scholarly journals Infant feeding, growth monitoring and the double burden of malnutrition among children aged 6 months and their mothers in KwaZulu‐Natal, South Africa

2021 ◽  
Author(s):  
Siri Kaldenbach ◽  
Ingunn M. S. Engebretsen ◽  
Lyn Haskins ◽  
Catherine Conolly ◽  
Christiane Horwood
Keyword(s):  
South Africa ◽  
Infant Feeding ◽  
Growth Monitoring ◽  
Double Burden ◽  
Kwazulu Natal ◽  
Double Burden Of Malnutrition

scholarly journals Autonomy and infant feeding decision-making among teenage mothers in a rural and urban setting in KwaZulu-Natal, South Africa

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Ngcwalisa Amanda Jama ◽  
Aurene Wilford ◽  
Lyn Haskins ◽  
Anna Coutsoudis ◽  
Lenore Spies ◽  
...  
Keyword(s):  
South Africa ◽  
Decision Making ◽  
Infant Feeding ◽  
Teenage Mothers ◽  
Urban Setting ◽  
Rural And Urban ◽  
Kwazulu Natal ◽  
Feeding Decision

scholarly journals Nutrition Transition & Double Burden of Malnutrition in Africa: A Case Study of Four Selected Countries with Different Income Levels (P10-074-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Kilee Kimmel ◽  
Teresia Mbogori ◽  
Mengxi Zhang ◽  
Jayanthi Kandiah ◽  
Youfa Wang
Keyword(s):  
South Africa ◽  
Economic Status ◽  
Nutrition Transition ◽  
Overweight And Obesity ◽  
Sub Saharan Africa ◽  
World Health ◽  
Nutrition Status ◽  
Older Children ◽  
Double Burden ◽  
Double Burden Of Malnutrition

Abstract Objectives Disease and lifestyle patterns have been changing rapidly worldwide including Africa due to recent changes in economic growth and urbanization. However, research related to the effects of these changes on nutrition status in Africa is limited. This study investigated the shifts in nutritional status (undernutrition, overweight, obesity) in children and adults in 4 carefully selected low-, middle- and high income countries in Africa, identified factors associated with the shifts, and provided recommendations for future work. Methods Malawi, Kenya, Ghana, and South Africa were selected based on their economic status, population size, urbanization, etc. Nationally representative data was obtained from sources such as 2017 Global Nutrition Report, Demographic Health Surveys (DHSs), Food and Agriculture Organization Corporate Statistical Database (FAOSTAT), and World Health Organization (WHO). The prevalence of underweight, overweight and obesity (ov/ob), and some ratios were assessed and compared across the countries between 1998 and 2016. Results Varied nutrition status and shifts were observed among the countries during 1998–2016. Countries with the higher economic status also had higher prevalence and faster increasing trends of ov/ob. South Africa had the highest GDP and highest ov/ob rates in children <5, children 5-18, and adults >18 (13.3%, 24.7%, and 51.9% respectively). Malawi, with the lowest GDP, had the highest stunting rate (37%). In each country, but most notably in South Africa, trends indicated the increasing ov/ob rate (11.8%) was much greater than the declining underweight rate (2.4%). Slight declines in overweight in children under 5 years were observed in Malawi, Kenya, and Ghana, which might be due to reduced stunting rates. Sex differences existed in older children and adults, with higher rates of ov/ob in females and undernutrition among males. Conclusions Nutrition shifts, heavily influenced by economic development, are rapidly occurring in sub-Saharan Africa. The double-burden of malnutrition posts prioritization challenges for policymakers. Because undernutrition is now a declining issue, the focus should be shifted towards prevention of obesity, at least in higher income countries in Africa. Funding Sources The study is funded in part by a center grant from the US National Institutes of Health (NIH, U54HD070725).

scholarly journals Double-Duty Actions to Reduce the Double Burden of Malnutrition in Indonesia

2020 ◽  
Vol 4 (4) ◽  
pp. 326
Author(s):  
Rian Diana
Keyword(s):  
Health Care ◽  
Exclusive Breastfeeding ◽  
Safety Net ◽  
Overweight And Obesity ◽  
Equation Modeling ◽  
Growth Monitoring ◽  
Double Burden ◽  
Data Set ◽  
Factors Associated ◽  
Double Burden Of Malnutrition

Background: : Indonesia is facing a double burden of malnutrition (DBM). Double-duty action was promoted by WHO in 2017 which aims to tackle the double burden of malnutrition simultaneously.  Objectives: This study analyzed factors associated with the double burden of malnutrition and potential of double-duty action (DDA) that is suitable for Indonesia Methods: This study is a provincial-level aggregate data set from Indonesia Basic Health Survey 2018 and National Socio-Economic Survey 2018 which covered 34 provinces. A serious DBM characterized by persistent stunting (children under five) ≥30% and coexisting overweight and obesity in adults ≥30% at the same time. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to analyze factors associated with DBM.Results: High prevalence of stunting and overweight and obesity in almost all provinces di Indonesia. Seventeen provinces were having a serious DBM. Health care access, exclusive breastfeeding and socio-economic associated with DBM.  There were 4 potential DDA for Indonesia: health care which consist of antenatal care, maternal and child care, exclusive breastfeeding, child growth monitoring, and  social safety net. Conclusions: Addressing the DBM through four potential DDA can be a new paradigm, mindset, and critical importance in achieving Indonesia’s target in reducing under and over nutrition simultaneously.

scholarly journals Exploring the paradox: double burden of malnutrition in rural South Africa

2013 ◽  
Vol 6 (1) ◽  
pp. 19249 ◽  
Author(s):  
Elizabeth W. Kimani-Murage
Keyword(s):  
South Africa ◽  
Double Burden ◽  
Rural South ◽  
Double Burden Of Malnutrition ◽  
Rural South Africa

scholarly journals Double-duty solutions for optimising maternal and child nutrition in urban South Africa: a qualitative study

2020 ◽  
pp. 1-11 ◽  
Author(s):  
Agnes Erzse ◽  
Susan Goldstein ◽  
Shane A Norris ◽  
Daniella Watson ◽  
Sarah H Kehoe ◽  
...  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Low Income ◽  
Food Environment ◽  
Social Protection ◽  
Health Sector ◽  
Structured Interview ◽  
Healthy Diet ◽  
Double Burden ◽  
Double Burden Of Malnutrition

Abstract Objective: To obtain a community perspective on key nutrition-specific problems and solutions for mothers and children. Design: A qualitative study comprising nine focus group discussions (FGD) following a semi-structured interview guide. Setting: The township of Soweto in South Africa with a rising prevalence of double burden of malnutrition. Participants: Men and women aged ≥18 years (n 66). Three FGD held with men, six with women. Results: Despite participants perceived healthy diet to be important, they felt their ability to maintain a healthy diet was limited. Inexpensive, unhealthy food was easier to access in Soweto than healthier alternatives. Factors such as land use, hygiene and low income played a fundamental role in shaping access to foods and decisions about what to eat. Participants suggested four broad areas for change: health sector, social protection, the food system and food environment. Their solutions ranged from improved nutrition education for women at clinic visits, communal vegetable gardens and government provision of food parcels to regulatory measures to improve the healthiness of their food environment. Conclusions: South Africa’s current nutrition policy environment does not adequately address community-level needs that are often linked to structural factors beyond the health sector. Our findings suggest that to successfully address the double burden of malnutrition among women and children, a multifaceted approach is needed combining action on the ground with coherent policies that address upstream factors, including poverty. Further, there is a need for public engagement and integration of community perspectives and priorities in developing and implementing double-duty actions to improve nutrition.

scholarly journals Evaluation of community-based growth monitoring in rural districts of the Eastern Cape and KwaZulu-Natal provinces of South Africa

2009 ◽  
Vol 22 (4) ◽  
pp. 185-194 ◽  
Author(s):  
M Faber ◽  
S Schoeman ◽  
Cm Smuts ◽  
V Adams ◽  
T Ford-Ngomane
Keyword(s):  
South Africa ◽  
Growth Monitoring ◽  
Eastern Cape ◽  
Community Based ◽  
Rural Districts ◽  
Kwazulu Natal
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