Dataset Information

The impact of food fortification on stunting in Zimbabwe: does gender of the household head matter?

ABSTRACT: BACKGROUND:High prevalence of stunting in children under 5 years poses a major threat to child development in developing countries. It is associated with micronutrient deficiency arising from poor diets fed to children under 5 years. Food fortification is amongst the interventions focused at reducing the incidence of stunting in children under 5 years. METHODS:Using a large-scale household data from Zimbabwe, we investigated the gender-based importance of household adoption of food fortification on the proportion of stunted children in the household. We employed propensity score matching to mitigate self-selection bias associated with household adoption of food fortification. RESULTS:We offer three major findings. Firstly, we find statistically weak evidence that female headed households are more likely to adopt food fortification than their male counterparts. Secondly, food fortification reduces the proportion of stunted children in the household. Finally, in comparison to non-adopters, female headed households that adopt food fortification are more able to reduce the proportion of stunted children in their households than their male counterparts. CONCLUSION:The results highlight the need for policy makers to actively promote food fortification, as such interventions are likely to contribute to the reduction of stunting and to involve men in fortification interventions to improve on their knowledge and appreciation of fortified foods and the associated benefits.

SUBMITTER: Kairiza T

PROVIDER: S-EPMC7092424 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

The impact of food fortification on stunting in Zimbabwe: does gender of the household head matter?

Kairiza Terrence T Kembo George G Pallegedara Asankha A Macheka Lesley L

Nutrition journal 20200323 1

<h4>Background</h4>High prevalence of stunting in children under 5 years poses a major threat to child development in developing countries. It is associated with micronutrient deficiency arising from poor diets fed to children under 5 years. Food fortification is amongst the interventions focused at reducing the incidence of stunting in children under 5 years.<h4>Methods</h4>Using a large-scale household data from Zimbabwe, we investigated the gender-based importance of household adoption of foo ...[more]

PMID: 32204711

Similar Datasets

Project description:Abstract Objectives Reducing the gender gap in empowerment within households is associated with indicators of improved diet. This study developed a household-level empowerment measure and then examined its association with food security. Methods This analysis used baseline data from a nutrition-sensitive agriculture intervention in rural Ghana (ClinicalTrials.gov NCT03869853). Only 198 of the 330 households with complete paired empowerment data for one female and one male were included. The household empowerment measure was constructed in two stages. First, the individual empowerment score was assessed using the project-level Women's Empowerment in Agriculture Index (pro-WEAI) with its 12 indicators (e.g., influential group membership, access to financial services). Participants were classified as empowered (≥75%, 9 out of 12 indicators) or disempowered (<75%). Then, the household was categorized as empowered (both members empowered; 50.5%), semi-empowered (only one member empowered; 34.9%) or disempowered (both members not empowered; 14.6%). Two of the pro-WEAI indicators were assessed also at the household level using the same technique. Food security was assessed with the 15-item Latin American and Caribbean Food Security Scale; a binary variable was created: food secure (0), food insecure (FIS; >0). Cluster-adjusted logistic regression models examined the relationship between FIS and household empowerment. Results Over half (58%) of households were FIS. Empowered compared to disempowered households had a lower odds of being FIS (aOR = 0.50, 95% CI [0.29, 0.86]). The model for influential group membership showed that empowered were less likely than disempowered households to be FIS (aOR = 0.27, 95% CI [0.13, 0.58]) while the model for access to financial services showed the opposite (aOR = 3.15, 95% CI [1.80, 5.51]). Conclusions These results highlight the complexity of empowerment measures and support empowerment approaches that target different members of the household. Funding Sources The Canadian Queen Elizabeth II Diamond Jubilee Scholarships (QES) is managed through a unique partnership of Universities Canada, RHF, CFC, and Canadian universities. The QES-AS is made possible with financial support from IDRC and SSHRC.

Project description:BackgroundVitamins and minerals are essential for growth and metabolism. The World Health Organization estimates that more than 2 billion people are deficient in key vitamins and minerals. Groups most vulnerable to these micronutrient deficiencies are pregnant and lactating women and young children, given their increased demands. Food fortification is one of the strategies that has been used safely and effectively to prevent vitamin and mineral deficiencies.MethodsA comprehensive search was done to identify all available evidence for the impact of fortification interventions. Studies were included if food was fortified with a single, dual or multiple micronutrients and impact of fortification was analyzed on the health outcomes and relevant biochemical indicators of women and children. We performed a meta-analysis of outcomes using Review Manager Software version 5.1.ResultsOur systematic review identified 201 studies that we reviewed for outcomes of relevance. Fortification for children showed significant impacts on increasing serum micronutrient concentrations. Hematologic markers also improved, including hemoglobin concentrations, which showed a significant rise when food was fortified with vitamin A, iron and multiple micronutrients. Fortification with zinc had no significant adverse impact on hemoglobin levels. Multiple micronutrient fortification showed non-significant impacts on height for age, weight for age and weight for height Z-scores, although they showed positive trends. The results for fortification in women showed that calcium and vitamin D fortification had significant impacts in the post-menopausal age group. Iron fortification led to a significant increase in serum ferritin and hemoglobin levels in women of reproductive age and pregnant women. Folate fortification significantly reduced the incidence of congenital abnormalities like neural tube defects without increasing the incidence of twinning. The number of studies pooled for zinc and multiple micronutrients for women were few, though the evidence suggested benefit. There was a dearth of evidence for the impact of fortification strategies on morbidity and mortality outcomes in women and children.ConclusionFortification is potentially an effective strategy but evidence from the developing world is scarce. Programs need to assess the direct impact of fortification on morbidity and mortality.

Project description:BackgroundCurrently, food price inflation is a widespread issue in Bangladesh as well as the rest of the world. Malnutrition is a common issue among children that can have long-lasting effects on their development and overall health. There have been lots of studies conducted to identify the factors responsible for child malnutrition, but inflation is rarely considered a factor in child malnutrition. We aimed to determine the relationship between food price inflation and stunting (Height-for-Age Z-score (HAZ)) in children under five years of age in Bangladesh.MethodThe study utilized food price data from the World Food Programme database and malnutrition (stunting) information from the 2014 and 2017-18 Bangladesh Demographic Health Surveys (BDHS). This includes the total study period from 2009 to 2018. Food prices were linked to the BDHS dataset using each child's birth month. For each child, the average food prices from 9 months prior to 5 months post-birth, including their birth month, were recorded to calculate month-to-month inflation. This inflation was computed for rice (coarse), oil, wheat flour, and lentils by comparing the price sum of each item from one month to the previous month and dividing by the total price of the preceding month. A generalized linear regression model was used to assess the relationship between food price inflation and stunting, with stunting as the dependent variable. Other explanatory variables included wealth index, sex of the child, height, weight, mother's education, respondent's current pregnancy, and breastfeeding status.ResultsOur study has revealed that food price inflation has a significant negative effect on stunting, with a coefficient of -0.127 (p < 0.001). Furthermore, we have identified several other factors that have also significantly negative associations with stunting, including the wealth index (p < 0.001), mother's education level (p < 0.001), mother's pregnancy status (p < 0.001), breastfeeding (p < 0.001), child's age (p < 0.001). child's weight (p < 0.001) has significantly positive effect on stunting. However, we did not find any significant differences in stunting between boys and girls.ConclusionIn conclusion, the findings of this study underscore the significant negative impact of food price inflation on child stunting, emphasizing the need to acknowledge this factor alongside others. These results highlight the critical role of addressing food price inflation as a key determinant of stunting, in conjunction with various other contributing factors, in efforts to combat childhood malnutrition.

Dataset Information

The impact of food fortification on stunting in Zimbabwe: does gender of the household head matter?

Publications

The impact of food fortification on stunting in Zimbabwe: does gender of the household head matter?

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets