scholarly journals Factors associated with undernutrition and improvement in Indonesia

2021 ◽  
Vol 892 (1) ◽  
pp. 012108
Author(s):  
A V R Mauludyani ◽  
E A Suryana ◽  
M Ariani
Keyword(s):  
Low Income ◽  
Fruits And Vegetables ◽  
Social Protection ◽  
Work Productivity ◽  
Cash Transfer ◽  
Factors Associated ◽  
Provincial Level ◽  
Key Factor ◽  
Food Expenditure ◽  
The Individual

Abstract Stunting among children under five years of age is one of the big problems in Indonesia, damaging adulthood health and work productivity. Studies on the individual and household factors of this issue had been conducted massively. Nonetheless, regional level study on the same issue is still lacking whereas it is important in understanding the problems to formulate better policies. This study aimed to analyze factors associated with stunting prevalence at the provincial level. Data for this study was obtained from the publication of the National Socioeconomic Survey 2018 and Basic Health Research 2018. Multiple linear regression was applied to analyze factors associated with stunting prevalence. There were proportion of expenditure on fish, meat, eggs and milk, tofu and tempe, fruits and vegetables (F&V), cigarettes, and energy and protein intake. Prevalence of stunting at the provincial level was very wide, from 16.2% to 37.9%. Protein adequacy was higher (106.2%) than the Recommended Dietary Allowance. Average proportion of food expenditure at provincial level was 50.1%, in each province ranging from 40.6% to 57.2%; while the highest proportion of expenditure was to purchase F&V (12.8%). The model predicted that the proportion of household food expenditure, proportion of F&V, and protein adequacy were significantly associated with stunting prevalence. Thus, policy on improving household purchasing power and food consumption behavior with balanced nutrition is the key factor in reducing the prevalence of stunting. Social protection programs such as cash transfer and food aid for low-income households should be continued with more accurate recipients.

Food away from home and obesity in Brazil

2015 ◽  
Vol 5 (1) ◽  
pp. 44-56 ◽  
Author(s):  
Caroline Pauletto Spanhol Finocchio ◽  
Homero Dewes
Keyword(s):  
Fruits And Vegetables ◽  
Public Health Problem ◽  
Overweight And Obesity ◽  
Content Type ◽  
The Public ◽  
Food Away From Home ◽  
Balanced Diet ◽  
Expenditure Data ◽  
Food Expenditure ◽  
The Individual

Purpose – The purpose of this paper is to characterize food consumption outside the home and verify the existence of relationships between income, expenditure and the prevalence of overweight and obesity in adult individuals in Brazil. Design/methodology/approach – Food expenditure data were used as well as those on the prevalence of overweight and obesity available in the reports from Family Budgets Research carried out by the Brazilian Institute of Geography and Statistics (IBGE) in the years 2002-2003 and 2008-2009. In addition, the authors used the Kruskall-Wallis test to verify whether there were significant differences between the classes of income with respect to the average expenditure on food outside the home. Findings – It was observed that the higher the income of the individual, the greater the expenditure on food outside the home. It was also found that the prevalence of overweight and obesity is higher in individuals who have higher income, particularly among men. Thus, it is suggested that the higher the income of the individual, the larger the expenditure on food outside the home and the greater the prevalence of overweight and obesity. Research limitations/implications – This study used spending on food away from home (FAFH), but the authors know that is need to use other variables like frequency of FAFH and quantities but this data were not available. Practical implications – The study points to the importance of restaurants in the prevention of obesity, since they can offer in their menus foods with fewer calories, and they can also increase the variety and availability of fruits and vegetables. Originality/value – The study discusses the public health problem, obesity, at the same time as it presents the importance of agribusiness in providing a balanced diet for individuals.

scholarly journals The Center for Data and Knowledge Integration for Health (CIDACS)

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Mauricio Lima Barreto ◽  
Maria Yuri Ichihara ◽  
Bethania de Araujo Almeida ◽  
Marcos Ennes Barreto ◽  
Liliana Cabral ◽  
...  
Keyword(s):  
Public Health ◽  
Administrative Data ◽  
Low Income ◽  
Professional Training ◽  
Knowledge Integration ◽  
Social Protection ◽  
Interdisciplinary Studies ◽  
Cash Transfer ◽  
Primary Data ◽  
The Impact

The Center for Data and Knowledge Integration for Health (CIDACS) was created in 2016 in Salvador (Bahia, Brazil). This paper aims to present a profile of CIDACS, including its current databases. CIDACS aims to conduct interdisciplinary studies and research, develop new scientific methodology and promote professional training using linked large-scale databases and high-performance computational resources in a secure environment. Administrative data is at the core of the activities conducted by CIDACS. The advantages of administrative data include significantly larger sample sizes, an inherent longitudinal structure and high-quality information. The center’s research projects are primarily focused on enhancing the understanding surrounding the impact of social protection policies (e.g., public cash-transfer and housing programs) on health outcomes in low-income populations throughout Brazil. CIDACS’ primary data source is citizens who register with the Cadastro Único program, which encompasses individuals eligible to receive benefits from over 20 governmental social programs. CIDACS has two separate environments for data handling: 1) Data Production Center, a secure room housing the computational infrastructure for ingesting, storing, cleaning, processing and linking original databases, as well as extracting research-ready datasets and 2) Data Analysis Environment, a computational infrastructure based on data safe haven principles, which allows researchers to access and process requested datasets. Brazil has a large public health community that uses national health and social databases for research programs, and the linkage of different databases has been a widely employed practice in the country. CIDACS is the result of efforts by researchers, policymakers and public health officials to use and improve the quality of Brazilian health databases. CIDACS is expected to be an important resource for researchers and policymakers interested in improving the evidence base in different aspects of health, as well as with regard to the social determinants of health and the effects of social and environmental policies on health in general.

scholarly journals The Latin American and Nigerian Conditional Cash Transfer Experience: A Comparative Analysis

2020 ◽  
Vol 10 (3) ◽  
pp. 20
Author(s):  
Ikenna Samuel Umezurike ◽  
Ibraheem Salisu Adam
Keyword(s):  
Latin American ◽  
Low Income ◽  
Poverty Reduction ◽  
Social Protection ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
African Countries ◽  
Middle Income ◽  
Protection Strategies ◽  
Capital Development

Despite the recent economic growth in Nigeria, poverty remains a social problem. One of the strategies employed by the Nigerian government and some development partners towards solving this problem is the deployment of social protection instruments, such as Conditional Cash Transfers (CCTs), which aim at stemming the tide of poverty and vulnerability. This study uses the secondary research method to examine the extent to which the Latin American CCT model influenced the design and operation of the Nigerian CCT programme. The policy diffusion model adopted for the study posits that the success of CCT programmes in Latin America has stimulated its extension to many developing countries outside the region. The findings from the review of selected literature explain the rationale for CCTs as short-term poverty reduction and long-term human capital development. Admittedly, a nexus exists between the Latin American and Nigerian strategies. Yet the study concludes that the Latin American model cannot adequately serve as a blueprint for the Nigeria strategy, given that underlying conditions in upper middle-income Latin American countries are clearly different from those present in low income or lower middle-income African countries like Nigeria. The study recommends urgent implementation of the National Social Protection Policy; a review of the current CCT programme in Nigeria every two years and extensive research into social protection strategies.

scholarly journals The Regulatory Welfare State in Pension Markets: Mitigating High Charges for Low-Income Savers in the United Kingdom and Israel

2016 ◽  
Vol 46 (2) ◽  
pp. 313-330 ◽  
Author(s):  
AVISHAI BENISH ◽  
HANAN HABER ◽  
ROTEM ELIAHOU
Keyword(s):  
Welfare State ◽  
Low Income ◽  
Social Protection ◽  
Low Cost ◽  
Analytical Framework ◽  
The United Kingdom ◽  
Different Types ◽  
The Individual ◽  
The Uk ◽  
High Level

AbstractHow does the rising ‘regulatory welfare state’ address social policy concerns in pension markets? This study examines this question by comparing the regulatory responses to high charges paid by low-income workers in pension markets in the UK and Israel. In the UK, with the recognition that the market would not cater to low-income workers, the regulatory response was the creation of a publicly operated low-cost pension fund (NEST), a ‘public option’ within the market. This allowed low-income workers access to a low level of charges, previously reserved for high-income and organised workers. In Israel, regulation sought to empower consumers, while providing minimal social protection by capping pension charges at a relatively high level, thereby leaving most of the responsibility for reducing the charges with the individual saver. By comparing these two cases, the article develops an analytical framework for the study of the regulatory welfare state, making two contributions. First, it highlights different types of regulatory citizenship: minimal regulatory social protection as opposed to a more egalitarian approach. Second, it identifies an overlooked regulatory welfare state strategy: creating ‘public option’ arrangements, whereby a state-run (but not funded) service operates within the market.

scholarly journals The relationship between low income and household food expenditure patterns in Canada

2003 ◽  
Vol 6 (6) ◽  
pp. 589-597 ◽  
Author(s):  
Sharon Kirkpatrick ◽  
Valerie Tarasuk
Keyword(s):  
Low Income ◽  
Fruits And Vegetables ◽  
Secondary Data ◽  
Milk Product ◽  
Milk Products ◽  
Expenditure Patterns ◽  
Food Expenditure ◽  
Statistics Canada ◽  
The Relationship ◽  
Low Income Households

AbstractObjectives:To compare food expenditure patterns between low-income households and higher- income households in the Canadian population, and to examine the relationship between food expenditure patterns and the presence or absence of housing payments among low-income households.Design:Secondary data analysis of the 1996 Family Food Expenditure Survey conducted by Statistics Canada.Setting:Sociodemographic data and 1-week food expenditure data for 9793 households were analysed.Subjects:Data were collected from a nationally representative sample drawn through stratified multistage sampling. Low-income households were identified using Statistics Canada's Low Income Measures.Results:Total food expenditures, expenditures at stores and expenditures in restaurants were lower among low-income households compared with other households. Despite allocating a slightly greater proportion of their food dollars to milk products, low-income households purchased significantly fewer servings of these foods. They also purchased fewer servings of fruits and vegetables than did higher-income households. The effect of low income on milk product purchases persisted when the sample was stratified by education and expenditure patterns were examined in relation to income within strata. Among low-income households, the purchase of milk products and meat and alternatives was significantly lower for households that had to pay rents or mortgages than for those without housing payments.Conclusions:Our findings indicate that, among Canadian households, access to milk products and fruits and vegetables may be constrained in the context of low incomes. This study highlights the need for greater attention to the affordability of nutritious foods for low-income groups.

scholarly journals Factors associated with continued participation in a matched monetary incentive programme at local farmers’ markets in low-income neighbourhoods in San Diego, California

2017 ◽  
Vol 20 (15) ◽  
pp. 2786-2795 ◽  
Author(s):  
Amanda R Ratigan ◽  
Suzanne Lindsay ◽  
Hector Lemus ◽  
Christina D Chambers ◽  
Cheryl AM Anderson ◽  
...  
Keyword(s):  
Diet Quality ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Pacific Islander ◽  
Monetary Incentive ◽  
Farmers Markets ◽  
Farmers Market ◽  
Factors Associated ◽  
Asian Pacific Islander ◽  
Asian Pacific

AbstractObjectiveThe Farmers’ Market Fresh Fund Incentive Program is a policy, systems and environmental intervention to improve access to fresh produce for participants on governmental assistance in the USA. The current study examined factors associated with ongoing participation in this matched monetary incentive programme.DesignRelationship of baseline factors with number of Fresh Fund visits was assessed using Poisson regression. Mixed-effects modelling was used to explore changes in consumption of fruits and vegetables and diet quality.SettingSan Diego, California.SubjectsRecipients of Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Supplemental Security Income (SSI) who attended participating farmers’ markets from 2010 to 2012 (n 7298).ResultsAmong those with participation for ≤6 months, factors associated with increased visits included reporting more daily servings of fruits and vegetables (F&V) at baseline, being Vietnamese or Asian/Pacific Islander, and eligibility because of SNAP/CalFresh or SSI (v. WIC). Among those who came for 6–12 months, being Asian/Pacific Islander, eligibility because of SNAP/CalFresh and enrolling in the autumn, winter or spring were associated with a greater number of Fresh Fund visits. Among those who came for >12 months, being male and eligibility because of SSI were associated with a greater number of visits. Overall, the odds of increasing number of servings of F&V consumed increased by 2 % per month, and the odds of improved perception of diet quality increased by 10 % per month.ConclusionsSustaining and increasing Fresh Fund-type programme operations should be a top priority for future policy decisions concerning farmers’ market use in low-income neighbourhoods.

scholarly journals Health profile differences between recipients and non-recipients of the Brazilian Income Transfer Program in a low-income population

2019 ◽  
Vol 35 (6) ◽  
Author(s):  
Jeremy A. Labrecque ◽  
Jay S. Kaufman
Keyword(s):  
Low Income ◽  
Fruits And Vegetables ◽  
Conditional Cash Transfer ◽  
National Health Survey ◽  
Cash Transfer ◽  
Health Profile ◽  
Transfer Program ◽  
Income Transfer ◽  
The Difference ◽  
The Relationship

Abstract: We investigated the relationship between living in a household that receives the Brazilian Income Transfer Program (Bolsa Família, in Portuguese - BF), a Brazilian conditional cash transfer program, and aspects of health and whether these relationships are heterogeneous across the 27 Brazilian states. According to data from the 2013 Brazilian National Health Survey, 18% of households participated in BF. Among households with household per capita income below BRL 500, many aspects of health differed between people living in BF and non-BF houses. For example, BF households were less likely to have medical coverage but more likely to have visited the doctor in the last 12 months as well as being more likely to smoke and less likely to do exercise. They ate nearly one less serving of fruits and vegetables a week but were less likely to substitute junk food for a meal. They reported worse self-rated health but did not differ importantly on reporting illnesses. Moderate amounts of heterogeneity in the difference in health characteristics were found for some variables. For instance, medical coverage had an I2 value of 40.7% and the difference in coverage between BF and non-BF households ranged from -0.09 to -0.03. Some illnesses differed qualitatively across states such as high cholesterol, asthma and arthritis. This paper is the first to outline the health profile of people living in households receiving payments from a cash transfer program. It is also the first to find geographic heterogeneity in the relationship between a cash transfer program and health variables. These results suggest the possibility that the effect of cash transfer programs may differ based on the population on which it is implemented.

scholarly journals High prevalence of food insecurity, the adverse impact of COVID-19 in Brazilian favela

2020 ◽  
pp. 1-14
Author(s):  
Catarina Vezetiv Manfrinato ◽  
Aluízio Marino ◽  
Vitória Ferreira Condé ◽  
Maria do Carmo Pinho Franco ◽  
Elke Stedefeldt ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Low Income ◽  
Cross Sectional Study ◽  
Cash Transfer ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Factors Associated ◽  
Bolsa Familia ◽  
Households With Children ◽  
Families With Children

Abstract Objective: Investigate food insecurity (FI) prevalence in two favelas in Brazil in the early weeks of the social distancing policy, from 27 March 2020 to 1 June 2020. Design: A cross-sectional study using an online questionnaire to elicit information on socioeconomic and demographic characteristics, the types of stores visited to buy food, and FI screening. The FI experience was evaluated according to the Brazilian Food Insecurity Scale. Factors associated with moderate or severe FI were investigated using the logistic regression model. Setting: São Paulo city, Brazil Participants: 909 householders Results: Eighty-eight percent of the households included young women working as cleaners or kitchen assistants and in sales services. One-fifth of the participants were involved in the federal cash transfer programme, called Bolsa Família. There were 92% households with children. The most frequent experience reported was uncertainty about food acquisition or receiving more (89%), eating less than one should (64%), not being able to eat healthy and nutritious food (46%), and skipping a meal (39%). Forty-seven percent of the participants experienced moderate or severe FI. Factors associated with moderate and severe FI were low income, being a Bolsa Família recipient, having a low level of education, and living in a household without children. Conclusions: Half of the participants experienced moderate or severe FI, and almost 10% experienced hunger. Our data suggest that families with children were at a lower risk of moderate to severe FI. It is possible that nationally established social programs such as Bolsa Família were protecting those families.

scholarly journals High prevalence of food insecurity, the adverse impact of COVID-19 in Brazilian favela

2020 ◽  
Author(s):  
Catarina Vezetiv Manfrinato ◽  
Aluizio Marino ◽  
Vitoria Ferreira Conde ◽  
Maria do Carmo Pinho Franco ◽  
Elke Stedefeldt ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Low Income ◽  
Cross Sectional Study ◽  
Cash Transfer ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Factors Associated ◽  
Bolsa Familia ◽  
Households With Children ◽  
Families With Children

Objective: To investigate food insecurity prevalence in two favelas in Brazil in the early weeks from physical distancing policy, between March 27, 2020 to June 1, 2020. Design: A cross-sectional study using online questionnaire to elicit information on socioeconomic and demographic characteristics, the types of stores visited to buy food and food insecurity screening. Experience of food insecurity was collected according to the Brazilian Food Insecurity Scale. Factors associated with moderate or severe food insecurity were investigated using the logistic regression model. Setting: Sao Paulo city, Brazil. Participants: 909 householders. Results: 88% of the households included young women working as cleaners or kitchen assistants and in sales services. One-fifth of the participants were recieving federal cash transfer programme, called Bolsa Familia. There were 92% households with children. The most frequent experience reported was uncertainty about food acquisition or receiving more (89%), to eat less than one should (64%), not being able to eat healthy and nutritious food (46%), and skipping a meal (39%). 47% of the participants experienced moderate or severe food insecurity. Factors associated with moderate and severe food insecurity were low income, being Bolsa Familia recipient, a low level of education, and households without children. Conclusions: Half of the participants experienced moderate or severe food insecurity, and close to ten per cent was hungry. Our data suggest that families with children were at lower risk of moderate to severe food insecurity. It is possible that nationally established social programs like Bolsa Familia were protecting those families.

scholarly journals Barriers and facilitators to accessing tuberculosis care in Nepal: a qualitative study to inform the design of a socioeconomic support intervention

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e049900
Author(s):  
Kritika Dixit ◽  
Olivia Biermann ◽  
Bhola Rai ◽  
Tara Prasad Aryal ◽  
Gokul Mishra ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Low Income ◽  
Social Protection ◽  
Psychosocial Support ◽  
Cash Transfer ◽  
Barriers And Facilitators ◽  
Low Income Countries ◽  
Income Loss ◽  
Support Intervention ◽  
Psychosocial Counselling

ObjectivePsychosocial and economic (socioeconomic) barriers, including poverty, stigma and catastrophic costs, impede access to tuberculosis (TB) services in low-income countries. We aimed to characterise the socioeconomic barriers and facilitators of accessing TB services in Nepal to inform the design of a locally appropriate socioeconomic support intervention for TB-affected households.DesignFrom August 2018 to July 2019, we conducted an exploratory qualitative study consisting of semistructured focus group discussions (FGDs) with purposively selected multisectoral stakeholders. The data were managed in NVivo V.12, coded by consensus and analysed thematically.SettingThe study was conducted in four districts, Makwanpur, Chitwan, Dhanusha and Mahottari, which have a high prevalence of poverty and TB.ParticipantsSeven FGDs were conducted with 54 in-country stakeholders, grouped by stakeholders, including people with TB (n=21), community stakeholders (n=13) and multidisciplinary TB healthcare professionals (n=20) from the National TB Programme.ResultsThe perceived socioeconomic barriers to accessing TB services were: inadequate TB knowledge and advocacy; high food and transportation costs; income loss and stigma. The perceived facilitators to accessing TB care and services were: enhanced championing and awareness-raising about TB and TB services; social protection including health insurance; cash, vouchers and/or nutritional allowance to cover food and travel costs; and psychosocial support and counselling integrated with existing adherence counselling from the National TB Programme.ConclusionThese results suggest that support interventions that integrate TB education, psychosocial counselling and expand on existing cash transfer schemes would be locally appropriate and could address the socioeconomic barriers to accessing and engaging with TB services faced by TB-affected households in Nepal. The findings have been used to inform the design of a socioeconomic support intervention for TB-affected households. The acceptability, feasibility and impact of this intervention on TB-related costs, stigma and TB treatment outcomes, is now being evaluated in a pilot implementation study in Nepal.

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