Food and Nutrition Bulletin最新文献

Formulation and Acceptability of a Modified Milk and Legume-Based Take Home Ration to Meet the Nutrient Gap Among Rural South Indian Supplementary Nutrition Programme Beneficiaries. 以改良牛奶和豆类为基础的带回家口粮的配方和可接受性，以满足南印度农村补充营养计划受益人的营养缺口。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-10-15 DOI: 10.1177/03795721261494924

Chaitra A Kilpady, Akshata A Kamath, Smitha Joseph, Nirupama Shivakumar, Anura V Kurpad

{"title":"Formulation and Acceptability of a Modified Milk and Legume-Based Take Home Ration to Meet the Nutrient Gap Among Rural South Indian Supplementary Nutrition Programme Beneficiaries.","authors":"Chaitra A Kilpady, Akshata A Kamath, Smitha Joseph, Nirupama Shivakumar, Anura V Kurpad","doi":"10.1177/03795721261494924","DOIUrl":"https://doi.org/10.1177/03795721261494924","url":null,"abstract":"BackgroundInadequate complementary feeding practices in low- and middle-income countries, pose a challenge in meeting nutrient requirements for optimal child growth. The Indian Government's Supplementary Nutrition Programme (SNP) addresses this through take-home-ration (THR). However, previous situational analysis from two rural districts of Karnataka, revealed deficits in nutrient intake and poor THR utilisation.ObjectiveTo bridge the observed gap in SNP-beneficiaries (aged 6-12 months), a modified-THR with adequate fat and protein quality was formulated and tested for acceptability.MethodsTwo formulations:- milk-predominant and legume-predominant, were developed using local ingredients and solver-based linear programming approach. Each variant included four flavours: base, cardamom, banana and apple. The modified-THR was optimised for energy (∼200 kcal), protein-quality (Digestible indispensable amino-acid score >80%), milk-to-legume ratio, protein-to-energy ratio (<0.15) and cost (<8 INR). In Phase-1, 30 mothers rated the variants using 5-point Hedonic-Smiley-Scale, shortlisting two flavours per variant. In Phase-2, another set of 35 mother-infant dyads per variant tested the shortlisted flavours. The formulation (70 g cooked/serving) was deemed acceptable if >60% was consumed within 15 minutes.ResultsIn Phase-1, mothers preferred milk-base, milk-banana, legume-apple and legume-banana. In Phase-2, milk-base had highest median consumption (98.6%) with 87% of infants showing acceptability.ConclusionsThe modified-THR with added milk and legume met the predefined nutrient target for the observed macronutrient gap and was acceptable among mother-infant dyads.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721261494924"},"PeriodicalIF":2.3,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Relative and Absolute Measures to Evaluate Catch-Up Growth Among Indonesian Children. 使用相对和绝对措施评估印度尼西亚儿童的赶超增长。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-10-12 DOI: 10.1177/03795721261478159

Callum Lowe, Haribondhu Sarma, Tony Arjuna, I Nyoman Sutarsa, Darren Gray, Matthew Kelly

{"title":"Use of Relative and Absolute Measures to Evaluate Catch-Up Growth Among Indonesian Children.","authors":"Callum Lowe, Haribondhu Sarma, Tony Arjuna, I Nyoman Sutarsa, Darren Gray, Matthew Kelly","doi":"10.1177/03795721261478159","DOIUrl":"https://doi.org/10.1177/03795721261478159","url":null,"abstract":"In recent years, the use of relative metrics like the height-for-age z-score (HAZ) has been demonstrated to yield higher estimates of catch-up growth prevalence compared to absolute measures among children in impoverished settings. The use of height-for-age difference (HAD) may be a complementary tool to estimate rates of catch-up growth. We used data from the Indonesian Family Life Survey waves 4 and 5 to measure changes in linear growth among children aged 2-4 years up to 8-11 years old. Children's height at baseline and follow-up was calculated using HAZ and HAD and catch-up growth measured using change in HAZ and HAD between baseline and follow-up. Absolute magnitude of catch-up growth using HAD was measured and compared to HAZ. The association between catch-up growth and cognitive ability using change in HAZ and HAD was measured with linear regression. Nearly two times more children experienced an increase in HAZ compared to an increase in HAD. The prevalence of stunting among the children dropped from 38.3% to 23.8% at follow-up, mean height deficit increased by 2.11 cm. Only 10% of children recovered 80% or more of their baseline height deficit by follow-up. Both change in HAZ and HAD were associated with cognitive score at follow-up. This study shows that absolute improvements in height deficit have been achieved in Indonesian children; however, the majority continues to increase their height deficit despite increasing HAZ scores.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721261478159"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Fortified Rice in Addressing Micronutrient Deficiencies: A Systematic Review and Meta-Analysis. 强化大米解决微量营养素缺乏的有效性：一项系统综述和荟萃分析。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-10-09 DOI: 10.1177/03795721261478182

William Joe, Komal Ahluwalia, Anirudhan P Edathil, Sitanshu Sekhar Kar, Prashanth Thankachan, Saskia Dee Pee

{"title":"Effectiveness of Fortified Rice in Addressing Micronutrient Deficiencies: A Systematic Review and Meta-Analysis.","authors":"William Joe, Komal Ahluwalia, Anirudhan P Edathil, Sitanshu Sekhar Kar, Prashanth Thankachan, Saskia Dee Pee","doi":"10.1177/03795721261478182","DOIUrl":"https://doi.org/10.1177/03795721261478182","url":null,"abstract":"BackgroundMicronutrient fortification of staple foods, including rice, has emerged as a significant policy priority due to its potential to address micronutrient deficiencies.ObjectiveThis systematic review aims to comprehensively synthesize existing evidence on the impact of micronutrient-fortified rice. The prime focus is on iron-related biomarkers, specifically haemoglobin, serum ferritin, and anaemia prevalence, to inform future policy decisions and interventions.MethodsA systematic literature review was conducted to identify studies using 3 databases: PubMed, Cochrane Library, and Google Scholar (1990-). A meta-analysis was conducted to assess the impact of rice fortification on haemoglobin concentration, serum ferritin levels, and anaemia prevalence, followed by sensitivity and subgroup analyses using Stata SE 17.0. The study has been registered on PROSPERO (CRD42024495114).Results30 studies were deemed eligible for inclusion in the systematic review. The intervention resulted in a moderate increase in haemoglobin levels (θ = 0.630[0.3510.909]) and a statistically significant reduction in odds of anaemia (θ = -0.835[-1.515, -0.155]). While the overall effect on serum ferritin levels was not significant, a subsequent meta-analysis of only randomized controlled trials (RCTs) using weighted mean difference (WMD) showed a significant positive effect. Regression analysis demonstrated a significant negative relationship (t = -7.85) between baseline haemoglobin levels and the net change post-intervention. The majority of included studies involved iron either alone or in combination with other micronutrients.ConclusionsRice fortification, when implemented with attention to dose, fortificant choice, and local context, may offer cost-effective solutions to address micronutrient deficiencies. However, impacts vary across settings, requiring optimization through understanding modifiers.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721261478182"},"PeriodicalIF":2.3,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why do Farmers Grow Diversity? Reaching Beyond Own-Consumption and Agricultural Income to Support Food Security and Nutrition. 为什么农民种植多样性？超越自身消费和农业收入，支持粮食安全和营养。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-09-29 DOI: 10.1177/03795721261484355

Ana Deaconu, Eduar Pinzón Cano, Mylène Riva, Malek Batal

{"title":"Why do Farmers Grow Diversity? Reaching Beyond Own-Consumption and Agricultural Income to Support Food Security and Nutrition.","authors":"Ana Deaconu, Eduar Pinzón Cano, Mylène Riva, Malek Batal","doi":"10.1177/03795721261484355","DOIUrl":"https://doi.org/10.1177/03795721261484355","url":null,"abstract":"Background: Having diverse crops and animals on small farms is broadly seen as a way to support both farmer nutrition and environmental resilience. However, studies often find only a weak statistical relationship between the diversity produced and the diversity consumed. Understanding why smallholder farmers produce diversity is central both for operationalizing agriculture-nutrition linkages and for supporting resilient agro-ecosystems. Objective: This study examines farmers' own reasons for producing diversity and explores how these reasons shape the production-diet relationship. Methods: As part of a mixed methods, participatory action research program in highland Ecuador, a community researcher conducted activity-based interviews with Indigenous and mestizo/a farmers (n = 26); interviews were analyzed using cognitive mapping and cultural domain analysis. Results: On average, farmers cultivated 49 different edible plants and five types of livestock, but they regularly consumed only about half of them. Products were consumed \"rarely or never\" because of availability limitations, preparation difficulty, taste, or because they were mainly used for other purposes. Farmers grew diverse edible plants for many reasons beyond consumption, including economic (88% of participants), socio-affective (85%), agronomic (50%), and health-and-safety (31%) motives. Conclusions: The findings help explain why statistical associations between production and diet are often small. The importance of social and emotional (affective) values in informing farmers' production decisions adds a critical, yet underexplored, dimension to a literature that otherwise centers the assumption that farmers mostly make their decisions based on instrumental, cause-and-effect pathways. Lessons provide insights to better align programming with farmers' endogenous decision-making rationale.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721261484355"},"PeriodicalIF":2.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Comparative Analysis of Food Consumption Data From 24-h Dietary Recall and Household Consumption and Expenditure Surveys in Tanzania. 坦桑尼亚24小时膳食召回和家庭消费支出调查的食品消费数据比较分析。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-09-28 DOI: 10.1177/03795721261478728

Fanny Sandalinas, Rie Goto, Lilia Bliznashka, Fusta Azupogo, Mohammed Osman, Joyce Kinabo, Deanna K Olney, Sonja Y Hess, Evangelista Malindisa, Kidola Jeremiah, Edward J M Joy

{"title":"A Comparative Analysis of Food Consumption Data From 24-h Dietary Recall and Household Consumption and Expenditure Surveys in Tanzania.","authors":"Fanny Sandalinas, Rie Goto, Lilia Bliznashka, Fusta Azupogo, Mohammed Osman, Joyce Kinabo, Deanna K Olney, Sonja Y Hess, Evangelista Malindisa, Kidola Jeremiah, Edward J M Joy","doi":"10.1177/03795721261478728","DOIUrl":"https://doi.org/10.1177/03795721261478728","url":null,"abstract":"ObjectiveHousehold Consumption and Expenditure Surveys (HCES) are increasingly used to assess diets in low- and middle-income countries, but their validity compared to individual-level dietary data remains uncertain. We assessed the strengths and limitations of HCES data for informing strategies to improve diets and nutrition in Tanzania.DesignExploratory analysis of food group consumption from HCES (individualised using the adult female equivalent approach) and 24-h dietary recall (24hR). We examined concordance and trends by socioeconomic characteristics between methods for 10 food groups and fortifiable food vehicles.SettingRural Arusha and Kilimanjaro regions, and national data from the Tanzania National Panel Survey Wave 5.ParticipantsThe analysis included 2599 adult women who completed a 24hR and lived in 2604 households contributing to HCES data in Arusha and Kilimanjaro. Nationally, 4469 households were included, with a regional subsample of 370 households from Arusha and Kilimanjaro.ResultsDietary patterns were similar using HCES and 24hR data, including low consumption of nutrient-dense foods, while HCES were effective at capturing usual intake of food items eaten episodically. However, compared to 24hR data, energy intakes were substantially lower using HCES data, particularly in large households (42% difference), while there was poor concordance between methods for fruit and meat consumption and for wealth-related trends in cereal and vegetable intake.ConclusionHCES data can provide valuable insights for nutrition policy and planning; however, careful communication and interpretation of evidence is required, given limitations such as assumptions on within-household allocation of foods. Methods development could reduce measurement error.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721261478728"},"PeriodicalIF":2.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impacts of Vitamin A Degradation on the Effectiveness and Cost-Effectiveness of Vitamin A Fortification Programs: Modeled Evidence for Preschool Children in Nigeria. 维生素A降解对维生素A强化方案的有效性和成本效益的影响：尼日利亚学龄前儿童的模拟证据。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-07-01 DOI: 10.1177/03795721261458490

Stephen A Vosti, Michael Jarvis, Lauren Thompson, Reina Engle-Stone, Katherine P Adams

{"title":"Impacts of Vitamin A Degradation on the Effectiveness and Cost-Effectiveness of Vitamin A Fortification Programs: Modeled Evidence for Preschool Children in Nigeria.","authors":"Stephen A Vosti, Michael Jarvis, Lauren Thompson, Reina Engle-Stone, Katherine P Adams","doi":"10.1177/03795721261458490","DOIUrl":"10.1177/03795721261458490","url":null,"abstract":"Dietary vitamin A inadequacy remains a serious public health problem, especially among young children. Food and condiment fortification programs and policies are in place in many countries to address this issue, but degradation of the vitamin A added via fortification can reduce the quantity of vitamin A reaching consumers. We modeled the impacts of vitamin A degradation on program effectiveness and cost-effectiveness in fortified wheat flour, sugar, and (hypothetical) bouillon cubes in Nigeria. We used secondary data to estimate the prevalence of vitamin A inadequacy among young children (6-59 months), and the programs' modeled contributions to reducing vitamin A inadequacy at selected levels of vitamin A degradation. The Lives Saved Tool was used to estimate child-lives saved. Program costs were estimated using activity-based models. Vitamin A degradation had a large negative impact on program effectiveness. Over the 0% to 80% vitamin A degradation range, accounting for other existing programs, fortification of sugar (7.5 mg/kg), wheat flour (2 mg/kg), and bouillon cubes (96 mg/kg) would reduce inadequacies among children by 2.9 to 0.7 percentage points, 3.9 to 0.7 percentage points, and 20.6 to 9.6 percentage points, respectively. Over the same vitamin A degradation range, average annual child-lives saved ranged from 3984 to 769 (sugar), 3036 to 739 (wheat flour), and 15 301 to 7153 (bouillon cubes); estimated cost/child-life saved ranged from US$ 550 to US$ 2848 (sugar), US$ 1039 to US$ 4271 (wheat flour), and US$ 944 to US$ 2018 (bouillon cubes). Vitamin A fortificant selection, technological innovations in vitamin A fortificants, and/or changes in premix and fortified food handling and storage could reduce degradation; these options could increase program costs, but merit consideration.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721261458490"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148360074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Offerings to Food: A Qualitative Study of Lungsuran Handling and Nutrition Potential in Urban Bali. 从供品到食物：巴厘岛城市龙素兰处理和营养潜力的定性研究。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-07-01 DOI: 10.1177/03795721261457483

I Desak Ketut Dewi Satiawati Kurnianingsih

{"title":"From Offerings to Food: A Qualitative Study of Lungsuran Handling and Nutrition Potential in Urban Bali.","authors":"I Desak Ketut Dewi Satiawati Kurnianingsih","doi":"10.1177/03795721261457483","DOIUrl":"https://doi.org/10.1177/03795721261457483","url":null,"abstract":"BackgroundEdible residues from Hindu offerings (lungsuran) may enter mixed waste streams despite retaining nutritional value. Although food rescue research has focused on household leftovers and supply-chain loss, less is known about how culturally governed norms and changing ritual economies shape post-ritual handling of edible offerings.ObjectiveTo examine how socio-religious norms, authority structures, and changing ritual economies shape lungsuran handling in urban Bali and identify culturally legitimate pathways for nutrition-sensitive recovery.MethodsWe conducted a qualitative study in Denpasar, Indonesia, from September to November 2025 using 20 in-depth interviews with key informants, 4 focus group discussions involving 40 participants, and structured observations across 8 household and temple ritual settings. Data were transcribed, coded, and analyzed thematically.ResultsParticipants described lungsuran as edible and blessed, yet discard occurred in both household and temple settings, especially after large or frequent ceremonies. Post-ritual handling was shaped by four interrelated mechanisms: ritual-temporal suitability, authority and ownership, social permission and hierarchy, and marketization with devotional abundance. Reuse was more likely when decision rights were clear, social permission was explicit, and sorting occurred within an acceptable safety window. In pooled temple settings, ownership ambiguity, reluctance to be seen taking food, and reliance on purchased offerings increased discard. Across settings, time, labor, containers, storage, and transport affected recovery.ConclusionsLungsuran is not ordinary leftover food but a culturally governed edible flow. Nutrition-sensitive recovery is more likely when it aligns with ritual timing, clarifies authority, reduces social hesitation, and integrates food safety into community governance.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721261457483"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148367684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the Biocultural Factors Influencing Infant Dietary Diversity in Periurban Guinea: Findings from a Mixed-Methods Study. 了解影响几内亚城市周边婴儿饮食多样性的生物培养因素：一项混合方法研究的结果。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-06-01 Epub Date: 2026-03-23 DOI: 10.1177/03795721261428777

Teresa R Schwendler, Danny Wang, Muzi Na, Kathleen L Keller, Leif Jensen, Mohamed L Fofana, Mamady Daffé, Ibrahima Balde, Stephen R Kodish

{"title":"Understanding the Biocultural Factors Influencing Infant Dietary Diversity in Periurban Guinea: Findings from a Mixed-Methods Study.","authors":"Teresa R Schwendler, Danny Wang, Muzi Na, Kathleen L Keller, Leif Jensen, Mohamed L Fofana, Mamady Daffé, Ibrahima Balde, Stephen R Kodish","doi":"10.1177/03795721261428777","DOIUrl":"10.1177/03795721261428777","url":null,"abstract":"ObjectiveThis study aimed to characterize the factors influencing dietary diversity scores (DDS) of infants whose caregivers were classified as doers (those who fed a more diverse diet) and non-doers (those who fed a less diverse diet).MethodsThis study was conducted using a multiphase study design and guided by a biocultural framework. Phase 1. Interviews with community leaders (n = 13) and direct 6-h household observations (n = 10) were used to formatively explore factors influencing diet. Phase 2. A dietary assessment (n = 81) was used to determine dietary diversity of indexed infants. Phase 3. A biocultural survey and direct 3-h. observations were conducted among indexed infants (6-9 months) (n = 80) to understand the biocultural factors influencing infant DDS. Phase 4. Interviews (n = 34) were conducted among indexed caregivers to understand why and how biocultural factors shape infant DDS. Dietary data were analyzed, and biocultural survey variables were subjected to a forward stepwise linear regression. Textual data were analyzed to identify salient biocultural factors.ResultsFindings revealed that infants had an average DDS of 2. Having water access in the household, owning land for homestead food production, and feeding infants the same foods caregivers consume were positively associated with DDS. Conversely, adhering to food proscriptions was negatively associated with DDS. Most caregivers were food insecure and employed both food and non-food-based coping strategies to feed their infants.ConclusionDecreasing adherence to food rules, promoting homestead food production, and promoting non-food-based coping strategies may improve infant DDS in Guinea.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"85-98"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Local Experiences of the Uganda Nutrition Action Plan in Lira District: Challenges and Lessons for Policy Implementation. 乌干达营养行动计划在里拉地区的地方经验：政策实施的挑战和教训。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-06-01 Epub Date: 2026-03-13 DOI: 10.1177/03795721261423259

Abigail Kim, Peninah Tumuhimbise, Kenneth Odur, Heather Wipfli

{"title":"Local Experiences of the Uganda Nutrition Action Plan in Lira District: Challenges and Lessons for Policy Implementation.","authors":"Abigail Kim, Peninah Tumuhimbise, Kenneth Odur, Heather Wipfli","doi":"10.1177/03795721261423259","DOIUrl":"10.1177/03795721261423259","url":null,"abstract":"BackgroundIn response to high rates of undernutrition, Uganda began rolling out the multisectoral Uganda Nutrition Action Plan (UNAP) in 2011, followed by Phase II (UNAP II) in 2020. Uganda has since progressed toward several nutrition targets; however, limitations in nutrition coordination and financing call for continued strengthening of the UNAP II.ObjectivesGiven that monitoring of the UNAP II does not consistently capture district-level outcomes and relies upon quantitative nutrition indicators, this study aims to qualitatively assess nutrition stakeholder and community perspectives at the district level.MethodsFrom June to August in 2022, under an umbrella study utilizing community-based participatory research methods to train youth from Lira District in research, in partnership with the University of Southern California (USC) and community organization Children's Chance International-Uganda, these youth helped carry out an explanatory qualitative assessment consisting of 10 key informant interviews. Responses were compiled, transcribed, and analyzed using the Atlas TI software to code responses for thematic insights.ResultsParticipants highlighted several challenges with the UNAP II implementation at the local level. Mechanisms intended to promote multisectoral collaboration, such as district nutrition coordination committees, have been on hiatus due to limited funding; local governments experience funding disbursement delays and a lack of nutrition prioritization; and nutrition surveillance is limited by tools, training, and human resources.ConclusionsObtaining community perspectives revealed several gaps in local UNAP II implementation and demonstrates the importance of creating mechanisms for communities to continuously provide feedback for national policies like the UNAP II.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"116-124"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does the Brazilian Household Food Insecurity Measurement Scale Allow for Valid Comparisons Across Sex, Race, and Education? A Measurement Invariance Analysis Using the National Household Sample Survey. 巴西家庭食品不安全测量量表允许跨性别、种族和教育的有效比较吗？基于全国住户抽样调查的计量不变性分析。

IF 2.3 4区医学

Food and Nutrition Bulletin Pub Date : 2026-06-01 Epub Date: 2026-04-24 DOI: 10.1177/03795721261442246

Vanessa G Cezimbra, João L Bastos, Michael E Reichenheim

{"title":"Does the Brazilian Household Food Insecurity Measurement Scale Allow for Valid Comparisons Across Sex, Race, and Education? A Measurement Invariance Analysis Using the National Household Sample Survey.","authors":"Vanessa G Cezimbra, João L Bastos, Michael E Reichenheim","doi":"10.1177/03795721261442246","DOIUrl":"10.1177/03795721261442246","url":null,"abstract":"BackgroundThe Brazilian Household Food Insecurity Measurement Scale (Escala Brasileira de Insegurança Alimentar, EBIA) is widely used to assess food insecurity (FI) in Brazil and has demonstrated strong internal and external validity. However, evidence regarding its measurement invariance across different population groups remains limited.ObjectiveThis study aimed to evaluate the invariance of the 8-item EBIA by sex, race, and education of household members, using data from the 2013 Brazilian National Household Sample Survey (n = 116 543).MethodsThe sample was split into 3 independent subsamples, and multigroup confirmatory factor analysis and the alignment method were employed to test for measurement invariance across groups. Households were classified according to the composition of residents based on each variable.ResultsFindings indicated that the EBIA exhibits configural and scalar invariance across all 3 groupings. Although the alignment method identified a few localized violations, over 80% of parameters were invariant, suggesting approximate invariance.ConclusionsWe conclude that EBIA demonstrates broad measurement invariance across sex, race, and education, supporting valid comparisons of FI scores among these subpopulations. These findings reinforce the psychometric robustness of EBIA as a tool for monitoring FI in diverse sociodemographic contexts.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"99-108"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0