Considering Seasonal Variations in Food Availability and Caring Capacity when Planning Complementary Feeding Interventions in Developing Countries
DOI:
https://doi.org/10.6000/1929-4247.2013.02.04.7Keywords:
Seasonality, infant and young child feeding, complementary feeding, trials of improved practices (TIPs), developing countriesAbstract
During early childhood, adequate nutrition is critical for preventing and reducing chronic undernutrition and micronutrient deficiencies. Seasonal food availability, access to diverse food and maternal workload are among the known constraints to successful infant and young child feeding practices. In rural areas in developing countries, many populations experience seasonal food shortages, which often coincide with an increase in food prices and a peak period for agricultural labour. Seasonal pressure on women’s time can negatively impact cooking and caring practices and intra-family food distribution. These factors combine to affect the nutritional status of especially children and women. This paper shows how seasonal food availability data are collected and utilized in designing complementary feeding interventions. Examples are drawn from FAO food and nutrition security projects in Afghanistan, Cambodia, Laos and Zambia which began with formative research using Trials of Improved Practices. Methods include use of seasonal food availability calendars and development of season-specific dishes and recipes. How seasonal variations in food availability and caring capacity feature in the educational materials developed by these projects is also reported. Finally, we provide practical ideas for incorporating coping strategies for dealing with seasonal effects when planning such interventions.
References
PAHO/WHO. Guiding Principles for Complementary Feeding of the Breastfed Child. (Pan American Health Organization/World Health Organization) Division of Health Promotion and Protection Food and Nutrition Program: Washington, DC. 2003. Available from http://whqlibdoc.who. int/paho/2003/a85622.pdf
Dewey KG, Adu-Afarwuah S. Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Matern Child Nutr 2008; 4(Suppl.1): 24-85. http://dx.doi.org/10.1111/j.1740-8709.2007.00124.x
Dewey KG, Adu-Afarwuah S. Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Matern Child Nutr 2008; 4(Suppl.1): 24-85. http://dx.doi.org/10.1111/j.1740-8709.2007.00124.x
Soofi S, Cousens S, Iqbal SP, Akhund T, Khan J, Ahmed I, et al. Effect of provision of daily zinc and iron with several micronutrients on growth and morbidity among young children in Pakistan: a cluster-randomised trial. Lancet 2013; 382(9886): 29-40.
Daelmans B, Mangasaryan N, Martines J, Saadeh R, Casanovas C, Arabi M. Strengthening actions to improve feeding of infants and young children 6 to 23 months of age: Summary of a recent World Health Organization/UN ICEF technical meeting, Geneva, 6-9 October 2008. Food Nutr Bull 2009; 30(2): S236-S8.
UN. 2012. Zero Hunger Challenge. Available from http://un-foodsecurity.org/sites/default/files/EN_ZeroHungerChallenge.pdf
Save the Children. The Minimum Cost of a Healthy Diet: Findings from piloting a new methodology in four study locations. Available from http://www.savethechildren.org.uk/ sites/default/files/docs/The_Minimum_Cost_of_a_Healthy_Diet_corrected09_1.pdf
Chambers R, editor. Foreword and Seasonal poverty: Integrated, overlooked and therefore opportunity. In: Seasonality, Rural Livelihoods and Development (eds S. Devereux, R. Sabates-Wheeler, R. Longhurst), pp. xv-xviiii; pp. 76-92. Earthscan from Routledge, London and New York 2012.
Hoorweg J, Foeken D, Klaver W. Seasons and Nutrition at the Kenya Coast. African Studies Centre Research Series 7/1995. Avebury. Available at https://openaccess.leidenuniv. nl/bitstream/handle/1887/4664/ASC-1241504-011.pdf?sequence=1
ACC/SCN. 1989. UN Administrative Committee on Coordination/Subcommittee on Nutrition. Women's Role in Food Chain Activities and the Implications for Nutrition - Nutrition Policy Discussion Paper No. 4. Available from http://www.unscn.org/layout/modules/resources/files/Policy_paper_No_4.pdf
Huybregts L, Houngbe´ F, Salpeteur C, Brown R, Roberfroid D. The Effect of Adding Ready-to-Use Supplementary Food to a General Food Distribution on Child Nutritional Status and Morbidity: A Cluster-Randomized Controlled Trial. PLoS Med 2012; 9(9): e1001313.
Golden MH. Proposed Recommended Nutrient densities for moderately malnourished children. Food Nutr Bull 2009; 30(3 Suppl. 1): S267-S342.
Zou XN, Taylor PR, Mark SD, Chao A, Wang W, Dawsey SM, et al. Seasonal variation of food consumption and selected nutrient intake in Linxian, a high risk area for esophageal cancer in China. Int J Vitam Nutr Res 2002; 72(6): 375-82. http://dx.doi.org/10.1024/0300-9831.72.6.375
He L, Zhao W, Zhang X, You Y, Chen J. Trend of seasonal change on intake of nutrients in a year of the residents in both northern and southern China. Wei Sheng Yan Jiu
(= Journal of hygiene research) 2004; 33(6): 694-7.
Faber M, Laubscher R. Seasonal availability and dietary intake of β-carotene-rich vegetables and fruit of 2-year-old to 5-year-old children in a rural South African setting growing these crops at household level. Int J Food Sci Nutr 2008; 59(1): 46-60. http://dx.doi.org/10.1080/09637480701664852
ACC/SCN. ACC/SCN State-of-the-art series (SOA) Nutrition policy discussion papers. Nutrition-Relevant Actions - Some Experiences from the Eighties and Lessons for the Nineties by S. Gillespie and J. Mason, October 1991. (SOA No. 10) 1991.
Sriram R, Ganapathy H. The Unresolved Dilemma-Child Care Options in Agricultural Contexts. Econ Polit Weekly, October 25, WS-64-WS72 1997.
Meinzen-Dick R, Behrman J, Menon P, Quisumbing A. Gender: A key dimension linking agricultural programs to improved nutrition and health. International Food Policy Research Institute (IFPRI). 2011. Available from http://www.ifpri.org/sites/default/files/publications/2020anhconfbr09.pdf
UNSCN. United Nations System Standing Committee on Nutrition. Sixth report on the world nutrition situation. Chapter 3 Maternal nutrition and the intergenerational cycle of growth failure. 2010. Available from http://www.unscn.org/files/ Publications/RWNS6/report/SCN_report.pdf
Leonard WR. Household-level strategies for protecting children from seasonal food scarcity. Soc Sci Med 1991; 33(10): 1127-33. http://dx.doi.org/10.1016/0277-9536(91)90228-5
Abdullah M, Wheeler E. Seasonal variations and the intro-household distribution of food in a Bangladeshi village. Am J Clin Nutr 1985; 41: 1305-13.
Kaiser LL, Dewey KG. Household economic strategies, food resource allocation and intro-household patterns of dietary intake in rural Mexico. Ecol Food Nutr 1991; 25: 123-45. http://dx.doi.org/10.1080/03670244.1991.9991162
Savy M, Martin-Prével Y, Traissac P, Eymard-Duvernay S, Delpeuch F. Dietary diversity scores and nutritional status of women change during the seasonal food shortage in rural Burkina Faso. J Nutr 2006; 136(10): 2625-32.
Valverde V, Delgado H, Martorell R. Seasonality and nutritional status. A review of findings from developed and developing countries. Arch Latinoam Nutr 1982; 32(3): 521-40.
Goudet SM, Griffiths PL, Bogin BA, Selim N. Impact of flooding on feeding practices of infants and young children in Dhaka, Bangladesh Slums: What are the coping strategies? Matern Child Nutr 2011; 7(2): 198-14. http://dx.doi.org/10.1111/j.1740-8709.2010.00250.x
UNICEF. Programming Guide: Infant and Young Child Feeding. United Nations Children‘s Fund. Available at http://www.unicef.org/nutrition/files/Final_IYCF_programming_guide_2011.pdf
FAO. Healthy Food, Happy Baby, Lively Family. Improved Feeding Practices and Recipes For Afghan Children and Mothers. Published by arrangement with the Food and Agriculture Organization of the United Nations by the Ministry of Agriculture, Irrigation and Livestock, and Ministry of Public Health Government of Afghanistan. Written by Dirorimwe, C. Available from http://www.fao.org/ag/humannutrition/15403-0397cd6b1f6ca0073374b4c8c9f642644.pdf. 2008.
Goverment of the Republic of Zambia/FAO. Improved Complementary Foods Recipe Booklet: family foods for breastfed children in Zambia. Lusaka; National Food and Nutrition Commission,Government of the Republic of Zambia and The Food and Agriculture Organization of the United Nations. Available from ftp://ftp.fao.org/docrep/fao/010/ ai208e/ai208e.pdf 2007.
FAO. Promoting Improved Complementary Feeding (with recipes): A Manual for Community Nutrition Promoters. Manual produced by the Food and Agriculture Organization of the United Nations (FAO) in collaboration with the Ministry of Agriculture, Forestry and Fisheries, the Ministry of Women’s Affairs and the Ministry of Health in Cambodia. 2011. Available from http://www.fao.org/docrep/014/ am867e/am867e00.pdf
FAO. Complementary feeding for children aged 6-23 months: A recipe book for mothers and caregivers. Produced by FAO in collaboration with the Cambodian Ministry of Agriculture, Forestry and Fisheries, the Ministry of Women’s Affairs and the Ministry of Health. FAO, June 2011. Available from http://www.fao.org/docrep/014/am866e/am866e00.pdf 2011.
Dickin KM, Griffiths M, Piwoz E. Designing by Dialogue: A programme planners’ guide to consultative research for improving young child feeding. The Manoff Group and Academy for Educational Development for the Health and Human Resources Analysis (HHRAA) Project, Washington, D.C. 1997. Available from http://childhealthandnutrition. care2share.wikispaces.net/file/view/Designing%2520by%2520Dialogue.pdf
FAO. Home-based fruit and vegetable processing: A Manual for Field Workers and Trainers. Written by Susan Azam Ali, Edited by Charlotte Dufour. Published by arrangement with the Food and Agriculture Organization of the United Nations by the Ministry of Agriculture, Irrigation and Livestock, Government of Afghanistan. Available at http://www.fao.org/ docrep/011/a1549e/a1549e00.HTM 2008.
Ashworth A, Ferguson E. Dietary counseling in the management of moderate malnourishment in children. Food Nutr Bul 2009; 30(3 Suppl. 1): S405-S33.
Devadas Rajammal P, Chandrasekhar U, Premakumari S, Saishree R. Consumption Pattern of Carotene Rich Foods and Development of a Year Calendar. Biomed Environ Sci 1996; 9(2-3): 213-22.
Paul KH, Muti M, Chasekwa B, Mbuya MNN, Madzima RC, Humphrey JH, et al. Complementary feeding messages that target cultural barriers enhance both the use of lipid-based nutrient supplements and underlying feeding practices to improve infant diets in rural Zimbabwe. Matern Child Nutr 2012; 8(2): 225-38. http://dx.doi.org/10.1111/j.1740-8709.2010.00265.x
Hassan N, Huda N, Ahmad K. Seasonal patterns of food intake in rural Bangladesh: Its impact on nutritional status. Ecol Food Nutr 1985; 17(2): 175-86. http://dx.doi.org/10.1080/03670244.1985.9990891
Girard AW, Self JL, McAuliffe C, Olude O. The effects of household food production strategies on the health and nutrition outcomes of women and young children: a systematic review. Paediatr Perinat Epidemiol 2012; 26(Suppl 1): 205-22.
Silva-Barbeau I, Hull SG, Prehm MS, Barbeau WE. Women's access to food-processing technology at the household level is associated with improved diets at the pre-harvest lean season in The Gambia. Food Nutr Bull 2005; 26(3): 297-308.
Ruel MT, Quisumbing AR, Hallman K, de la Brière B, de Salazar NC. The Guatemala Community Day Care Program: An example of effective urban programming. Research Report of the International Food Policy Research Institute. 2006; (144): 1-64.
Di Cesare R, Ruggieri R. The evaluation of grey literature using bibliometric indicators: A methodological proposal. In Anderson KL, Thiery C, editors Information for Responsible Fisheries: Libraries as Mediators: proceedings of the 31st Annual Conference: Rome, Italy, October 10 – 14, 2005 Fort Pierce, FL: International Association of Aquatic and Marine Science Libraries and Information Centers 2006 Available from https://darchive.mblwhoilibrary.org/bitstream/handle/ 1912/1322/proc06057.pdf?sequence=1
Jones K. Mission Drift in Qualitative Research, or Moving Toward a Systematic Review of Qualitative Studies, Moving Back to a More Systematic Narrative Review. The Qualitative Report Volume 9 Number 1 March 2004 95-112 http://eprints.bournemouth.ac.uk/1181/1/Jones_Output_4.pdf 2004.
USAID. USAID's infant and young child nutrition project: IYCN social and behavior change communication approach. Available from http://iycn.wpengine.netdna-cdn.com/files/ IYCN_sbcc_approach_071511.pdf 2011.
FAO. FAO-GIEWS (global information and early warning system on food and agriculture) country briefs. Available from http://www.fao.org/giews/countrybrief/index.jsp. 2013.
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