, respectively). Qualitative reports of bitterness and spoilage emerged in the CSWB w/oil arm. Most observed households (excluding RUSF) did not prepare porridge daily as instructed (35–46% by arm). Household water samples showed either high-risk or unsafe contamination with Escherichia coli (72–78% by arm). Low percentages were observed handwashing (both child and server) before consuming the porridge. Conclusions The SNFs were not prepared or served as intended and diversion from the recipient was common. Storage conditions may have resulted in spoilage of the ration containing whey before reaching recipients. This article provides context about factors that may have influenced the effectiveness of these SNFs. Programming and household use of SNFs are as important as their nutrient composition. This trial was registered at clinicaltrials.gov as NCT02071563.

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Selection and Use of US Title II Food Aid Products in Programming Contexts

Cited by 2 publications

References 8 publications

Nutrient Cost-Effectiveness of Fortified Blended Food Aid Products

Nutrient Cost-Effectiveness of Fortified Blended Food Aid Products

Factors that May Influence the Effectiveness of 4 Specialized Nutritious Foods in the Prevention of Stunting and Wasting in Children Aged 6–23 Months in Burkina Faso

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