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Author: Publisher: World Bank Publications ISBN: 0821370200 Category : Medical Languages : en Pages : 156
Book Description
Malnutrition - especially, the stunting of children under five - is arguably Ecuador's biggest development challenge. Like other Andean countries (such as Peru and Bolivia), Ecuador has a persistently high stunting rate, well above what would be expected given its middle income status. Even more worrying, over the last decade, the trend reduction has virtually stopped. The study supports the development of a more coherent and effective nutrition strategy in Ecuador through an analysis of the main nutrition issues, based on in-depth statistical analysis of a large new household survey dataset (ENDEMAIN 2004) and other data sources, together with a review of qualitative evidence regarding behavioral and program-access obstacles to improved nutritional outcomes. It also reviews the existing programs and policies which aim to improve nutritional outcomes, considered the available evidence on the efficiency, effectiveness, targeting and inter-programmatic coherence of the programs and projects reviewed and suggests an agenda for policy discussions to improve these outcomes.
Author: Publisher: World Bank Publications ISBN: 0821370200 Category : Medical Languages : en Pages : 156
Book Description
Malnutrition - especially, the stunting of children under five - is arguably Ecuador's biggest development challenge. Like other Andean countries (such as Peru and Bolivia), Ecuador has a persistently high stunting rate, well above what would be expected given its middle income status. Even more worrying, over the last decade, the trend reduction has virtually stopped. The study supports the development of a more coherent and effective nutrition strategy in Ecuador through an analysis of the main nutrition issues, based on in-depth statistical analysis of a large new household survey dataset (ENDEMAIN 2004) and other data sources, together with a review of qualitative evidence regarding behavioral and program-access obstacles to improved nutritional outcomes. It also reviews the existing programs and policies which aim to improve nutritional outcomes, considered the available evidence on the efficiency, effectiveness, targeting and inter-programmatic coherence of the programs and projects reviewed and suggests an agenda for policy discussions to improve these outcomes.
Author: Publisher: ISBN: Category : Languages : en Pages : 127
Book Description
"Malnutrition - especially, the stunting of children under five - is arguably Ecuador's biggest development challenge. Like other Andean countries (such as Peru and Bolivia), Ecuador has a persistent, high stunting rate, well above what would be expected given its middle-income status. Over the last decade, the reduction trend has virtually stopped. This study shows suggests that the problem is rooted in a combination of policy failure, resource misallocation, discrimination, and prejudice. It presents a thorough review of evidence on the causes of stunting in Ecuador, including in-depth analysis of data from the 2004 ENDEMAIN survey and qualitative evidence on behavioral and program-access obstacles to improved nutritional outcomes. It then reviews food and nutrition programs, mother and child health programs, and other programs that might affect nutrition, such as income support and cash transfer programs, looking at their efficiency, effectiveness, targeting, and interprogrammatic coherence." "The study concludes that Ecuador could quickly achieve major improvements in early childhood nutrition outcomes through feasible changes in its primary health and nutrition programs. It recommends that the strategy should center on pregnant women and children under-two years of age, starting with a through overhaul of the national system for monitoring the nutritional status of children."--Résumé de l'éditeur.
Author: Jacques Meyer May Publisher: ISBN: Category : Business & Economics Languages : en Pages : 392
Book Description
Medical geography textbook on the ecology of malnutrition in Western South America - includes country case studies treating background information, covers food production, food industries, diets, adequacy of food security, nutritional disease patterns, etc., and presents conclusions. Bibliography, maps, references and statistical tables.
Author: Amanda L. Thompson Publisher: Springer Nature ISBN: 3030924114 Category : Science Languages : en Pages : 291
Book Description
In this book, we bring together interdisciplinary scholars and clinicians in medicine, public health, anthropology, nutrition, environmental sciences, and geography from the University of North Carolina at Chapel Hill, Universidad San Francisco de Quito, the Ministry of Health and the Hospital Oskar Jandl. Together, these authors provide a comprehensive description of the factors shaping water quality, food availability, and health services on the islands, their implications for human health and well-being, and potential avenues for intervention.
Author: Vanessa Alicia Chee Publisher: ISBN: Category : Chronic diseases Languages : en Pages : 247
Book Description
The nutrition transition is a global phenomenon in which diets have become increasingly westernized and processed while lifestyles have shifted from labor intensive to sedentary, largely on account of the advent of technology, globalization n and urbanization. Despite the prevalence of this phenomenon, very little is known regarding how the nutrition transition has affected the risk of comorbid chronic diseases among indigenous Kichwas communities in Ecuador. Aims of this study are : 1) Identify specific health outcomes (such as diabetes, hypertension, and high cholesterol) associated with the lifestyle risk factors of the nutrition transition among the Andean Kichwas indigenous population; 2) Explore the sociocultural factors (such as gender roles, culinary traditions, urbanization and globalization) which influence dietary behavior and food choices within Kichwas indigenous households; 3) Assess the construct relevance of the Nutrition Transition Questionnaire (NTQ), a pilot instrument designed to measure key constructs of the nutrition transition within indigenous Kichwas Andean households. The current study is a convergent parallel mixed methods design that consists of two components: 1) Secondary data analysis of the internal reliability of the Nutrition Transition Questionnaire, a pilot instrument designed to assess obesogenic lifestyles at the individual and household levels; 2) Primary ethnographic qualitative data collection among the Kichwas community residing in the Imbabura province of Ecuador. Thirty-four interviews were conducted with nutritional gatekeepers (i.e. women who make the majority of household dietary decisions) to explore lifestyle trends related to diet and exercise within the Kichwas community. Twenty-five intercept interviews were conducted at various food vending locations throughout the community. Internal reliability of the NTQ was assessed using Cronbachs alpha and inter-item correlations while qualitative data were analyzed using applied thematic analysis. Chronic disease occurrence in the sample was also assessed for diabetes, hypertension, high cholesterol and obesity. Results suggest that key constructs in the Nutrition Transition Questionnaire are relevant to assessing lifestyle risk and protection regarding chronic disease. Main qualitative themes include gender roles within food preparation; the impact of collective culture upon food choices and household dietary behavior; and the protection offered by access to home gardens. The discussion highlights several differences between this study population and other indigenous populations. It also posits that a new emergent theory, Geo-Nomics theory, can provide a useful future tool in framing additional ethnographic nutrition transition research. The conclusion indicates this studys most useful contributions to the literature, which include the development of a potential thermos intervention to decrease fast food consumption when Kichwas men commute far from home to work.
Author: Jairo Andrade Publisher: ISBN: Category : Agricultural productivity Languages : en Pages : 266
Book Description
Three indigenous communites in the Ecuadorian highlands were surveyed in order to a) determine the nutritional status of the family, b) examine the crop and animal production practices, and c) become aware of the socio-economic characteristics of the family. The findings of this study demonstrate the complexity of the factors involved in the development of malnutrition among children and adults. The improper use of resources, inadequate employment, poor sanitation, poverty, illiteracy, adverse weather conditions and dietary factors all appeared to be part of the production system leading to poor nutritional status among the people. Three production systems were found; the subsistence, the semi-commercial, and the commercial production system. Internal limitations identify the permanent subsistence system in which all of the farmers of the community of San Francisco and part of the San Nicolas and San Clemente are included. This subsistence system exists because there are limited or no alternatives. However, small farmers in the three communities studied have a set of technologies and adaptative production strategies for exploiting their small farm. The understanding of these strategies and taking action on this base will allow advancement in development.
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Author: United States. Interdepartmental Committee on Nutrition for National Defense
Author: Jacques Meyer May
Author: Amanda L. Thompson
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Author: Lawrence S. Greene
Author: Vanessa Alicia Chee
Author: Jairo Andrade