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The Role of Household Food Insecurity Access, Socioeconomic Status and Dietary Diversity as Underlying Determinants of Undernutrition in Pakistani Households

The Role of Household Food Insecurity Access, Socioeconomic Status and Dietary Diversity as Underlying Determinants of Undernutrition in Pakistani Households PDF Author: Naila Ansari
Publisher:
ISBN: 9781124315461
Category :
Languages : en
Pages :

Book Description
Child undernutrition and food security are serious problems facing Pakistan. It is estimated that almost three-quarters of the Pakistani population live below the poverty line of $2 income per day. With household food insecurity as an underlying determinant of undernutrition, our first study's aim was to adapt and validate the global nine-question Household Food Insecurity Access Scale (HFIAS) version 3 for use in Pakistan. We concluded that the HFIAS was reflective of the three domains of food insecurity access (anxiety and uncertainty about the household food supply; inadequate food quality; and insufficient food intake), and could be used by policymakers and researchers to identify and target groups for food insecurity reduction programs. There is little consensus in defining socioeconomic status (SES) and researchers collect a plethora of information to account for SES, but few studies efficiently utilize the information collected. Our 2nd study aim was to demonstrate the usefulness of principal component analysis in identifying useful SES indicators to develop a meaningful SES index in rural, periurban and urban areas of Pakistan. Our index did not load heavily on tangible assets and/or the presence of livestock, even in rural areas, as some studies on health inequalities have shown. Instead, we found the largest variance was explained by the frequency of purchasing basic commodities of oil, sugar, tea and wheat, as well as the health-seeking behavior of children under five and pregnant women. Lastly, with strong evidence supporting the association of dietary diversity and improved nutritional status, we used Pakistan's National Nutrition Survey 2001-2002 to characterize dietary factors associated with anemia in young Pakistani children between 6 and 59 months of age. Our results confirmed that irrespective of age group, a majority of Pakistani children were being fed a monotonous diet. In our final multivariate logistic regression model, children reportedly not consuming egg(s) or whose mother was unable to identify dark green leafy vegetables as a source of dietary iron were twice as likely to be anemic, after adjusting for the child's age.

The Role of Household Food Insecurity Access, Socioeconomic Status and Dietary Diversity as Underlying Determinants of Undernutrition in Pakistani Households

The Role of Household Food Insecurity Access, Socioeconomic Status and Dietary Diversity as Underlying Determinants of Undernutrition in Pakistani Households PDF Author: Naila Ansari
Publisher:
ISBN: 9781124315461
Category :
Languages : en
Pages :

Book Description
Child undernutrition and food security are serious problems facing Pakistan. It is estimated that almost three-quarters of the Pakistani population live below the poverty line of $2 income per day. With household food insecurity as an underlying determinant of undernutrition, our first study's aim was to adapt and validate the global nine-question Household Food Insecurity Access Scale (HFIAS) version 3 for use in Pakistan. We concluded that the HFIAS was reflective of the three domains of food insecurity access (anxiety and uncertainty about the household food supply; inadequate food quality; and insufficient food intake), and could be used by policymakers and researchers to identify and target groups for food insecurity reduction programs. There is little consensus in defining socioeconomic status (SES) and researchers collect a plethora of information to account for SES, but few studies efficiently utilize the information collected. Our 2nd study aim was to demonstrate the usefulness of principal component analysis in identifying useful SES indicators to develop a meaningful SES index in rural, periurban and urban areas of Pakistan. Our index did not load heavily on tangible assets and/or the presence of livestock, even in rural areas, as some studies on health inequalities have shown. Instead, we found the largest variance was explained by the frequency of purchasing basic commodities of oil, sugar, tea and wheat, as well as the health-seeking behavior of children under five and pregnant women. Lastly, with strong evidence supporting the association of dietary diversity and improved nutritional status, we used Pakistan's National Nutrition Survey 2001-2002 to characterize dietary factors associated with anemia in young Pakistani children between 6 and 59 months of age. Our results confirmed that irrespective of age group, a majority of Pakistani children were being fed a monotonous diet. In our final multivariate logistic regression model, children reportedly not consuming egg(s) or whose mother was unable to identify dark green leafy vegetables as a source of dietary iron were twice as likely to be anemic, after adjusting for the child's age.

Understanding Food Insecurity Experiences, Dietary Perceptions and Practices in the Households Facing Hunger and Malnutrition in Rajanpur District, Punjab Pakistan

Understanding Food Insecurity Experiences, Dietary Perceptions and Practices in the Households Facing Hunger and Malnutrition in Rajanpur District, Punjab Pakistan PDF Author: Farooq Ahmed
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

Book Description
Household Food Insecurity is the underlying cause of hunger and maternal-child undernutrition. This study aims to understand household experiences, practices, and perceptions regarding food insecurity and dietary diversity at the community level in one of the most underdeveloped districts, Rajanpur, in South-Punjab. This study majorly used ethnographic research methods for data collection, supplemented by a food insecurity survey. The study attempted to investigate households' inability to access food and to analyze poor mothers' perspectives and practices regarding daily diet, healthy and unsafe foods, along with variety and diversity of diet. Data found that immediate and the most conspicuous problem was the limited diversity of food. Overall, the low income of poor households determined the low quality of the diet. The foods unavailable or scarce in the households were perceived as healthy foods. Data revealed lowincome households had to eat monotonous, old, used, expired and rotten foods. Poor rural households had to sell off their highly energetic food items (honey, chicken, milk, purified butter, and eggs) only because they wanted to earn a little amount of money, which makes poor rural mothers and children food insecure. Besides, local markets also sell out low-quality foods. The most serious issue was inflation, which squeezes the poor's buying capacity. Data analysis revealed that micronutrient deficiencies in mothers and children (hidden hunger) resulted owing to the consumption of less diverse food. The analysis informs that although there was no absolute hunger in the community, limited diet diversity or lack of access to fruit, meat and milk were the real barriers for poor households because of high inflation. Recommendations include reducing inequalities, enhancing household income, controlling food prices, and promoting a culture of diverse food instead of commercialization is highly recommended to alleviate hunger and malnutrition at the micro-level.

Women’s empowerment in agriculture and dietary quality across the life course: Evidence from Bangladesh

Women’s empowerment in agriculture and dietary quality across the life course: Evidence from Bangladesh PDF Author: Sraboni, Esha
Publisher: Intl Food Policy Res Inst
ISBN:
Category : Political Science
Languages : en
Pages : 101

Book Description
Using nationally representative survey data from rural Bangladesh, this paper examines the relationship between women’s empowerment in agriculture and indicators of individual dietary quality. Our findings suggest that women’s empowerment is associated with better dietary quality for individuals within the household, with varying effects across the life course. Women’s empowerment is associated with more diverse diets for children younger than five years, but empowerment measures are not consistently associated with increases in nutrient intake for this age group. Women’s empowerment is positively and significantly associated with adult men’s and women’s dietary diversity and nutrient intakes. Different empowerment domains may have different impacts on nutrition, but other characteristics, such as maternal schooling and household socioeconomic status, may play a more important role for younger children. The importance of maternal education in the dietary quality of young children, and the relatively greater importance of women’s empowerment for older children and adults, imply that policies designed to empower women and improve nutritional status should be informed by knowledge of which specific domains of women’s empowerment matter for particular nutritional outcomes at specific stages of the life course.

Household Food Insecurity and Its Determinants in the United States

Household Food Insecurity and Its Determinants in the United States PDF Author: Sweta Tiwari
Publisher:
ISBN:
Category :
Languages : en
Pages : 136

Book Description
Food insecurity is one of the biggest challenges facing American society today. Over 13.7 million US households were food insecure in the year 2019 and 19 million Americans lived in food deserts in the year 2015 (USDA, 2020, 2017). Despite food insecurities affecting communities in every corner of the country, there is a dearth of research on food security and food deserts. Therefore, the main objectives of this study are 1) to identify underlying neighborhood characteristics that predict the communities at higher nutritional risk, 2) to analyze the impacts of household characteristics on household food insecurity, and 3) to examine the combined influences of both household and neighborhood characteristics on household food insecurity. Through exploratory factor analysis, eleven socioeconomic characteristics of neighborhoods were systematically grouped into two factors. The first factor represented the neighborhoods with lower socioeconomic status and the second factor represented the declining neighborhoods. Both neighborhoods are less attractive to the big retail stores economically (Bonanno, 2012), and are sometimes subject to malpractice like supermarket redlining (Eisenhauer, 2001).The food desert vulnerability index (FDVI) was created by ranking the variables of factor 1 and factor 2, and the ranking was based on percentiles. This index identified the census tracts of the Southern United States, Maine, Oregon, New Mexico, and Arizona as the socioeconomically vulnerable neighborhoods thereby their possibility of being food deserts. Additionally, analysis of the effect of household characteristics using the regression models suggested that households that were large, minorities, single-parent, male-headed, and lived in the metros, and Midwestern and Southern regions were food insecure. Combined assessment of household and neighborhood characteristics using hierarchical linear modeling revealed that only 2.03 percent of the variance in the household food security score was attributable to differences between counties, thereby implying household food security was mostly dependent on the household’s characteristics. The major limitation of this study is that it does not incorporate the cross-sectional variations in food prices, the role of social capital, and the analysis of the food environment to assess household food insecurity. Research examining the influence of these aspects on household food security would be beneficial.

The State of Food Security and Nutrition in the World 2018

The State of Food Security and Nutrition in the World 2018 PDF Author: Food and Agriculture Organization of the United Nations
Publisher: Food & Agriculture Org.
ISBN: 9251305722
Category : Political Science
Languages : en
Pages : 302

Book Description
New evidence this year corroborates the rise in world hunger observed in this report last year, sending a warning that more action is needed if we aspire to end world hunger and malnutrition in all its forms by 2030. Updated estimates show the number of people who suffer from hunger has been growing over the past three years, returning to prevailing levels from almost a decade ago. Although progress continues to be made in reducing child stunting, over 22 percent of children under five years of age are still affected. Other forms of malnutrition are also growing: adult obesity continues to increase in countries irrespective of their income levels, and many countries are coping with multiple forms of malnutrition at the same time – overweight and obesity, as well as anaemia in women, and child stunting and wasting.

Maternal and Child Nutrition

Maternal and Child Nutrition PDF Author: Jatinder Bhatia
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318023876
Category : Medical
Languages : en
Pages : 258

Book Description
How to prevent and manage low birth weight Growth and nutrition during the fetal period and the first 24 months after birth are important determinants of development in early childhood. Optimal nutrition and health care of both the mother and infant during these first 1000 days of an infant's life are closely linked to growth, learning potential and neurodevelopment, in turn affecting long-term outcomes. Children with low birth weight do not only include premature babies, but also those with intrauterine growth restrictions who consequently have a very high risk of developing metabolic syndrome in the future. Epidemiology, epigenetic programming, the correct nutrition strategy and monitoring of outcomes are thus looked at carefully in this book. More specifically, two important nutritional issues are dealt with in depth: The first being the prevention of low birth weight, starting with the health of adolescent girls, through the pre-pregnancy and pregnancy stages and ending with lactation. The second point of focus concerns the nutritional follow-up and feeding opportunities in relation to dietary requirements of children with low birth weight.

Dietary assessment

Dietary assessment PDF Author: Food and Agriculture Organization of the United Nations
Publisher: Food & Agriculture Org.
ISBN: 9251306354
Category : Medical
Languages : en
Pages : 172

Book Description
FAO provides countries with technical support to conduct nutrition assessments, in particular to build the evidence base required for countries to achieve commitments made at the Second International Conference on Nutrition (ICN2) and under the 2016-2025 UN Decade of Action on Nutrition. Such concrete evidence can only derive from precise and valid measures of what people eat and drink. There is a wide range of dietary assessment methods available to measure food and nutrient intakes (expressed as energy insufficiency, diet quality and food patterns etc.) in diet and nutrition surveys, in impact surveys, and in monitoring and evaluation. Differenct indicators can be selected according to a study's objectives, sample population, costs and required precision. In low capacity settings, a number of other issues should be considered (e.g. availability of food composition tables, cultural and community specific issues, such as intra-household distribution of foods and eating from shared plates, etc.). This manual aims to signpost for the users the best way to measure food and nutrient intakes and to enhance their understanding of the key features, strengths and limitations of various methods. It also highlights a number of common methodological considerations involved in the selection process. Target audience comprises of individuals (policy-makers, programme managers, educators, health professionals including dietitians and nutritionists, field workers and researchers) involved in national surveys, programme planning and monitoring and evaluation in low capacity settings, as well as those in charge of knowledge brokering for policy-making.

The State of Food Security and Nutrition in the World 2020

The State of Food Security and Nutrition in the World 2020 PDF Author: Food and Agriculture Organization of the United Nations
Publisher: Food & Agriculture Org.
ISBN: 925132901X
Category : Political Science
Languages : en
Pages : 320

Book Description
Updates for many countries have made it possible to estimate hunger in the world with greater accuracy this year. In particular, newly accessible data enabled the revision of the entire series of undernourishment estimates for China back to 2000, resulting in a substantial downward shift of the series of the number of undernourished in the world. Nevertheless, the revision confirms the trend reported in past editions: the number of people affected by hunger globally has been slowly on the rise since 2014. The report also shows that the burden of malnutrition in all its forms continues to be a challenge. There has been some progress for child stunting, low birthweight and exclusive breastfeeding, but at a pace that is still too slow. Childhood overweight is not improving and adult obesity is on the rise in all regions. The report complements the usual assessment of food security and nutrition with projections of what the world may look like in 2030, if trends of the last decade continue. Projections show that the world is not on track to achieve Zero Hunger by 2030 and, despite some progress, most indicators are also not on track to meet global nutrition targets. The food security and nutritional status of the most vulnerable population groups is likely to deteriorate further due to the health and socio economic impacts of the COVID-19 pandemic. The report puts a spotlight on diet quality as a critical link between food security and nutrition. Meeting SDG 2 targets will only be possible if people have enough food to eat and if what they are eating is nutritious and affordable. The report also introduces new analysis of the cost and affordability of healthy diets around the world, by region and in different development contexts. It presents valuations of the health and climate-change costs associated with current food consumption patterns, as well as the potential cost savings if food consumption patterns were to shift towards healthy diets that include sustainability considerations. The report then concludes with a discussion of the policies and strategies to transform food systems to ensure affordable healthy diets, as part of the required efforts to end both hunger and all forms of malnutrition.

The State of Food Insecurity in the World 2015

The State of Food Insecurity in the World 2015 PDF Author: World Food Programme
Publisher: Fao
ISBN: 9789251088005
Category :
Languages : en
Pages : 62

Book Description
This years annual State of Food Insecurity in the World report takes stock of progress made towards achieving the internationally established Millennium Development Goal (MDG1) and World Food Summit hunger targets and reflects on what needs to be done, as we transition to the new post-2015 Sustainable Development Agenda. The report reviews progress made since 1990 for every country and region as well as for the world as a whole. The 2015 report not only estimates the progress already achieved, but also identifies remaining problems, and provides guidance on which policies should be emphasized in the future. Key factors that have determined success to date towards food security and nutrition goals are identified. The list of factors - economic growth, agricultural productivity growth, markets (including international trade) and social protection - is by no means exhaustive. The report also shows protracted crises, due to conflict or natural Disasters, has deleterious effects on progress in hunger reduction."

Nutrition-sensitive agriculture

Nutrition-sensitive agriculture PDF Author: Ruel, Marie T.
Publisher: Intl Food Policy Res Inst
ISBN:
Category : Political Science
Languages : en
Pages : 80

Book Description
A growing number of governments, donor agencies, and development organizations are committed to supporting nutrition-sensitive agriculture (NSA) to achieve their development goals. Although consensus exists on pathways through which agriculture may influence nutrition-related outcomes, empirical evidence on agriculture’s contribution to nutrition and how it can be enhanced is still weak. This paper reviews recent empirical evidence (since 2014), including findings from impact evaluations of a variety of NSA programs using experimental designs as well as observational studies that document linkages between agriculture, women’s empowerment, and nutrition. It summarizes existing knowledge regarding not only impacts but also pathways, mechanisms, and contextual factors that affect where and how agriculture may improve nutrition outcomes. The paper concludes with reflections on implications for agricultural programs, policies, and investments, and highlights future research priorities.