Factors associated with household food security of participants of the MANA food supplement program in Colombia

The objective of this study was to explore demographic and economic characteristics associated with household food security of 2,784 low-income households with pre-school aged children receiving food supplements from the Colombian Plan for Improving Food and Nutrition in Antioquia - MANA (Mejoramiento Alimentario y Nutricional de Antioquia) in the Department of Antioquia, Colombia. Included in the study was a 12-item household food security survey was collected from a cross-sectional, stratified random sample of MANA participants in which households were characterized as food secure, mildly food insecure, moderately food insecure, and severely food insecure. It was hypothesized that household food security status would be strongly associated with demographic characteristics, food expenditure variables, and food supplement consumption by children in MANA. Food insecure households were characterized by more members, older parents, and lower income (p < 0.0001). Rural residence and female head of households had higher rates of food insecurity (p < 0.01). Food insecure households had the lowest monthly expenditures food (p < 0.0001). Severely food insecure households saved the highest percentage of per capita food expenditure from consuming MANA supplements (p < 0.0001), similarly, MANA food supplement intakes were greatest in households reporting the most food insecurity (p < 0.001). The results of this study are important to describe characteristics of the population benefiting from the MANA nutrition intervention by their unique level of household food security status.     

Food insecurity and household food supplies in rural Ecuador

The objective of this research is to assess the validity of a modified US Household Food Security Survey Module (HFSSM) through its correlation with food supply and demographic factors, and its fitness using Rasch model analysis in rural Ecuador. This study examines the relationship between household food insecurity and household food supplies in 52 Ecuadorian households. The sample was drawn from four rural communities participating in the project PLAN in Cantón Quijos. Questionnaires included a modified HFSSM, a household food shelf-inventory and demographic characteristics. Multiple ANOVA analysis resulted in statistically significant inverse relationships between household food insecurity and total food supply, as well as the supply of meat, vegetables, legumes, oils, and other food products (p=0.05). Rasch model measure values on the HFSSM illustrated food insecurity at different levels of severity. The majority of the items (>75%) presented adequate infit values. This study affirms that the proposed modified HFSSM may be useful to measure food insecurity and thus be used as a tool to monitor and evaluate programs aimed at improving quantity and variety of food items in rural Ecuador.     

Use of a predictive model for food insecurity estimates in Brazil

In 2004 the National Household Survey (Pesquisa Nacional por Amostras de Domicilios-PNAD) estimated the prevalence of food and nutrition insecurity in Brazil. However, PNAD data cannot be disaggregated at the municipal level. The objective of this study was to build a statistical model to predict severe food insecurity for Brazilian municipalities based on the PNAD dataset. Exclusion criteria were: incomplete food security data (19.30%); informants younger than 18 years old (0.07%); collective households (0.05%); households headed by indigenous persons (0.19%). The modeling was carried out in three stages, beginning with the selection of variables related to food insecurity using univariate logistic regression. The variables chosen to construct the municipal estimates were selected from those included in PNAD as well as the 2000 Census. Multivariate logistic regression was then initiated, removing the non-significant variables with odds ratios adjusted by multiple logistic regression. The Wald Test was applied to check the significance of the coefficients in the logistic equation. The final model included the variables: per capita income; years of schooling; race and gender of the household head; urban or rural residence; access to public water supply; presence of children; total number of household inhabitants and state of residence. The adequacy of the model was tested using the Hosmer-Lemeshow test (p = 0.561) and ROC curve (area = 0.823). Tests indicated that the model has strong predictive power and can be used to determine household food insecurity in Brazilian municipalities, suggesting that similar predictive models may be useful tools in other Latin American countries.     

Food Insecurity and Associated Factors among HIV-infected individuals receiving highly active antiretroviral therapy in Jimma zone Southwest Ethiopia

ABSTRACT: BACKGROUND: In resource limited settings, many People Living with HIV/AIDS (PLWHA) lack access to sufficient quantities of nutritious foods, which poses additional challenges to the success of antiretroviral therapy (ART). Maintaining adequate food consumption and nutrient intake levels and meeting the special nutritional needs to cope up with the disease and the ART are critical for PLWHA to achieve the full benefit of such a treatment. OBJECTIVE: To determine the prevalence and correlates of food insecurity among HIV-infected individuals receiving highly active antiretroviral therapy in resource-limited settings. METHODS: A cross sectional study was carried out from January 1, 2009 to March 3, 2009 at ART clinic at Jimma University specialized hospital (JUSH) in Ethiopia. We used multivariable logistic regression model to compare independent risk factors by food insecurity status among 319 adult PLWHA ([greater than or equal to]18 years) attending ART Clinic. RESULTS: A total of 319 adult PLWHA participated in the study giving a response rate of 100%. Out of 319 PLWHA the largest numbers of participants, 46.4% were in the age group of 25-34 years. The overall 201(63.0%) PLWHA were food insecure. Educational status of elementary or lower [OR=3.10 (95%CI; (1.68-5.71)], average family monthly income <100 USD [OR=13.1 (95% CI; (4.29-40.0)] and lower food diversity [OR=2.18 (95%CI; (1.21--3.99)] were significantly and independently associated with food insecurity. CONCLUSION: Food insecurity is a significant problem among PLWHA on HAART. Lower educational status and low family income were the predictors of food insecurity. Food security interventions should be an integral component of HIV/AIDS care and support programs. Special attention need to be given to patients who have lower educational status and are members of households with low income. KEYWORDS: Food insecurity, HAART, PLWHA, HIV/AIDS, Ethiopia.     

Dietary diversity and associated factors among beneficiaries of 77 child care centers: Central Regional,Venezuela

The aim of this study was to estimate household measure diet quality, using a dietary diversity score, and its associated demographic and socio-economic factors. One hundred fifty three households representatives of the Capital District and Miranda State belonging of seventy seven day care children centers were studied. To gather data on dietary diversity, we used the food register method, collecting data on household food availability during a month. Dietary diversity at day care centers of the Capital District was 46 foods differed from that found, in Miranda State was 39 foods (p = 0.005). Likewise it differed in beneficiaries' households of the Capital District was 33 foods compared to those in Miranda State was 25 foods (p = 0.000). There were 13 and 14 foods more between day care centers and the households in both states. State (Capital District or Miranda), money spent on food per person, households size and social level were variables that explained 28.9% of dietary diversity variation in households studied. Households in the Capital District had less members, spent more money on food, and a greater proportion were non-poor compared to those in Miranda. These factors could partially explain differences in diet quality among households in the two States. Whatever perspective studied indicates that the dietary diversity had a statistically significant difference between day care centers and households in states studied. Miranda State was more deficiency than Capital District. Higher dietary diversity reflects a better quality diet at day care centers compared to households studied.     

影响居民户碘盐监测结果不稳定因素分析

通过对某县居民户碘盐中碘含量监测结果的多次比对分析,发现部分同一居民户样品在不同实验室、由不同的分析人员检验分析结果精密度较差,分析结果不确定度超出了标准要求。通过模拟居民户碘盐可能带入的其它食品、佐料、添加剂等,对模拟的样品进行比对监测分析,初步找到了影响居民户碘盐监测结果不稳定因素的原因,对保证居民户碘盐监测结果的准确性、代表性、公正性有一定的指导意义。     

Impact of income strategies on food security in rural Mayan communities in northern Campeche

This paper examines the effect of income strategies on sufficiency of caloric intake in Mayan domestic groups (DG) of Campeche, Mexico. The analysis was based on the sustainable livelihoods approach. Information was obtained through a survey of households (N = 237) in four communities. The results reveal that all of the DG have diversified income strategies with clearly defined orientations. The caloric sufficiency index (CSI) is different (p < 0.05) among conglomerates (C) of DG and increases with the increase of the proportion of agricultural income in relation to total income. The wage labor strategy (37.6%) corresponding to C1 of DG (CSI-C = 0.69) and the agriculture-wage labor strategy (42.6%; CSI-C2 = 0.87) do not cover energy requirements of the DG. Only the agricultural strategy satisfies caloric intake needs (CSI-C3 = 1.09; CSI-C4 = 1.30) of the DG (19.8%). These results are associated with the heterogeneity of resources of the DG's, particularly, with the quality and extent of land, presence of producer organizations, and current rural policies. Implementation of differentiated local policies, interinstitutional coordination, and community participation could contribute to improving effectiveness of policies aimed at eradicating food insecurity.     

Using multiple household food inventories to measure food availability in the home over 30 days: a pilot study

Background  

The consumption of foods, especially by children, may be determined by the types of foods that are available in the home. Because most studies use a single point of data collection to determine the types of foods in the home, which can miss the change in availability when resources are not available, the primary objective of this study was to determine the extent to which the weekly availability of household food items changed over one month by 1) developing the methodology for the direct observation of the presence and amount of food items in the home; 2) conducting five in-home household food inventories over a thirty-day period in a small convenience sample; and 3) determining the frequency that food items were present in the participating households.     

Network analysis of N flows and food self-sufficiency—a comparative study of crop-livestock systems of the highlands of East and southern Africa

Smallholder farming systems in sub-Saharan Africa are often nutrient-limited, and therefore imports must be increased to compensate exports and losses. To explore whether the properties of nutrient cycling networks relate to the systems’ capability to sustain rural families, we investigated N flows within contrasting crop-livestock systems in Ethiopia, Kenya and Zimbabwe applying concepts from ecological network analysis. Farm households were conceptualised as networks, the compartments were the household and their farming activities which were connected by the N flows. Indicators assessing network size, activity and cycling, and the organisation and diversity of the N flows were compared with system productivity and food self-sufficiency. Results showed that organisation and diversity of N flows to, from and within the farm households differed more between farms of different resource endowments than across sites. The amount of N cycled per household was small and comparable across sites: less than 25 kg N year⁻¹, and for the poor households less than 5 kg N year⁻¹. Poor households with soil N stocks that were 50–60% smaller than wealthier households depended more on external inputs (e.g. a dependence of 65% vs. 45% in Zimbabwe). Productivity was positively related to network size, its organisation and N cycling, but utilisation efficiencies were different across sites in relation to soil N stock and the importance of livestock for N flows. Greater size of the N flow network and its organisation led to increased productivity and food self-sufficiency, reducing dependence, which may increase the adaptability and reliability of smallholder crop-livestock systems.     

Household food distribution behavior in periurban communities of Guatemala: lessons for food distribution programs

Do mothers of undernourished children recognize their offspring's needs? How do they feed these target children compared to other households members when food supplements are available? Which cultural principles of intra-household food distribution are associated with feeding behavior? How do household members perceive and use food supplements that are donated for undernourished target children? Answers were sought in a dietary-ethnographic study of 45 households receiving supplements for a low-weight child between one and five years, of age in two periurban low-income communities of the City of Guatemala. The central hypothesis was that we would find four cultural principles of food distribution: contributions, need, equity, and demand. The dietary survey combined direct measure and recall techniques and was done twice for all 230 individuals conforming these households. Ethnographic interviews were carried out with mothers of all target children. T-tests determined the relation between food distribution behavior and cultural rules. Findings revealed that the cultural principles of contributions, needs, and demand are present, but instead of the equity principle, we found one of equality. In the great majority of the feeding events observed, the child's mother prepares and distributes the food. The target child does not receive preferential treatment in the intra-household distribution of food supplements and other foodstuffs. Donated milk is destined principally for the children in the household; all other supplements are distributed among all members. Adult males are favored in the distribution of kcal at regular mealtimes. Children are favored in the distribution of kcal when total daily consumption is calculated. There are significant associations between the expressions of the cultural principle favoring equal distribution and that of contribution which favors adult men, and actual food distribution behavior. These principles seem to operate at formal meal events only. It was found that feeding behavior between meals (snacks, nibbling, etc.) is not subject to these salient principles and tends to compensate those household members who are not given preferential treatment in food distribution at formal mealtimes.     

Profitability of agro-forestry based soil fertility management technologies: the case of small holder food production in Western Kenya

Persistent food insecurity accompanied by low and declining farm household incomes are a common feature of many small holder maize and bean producers in western Kenya. This has been largely attributed to soil nutrient depletion, among other factors. One way of addressing soil fertility problems in many maize-based cropping systems is the use of agro-forestry based technologies. We carried out a survey in western Kenya (Vihiga and Siaya districts) aimed at analyzing the financial and social profitability of use of agroforestry based (improved tree fallows) and other soil fertility management technologies among smallholder farmers. The Policy Analysis Matrix (PAM) was used to determine the financial and social profitability of different production systems, which were categorized on the basis of the technology used to address soil fertility. Farm budgets were first prepared and in turn used to construct the PAMs for six production systems namely: maize–bean intercrop without any soil fertility management inputs; maize–bean intercrop with chemical fertilizers only; maize–bean intercrop with a combination of chemical fertilizers and improved fallows; maize–bean intercrop with improved fallows only; maize–bean intercrop with a combination of improved fallows and rock phosphate; and maize–bean intercrop with Farm Yard Manure (FYM) only. Results revealed that use of chemical fertilizers with improved fallows was the most profitable technology and thus the study recommended that farmers be encouraged to intensify the use of chemical fertilizers. To make chemical fertilizers more accessible to farmers, the study also recommended that good linkages be made between farmers and micro credit institutions so that small scale farmers are not actually biased against due to lack of collateral when credit is being advanced to clients.     

Development of a methodology for the assessment of the nutritional status at the level of household units

The results of statistical analysis may be questionable when data measured by different units are compared. This is the case when nutritional status, which is quantitated individually, is compared with social variables (such as family income, patterns of education, housing, etc.), measured by households. In a nutritional anthropology study, the anthropometric measures of children have to be plotted against these social factors. Therefore, a method to evaluate the nutritional status of children at household level was devised; this procedure reduced the variables to one single unit. The "Analysis of Main Components" (ACP) was found satisfactory, using the family average of the following indexes: weight/height, weight/age and height/age. Also, two new indexes were created by giving a numerical value to the slightly modified Waterlow's classification. As a result, households were automatically divided into three groups: 1) households with well-nourished children, 2) households with children at risk of malnutrition, and 3) households with malnourished children. This was accomplished using the "ANADA" package created by PRIAD, University of Costa Rica, and a Burroughs B6920 computer. The method is useful for nutritional anthropology programs as well as for nutritional surveillance activities.     

Analysing integration and diversity in agro-ecosystems by using indicators of network analysis

Diversity of farming activities may increase income stability and reduce risks to resource-poor households, while integration—using the outputs of one activity as input in another activity—may reduce dependency on external resources. In practice, diversity and integration are poorly defined, and there is no method to characterise them, hampering the exploration of their benefits. We introduce a method based on network analysis (NA) to assess the diversity and integration in farm household systems by using the Finn cycling index to characterise integration of farming activities, and the average mutual information, and the statistical uncertainty (H _R) to characterise diversity of flows. We used nitrogen (N) flows in an application of NA to crop-livestock systems of the highlands of Northern Ethiopia. N recycling was low (FCI < 3%) in these systems independently of the farm type. Even with improved N management FCI was lower than 10%. Since large amounts of N are withdrawn from the system with the harvests, there are relatively few opportunities for recycling. The diversity in N flows increased from the poor to the wealthier farm households, but differences were small. The wealthier farm households did not recycle more N than the relatively less diverse and poorer farm household. The definition of the system and compartments boundaries must be made explicit in any application of the method as these strongly affect the results. NA appears useful to assess the effects of farm management practices on system performance and to support discussions on diversity and integration of agro-ecosystems.     

Reliability and relative validity of a food frequency questionnaire to assess food group intakes in New Zealand adolescents

ABSTRACT: BACKGROUND: Due to the absence of a current and validated food frequency questionnaire (FFQ) for use in New Zealand adolescents, there is a need to develop one as a cost-effective way to assess adolescents' food patterns. This study aims to examine the test-retest reliability and relative validity of the New Zealand Adolescent FFQ (NZAFFQ) to assess food group intake in adolescents aged 14 to 18 years. METHODS: A non-quantitative (without portion size), 72-item FFQ was developed and pretested. Fifty-two participants (aged 14.9 +/- 0.8 years) completed the NZAFFQ twice within a two-week period for test-retest reliability. Forty-one participants (aged 15.1 +/- 0.9 years) completed a four-day estimated food record (4DFR) in addition to the FFQs to enable assessment of validity. Spearman's correlations and cross-classification analyses were used to examine relative validity while intra-class correlations were additionally used for test-retest reliability. RESULTS: Weekly intakes were estimated for each food item and aggregated into 34 food groups. The median Spearman's correlation coefficient (SCC) between FFQ administrations was 0.71. SCCs ranged from 0.46 for fruit juice or cordial to 0.87 for non-standard milk. The median intra-class correlation coefficient (ICC) between FFQ administrations was 0.69. The median SCC between food groups from the FFQ and the 4DFR was 0.40 with the highest SCC seen for standard milk (0.70). The exact agreement between the methods in ranking participants into thirds was highest for meat alternatives (78%), but lowest for red or yellow vegetables and potatoes (27%). The mean percent of participants misclassified into extreme thirds for food group intake was 12%. CONCLUSIONS: Despite a small sample size, the NZAFFQ exhibited good to excellent short-term test-retest reliability and reasonable validity in ranking the majority of the food group intakes among adolescents aged 14 to 18 years. The comparability of the validity to that in the current literature suggests that the NZAFFQ may be used among adolescent New Zealanders to identify dietary patterns and rank them according to food group intake.     

Use of a food frequency questionnaire to assess diets of Jamaican adults: validation and correlation with biomarkers

Background  

Assessment of habitual diet is important in investigations of diet-disease relationships. Many epidemiological studies use the food frequency questionnaire (FFQ) to evaluate dietary intakes but few studies validate the instrument against biological markers. The aim of this study was to assess the validity and reproducibility of a previously validated 70-item food frequency questionnaire (FFQ) that was expanded to 120-items to assess diet - cancer relations.     

一种改进的顺序型多目的间歇工厂生产调度的MILP模型

分析了顺序型多目的工厂间歇生产的特点,建立了一种新的混合整数线性规划（MILP）模型.该模型以操作活动序列作为建模的依据,将整个间歇生产过程分解成若干个子系统.在对各子系统建模的基础上,实现了顺序型多目的工厂间歇调度的全局性优化.并通过算例验证了该模型求解结果的正确性和可行性.然后将新模型运用到更大规模的调度问题上,均求解出了有效的调度方案.     

An innovative design of septic tank for wastewater treatment and its performance evaluation: An applicable model for developing countries

A study was carried out to evaluate the treatment efficiency of modified model of septic tank(ST)for the treatment of domestic wastewater.The objective was to explore the possibility of increasing the removal efficiency,at household level,thereby reducing cost and treatment burden on city level treatment plants.For this purpose,a bench scale model of ST was prepared and operated continuously for 78 days at different detention times i.e.,48,24 and 12 h and at two reactor temperatures viz.15°C and 25°C.Domestic wastewater was fed to the bench scale ST without pre-settling.Research was conducted under two different arrangements.Firstly,by installing baffles in the bench scale ST(called Run-1 setup),and secondly by installing perforated plates between the baffles(called Run-2 setup).Results demonstrated that Run-2 setup is better than Run-1 setup.Temperature significantly affects the efficiency.Detention time of 24 h was found feasible.Run-2 setup demonstrated a percentage BOD removal of 45%with effluent BOD of 113 mg·L~(-1)at 15°C and 85%removal with effluent BOD of 31 mg·L~(-1)at 25°C.It is concluded that if a modified design of ST using Run-2 setup is provided at household level,the effluent coming out of the house will meet the National Environmental Quality Standards(NEQS)when reactor temperature is close to 25°C.Development authorities are suggested to change their by-laws and make modified ST mandatory for all households.This may significantly reduce the cost and footprint of city level wastewater treatment plants being planned.     

Untersuchung von in Haushalten benutzten Fritürefetten

Investigation of Frying Fats Used in Households Each of three fat mixtures with increasing content of polyunsaturated fatty acids were employed for frying in 140 households. The used fats were tested for free fatty acids (ffa), smoke point, foam value, iodine colour value, oxidized fatty acids insoluble in petroleum ether. Additionally, the unpolar dimeric fatty acids and the viscosity were determined in one series of experiments. It was concluded by statistical analysis that the fats in the household were subjected to very little stress. No direct relationship could be derived between the analytical data and the content of polyunsaturated fatty acids.     

Scales to measure parents and caretakers satisfaction with the food and nutrition component of Child care Centers

Two Likert-type scales for measuring parents' and caretakers' level of satisfaction with the food and nutrition services offered at childcare multi-centers in a peri-urban community in Caracas, were developed and validated. An intentional sample of 20 parents and caretakers were interviewed within the naturalistic-constructivist perspective, to capture their perceptions of distinct aspects of the food and nutrition components of the program. Categories emerged from the interviews that served to construct the items for two scales that measure level of satisfaction of parents and caretakers with the food and nutrition aspects of the program. To validate the scales, they were applied to 73 parents and 32 caretakers. Factor and multiple components analysis showed that overall, the scales explained 61% and 69% of the variation in level of satisfaction of parents and caretakers respectively. Confiability measured with Alpha Cronbach coefficient was 0.74 and 0.77 for parents' and caretakers' scales respectively. These results reveal scales that have content validity and good reliability. Besides, the scales detect specific aspects of the food and nutrition service that should be reinforced or modified, to make the Child-care Centers program more effective and efficient. External validation of the scales is recommended, since they provide an instrument capable of capturing useful information for monitoring and evaluating the Child-care Centers program nation-wide, from the perspective of program managers and parents of program users.     

Rural development, household food safety, and nutrition in western Honduras

The authors studied the impact of a rural development project on household food security and nutrition. A quasi-experimental study design was used to compare the experience of members of thirteen Honduran small-holder farmers groups which had already received a year of credit and technical assistance, with another thirteen groups which had just joined the project, and thirteen control communities. All these communities were followed-up for one year (March/April 1997-March/April 1998). Farmers participating in the project showed a greater increase in maize stores than farmers in the control communities (p = 0.01), but did not increase their dietary energy consumption. There was, however, a small improvement in their dietary diversity (p = 0.01). The impact of the project on the nutritional status of under 5's was complex. The study underlined the importance of monitoring the impact of programs which may affect food and nutrition.