Constraints and opportunities for implementing nutritionspecific, agricultural and market-based approaches to improve nutrient intake adequacy among infants and young children in two regions of rural Kenya

Simple item page
dc.contributor.authorHotz, Christine
dc.contributor.authorGretel, Pelto
dc.contributor.authorMargaret, Armar-Klemesu
dc.contributor.authorFerguson, Elaine F.
dc.contributor.authorChege, Peter
dc.contributor.authorMusinguzi, Enock
dc.date.accessioned2016-02-11T13:30:00Z
dc.date.available2016-02-11T13:30:00Z
dc.date.issued2016
dc.descriptionResearch paperen_US
dc.description.abstractSeveral types of interventions can be used to improve nutrient intake adequacy in infant and young child (IYC) diets, including fortified foods, home fortification, nutrition education and behaviour change communication (BCC) in addition to agricultural and market-based strategies. However, the appropriate selection of interventions depends on the social, cultural, physical and economic context of the population. Derived from two rural Kenyan populations, this analysis combined information from: (1) a quantitative analysis to derive a set of food-based recommendations (FBRs) to fill nutrient intake gaps in IYC diets and identify ‘problem nutrients’ for which intake gaps require solutions beyond currently available foods and dietary patterns, and (2) an ethnographic qualitative analysis to identify contextual factors posing opportunities or constraints to implementing the FBRs, including perceptions of cost, convenience, accessibility and appropriateness of the recommended foods for IYC diets and other social or physical factors that determine accessibility of those foods. Opportunities identified included BCC to increase the acceptability and utilisation of green leafy vegetables (GLV) and small fish and agronomic interventions to increase the productivity of GLVand millet. Value chains for millet, beans, GLV, milk and small fish should be studied for opportunities to increase their accessibility in local markets. Processor-level interventions, such as partially cooked fortified dry porridge mixes or unfortified cereal mixes incorporating millet and beans, may increase the accessibility of foods that provide increased amounts of the problem nutrients. Multisectoral actors and community stakeholders should be engaged to assess the feasibility of implementing these locally appropriate strategiesen_US
dc.description.sponsorshipAmerican people through the support of the Office of Health, Infectious Diseases, and Nutrition, Bureau for Global Health, U.S. Agency for InternationalDevelopment (USAID), under the terms of grant number GHA-G-00-06-00002 to the Global Alliance for Improved Nutrition (GAIN).en_US
dc.identifier.citation2016 The Authors. Maternal and Child Nutrition Published by JohnWiley & Sons Ltd Maternal & Child Nutrition (2016), 11 (Suppl. 3), pp. 39–54en_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/14146
dc.language.isoenen_US
dc.subjectbehaviour change communicationen_US
dc.subjectfood-based recommendationsen_US
dc.subjectfood value chainsen_US
dc.subjectfortificationen_US
dc.subjectinfant and child nutrition, Kenyaen_US
dc.titleConstraints and opportunities for implementing nutritionspecific, agricultural and market-based approaches to improve nutrient intake adequacy among infants and young children in two regions of rural Kenyaen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Constraints and opportunities for implementing.....pdf
Size:
625.25 KB
Format:
Adobe Portable Document Format
Description:
Full article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
RP-Department of Foods, Nutrition & Dietetics