scholarly journals Validation of a Digitally Displayed Photographic Food Portion Size Estimation Aid Among Women in Urban and Rural Malawi (P13-012-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Valerie Flax ◽  
Chrissie Thakwalakwa ◽  
Courtney Schnefke ◽  
Heather Stobaugh ◽  
John Phuka ◽  
...  
Keyword(s):  
Low Income ◽  
Portion Size ◽  
Low Income Countries ◽  
Size Estimation ◽  
Low Income Country ◽  
Funding Sources ◽  
Urban Rural ◽  
Highly Correlated ◽  
Prepared Food ◽  
Portion Size Estimation

Abstract Objectives Easy-to-use tools to facilitate portion size estimation in low-income countries are needed. The objective of this study was to validate digitally displayed photographic portion size estimation aids (PSEAs) against a weighed meal record and compare findings with an atlas of printed photographic PSEAs and actual prepared food PSEAs in a low-income country. Methods In Blantyre and Chikwawa Districts, Malawi, we enrolled 300 women 18–45 years of age equally divided by urban/rural residence and years of education (≤4 years and >4 years). Participants served themselves water and five prepared foods, which were weighed separately before the meal and again after the meal to measure any leftovers. Participants returned the following day and completed a meal recall. They estimated the quantities of foods consumed three times using the different PSEAs in a randomized order. Results Responses for digital and printed PSEAs were highly correlated (>91% agreement for all foods, Cohen's κ = 0.78–0.93). Overall, digital and actual-food PSEAs had a similar level of agreement with the weighed meal record at the group level. The proportion of participants who estimated within 20% of the weighed grams of food consumed ranged by type of food from 30–45% for digital PSEAs and 40–56% for actual food PSEAs. Digital PSEAs consistently underestimated grams and nutrients across foods, whereas actual-food PSEAs provided a mix of under- and overestimates that balanced each other to produce accurate mean energy and nutrient intake estimates. Results did not differ by urban and rural location or participant education level. Conclusions Digital PSEAs require further testing in low-income settings to improve accuracy of estimations because they offer several logistical advantages over other PSEAs. Funding Sources RTI International.

scholarly journals Validation of a digitally displayed photographic food portion-size estimation aid among women in urban and rural Malawi

2019 ◽  
Vol 22 (17) ◽  
pp. 3140-3150 ◽  
Author(s):  
Valerie L Flax ◽  
Chrissie Thakwalakwa ◽  
Courtney H Schnefke ◽  
Heather Stobaugh ◽  
John C Phuka ◽  
...  
Keyword(s):  
Rural Communities ◽  
Low Income ◽  
Portion Size ◽  
Size Estimation ◽  
Individual Level ◽  
Low Income Country ◽  
Urban Rural ◽  
Highly Correlated ◽  
The Individual ◽  
Portion Size Estimation

AbstractObjective:To validate digitally displayed photographic portion-size estimation aids (PSEA) against a weighed meal record and compare findings with an atlas of printed photographic PSEA and actual prepared-food PSEA in a low-income country.Design:Participants served themselves water and five prepared foods, which were weighed separately before the meal and again after the meal to measure any leftovers. Participants returned the following day and completed a meal recall. They estimated the quantities of foods consumed three times using the different PSEA in a randomized order.Setting:Two urban and two rural communities in southern Malawi.Participants:Women (n 300) aged 18–45 years, equally divided by urban/rural residence and years of education (≤4 years and ≥5 years).Results:Responses for digital and printed PSEA were highly correlated (>91 % agreement for all foods, Cohen’s κw = 0·78–0·93). Overall, at the individual level, digital and actual-food PSEA had a similar level of agreement with the weighed meal record. At the group level, the proportion of participants who estimated within 20 % of the weighed grams of food consumed ranged by type of food from 30 to 45 % for digital PSEA and 40–56 % for actual-food PSEA. Digital PSEA consistently underestimated grams and nutrients across foods, whereas actual-food PSEA provided a mix of under- and overestimates that balanced each other to produce accurate mean energy and nutrient intake estimates. Results did not differ by urban and rural location or participant education level.Conclusions:Digital PSEA require further testing in low-income settings to improve accuracy of estimations.

A Cross-sectional Study of the Clinical Profile of Children With Cerebral Palsy in Benin, a West African Low-Income Country

2019 ◽  
Vol 34 (13) ◽  
pp. 842-850
Author(s):  
Emmanuel Segnon Sogbossi ◽  
Damienne Houekpetodji ◽  
Toussaint G. Kpadonou ◽  
Yannick Bleyenheuft
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Low Income ◽  
Classification System ◽  
West African ◽  
Low Income Countries ◽  
Cross Sectional ◽  
Common Cause ◽  
Low Income Country ◽  
Children With Cerebral Palsy

Cerebral palsy is a common cause of pediatric motor disability. Although there are increasing amounts of data on the clinical profile of children with cerebral palsy in high-income countries, corresponding information about low-income countries and developing countries is lacking. Therefore, we aimed to describe the clinical spectrum of cerebral palsy in children in Benin, a representative West African low-income country. Our cross-sectional observational study included 114 children with cerebral palsy recruited from community-based rehabilitation centers and teaching hospitals (median age: 7 years, range 2-17; sex: 66% male). Data were collected through review of medical records and interviews with children’s mothers. Assessment included risk factors, clinical subtypes according to the Surveillance of CP in Europe criteria, severity of motor outcome scored by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System, comorbidities, and school attendance. We recorded a high prevalence of intrapartum adverse events. Seventeen percent of children had postneonatal cerebral palsy, with cerebral malaria being the most common cause. Most children were severely affected (67.5% as bilateral spastic; 54.4% as GMFCS IV or V), but severity declined substantially with age. Only 23% of the children with cerebral palsy had attended school. Poor motor outcomes and comorbidities were associated with school nonattendance. These results suggest that intrapartum risk factors and postnatal cerebral malaria in infants are opportune targets for prevention of cerebral palsy in Sub-Saharan low-income countries.

scholarly journals Impact of refugee population on development: A comparative analysis for the case of host economies

2018 ◽  
Vol 18 (1) ◽  
pp. 77-96
Author(s):  
Mohamed Kouni
Keyword(s):  
Labor Force ◽  
Direct Effect ◽  
Low Income ◽  
Indirect Effect ◽  
Point Of View ◽  
Low Income Countries ◽  
Middle Income ◽  
Refugee Population ◽  
Low Income Country ◽  
Middle Income Countries

Abstract This study was carried out to investigate the relationship between refugees and development in host economies from a macroeconomic point of view. The results obtained show that this relationship is non-linear. The empirical results demonstrate that refugees have a positive and significant direct effect in high and lower-middle-income countries. A positive and significant indirect effect of refugees through labor force and RD channels is also present in the same groups. In upper-middle-income and low-income countries, the direct effect of refugees is negative and significant. Similarly, the indirect effect of the refugee population on development through labor force channel is also negative and statistically significant. However, the indirect effect of refugees through RD channel is statistically significant only for the low-income country group.

scholarly journals Personal and domiciliary hygiene practices and its association with incidence of infectious diseases among children aged 6-59 months

2021 ◽  
Vol 8 (9) ◽  
pp. 4204
Author(s):  
Md Hasanuzzaman ◽  
Md Hafizur Rahman ◽  
Md Shafiqul Islam Khan ◽  
Musammet Rasheda Begum ◽  
Farjana Alam ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Low Income ◽  
Cross Sectional Study ◽  
Hand Washing ◽  
Low Income Countries ◽  
Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Prepared Food

Background: Over 200 million under-five-children born in low-income countries are at risk of not reaching their development potential and infectious diseases are the leading cause of development deficits in these regions.Methods: A cross-sectional study was conducted to investigate personal and household hygiene practices among 154 mothers and their association with the incidence of infectious diseases among 167 children aged 6 months to 59 months in Patuakhali district, Bangladesh.Results: Only 13.6% of the mothers had proper hand washing knowledge. Besides, 14% and 53.9% of the mothers washed their hands with soap and only with water respectively before feeding their child. About 68.2% of mothers prepared food on the ground and half (49.5%) of the toilet did not have a hand washing location beside it. The risk of childhood infectious disease was significantly associated with hand washing of mothers before feeding a child (OR: 2.3, 95% CI: 1.5-4.1, p<0.05) and hand washing of child before eating (OR: 3.4, 95% CI: 1.8-5.7, p<0.05).Conclusions: Hand washing agents were inadequate and compliance to hand washing was poor. Therefore, the continuous focus is needed on the mother's awareness construction to increase the compliance to hand washing practice among mothers as well as their child with soap, especially during child feeding.

scholarly journals Using Facebook Ad Data to Track the Global Digital Gender Gap

2018 ◽  
Author(s):  
Masoomali Fatehkia ◽  
Ridhi Kashyap ◽  
Ingmar Weber
Keyword(s):  
Mobile Phone ◽  
Gender Gap ◽  
Low Income ◽  
Low Income Countries ◽  
Gender Gaps ◽  
Mobile Access ◽  
Country Level ◽  
Highly Correlated ◽  
And Gender ◽  
Official Data

Gender equality in access to the internet and mobile phones has become increasingly recognised as a development goal. Monitoring progress towards this goal however is challenging due to the limited availability of gender-disaggregated data, particularly in low-income countries. In this data sparse context, we examine the potential of a source of digital trace `big data' -- Facebook's advertisement audience estimates -- that provides aggregate data on Facebook users by demographic characteristics covering the platform's over 2 billion users to measure and `nowcast' digital gender gaps. We generate a unique country-level dataset combining `online' indicators of Facebook users by gender, age and device type, `offline' indicators related to a country's overall development and gender gaps, and official data on gender gaps in internet and mobile access where available. Using this dataset, we predict internet and mobile phone gender gaps from official data using online indicators, as well as online and offline indicators. We find that the online Facebook gender gap indicators are highly correlated with official statistics on internet and mobile phone gender gaps. For internet gender gaps, models using Facebook data do better than those using offline indicators alone. Models combining online and offline variables however have the highest predictive power. Our approach demonstrates the feasibility of using Facebook data for real-time tracking of digital gender gaps. It enables us to improve geographical coverage for an important development indicator, with the biggest gains made for low-income countries for which existing data are most limited.

scholarly journals Local characterization of the Covid19 Response in low-income country: The case of a Lockdown in Zambia

2021 ◽  
Author(s):  
Choolwe Muzyamba
Keyword(s):  
Low Income ◽  
Mental Health Problems ◽  
Incidence Rates ◽  
Low Income Countries ◽  
Gender Based Violence ◽  
Low Income Country ◽  
Phone Calls ◽  
Heated Debate ◽  
Local Characterization

Abstract Background The onset of the covid19 pandemic has sparked heated debate among scholars on the relevance of lockdowns. There are those in favor of the lockdown and others who are critical of it. However, despite the increased interest in understanding the relevance of lockdowns, there still has not been much focus on its relevance in low income countries like Zambia. Thus with the help of the SRT, we set out to explore and document the local characterization of the lockdown by residents of Lusaka, Zambia.Methods A qualitative study in the form of interviews was conducted in Lusaka, Zambia involving a sample of 68 participants. Due to the lockdown measures that were in place during the study, the interviews were conducted via phone calls and the data collected were later analyzed by use of thematic analysis technique.Results The lockdown was on one hand lauded for slowing down the incidence rates, preventing fatalities, and for protecting the healthcare system from collapse. On the other hand, it was criticized for exacerbating poverty levels, unemployment rates, increasing the rate of mental health problems, aiding gender based violence, and intensifying political repression and corruption. The results speak to the complexity in the characterization of the lockdown as a response to covid19 in Zambia. This observation demonstrates the folly of viewing, applying and characterizing the covid19 lockdown as a ‘one-size-fits-all’ approach in Zambia.Conclusion Thus rather than definitely establishing the lockdown as an incontestable good, as it is depicted by some scholars or as useless by its critics, our findings instead demonstrate the diversity and complexity in how it is locally viewed by Zambians. The study provides grounds for caution on simplistic and binary characterization of lockdowns. It indicates the need for careful dialog between the designers of lockdowns and citizens in order to tailor such interventions to local realities in context-specific ways. It also shows that though the development of such interventions, all the various and complex elements it embodies must be taken into account in order to realize optimum outcomes.

scholarly journals A comparison of food portion size estimation by older adults, young adults and nutritionists

2017 ◽  
Vol 22 (2) ◽  
pp. 230-236 ◽  
Author(s):  
Claire Marie Timon ◽  
S. E. Cooper ◽  
M. E. Barker ◽  
A. J. Astell ◽  
T. Adlam ◽  
...  
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Portion Size ◽  
Size Estimation ◽  
Food Portion ◽  
Portion Size Estimation ◽  
Food Portion Size

scholarly journals Adapting Collaborative Approaches for Service Provision to Low-Income Countries: Expert Panel Results

2020 ◽  
Vol 12 (7) ◽  
pp. 2612 ◽  
Author(s):  
Kimberly Pugel ◽  
Amy Javernick-Will ◽  
Matthew Koschmann ◽  
Shawn Peabody ◽  
Karl Linden
Keyword(s):  
Service Delivery ◽  
International Development ◽  
Low Income ◽  
Expert Panel ◽  
Income Country ◽  
Low Income Countries ◽  
Low Income Country ◽  
Government Capacity ◽  
The Government ◽  
Future Practice

The international development sector is increasingly implementing collaborative approaches that facilitate a range of sectoral-level stakeholders to jointly address complex problems facing sustainable public service delivery, for which guidance does not explicitly exist. The literature on collaborative approaches has been built on experiences in high-income countries with vastly different governance capabilities, limiting their global relevance. A Delphi expert panel addressed this need by evaluating 58 factors hypothesized in the literature to contribute to the success of collaborative approaches. The panel rated factors according to their importance in low-income country contexts, on a scale from Not Important to Essential. Experts agreed on the importance of 49 factors, eight of which were essential for success. Rich qualitative data from open-ended responses revealed factors that may be unique to low-income country contexts and to service delivery applications, including how government capacity, politics, donor influence, and culture can influence decisions on structuring leadership and facilitation roles, appropriately engaging the government, and building legitimacy. Key considerations for future practice and research are summarized in a table in the appendix. This study contributes to both literature and practice by identifying the relative importance of factors to consider when designing collaborative approaches in low-income countries with limited governance capabilities.

Challenges for Evidence-Based Care for Children With Developmental Delays in Nicaragua

2014 ◽  
Vol 28 (3) ◽  
pp. 226-237 ◽  
Author(s):  
Abraham A. Salinas-Miranda ◽  
Eric A. Storch ◽  
Robert Nelson ◽  
Claudia Evans-Baltodano
Keyword(s):  
Early Childhood ◽  
Low Income ◽  
Developmental Delays ◽  
Early Childhood Development ◽  
Economic Consequences ◽  
Childhood Development ◽  
Low Income Countries ◽  
Evidence Based ◽  
Low Income Country ◽  
Evidence Based Care

Evidence of successful models for promoting early childhood development and for effectively addressing developmental delays is available, yet the adoption of evidence-based strategies is limited in low-income countries. Nicaragua, a low-income country on the Central American isthmus, faces policy-, organizational-, and community-level obstacles which prevent families from receiving the benefits of early child development programs as well as other necessary services for children at risk of or with developmental delays. Failing to address developmental delays in a timely manner leads to detrimental social and economic consequences for families and society at large. In this article, we examine existing information on early childhood development in Nicaragua and discuss some programmatic implications for the recognition and early intervention of developmental delays in Nicaragua.

scholarly journals Improving access to healthcare for women in Tanzania by addressing socioeconomic determinants and health insurance: a population-based cross-sectional survey

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e023013 ◽  
Author(s):  
Deogratius Bintabara ◽  
Keiko Nakamura ◽  
Kaoruko Seino
Keyword(s):  
Health Insurance ◽  
Low Income ◽  
Formal Education ◽  
Wealth Index ◽  
Population Based ◽  
Reproductive Age ◽  
Low Income Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Low Income Country

ObjectiveThis study was performed to explore the factors associated with accumulation of multiple problems in accessing healthcare among women in Tanzania as an example of a low-income country.DesignPopulation-based cross-sectional survey.SettingNationwide representative data for women of reproductive age obtained from the 2015–2016 Tanzania Demographic and Health Survey were analysed.Primary outcome measuresA composite variable, ‘problems in accessing healthcare’, with five (1-5) categories was created based on the number of problems reported: obtaining permission to go to the doctor, obtaining money to pay for advice or treatment, distance to a health facility and not wanting to go alone. Respondents who reported fewer or more problems placed in lower and higher categories, respectively.ResultsA total of 13 266 women aged 15–49 years, with a median age (IQR) of 27 (20–36) years were interviewed and included in the analysis. About two-thirds (65.53%) of the respondents reported at least one of the four major problems in accessing healthcare. Furthermore, after controlling for other variables included in the final model, women without any type of health insurance, those belonging to the poorest class according to the wealth index, those who had not attended any type of formal education, those who were not employed for cash, each year of increasing age and those who were divorced, separated or widowed were associated with greater problems in accessing healthcare.ConclusionThis study indicated the additive effects of barriers to healthcare in low-income countries such as Tanzania. Based on these results, improving uptake of health insurance and addressing social determinants of health are the first steps towards reducing women’s problems associated with accessing healthcare.

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