Community-Based and System-Level Interventions for Improving Food Security and Nutritious Food Consumption: A Systematic Review

2021 ◽  
pp. 1-21
Author(s):  
Emmanuel Ezekekwu ◽  
Sonali S. Salunkhe ◽  
J’Aime C. Jennings ◽  
Brandy N. Kelly Pryor
Keyword(s):  
Systematic Review ◽  
Food Security ◽  
Food Consumption ◽  
System Level ◽  
Community Based ◽  
Nutritious Food

scholarly journals Factors Influencing The Food Security And Nutrition Expenditures In Farm Households In Punjab, Pakistan

2021 ◽  
Vol 17 (25) ◽  
pp. 21
Author(s):  
Sobia Rose ◽  
Asima Ihsan ◽  
Shahid Adil
Keyword(s):  
Food Security ◽  
Food Consumption ◽  
Positive Impact ◽  
Economic Status ◽  
Labour Productivity ◽  
Binary Logistic Regression ◽  
Farm Households ◽  
Farm Size ◽  
Cropping Patterns ◽  
Nutritious Food

The study was designed to explore the preventive side of a healthy farming community which depends on better food intake and the patterns of food and its linkages with socio-economic status of the farmers in the province of Punjab. The aim of the study was to identify the important factors that contribute to poverty amongst the farm households. The study also determines the factors responsible for the nutritious food consumption patterns amongst the farm households. In order to find the important determinants of poverty amongst farmers, we have used the binary logistic regression. The results of the study revealed that education, family size, crops diversification, time given to farm activity and farm size are significant factors in determining the poverty status of farming households. The results also depicted that small farmers spend fewer amounts on nutritious food items than big farmers. This study found a positive impact of diversified cropping patterns on food consumption amongst farmers. The level of education was also found to be significantly affecting the food consumption expenditures. The study recommended that pro-poor policies be implemented to increase labour productivity and improve food consumption among farmers. Educating farm families about the value of a healthy diet will help them make better food choices. Furthermore, the value of crop diversification must be recognized in order to lift farm households out of poverty and ensure their food security.

scholarly journals Difference in the patterns of food consumption of rural households in Bangladesh

2019 ◽  
Vol 17 (2) ◽  
pp. 232-235
Author(s):  
Mahbub Hossain
Keyword(s):  
Food Security ◽  
Food Consumption ◽  
Dietary Diversity ◽  
Rural Households ◽  
National Level ◽  
Consumption Pattern ◽  
Middle Income ◽  
Nutritious Food ◽  
Using Data ◽  
Food Consumption Pattern

Food consumption pattern hints the proportion of various foods that households consume to meet their nutritional requirements, which is crucial to know from the policy perspective. While several studies have documented a strong link between household dietary diversity and nutritional status of household members, especially of children; the evidence that whether or not the proportions of households’ intake of nutrients from different foods differ across the income levels is almost nonexistent. The present study fills in this void in the literature by generating evidence on variations in the consumption pattern with income in the context of a low middle-income country. By using data from a national level rural households survey, this paper finds that food consumption pattern significantly differs across income classes and notably with a rise in income households tend to substitute less nutritious food with more nutritious food. However it is found that carbohydrates dominate the rural households’ diets with few proteins, vitamins, and minerals. Hence as far as food security is concerned, policymakers need to emphasize on policies that would promote households’ behavioral change in respect of food choices. Less income inequality in the economy may also be conducive to improve national food security. J. Bangladesh Agril. Univ. 17(2): 232–235, June 2019

scholarly journals The effectiveness of community-based social innovations for healthy ageing in middle- and high-income countries: a systematic review

2020 ◽  
Vol 25 (3) ◽  
pp. 202-210
Author(s):  
Ioana Ghiga ◽  
Emma Pitchforth ◽  
Louise Lepetit ◽  
Celine Miani ◽  
Gemma-Clare Ali ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
Complex Interventions ◽  
The United States ◽  
High Income ◽  
Healthy Ageing ◽  
System Level ◽  
Community Based ◽  
Social Innovations ◽  
Positive Impacts

Objectives Community-based social innovations (CBSIs) are one type of intervention that may help to address the complex needs of ageing populations globally. The aim of this research was to assess evidence for the effectiveness and cost-effectiveness of CBSIs involving in such contexts. Methods We conducted a systematic review of CBSIs for healthy ageing in middle- and high-income countries, including any CBSI that aimed to empower people aged 50 and over by motivating them to take initiative for their own health and wellbeing. The protocol was registered with Prospero (CRD 42016051622). A comprehensive search was conducted in 15 academic databases and advanced search in Google. We included published studies from 2000 onwards in any language. Exploratory meta-analysis was conducted for quantitative studies reporting similar outcomes, and qualitative studies were analysed using thematic analysis. Narrative synthesis was conducted. Searches yielded 13,262 unique hits, from which 44 papers met the inclusion criteria. Results Most studies reported interventions having positive impacts on participants, such as reduced depression, though the majority of studies were classified as being at medium or high risk of bias. There was no evidence on costs or cost-effectiveness and very little reporting of outcomes at an organization or system level. CBSIs have the potential for positive impacts, but with nearly half of studies coming from high-income urban settings (particularly the United Kingdom and the United States of America), there is a lack of generalizability of these findings. Conclusions Our research highlights the need to improve reporting of CBSIs as complex interventions, and for improved conceptualization of these interventions to inform research and practice.

Malnutrition, Public Health, and Ethics

2019 ◽  
pp. 570-584
Author(s):  
Jessica Fanzo
Keyword(s):  
Public Health ◽  
Food Security ◽  
Overweight And Obesity ◽  
Micronutrient Deficiencies ◽  
Intergenerational Justice ◽  
Ethical Challenges ◽  
Environmentally Sustainable ◽  
Nutritious Food ◽  
Trade Offs ◽  
Society Today

A major challenge for society today is how to secure and provide plentiful, healthy, and nutritious food for all in an environmentally sustainable and safe manner, while also addressing the multiple burdens of undernutrition, overweight and obesity, stunting and wasting, and micronutrient deficiencies, particularly for the most vulnerable. There are considerable ethical questions and trade-offs that arise when attempting to address this challenge, centered around integrating nutrition into the food security paradigm. This chapter attempts to highlight three key ethical challenges: the prioritization of key actions to address the multiple burdens of malnutrition, intergenerational justice issues of nutrition-impacted epigenetics, and the consequences of people’s diet choices, not only for humanity but also for the planet.

A systematic review of guidelines for the prevention of heat illness in community-based sports participants and officials

2007 ◽  
Vol 10 (1) ◽  
pp. 11-26 ◽  
Author(s):  
T. Larsen ◽  
S. Kumar ◽  
K. Grimmer ◽  
A. Potter ◽  
T. Farquharson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Heat Illness ◽  
Community Based

scholarly journals Community-based interventions for childhood asthma using comprehensive approaches: a systematic review and meta-analysis

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Mei Chan ◽  
Melinda Gray ◽  
Christine Burns ◽  
Louisa Owens ◽  
Susan Woolfenden ◽  
...  
Keyword(s):  
Systematic Review ◽  
Childhood Asthma ◽  
Action Plan ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Mean Difference ◽  
Cochrane Library ◽  
Care Utilization ◽  
Community Based Interventions ◽  
Community Based

Abstract Objective We conducted a systematic review and meta-analysis to determine the effectiveness of comprehensive community-based interventions with ≥ 2 components in improving asthma outcomes in children. Methods A systematic search of Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica Database (EMBASE), Cochrane Library and hand search of reference collections were conducted to identify any research articles published in English between 2000 and 2019. All studies reporting community-based asthma interventions with ≥ 2 components (e.g., asthma self-management education, home environmental assessment or care coordination etc.) for children aged ≤ 18 years were included. Meta-analyses were performed using random-effects model to estimate pooled odds ratio (OR) with 95% confidence intervals (CIs). Results Of the 2352 studies identified, 21 studies were included in the final analysis: 19 pre-post interventions, one randomised controlled trial (RCT) and one retrospective study. Comprehensive asthma programs with multicomponent interventions were associated with significant reduction in asthma-related Emergency Department (ED) visits (OR = 0.26; 95% CI 0.20–0.35), hospitalizations (OR = 0.24; 95% CI 0.15–0.38), number of days (mean difference = − 2.58; 95% CI − 3.00 to − 2.17) and nights with asthma symptoms (mean difference = − 2.14; 95% CI − 2.94 to − 1.34), use of short-acting asthma medications/bronchodilators (BD) (OR = 0.28; 95% CI 0.16–0.51), and increase use of asthma action plan (AAP) (OR = 8.87; 95% CI 3.85–20.45). Conclusion Community-based asthma care using more comprehensive approaches may improve childhood asthma management and reduce asthma related health care utilization.

scholarly journals Quality in crisis: a systematic review of the quality of health systems in humanitarian settings

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Keely Jordan ◽  
Todd P. Lewis ◽  
Bayard Roberts
Keyword(s):  
Systematic Review ◽  
Health System ◽  
Health Systems ◽  
Point Of Care ◽  
System Level ◽  
System Quality ◽  
High Quality ◽  
Humanitarian Settings ◽  
Quality Health

Abstract Background There is a growing concern that the quality of health systems in humanitarian crises and the care they provide has received little attention. To help better understand current practice and research on health system quality, this paper aimed to examine the evidence on the quality of health systems in humanitarian settings. Methods This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The context of interest was populations affected by humanitarian crisis in low- and middle- income countries (LMICs). We included studies where the intervention of interest, health services for populations affected by crisis, was provided by the formal health system. Our outcome of interest was the quality of the health system. We included primary research studies, from a combination of information sources, published in English between January 2000 and January 2019 using quantitative and qualitative methods. We used the High Quality Health Systems Framework to analyze the included studies by quality domain and sub-domain. Results We identified 2285 articles through our search, of which 163 were eligible for full-text review, and 55 articles were eligible for inclusion in our systematic review. Poor diagnosis, inadequate patient referrals, and inappropriate treatment of illness were commonly cited barriers to quality care. There was a strong focus placed on the foundations of a health system with emphasis on the workforce and tools, but a limited focus on the health impacts of health systems. The review also suggests some barriers to high quality health systems that are specific to humanitarian settings such as language barriers for refugees in their host country, discontinued care for migrant populations with chronic conditions, and fears around provider safety. Conclusion The review highlights a large gap in the measurement of quality both at the point of care and at the health system level. There is a need for further work particularly on health system measurement strategies, accountability mechanisms, and patient-centered approaches in humanitarian settings.

scholarly journals Reducing unscheduled hospital care for adults with diabetes following a hypoglycaemic event: which community-based interventions are most effective? A systematic review

2021 ◽  
Author(s):  
Aoife Watson ◽  
Donna McConnell ◽  
Vivien Coates
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Integrated Care ◽  
Hospital Care ◽  
Hospital Admissions ◽  
Community Based Interventions ◽  
Community Based ◽  
Integrated Care Pathways ◽  
Effective Community ◽  
Balance Of Care

Abstract Aim To determine which community-based interventions are most effective at reducing unscheduled hospital care for hypoglycaemic events in adults with diabetes. Methods Medline Ovid, CINAHL Plus and ProQuest Health and Medical Collection were searched using both key search terms and medical subject heading terms (MeSH) to identify potentially relevant studies. Eligible studies were those that involved a community-based intervention to reduce unscheduled admissions in adults with diabetes. Papers were initially screened by the primary researcher and then a secondary reviewer. Relevant data were then extracted from papers that met the inclusion criteria. Results The search produced 2226 results, with 1360 duplicates. Of the remaining 866 papers, 198 were deemed appropriate based on titles, 90 were excluded following abstract review. A total of 108 full papers were screened with 19 full papers included in the review. The sample size of the 19 papers ranged from n = 25 to n = 104,000. The average ages within the studies ranged from 41 to 74 years with females comprising 57% of the participants. The following community-based interventions were identified that explored reducing unscheduled hospital care in people with diabetes; telemedicine, education, integrated care pathways, enhanced primary care and care management teams. Conclusions This systematic review shows that a range of community-based interventions, requiring different levels of infrastructure, are effective in reducing unscheduled hospital care for hypoglycaemia in people with diabetes. Investment in effective community-based interventions such as integrated care and patient education must be a priority to shift the balance of care from secondary to primary care, thereby reducing hospital admissions.

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