Factors influencing animal-source food consumption in Timor-Leste

Wong, Johanna T.; Bagnol, Brigitte; Grieve, Heather; Jong, Joanita Bendita da Costa; Li, Mu; Alders, Robyn

doi:10.1007/s12571-018-0804-5

Cited by 32 publications

(31 citation statements)

References 39 publications

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“…The lower odds in ASF consumption between ages 6–8 and 12–17 months indicate that many mothers may have waited until 18 months to introduce more types of ASF. The delay may be influenced by limited income and livestock for foods (Wong et al, ) that may result in the family's choice of prioritising priced foods only to productive adults but could also be influenced by the lack of caregiver's knowledge on the proper age to introduce more varieties of ASF other than milk to children. The pathway of association between socio‐economic status and our outcomes may be due to increased means to purchase baby formula in higher socio‐economic status families.…”

Section: Discussionmentioning

confidence: 99%

“…Mothers seemed to be better at age‐appropriate breastfeeding when babies were the second or later child, possibly due to limited funds to purchase formula for the last child as the total cost to raise children increases with each additional child. Agricultural families who only have a small size of land may not have enough animal products for consumption and thus prioritise selling the ASF rather than their family consuming it (Wong et al, ).…”

Section: Discussionmentioning

confidence: 99%

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Determinants of age‐appropriate breastfeeding, dietary diversity, and consumption of animal source foods among Indonesian children

Sebayang

Dibley

Astutik

et al. 2019

Maternal & Child Nutrition

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Global child feeding practices remain suboptimal. In this study, we assess the determinants of age-inappropriate breastfeeding, dietary diversity, and consumption of 3+ types of animal source foods (ASFs) using 11,687 observations from combined data from the Indonesian Demographic Health Survey of 2012 and 2017. We used linear and logistic regression after adjusting for the complex sampling design. Child's age and quality of antenatal care (ANC) were associated with all outcomes. Socioeconomic status and labour force participation were positively associated with higher dietary diversity score, ASF consumption, and age-inappropriate breastfeeding. More ANC visits and having consultation at ANC were associated with more dietary diversity. Higher women's knowledge level was associated with more dietary diversity and consuming more ASF. Compared with western Indonesia, more children in eastern Indonesia were age-inappropriately breastfed and had lower dietary diversity. The Indonesian government needs to develop programmes to improve child feeding particularly in eastern Indonesia, focusing on improving dietary diversity and ASF consumption in poorer households and on prolonging breastfeeding in richer households. Women's labour force participation should be encouraged, but programmes for working mothers are also needed to support continued breastfeeding and to express breast milk. ANC and postnatal programmes need improved consultation sessions for child feeding.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Determinants of age‐appropriate breastfeeding, dietary diversity, and consumption of animal source foods among Indonesian children

Sebayang

Dibley

Astutik

et al. 2019

Maternal & Child Nutrition

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“…Seasonality also can mediate food availability and access in LMIC, particularly in rural areas where agriculture-based livelihoods prevail. Yet dietary data are often collected at a single time point, lacking the ability to reflect potential changes in diets occurring through seasons and agricultural cycles (Wong et al, 2018).…”

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confidence: 99%

Maternal diets matter for children's dietary quality: Seasonal dietary diversity and animal‐source foods consumption in rural Timor‐Leste

Bonis-Profumo

Stacey

Brimblecombe

2020

Maternal & Child Nutrition

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Improving the dietary quality of women and children is essential to reduce all forms of malnutrition. In this study, we assessed seasonal child and maternal dietary diversity and consumption of animal‐source foods (ASF), using 1,236 observations from combined data collected among 167 mother–child dyads in rural Timor‐Leste. We used generalized linear and logistic mixed‐effects models to examine the dietary differentials of mothers and children in two agricultural livelihood zones and across the seasons, as well as to identify household and agroecological characteristics associated with children's dietary quality in relation to their mothers'. We found dietary quality to be marginally better in coastal than in mid‐altitude zones. However, women's diets were strikingly poor, and their intake of ASF was lower than among children. Mothers exhibited preferential allocation patterns of specific ASF, dairy products and eggs, to children. The intake of ASF was predicted by seasonality. Flesh foods and red meat were much more likely to be consumed during the dry season, when cultural ceremonies are often performed. We found a positive and strongly significant association between children's dietary indicators—dietary diversity score, minimum dietary diversity and ASF consumption, and those of their mothers'. Maternal dietary quality and educational attainment, more so than agroecological characteristics, were explanatory factors of children's diet. Our study highlights that addressing the dietary quality of children in Timor‐Leste would benefit from improving women's diets through better access to nutritious foods and to secondary education.

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“…Through the quantitative study, adult dietary diversity was found to be significantly lower in the dry and wet seasons compared to the less-wet season. The qualitative study complemented the quantitative study by exploring the reasons behind the differences in food consumption through the year, and revealed both seasonal and non-seasonal drivers for household animal-source food consumption ( 7 ). In these rural areas of Timor-Leste, most animal-source food consumption was reported to occur during social events.…”

Section: Implementation Experiences and Lessons Learnt From The Fieldmentioning

confidence: 99%

“…This review describes the evolution of PE (in relation to veterinary epidemiology and briefly in relation to public health epidemiology), the underpinning philosophy and principles essential to its effective application, and highlights the importance of gender-sensitive approaches and data triangulation, including conventional confirmatory testing. It discusses the importance of understanding social perceptions and drivers, which is receiving increasing recognition by epidemiologists, and provides examples as to how PE tools are being adapted for an increasingly wide range of settings and endeavors, including: use in food and nutrition security programs ( 5 – 7 ); One Health activities ( 8 ); wildlife disease surveillance ( 9 ); gender analysis ( 10 , 11 ); communication ( 12 , 13 ); and for monitoring and evaluation ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Participatory Epidemiology: Principles, Practice, Utility, and Lessons Learnt

et al. 2020

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Participatory epidemiology (PE) evolved as a branch of veterinary epidemiology and has been largely employed for the control and early warning of infectious diseases within resource-limited settings. It was originally based on combining practitioner communication skills with participatory methods to facilitate the involvement of animal caretakers and owners (embracing their knowledge, experience, and motivations) in the identification and assessment of animal disease problems, including in the design, implementation, monitoring and evaluation of disease control programs, policies, and strategies. With the importance of understanding social perceptions and drivers receiving increasing recognition by epidemiologists, PE tools are being adapted for an increasingly wide range of settings and endeavors. More recently, PE tools have been adapted for use in food and nutrition security programs, One Health activities, wildlife disease surveillance and as part of mixed-methods research across a range of socio-economic settings. This review describes the evolution of PE (in relation to veterinary epidemiology and briefly in relation to public health epidemiology), the underpinning philosophy and principles essential to its effective application and the importance of gender-sensitive approaches and data triangulation, including conventional confirmatory testing. The article also provides illustrative examples highlighting the diversity of approaches and applications of PE, hallmarks of successful PE initiatives and the lessons we can learn when these are missing. Finally, we look forward, describing the particular utility of PE for dealing with emerging infectious diseases, gaining attention of field-level cross-sector officials who can escalate concerns to a higher level and for continuing to raise the voices of those less-heard (such as women, minority groups, and remote communities with limited exposure to formal education) in defining the problems and planning activities that will likely impact directly on their well-being and livelihoods.

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Factors influencing animal-source food consumption in Timor-Leste

Cited by 32 publications

References 39 publications

Determinants of age‐appropriate breastfeeding, dietary diversity, and consumption of animal source foods among Indonesian children

Determinants of age‐appropriate breastfeeding, dietary diversity, and consumption of animal source foods among Indonesian children

Maternal diets matter for children's dietary quality: Seasonal dietary diversity and animal‐source foods consumption in rural Timor‐Leste

Participatory Epidemiology: Principles, Practice, Utility, and Lessons Learnt

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