Is dietary diversity an indicator of food security or dietary quality?

Although dietary diversity is universally recognized as a key component of healthy diets, there is still a lack of consensus on how to measure and operationalize it. This paper focuses on the issues of dietary diversity in developing countries. It also draws upon experience from developed countries to address the following questions: 1. How is dietary diversity conceptualized, operationalized, and measured, and how does it relate operationally to dietary quality? 2. Is there an association between dietary diversity and nutrient adequacy in developing countries? Between dietary diversity and child growth? 3. What is the relationship between household-level dietary diversity and socioeconomic factors and food security? 4. What key measurement issues need to be addressed to better operationalize and understand dietary diversity?Diet Developing countries ,Growth ,Children Developing countries Nutrition ,

Progress in developing an infant and child feeding index

"Feeding practices are an important determinant of the nutritional status of infants and children. It is therefore useful to measure and describe infant and child feeding practices in a number of contexts. Such measurements could enable (1) international comparisons of the adequacy of infant and child feeding, (2) research linking infant and child feeding to determinants or outcomes, (3) advocacy regarding the importance of adequate infant and child feeding, and (4) monitoring and evaluation of interventions designed to change practices. This paper reports on progress in developing a summary measure of infant and child feeding practices—the infant and child feeding index (ICFI). The report also addresses two challenges in measuring child feeding practices, namely that infant and child feeding is multi-dimensional, and appropriate practices vary by age of the child. The authors refine the ICFI and confirm earlier findings that the ICFI is associated with child nutritional status. They also determine which components of the feeding index appear to be most important in driving its association with child nutritional status. Finally, they assess the potential usefulness of the index for the four purposes listed above." -from Authors' Abstract

Progress in developing an infant and child feeding index

"Feeding practices are an important determinant of the nutritional status of infants and children. It is therefore useful to measure and describe infant and child feeding practices in a number of contexts. Such measurements could enable (1) international comparisons of the adequacy of infant and child feeding, (2) research linking infant and child feeding to determinants or outcomes, (3) advocacy regarding the importance of adequate infant and child feeding, and (4) monitoring and evaluation of interventions designed to change practices. This paper reports on progress in developing a summary measure of infant and child feeding practices—the infant and child feeding index (ICFI). The report also addresses two challenges in measuring child feeding practices, namely that infant and child feeding is multi-dimensional, and appropriate practices vary by age of the child. The authors refine the ICFI and confirm earlier findings that the ICFI is associated with child nutritional status. They also determine which components of the feeding index appear to be most important in driving its association with child nutritional status. Finally, they assess the potential usefulness of the index for the four purposes listed above." -from Authors' Abstract

Creating a child feeding index using the demographic and health surveys

Data from the Demographic and Health Surveys (DHS) for five Latin American countries (seven data sets) were used to explore the feasibility of creating a composite feeding index and to examine the association between feeding practices and child height-for-age (HAZ). Urban/rural differences were also examined...The data sets used were Bolivia, 1994 and 1998; Colombia, 1995; Guatemala, 1995 and 1999; Nicaragua, 1998; and Peru, 1996...This work shows that the data available in DHS data sets can be used for a variety of purposes, including to (1) describe and study the distribution of specific feeding practices by geographic area, or other characteristics of interest such as maternal schooling or household socioeconomic status; (2) create a child feeding index to quantify and illustrate associations between child feeding practices and child outcomes, thereby serving as an advocacy tool; and (3) identify practices and vulnerable groups that could be targeted by programs and policies to improve child feeding practices and overall child health and nutrition. In sum, greater use of the DHS data on child feeding practices should be promoted for research and analysis, as a source of guidance on program design and planning, and for advocacy.FCND ,Demography Latin America. ,Surveys Statistical methods. ,Health status indicators. ,Bolivia. ,Colombia. ,Guatemala. ,Nicaragua. ,Peru. ,Child Feeding. ,Children Growth. ,

Assessing care

The objective of this report is to summarize progress towards measurement of selected childcare and feeding practices, and to discuss the feasibility and usefulness of these measurements in research and program contexts. This is the third in a series of reports documenting insights regarding care and measurement of care gained from the Accra Urban Food and Nutrition Study (AUFNS). This last report complements the previous two by providing an extensive review of the published literature on experience with the measurement of selected dimensions of care.FCND ,Child Feeding. ,Child care. ,

Measuring childcare practices

Chapter 6 / Implications for the Measurement of Child Feeding, Hygiene, and Caregiver–Child Interactions in Program and SurveyIndicators ,Caregiver-child interactions ,Observation methodology ,Child care services Developing countries Evaluation ,Children Nutrition ,Children Health and hygiene ,

Creating a child feeding index using the demographic and health surveys

Data from the Demographic and Health Surveys (DHS) for five Latin American countries (seven data sets) were used to explore the feasibility of creating a composite feeding index and to examine the association between feeding practices and child height-for-age (HAZ). Urban/rural differences were also examined...The data sets used were Bolivia, 1994 and 1998; Colombia, 1995; Guatemala, 1995 and 1999; Nicaragua, 1998; and Peru, 1996...This work shows that the data available in DHS data sets can be used for a variety of purposes, including to (1) describe and study the distribution of specific feeding practices by geographic area, or other characteristics of interest such as maternal schooling or household socioeconomic status; (2) create a child feeding index to quantify and illustrate associations between child feeding practices and child outcomes, thereby serving as an advocacy tool; and (3) identify practices and vulnerable groups that could be targeted by programs and policies to improve child feeding practices and overall child health and nutrition. In sum, greater use of the DHS data on child feeding practices should be promoted for research and analysis, as a source of guidance on program design and planning, and for advocacy.FCND ,Demography Latin America. ,Surveys Statistical methods. ,Health status indicators. ,Bolivia. ,Colombia. ,Guatemala. ,Nicaragua. ,Peru. ,Child Feeding. ,Children Growth. ,

Assessing care

The objective of this report is to summarize progress towards measurement of selected childcare and feeding practices, and to discuss the feasibility and usefulness of these measurements in research and program contexts. This is the third in a series of reports documenting insights regarding care and measurement of care gained from the Accra Urban Food and Nutrition Study (AUFNS). This last report complements the previous two by providing an extensive review of the published literature on experience with the measurement of selected dimensions of care.FCND ,Child Feeding. ,Child care. ,

Stunted child - overweight mother pairs

"This paper explores the global prevalence of an emerging phenomenon: the coexistence of a stunted child and an overweight mother in the same household. It also tests whether this phenomenon is associated with a country's level of economic development and urbanization. Policy directions for public nutrition are highlighted. Data from 36 Demographic and Health Surveys (DHS) were used (23 in Africa, 8 in Latin America, and 5 in Asia). Stunting was defined as height-for-age 25 kg/m 2 . World Bank and United Nations figures were used for GNP per capita (our indicator of economic development) and for level of urbanization, respectively. Descriptive statistics were derived, and regression analysis was used to model the association between economic development, urbanization, and the prevalence of stunted children and overweight women (SCOWT). The prevalence of SCOWT is generally below 10 percent, except in four countries, of which three are in Latin America. Among our sample of countries, SCOWT is generally more prevalent in Latin America than in Africa, and is below 5 percent in all five Asian countries. Contrary to our expectations, SCOWT is not necessarily more prevalent in urban than rural areas. In fact, when economic development is controlled for, SCOWT is associated with urbanization only in Latin America. In Africa and Asia, SCOWT is associated with economic development, but not urbanization, which suggests that SCOWT may emerge only at levels of economic development and urbanization higher than currently seen in most of the Asian and African countries studied...." from Authors' Abstracthealth ,Nutritionally induced diseases ,Children Growth ,

Are determinants of rural and urban food security and nutritional status different?

Undernutrition of children 0-60 months old in Mozambique is much higher in rural than in urban areas. Food security is about the same, although substantial regional differences exist. Given these outcomes, we hypothesized that the determinants of food security and nutritional status in rural and urban areas of Mozambique would differ as well. Yet we find that the determinants of food insecurity and malnutrition, and the magnitudes of their effects, are very nearly the same. The difference in observed outcomes appears primarily due to differences in the levels of critical determinants rather than in the nature of the determinants themselves.Malnutrition. ,Nutritional status. ,Rural conditions Analysis. ,Urban poor Mozambique. ,Rural poor Mozambique. ,Food security. ,