Long-term behavioural impact of an integrated home garden intervention: evidence from Bangladesh

Baliki, Ghassan; Brück, Tilman; Schreinemachers, Pepijn; Uddin, Md. Nasir

doi:10.1007/s12571-019-00969-0

Cited by 47 publications

(54 citation statements)

References 34 publications

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“…Integrating agriculture and nutrition by addressing food security while emphasizing the importance of diverse, nutrient-dense foods for infant growth and development has potential benefits. Interventions combining homestead food production and behavior change strategies for complementary feeding practices reported positive results on vegetable production as well as children's nutritional status ( 58 , 59 ).…”

Section: Discussionmentioning

confidence: 99%

Maternal Knowledge, Attitudes, and Practices of Complementary Feeding and Child Undernutrition in the Vakinankaratra Region of Madagascar: A Mixed-Methods Study

Rakotomanana

Hildebrand

Gates

et al. 2020

Current Developments in Nutrition

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Background Data are limited on how feeding knowledge and practices relate to child undernutrition in the highlands of Madagascar. Objective This study assessed maternal knowledge and practices of complementary feeding and their associations with anthropometrics of 6 – 23 months children in the Vakinankaratra region of Madagascar. Methods Knowledge was assessed using WHO recommendations on child feeding, and WHO infant and young child feeding (IYCF) indicators were used to evaluate feeding practices. Child growth was measured as length-for-age (LAZ), weight-for-age (WAZ), and weight-for-length z-scores (WLZ) using the 2006 WHO Growth Standards. A z-score of < -2 was classified as child undernutrition. Logistic regression models were used to determine associations between independent variables and outcomes. Focus group discussions among mothers and in-depth interviews with key informants were conducted; barriers and facilitators of optimal feeding practices were identified using a thematic analysis approach. Results Maternal knowledge scores regarding child feeding averaged 6.4 of 11. Better knowledge scores were associated with higher odds of appropriate complementary feeding practices before and after covariate adjustments. The proportions of children achieving the minimum dietary diversity (35.8%), minimum acceptable diet (30.2%) and consuming meat, fish, and poultry (14.1%) were low. Only consumption of iron-rich foods was associated with lower odds of underweight [AOR (95% CI) = 0.3 (0.1 – 0.7), p < 0.05]. None of the IYCF indicators were associated significantly with stunting or wasting. Maternal attitudes about complementary foods, as well as mothers’ workload and very low income were identified as barriers to optimal feeding practices. Maternal perceived benefits of giving appropriate complementary foods as well as their positive relationship with the community health workers were the main facilitators of optimal child feeding. Conclusions Integrated nutrition-sensitive interventions addressing these barriers while enhancing the facilitators are critical in promoting better feeding practices in the Vakinankaratra region.

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Section: Discussionmentioning

confidence: 99%

Maternal Knowledge, Attitudes, and Practices of Complementary Feeding and Child Undernutrition in the Vakinankaratra Region of Madagascar: A Mixed-Methods Study

Rakotomanana

Hildebrand

Gates

et al. 2020

Current Developments in Nutrition

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“…35,36 In some countries, the home garden development program to grow vegetables shows good sustainability and effectiveness in increasing vegetable intake. 73,74 This program has the potential to reduce the percentage of obesity. 75 The success of the program is supported by the integration of the yard development program and regular nutrition education, accompanied by the problem-solving assistance in dealing with technical obstacles in planting.…”

Section: Discussionmentioning

confidence: 99%

Obesity Determinants and the Policy Implications for the Prevention and Management of Obesity in Indonesia

Dewi

Tanziha

Solechah

et al. 2020

Curr Res Nutr Food Sci

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The prevalence of overweight and obesity in adult groups in Indonesia experience a surge compared to the previous year. The obesity determinants are classified as complex, and they can differ between regions. Appropriate policies, in accordance with determinants, play an important role in efforts to reduce the prevalence of obesity. This study aimed to identify the determinant factors for overweight and obesity in Indonesia and policies that supported a decrease in the prevalence of overweight and obesity based on the significant determinant factors found. The data sources were from the Ministry of Health, Statistics Indonesia, and the Ministry of Agriculture for 33 provinces in Indonesia. The literature regarding policy analysis was sought on Google, the IPB University repositories, related ministry websites, PubMed, ScienceDirect, and MEDLINE. The multiple regression analysis was performed to identify the determinants of overweight and obesity while the Five-E approach was used to analyze related policies. The simple regression analysis showed that the consumption of animal source foods (p=0.001), oil and fat consumption (p=0.006), the proportion of the population with low physical activity (p=0.01), the average study duration (p=0.001), total per capita expenditure (p=0.000), food (p=0.001) and non-food expenditure (p=0.000), and share of food expenditure (p=0.005) had significant effects on the proportion of adulthood overweight and obesity. Only oil and fat consumption (p=0.02) still had a significant positive effect on the proportion of overweight and obesity after performing the multiple regression analysis. Vegetable consumption (p=0.03) also had a significant negative effect on the proportion of overweight and obesity after being included in the multiple regression model. The Healthy Community Movement (HMC or known as GERMAS in Indonesia) policy and the inclusion of fat content into food labels are policies for preventing and managing overweight, which are conducted related to consumption of vegetables, fat, and oil. The effectiveness of the policy is still not optimal even though the policy is efficient. An improvement of the policy implementation needs to be conducted by optimizing the implementation of follow-up monitoring and evaluation of the implementation of program policies.

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“…Low availability may explain why the Bhutan study found a positive association between home gardens and children's vegetable consumption. Other studies also demonstrated that home garden interventions can increase household vegetable production and consumption in the South Asian context ( Baliki et al, 2019 ; Bird et al, 2019 ; Osei et al, 2016 ; Schreinemachers et al, 2016 ).…”

Section: Introductionmentioning

confidence: 93%

Nudging children toward healthier food choices: An experiment combining school and home gardens

Schreinemachers¹,

Baliki

Shrestha

et al. 2020

Global Food Security

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School gardens have become a widely used approach to influence children's food knowledge, preferences and choices in low- and high-income countries alike. However, evidence indicates that such programs are more effective at influencing food knowledge and preferences than actual food choices. Such finding may occur because school gardens insufficiently influence the food behavior of parents and because healthy food items are not always available in children's homes. We tested this hypothesis using a one-year cluster randomized controlled trial in Nepal with 15 treatment and 15 control schools and a matched sample of 779 schoolchildren (aged 8–12) and their caregivers. Data were collected before and after the intervention during the 2018–2019 school year. In addition, children's food consumption was monitored using a monthly food logbook. Average treatment effects were quantified with a double-difference estimator. For caregivers, the intervention led to a 26% increase in their food and nutrition knowledge (p < 0.001), a 5% increase in their agricultural knowledge (p = 0.022), a 10% increase in their liking for vegetables (p < 0.001), and a 15% increase in home garden productivity (p = 0.073). For children, the intervention had no discernible effect on food and nutrition knowledge (p = 0.666) but led to a 6% increase in their liking for vegetables (p = 0.070), healthy food practices (p < 0.001), and vegetable consumption (October–December +15%; p = 0.084; January–March +26%; p = 0.017; April–June +26%; p = 0.088). The results therefore indicate both schools and parents matter for nudging children toward healthier food choices.

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Long-term behavioural impact of an integrated home garden intervention: evidence from Bangladesh

Cited by 47 publications

References 34 publications

Maternal Knowledge, Attitudes, and Practices of Complementary Feeding and Child Undernutrition in the Vakinankaratra Region of Madagascar: A Mixed-Methods Study

Maternal Knowledge, Attitudes, and Practices of Complementary Feeding and Child Undernutrition in the Vakinankaratra Region of Madagascar: A Mixed-Methods Study

Obesity Determinants and the Policy Implications for the Prevention and Management of Obesity in Indonesia

Nudging children toward healthier food choices: An experiment combining school and home gardens

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