Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa

Nisbett, Nicholas; Bold, Mara van den; Gillespie, Stuart; Menon, Purnima; Davis, Peter; Roopnaraine, Terry; Kampman, Halie; Kohli, Neha; Singh, Akriti; Warren, Andrea

doi:10.1016/j.gfs.2017.01.006

Cited by 27 publications

(22 citation statements)

References 14 publications

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“…Moreover, the presence of nutrition promotion program partners such as sustainable undernutrition reduction in Ethiopia (SURE) and the Soqota Declaration programs were raised as main facilitators to the consumption of ASFs by children in the communities. In line with this finding, community networks and the increasing engagement of development partners or non-governmental organizations (NGOs) in nutrition were reported as strong facilitators for good health and agriculture linkages at community level [61]; and the nutritionspecific changes, represented in most cases by solidly implemented government or NGO supported interventions at the community level [67].…”

Section: Discussionmentioning

confidence: 94%

Why are animal source foods rarely consumed by 6-23 months old children in rural communities of Northern Ethiopia? A qualitative study

et al. 2020

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Background Animal source foods provide high-quality protein and essential micronutrients within the human diet and are of particular significance for the health and development of children. Despite the availability of domestic livestock in rural households of Ethiopia, the diets of children are often monotonous and mainly cereal-based with low energy and nutrient density. Objective Explore barriers and facilitators for the consumption of animal source foods among 6-23 months old children from the rural communities of Northern Ethiopia. Methods A community-based exploratory qualitative study design was conducted in July through September 2018. A total of eight focus group discussions (56 individuals) and twenty-four qualitative interviews were conducted with mothers who are lactating, fathers, health extension workers, nutrition, and agriculture experts. Purposive sampling technique was used to include study participants based on their potential relevance in delivering a wealth of information. Thematic analysis strategies, a method for identifying, analyzing, and reporting themes within data, were used to code and grouped into related families and synthesize the qualitative data. Results Consumption of animal source foods among 6-23 months old children was very low and the home-reared livestock and their products were mainly used for market purposes. Animal products are consumed during special societal occasions since they are considered as

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Section: Discussionmentioning

confidence: 94%

Why are animal source foods rarely consumed by 6-23 months old children in rural communities of Northern Ethiopia? A qualitative study

et al. 2020

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“…The framework often guides selection of factors in quantitative analyses (e.g., Headey 2012). Quantitative work draws on these immediate, underlying, and basic factors to understand what has contributed to recent improvements in child nutrition in South Asia and into variation in child stunting between India and Bangladesh (Headey 2012;Headey et al 2015;Coffey 2015;Gillespie et al 2017;Kohli et al 2017;Nisbett et al 2017).…”

Section: Factors Contributing To Child Undernutrition In South Asiamentioning

confidence: 99%

“…Numerous studies examine the roles of basic causes of undernutrition, which can range from government programs to economic growth to social norms to technology. In South Asia, nutritional programs, health insurance, and access to health services have improved nutritional outcomes (Gillespie et al 2017;Kohli et al 2017;Nisbett et al 2017). Economic growth can support better nutrition, albeit the effect varies (Headey 2012) and households with adequate income may still have undernourished members (Avula et al 2016).…”

Section: Factors Contributing To Child Undernutrition In South Asiamentioning

confidence: 99%

“…Cultural practices, social context, and social norms are important drivers in nutritional outcomes in general (Bentley et al 1999;Bezner Kerr et al 2008; Pinstrup Andersen 2014; Kavle and Landry 2017;Nisbett et al 2017) and could be important contributors to undernutrition for women, in particular. 4 D'Souza and Tandon (2018) find that several measures of women's empowerment are associated with better nutritional outcomes relative to their partners, for women who are spouses of household heads in Bangladesh.…”

Section: Intrahousehold Variation In Undernutrition In South Asiamentioning

confidence: 99%

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Last and least: Findings on intrahousehold undernutrition from participatory research in South Asia

Lentz

Narayanan

De³

2019

Social Science & Medicine

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In this paper, we analyze intrahousehold mechanisms that rural South Asian women themselves identify as contributing to their inabilities to achieve adequate nutrition. The majority of our female respondents explain that, within their families, they are most likely to eat least and last and to seek lower quality healthcare later, both of which can lead to undernutrition. We consider the explanations that women provide for why they do so. In addition to norm abidance, we highlight two social factors: a partner's heavy alcohol use and intimate partner violence. Women report that these factors adversely impact their own health and food security status and potentially contribute to differential nutritional outcomes within the same household. The emic perspectives presented here show us: (1) many rural South Asian women report shouldering a relatively greater share of food and nutrition insecurity within their households, and (2) taking their perspectives seriously assists in identifying the underlying contributors to intrahousehold differences. These findings indicate the value a gendered perspective on both the drivers of and measurement of undernutrition. Attending to these intrahousehold factors in future quantitative research may provide important insights for understanding drivers of nutritional outcomes.

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“…Issues relating to rapidly evolving food value chains, appearance of new actors within the chains, the inclusion of smallholders in these value chains, and the resulting impacts to nutrition are also still not well understood (Gómez and Ricketts, 2013;Popkin, 2014). Though the evidence on the contribution of value chains to nutrition is still scant, there exist a number of case studies of interventions targeted to specific needs and gaps in value chains for nutritious products in particular settings (Hawkes and Ruel, 2011;Gelli et al, 2015;Maestre et al, 2017;Nisbett et al, 2017). In recent years, for example, the evidence on the dissemination possibilities and acceptance of biofortified crops has solidified (Manda et al, 2015;Low et al, 2017;Murekezi et al, 2017).…”

Section: Value Chain Interventions For Increasing Supply and Demand -mentioning

confidence: 99%

Food value chains for nutrition.

Allen¹,

Morales²,

Gelli³

2019

Agriculture for Improved Nutrition: Seizing the Momentum

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This chapter focuses on understanding the supply and demand aspects of food value chains and their relationship to nutrition using a food-systems perspective. It considers the collaborative roles of value chain actors, including producers, consumers, organizations, businesses, and the public sector. Finally, the chapter provides specific examples of interventions that have strived to put food value chains to work for nutrition and the lessons learned.

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Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa

Abstract: Journal articleIFPRI3; ISI; CRP4; POSHANPHND; A4NH; SAOPRCGIAR Research Program on Agriculture for Nutrition and Health (A4NH

Cited by 27 publications

References 14 publications

Why are animal source foods rarely consumed by 6-23 months old children in rural communities of Northern Ethiopia? A qualitative study

Why are animal source foods rarely consumed by 6-23 months old children in rural communities of Northern Ethiopia? A qualitative study

Last and least: Findings on intrahousehold undernutrition from participatory research in South Asia

Food value chains for nutrition.

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