Klemm, Rolf

Determinants of infant breastfeeding practices in Nepal: a national study

Publication Type

Background

Optimal breastfeeding practices, reflected by early initiation and feeding of colostrum, avoidance of prelacteal feeds, and continued exclusivity or predominance of breastfeeding, are critical for assuring proper infant nutrition, growth and development.

Pre-earthquake national patterns of preschool child undernutrition and household food insecurity in Nepal in 2013 and 2014.

Publication Type

Preschool undernutrition remains a burden in Nepal. This paper reports results of surveys in 2013 and 2014, examining patterns of child nutritional status across the country, associations with household food insecurity and antecedent comparative national data for subsequent evaluations of nutritional status following the earthquake in Nepal in 2015.

A multi-level risk factor assessment for stunting: Evidence from a national sample in Nepal

Publication Type

Despite marked improvement in child undernutrition, especially stunting, in Nepal over the past decade, stunting prevalence remains high at 41% thus generating an urgent need to understand factors associated with childhood stunting.

Nutritional Resilience Following the 2015 Earthquake in Nepal

Publication Type

The earthquake that hit Nepal in April, 2015, caused considerable structural damage and loss of life but little is known about the longer term impacts of the earthquake on nutritional status of preschool children and related risk factors. This analysis provides the first systematic national estimate of the nutritional situation in Nepal following the earthquake.

What Does It Cost to Improve Household Diets in Nepal? Using the Cost of the Diet Method to Model Lowest Cost Dietary Changes

In Nepal, limited availability and affordability of nutritious foods contribute to malnutrition. To identify nutrient deficiencies in commonly consumed diets and model lowest cost changes that could improve diet quality in 3 agroecological zones of Nepal.?The modeled lowest cost diet commonly eaten in 3 Nepalese communities lacks key nutrients. Policies and interventions that increase market availability and consumption of vitamin B12- and calcium-rich fish and dark green leafy vegetables could improve local diets, particularly in the mountains and hills.
 

Individual, household, and community level risk factors of stunting in children younger than 5 years: Findings from a national surveillance system in Nepal

Publication Type

Despite substantial reductions in recent years in Nepal, stunting prevalence in children younger than 5 years remains high and represents a leading public health concern. To identify factors contributing to the stunting burden, we report multilevel risk factors associated with stunting in 4,853 children aged 6–59 months in a nationally and agroecologically representative random sample from the first year of the Policy and Science for Health, Agriculture, and Nutrition Community Studies, a community‐based observational, mixed‐panel study.

Association between household food insecurity and infant growth in rural Bangladesh

Publication Type

Food insecurity is a global concern, yet its association with child growth is not fully understood. This study in rural Bangladesh explored associations between household food insecurity, using standardized questions, and infant growth. We asked a published 10-item, 6-mo household food insecurity questionnaire at 6 and 12 mo postpartum to 6,333 mothers participating in an antenatal micronutrient supplementation trial.