利用现金转移和移动医疗改善金融危机期间低收入家庭的饮食多样性和粮食安全:斯里兰卡两个选定地区的经验。

IF 1.9 Q3 NUTRITION & DIETETICS
Millawage Supun Dilara Wijesinghe, Upeksha Gayani Karawita, Nissanka Achchi Kankanamalage Ayoma Iroshanee Nissanka, Balangoda Muhamdiramlage Indika Gunawardana, Weerasinghe Mudiyanselage Prasad Chathuranga Weerasinghe, Yakupitiyage Asanka Supun, Dilka Rashmi Peiris, Roshan Dela Bandara, Ranjith Batuwanthudawe
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引用次数: 0

摘要

背景:斯里兰卡的经济危机加剧了粮食不安全状况,数百万人面临中度到严重的粮食短缺。本研究评估了现金转移与移动健康教育相结合,在危机期间提高斯里兰卡家庭饮食多样性和粮食安全的效果:这项准实验性的单组预-后研究通过分层随机抽样,从 Samurdhi 受益者和小农的合格家庭中选出了 1040 名合格人员。干预措施包括 22,500 兰特的现金转移,以及每周通过 WhatsApp 和短信发送营养宣传信息,并辅以一次性宣传课程。膳食质量问卷和粮食安全问卷等标准验证工具对膳食多样性和粮食安全进行了评估:结果:粮食不安全率从测试前的 89.3%(n = 681)大幅下降到测试后的 76.9%(n = 533),降幅为 12.4%(95% CI,8.57 至 16.24,p 结论:这项研究表明,现金转移支付与粮食不安全状况调查相结合,可以有效地解决粮食不安全问题:这项研究表明,在金融危机期间,现金转移与基于手机的营养教育相结合,显著改善了斯里兰卡低收入家庭的饮食多样性和粮食安全:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving dietary diversity and food security among low-income families during financial crisis using cash transfers and mHealth: experience from two selected districts in Sri Lanka.

Background: The economic crisis in Sri Lanka worsened food insecurity, with millions facing moderate-to-severe food shortages. This study evaluates the effectiveness of cash transfers combined with mobile health education in enhancing dietary diversity and food security among Sri Lankan households during the crisis.

Methods: This quasi-experimental single-group pre-post study involved 1040 eligible individuals selected through stratified random sampling from eligible households of Samurdhi beneficiaries and smallholder farmers. The intervention included a cash transfer of LKR 22,500 and weekly nutrition awareness messages via WhatsApp and SMS complemented by a one-time awareness session. Dietary diversity and food security were assessed using standard validated tools such as the Diet Quality Questionnaire and Food Security Questionnaire.

Results: Food insecurity decreased significantly from 89.3% (n = 681) in the pre-test to 76.9% (n = 533) in the post-test, with a 12.4% reduction (95% CI, 8.57 to 16.24, p < 0.05). The Minimum Dietary Diversity for Women improved from 44.5 to 67.8% [23.3% increase (95% CI, 15.89 to 30.63; p < 0.05)]. The mean NCD-Protect and GDR scores increased significantly, indicating a higher adherence to global dietary recommendations, whereas the NCD-risk scores remained unchanged.

Conclusions: This study demonstrated that cash transfers combined with mobile phone-based nutritional education significantly improved dietary diversity and food security among low-income families in Sri Lanka during the financial crisis.

Clinical trial number: Not applicable.

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来源期刊
BMC Nutrition
BMC Nutrition Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.80
自引率
0.00%
发文量
131
审稿时长
15 weeks
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