Journal Articles

Determinants of Stunting and Severe Stunting among under-fives: Evidence from the 2011 Nepal Demographic and Health Survey

Published: September 2014 Authors: Rina Tiwari, Lynne M Ausman, Kingsley Emwinyore Agho Publisher: BMC Pediatrics
Stunting remains a major public health concern in Nepal as it increases the risk of illness, irreversible body damage and mortality in children. Public health planners can reshape and redesign new interventions to reduce stunting and severe stunting among children aged less than 5 years in this country by examining their determinants. Hence, this study identifies factors associated with stunting and severe stunting among children aged less than five years in Nepal.

Reliability and validity of an individually-focused food insecurity access scale for assessing inadequate access to food among pregnant Ugandan women of mixed HIV status

Published: August 2014 Authors: Barnabas K. Natamba, Angela Arbach, Hillary Kilama, Jane Achah, Jeffrey Griffiths, Sera Young Publisher: Cambridge University Press
Food security occurs “when all people, at all times, have physical, social, and economic access to sufficient, safe, and nutritious food that meets their dietary needs and food preferences for an active and healthy life.” Food insecurity (FI) exists when these conditions are not met and is a major underlying cause of undernutrition enshrined in the UNICEF conceptual framework. FI is a major risk factor for adverse health outcomes among specific vulnerable populations including persons infected with HIV, women and children. Women’s responsibilities in managing family Continue reading →

Iron deficiency is uncommon among lactating women in urban Nepal, despite a high risk of inadequate dietary iron intake

Published: July 2014 Authors: Sigrun Henjum, Mari Manger, Eli Skeie, Manjeswori Ulak, Andrew L. Thorne-Lyman, Ram Chandyo, Prakash S. Shrestha, Lindsey Locks, Rune J. Ulvik, Wafaie W. Fawzi, Tor A. Strand Publisher: British Journal of Nutrition
The main objective of the present study was to examine the association between dietary Fe intake and dietary predictors of Fe status and Hb concentration among lactating women in Bhaktapur, Nepal. We included 500 randomly selected lactating women in a cross-sectional survey. Dietary information was obtained through three interactive 24 h recall interviews including personal recipes. Concentrations of Hb and plasma ferritin and soluble transferrin receptors were measured. The daily median Fe intake from food was 17·5 mg, and 70% of the women were found Continue reading →

Land use change, fuel use and respiratory health in Uganda

Published: April 2014 Authors: Pamela Jagger, Gerald Shively Publisher: Energy Policy
This paper examines how biomass supply and consumption are affected by land use change in Uganda. We find that between 2007 and 2012 there was a 22% reduction in fuelwood sourced from proximate forests, and an 18% increase in fuelwood sourced from fallows and other areas with lower biomass availability and quality. We estimate a series of panel regression models and find that deforestation has a negative effect on total fuel consumed. We also find that access to forests, whether through ownership or proximity, plays Continue reading →

Impact of tissue culture banana technology on farm household income and food security in Kenya

Published: April 2014 Authors: Nassul S. Kabunga, Thomas Dubois, Matin Qaim Publisher: Food Policy
While tissue culture (TC) technology for vegetative plant propagation is gradually gaining in importance in Africa, rigorous assessment of broader welfare effects for adopting smallholder farm households is lacking. Using survey data and accounting for selection bias in technology adoption, we analyze the impact of TC banana technology on household income and food security in Kenya. To assess food security outcomes, we employ the Household Food Insecurity Access Scale (HFIAS) – a tool that has not been used for impact assessment before. Estimates of treatment-effects Continue reading →

Impacts of agriculture on nutrition: Nature of the evidence and research gaps

Published: March 2014 Authors: Patrick Webb, Eileen Kennedy Publisher: Food and Nutrition Bulletin
Demand for empirical evidence of “what works” for nutrition through agriculture has arguably never been higher. In the past few years, there has been a proliferation of interest in how to leverage agriculture to maximize its impacts on nutrition, particularly among mothers and children. The belief that “agriculture contributes not just to food production, but also to human nutrition and health” is widely held, and it underpins ongoing efforts globally to “make agricultural policies and programs nutrition-sensitive”. However, the search for solid empirical findings on Continue reading →

Agriculture, nutrition, and health in global development: typology and metrics for integrated interventions and research

Published: February 2014 Authors: William A. Masters, Patrick Webb, Jeffrey K. Griffiths, Richard J. Deckelbaum Publisher: Annals of the New York Academy of Sciences
Despite rhetoric arguing that enhanced agriculture leads to improved nutrition and health, there is scant empirical evidence about potential synergies across sectors or about the mix of actions that best supports all three sectors. The geographic scale and socioeconomic nature of these interventions require integration of previously separate research methods. This paper proposes a typology of interventions and a metric of integration among them to help researchers build on each other’s results, facilitating integration in methods to inform the design of multisector interventions. The typology Continue reading →

Letter to the Editor: Is the strength of association between indicators of dietary quality and the nutritional status of children being underestimated?

Published: January 2014 Authors: Andrew Thorne-Lyman, Donna Spiegelman, Wafaie W. Fawzi Publisher: Maternal and Child Nutrition
The World Health Organization’s infant and young child feeding (IYCF) indicators were developed to fill multiple needs: to facilitate the assessment and comparison of IYCF practices across settings, to identify populations at risk and to evaluate the impact of interventions and measure progress towards achieving targets (World Health Organization 2008). Under- standing the relationships between these indicators and child anthropometric outcomes, as described in a recently published paper in Maternal & Child Nutrition (Jones et al. 2014), is relevant to many of these objectives because Continue reading →

The prize and the price of good nutrition

Published: December 2013 Author: Patrick Webb Publisher: Journal of Institute of Medicine
The global burden of disease is shifting rapidly. While in 1990, the top-ranked contributor to the global burden was child underweight, twenty years later we find that cancers and circulatory diseases contribute the most– accounting for 19% of global disability-adjusted life years (DALYs), with about a third of the total deriving from other non- communicable diseases (NCDs), including chronic respiratory, digestive, neurological, mental, endocrine, and other disorders1. By 2010, child underweight had dropped to 8th place in the ranking of contributors to the overall disease Continue reading →

Afterword: Now is The Time

Published: September 2013 Author: Patrick Webb Publisher: Karger Publishing
Chapter in The Road to Good Nutrition: A Global Perspective Does the world really need this book? Do the shelves of analysts and policymakers need the weight of yet another compendium of ideas, statistics and rhetoric? The answer, perhaps surprisingly, is yes. Such a book is needed now, more than ever, because it reflects the rapid convergence of opinion around priority problems and likely pathways towards solutions.