鸡蛋生产干预与社会行为改变、沟通和补贴对埃塞俄比亚儿童饮食多样性的影响

IF 3.9 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
Getu Gizaw, Nega Mekonnen, Asres Mamo, Abebe Fekadie, Sharew Nigussie, Mekonnen G/Egziabher, Wubishet Mekonin, Shifera Girma, Samuel Mulat, Afomia Mekonnen, Kalkidan Nigussie, Monique Henriette Beun
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引用次数: 0

摘要

营养不良仍然是全球儿童发病率和死亡率的一个主要原因,而饮食多样性不足——尤其是动物性食物摄入有限——是一个关键因素。在埃塞俄比亚,鸡蛋的消费量很低,每人每年只有13个鸡蛋。本研究评估了埃塞俄比亚基于市场的营养创新(MINE)项目的影响,该项目实施了鸡蛋中心模式以加强鸡蛋生产和营销,并引入了社会行为改变沟通(SBCC)和鸡蛋补贴计划,以增加6-23个月大的儿童对鸡蛋的需求。在Bishoftu和东Shoa区针对6-23个月的儿童进行了四轮重复横断面调查。采用最小膳食多样性(minimum dietary diversity, MDD)指标,通过24小时回忆法对儿童膳食多样性进行评估;采用7项问卷对母亲对儿童喂养的知识和态度进行评估。使用多元逻辑回归分析mdd的主要结局变化,并进行定性访谈以补充定量研究结果。结果显示,患重度抑郁症的儿童比例从第一次调查的29.7%上升到第四次调查的76.2%。同期,鸡蛋消费量从23.6%上升到74.5%。孕产妇对儿童喂养的知识从52.7%提高到78.2%,对推荐喂养方法的积极态度从76.3%提高到87.2%。鸡蛋中心模式与MINE项目实施的综合SBCC和鸡蛋补贴计划相结合,显著改善了MDD。建议扩大这一干预措施,以在更广泛的层面上改善儿童营养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of an egg production intervention with social behavioral change communication and subsidy on child dietary diversity in Ethiopia.

Undernutrition remains a major cause of child morbidity and mortality globally, with poor dietary diversity-particularly the limited intake of animal-source foods-being a key factor. In Ethiopia, egg consumption is low, with only 13 eggs per person annually. This study assessed the impact of the Market-based Innovation for Nutrition in Ethiopia (MINE) project, which implemented the Egg Hub model to enhance egg production and marketing, and introduced a social behavior change communication (SBCC) and egg subsidy scheme to increase the demand for eggs among children aged 6-23 months. A four-round repeated cross-sectional survey was conducted in Bishoftu and East Shoa Zone targeting children aged 6-23 months. Children's dietary diversity was assessed using the minimum dietary diversity (MDD) indicator via 24-h recall, while maternal knowledge and attitudes toward child feeding were assessed using a seven-item questionnaire. The primary outcome-change in MDD-was analyzed using multiple logistic regression, with qualitative interviews conducted to supplement quantitative findings. Results showed that the proportion of children achieving MDD increased from 29.7% in the first survey to 76.2% in the fourth. Egg consumption rose from 23.6% to 74.5% across the same period. Maternal knowledge on child feeding improved from 52.7% to 78.2%, and positive attitudes toward recommended feeding practices rose from 76.3% to 87.2%. The Egg Hub model, combined with the comprehensive SBCC and egg subsidy scheme implemented in the MINE project, significantly improved MDD. Scaling up this intervention is recommended to enhance child nutrition at a broader level.

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来源期刊
Scientific Reports
Scientific Reports Natural Science Disciplines-
CiteScore
7.50
自引率
4.30%
发文量
19567
审稿时长
3.9 months
期刊介绍: We publish original research from all areas of the natural sciences, psychology, medicine and engineering. You can learn more about what we publish by browsing our specific scientific subject areas below or explore Scientific Reports by browsing all articles and collections. Scientific Reports has a 2-year impact factor: 4.380 (2021), and is the 6th most-cited journal in the world, with more than 540,000 citations in 2020 (Clarivate Analytics, 2021). •Engineering Engineering covers all aspects of engineering, technology, and applied science. It plays a crucial role in the development of technologies to address some of the world''s biggest challenges, helping to save lives and improve the way we live. •Physical sciences Physical sciences are those academic disciplines that aim to uncover the underlying laws of nature — often written in the language of mathematics. It is a collective term for areas of study including astronomy, chemistry, materials science and physics. •Earth and environmental sciences Earth and environmental sciences cover all aspects of Earth and planetary science and broadly encompass solid Earth processes, surface and atmospheric dynamics, Earth system history, climate and climate change, marine and freshwater systems, and ecology. It also considers the interactions between humans and these systems. •Biological sciences Biological sciences encompass all the divisions of natural sciences examining various aspects of vital processes. The concept includes anatomy, physiology, cell biology, biochemistry and biophysics, and covers all organisms from microorganisms, animals to plants. •Health sciences The health sciences study health, disease and healthcare. This field of study aims to develop knowledge, interventions and technology for use in healthcare to improve the treatment of patients.
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