scholarly journals Nutrition and food security in Mali from 2010 to 2020

2020 ◽  
Vol 4 (9) ◽  
pp. S1-S6
Author(s):  
Fatoumata Konaté ◽  
Akory Ag Iknane ◽  
Fatou Diawara ◽  
Djénèba Coulibaly ◽  
Aboubakar Dokan Koné
Keyword(s):  
Food Insecurity ◽  
Rural Areas ◽  
Access To Health Care ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
Vulnerable Groups ◽  
High Morbidity ◽  
Adult Women ◽  
Nutrition And Diet ◽  
Breastfeeding Rate

Mali, a Sahelian country in West Africa, faces many climatic, natural and security constraints. This situation has accentuated the nutritional issues which are largely responsible for the high morbidity and mortality rates. The aim of the current review is to understand the main issues related to nutrition and diet among vulnerable groups in Mali during the last decade. The exclusive breastfeeding rate remains relatively low (40%). The Complementary feeding practices are inadequate 49%. These practices are coupled with chronic food insecurity, limited access to health care and services and water coverage and inadequate hygiene practices. The 2019 nutrition survey showed a wasting prevalence of 9.4% in children under the age of 5 and a prevalence of stunting of 27% in young children 0-23 months. In addition, there is a nutritional transition limited to the urban environment, where almost one in three adult women is overweight or obese. Simultaneously, undernutrition perseveres among women, particularly in rural areas (18.5%). The persistence of micronutrient deficiencies is accentuated, especially anemia with a prevalence rate of 82% in children under 5 years. The strategy of universal salt iodization has led to a marked reduction in iodine deficiency disorders. Vitamin A deficiency is a public health problem in women with a retinolemia rate of 35%. There is a Nutrition Policy document, an intersectoral coordination unit with a view to strengthening interventions to better achieve the Sustainable Development Goals. Keywords: Malnutrition, Infants under 5, Micronutrients, Food Insecurity, Mali.

scholarly journals Nutrition and food security in Mali from 2010 to 2020

2020 ◽  
Vol 04 (09) ◽  
pp. 1-6
Author(s):  
Fatoumata Konaté ◽  
Akory Ag Iknane ◽  
Fatou Diawara ◽  
Djénèba Coulibaly ◽  
Aboubakar Dokan Koné
Keyword(s):  
Food Insecurity ◽  
Rural Areas ◽  
Access To Health Care ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
Vulnerable Groups ◽  
High Morbidity ◽  
Adult Women ◽  
Nutrition And Diet ◽  
Breastfeeding Rate

Mali, a Sahelian country in West Africa, faces many climatic, natural and security constraints. This situation has accentuated the nutritional issues which are largely responsible for the high morbidity and mortality rates. The aim of the current review is to understand the main issues related to nutrition and diet among vulnerable groups in Mali during the last decade. The exclusive breastfeeding rate remains relatively low (40%). The Complementary feeding practices are inadequate 49%. These practices are coupled with chronic food insecurity, limited access to health care and services and water coverage and inadequate hygiene practices. The 2019 nutrition survey showed a wasting prevalence of 9.4% in children under the age of 5 and a prevalence of stunting of 27% in young children 0-23 months. In addition, there is a nutritional transition limited to the urban environment, where almost one in three adult women is overweight or obese. Simultaneously, undernutrition perseveres among women, particularly in rural areas (18.5%). The persistence of micronutrient deficiencies is accentuated, especially anemia with a prevalence rate of 82% in children under 5 years. The strategy of universal salt iodization has led to a marked reduction in iodine deficiency disorders. Vitamin A deficiency is a public health problem in women with a retinolemia rate of 35%. There is a Nutrition Policy document, an intersectoral coordination unit with a view to strengthening interventions to better achieve the Sustainable Development Goals. Keywords: Malnutrition, Infants under 5, Micronutrients, Food Insecurity, Mali.

scholarly journals SEANUTS: the nutritional status and dietary intakes of 0.5–12-year-old Thai children

2013 ◽  
Vol 110 (S3) ◽  
pp. S36-S44 ◽  
Author(s):  
Nipa Rojroongwasinkul ◽  
Kallaya Kijboonchoo ◽  
Wanphen Wimonpeerapattana ◽  
Sasiumphai Purttiponthanee ◽  
Uruwan Yamborisut ◽  
...  
Keyword(s):  
Vitamin D ◽  
Vitamin A ◽  
Nutritional Status ◽  
Rural Areas ◽  
Urban Areas ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
Rural Children ◽  
Major Public Health Problem ◽  
Serum Retinol

In the present study, we investigated nutritional status and health-related factors in a multistage cluster sample of 3119 Thai urban and rural children aged 0·5–12·9 years. In a subsample, blood samples were collected for the measurement of Hb, transferrin receptor, vitamin A and vitamin D concentrations. The prevalence of stunting and underweight was higher in rural children than in urban children, whereas the wasting rate was similar in both rural and urban areas. Among children aged 3·0–5·9 years, the prevalence of overweight was significantly higher in urban areas than in rural areas and so was the obesity rate in children aged 6·0–12·9 years. Protein intakes of all age groups were relatively high in both the areas. Intakes of Ca, Fe, Zn and vitamin C were significantly higher in urban areas than in rural areas. The prevalence of anaemia in rural areas was twice as high as that in urban areas, particularly in infants and young children. However, the prevalence of Fe-deficiency anaemia was similar in both urban and rural areas. While the prevalence of vitamin A deficiency (by serum retinol cut-off < 0·7 μmol/l) seemed to be very low, vitamin A insufficiency (by serum retinol cut-off < 1·05 μmol/l) was more prevalent (29·4–31·7 %) in both the areas. The prevalence of vitamin D insufficiency ranged between 27·7 and 45·6 % among the children. The present study indicates that the double burden of malnutrition is still a major public health problem in Thailand. Further studies need to explore the associated risk factors for these nutrient deficiencies. Effective strategies and actions are needed to tackle the nutritional problems in Thai children.

Breast Cancer in Latin America: A Map of the Disease in the Region

2018 ◽  
pp. 451-456 ◽  
Author(s):  
Eduardo Cazap
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Latin America ◽  
Urban Areas ◽  
Access To Health Care ◽  
Cancer Control ◽  
Public Health Problem ◽  
The United States ◽  
High Morbidity ◽  
Patient Organizations

In the next few decades, breast cancer will become a leading global public health problem as it increases disproportionately in low- and middle-income countries. Disparities are clear when comparisons are made with rates in Europe and the United States, but they also exist between the countries of the region or even within the same country in Latin America. Large cities or urban areas have better access and resource availability than small towns or remote zones. This article presents the status of the disease across 12 years with data obtained through three studies performed in 2006, 2010, and 2013 and based on surveys, reviews of literature, patient organizations, and public databases. The first study provided a general picture of breast cancer control in the region (Latin America); the second compared expert perceptions with medical care standards; and the third was a review of literature and public databases together with surveys of breast cancer experts and patient organizations. We conclude that breast cancer is the most frequent cancer and kills more women than any other cancer; we also suggest that aging is the principal risk factor, which will drive the incidence to epidemic levels as a result of demographic transition in Latin America. The economic burden also is large and can be clearly observed: in countries that today allocate insufficient resources, women go undiagnosed or uncared for or receive treatment with suboptimal therapies, all of which results in high morbidity and the associated societal costs. The vast inequities in access to health care in countries translates into unequal results in outcomes. National cancer control plans are the fundamental building block to an organized governance, financing, and delivery of health care for breast cancer.

scholarly journals Community Assessment of Availability, Consumption, and Cultural Acceptability of Food Sources of (PRO)Vitamin A: Toward the Development of a Dietary Intervention among Preschool Children in Rural Burkina Faso

2005 ◽  
Vol 26 (4) ◽  
pp. 356-365 ◽  
Author(s):  
Constance P. Nana ◽  
Inge D. Brouwer ◽  
Noel-Marie Zagré ◽  
Frans J. Kok ◽  
Alfred S. Traoré
Keyword(s):  
Vitamin A ◽  
Burkina Faso ◽  
Rural Areas ◽  
Dietary Intervention ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
Ethnographic Study ◽  
Leafy Vegetables ◽  
Food Sources ◽  
Green Leafy Vegetables

Background Vitamin A deficiency remains a public health problem in Burkina Faso and elsewhere in the developing world. Dietary diversification is a promising strategy that needs to be explored to strengthen the country's ongoing supplementation program. Objective The purpose of this study was to identify locally available and acceptable (pro)vitamin A–rich foods to be included in a dietary intervention addressing vitamin A deficiency in children aged six months to three years. Methods A food ethnographic study combining recall methods, observation, and focused group discussion was conducted in the dry and rainy seasons. Thirty-five mother–child pairs were randomly selected and included in the study. Results The dietary pattern of children was characterized by low diversity with extremely low energy and vitamin A intake in both seasons. The study identified the availability of numerous (pro)vitamin A–rich foods, but these foods are either not consumed or consumed by few in low amounts and/or in low frequencies. The main constraining factors identified are related to financial accessibility (for liver), seasonal availability (for egg, milk, mango, papaya, and green leafy vegetables), and beliefs related to consumption and preparation (for green leafy vegetables). However, the study also revealed that the study population associated all identified (pro)vitamin A–rich foods with positive attributes such as health, strength, and vitamin richness, which might offer an entry point for designing and implementing dietary interventions. Conclusions Based on the findings of this formative research, intervention strategies with mango and liver are proposed to improve the vitamin A intake and status of children in the rural areas of Burkina Faso.

scholarly journals When Walmart leaves small towns : vulnerability, food insecurity and community resilience

2021 ◽  
Author(s):  
◽  
Yanu Endar Prasetyo
Keyword(s):  
Food Insecurity ◽  
Rural Areas ◽  
Community Resilience ◽  
Structured Interview ◽  
Small Towns ◽  
Vulnerable Groups ◽  
Future Research ◽  
Assistance Program ◽  
The Impact ◽  
The Town

Walmart store closures, especially in rural areas, seem to be continuing since the company is moving forward in serving its urban customers and investing heavily in its digital features and markets. If this scenario happens, then many townspeople in a rural area will lose their only Walmart store, which has been part of the town for decades. There are many studies on the impact of Walmart's entry and presence in towns. However, investigating the effects of Walmart when they leave small towns is still rare. For this reason, this study is focused on addressing the impact of Walmart store closures in small towns in Missouri. The purpose of this study is to identify factors affecting the residents' perception of and response toward the impact of Walmart's store closure in Rural Areas. Our conceptual framework is designed to assess household vulnerability and incorporate food insecurity factors to capture how vulnerability and resilience in rural communities change because of the closure of a Walmart store. This approach may help us better understand the linkages between community vulnerability and community resilience. Using a mixed-method design, we explored the residents' perceptions, opinions, and experiences regarding the closing of Walmart. Data from both the qualitative phase (observation, semi-structured interview, group discussion, and document analysis) and quantitative phase (community-based drop-off and pick-up surveys) of this study then mixed in the final analysis to provide a more detailed and complete description of the effect of Walmart store closures in rural Missouri. We found that people were overwhelmingly disappointed and angry when Walmart closed in their area in 2017. Most residents said they felt disappointed (46 percent) and angry (41 percent) about Walmart's decision. There was a change in households' attitudes and shopping habits after Walmart left these towns, including a significant decline (54.9 percent) in shopping frequency among residents who often shop at Walmart. Not having Wal sense of losing pride in being part of the town. When Caruthersville and Piedmont still had Walmart in town, it became the center of community for the surrounding towns and the entire county. The number of households that fall into vulnerability categories (very lowvulnerable, low-vulnerable, vulnerable, and very vulnerable) is calculated and obtained from Categorical Principal Component Analysis (CATPCA). The data showed that most households fell into a vulnerable (39.8 percent) and low-vulnerable situation (34.6 percent) after Walmart left and were able to cope with this stressor. Households in the neighboring towns (Patterson, Williamsville, and Greenville) that were 10-15 miles from Piedmont also had a high percentage of vulnerable groups (47.6 percent) and very vulnerable households (6.5 percent). Based on this study, the Walmart store's closure in Piedmont had a bigger impact on both the households within the host town and their neighboring towns. Our findings also confirmed that many residents in these areas rely on government assistance programs, especially SNAP (Supplemental Nutritional Assistance Program), the most extensive federal nutrition program in the U.S. About 43.7 percent of households in Caruthersville, 25.5 percent of households in Piedmont, and 24.4 percent of households in the neighboring town are SNAP recipients. These findings further prove that SNAP recipients and community food bank/pantry users were more sensitive to Walmart's store closure. While SNAP benefits provided valuable support to many households, the retail mobility -- increased proximity to small retailers and decreased proximity to many large ones (Walmart) -- would negatively affect townspeople. This study suggests that Policymakers and public health experts need to work closely to ensure healthier and more equitable food systems since small retailers may provide limited access to fresh and healthy foods. Future research can also evaluate the impact of existing small retailers - that authorized for SNAPof the rural community.

scholarly journals Magnitude of Maternal Anaemia in Rural Burkina Faso: Contribution of Nutritional Factors and Infectious Diseases

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Nicolas Meda ◽  
Malik Coulibaly ◽  
Yacouba Nebie ◽  
Ibrahima Diallo ◽  
Yves Traore ◽  
...  
Keyword(s):  
Vitamin A ◽  
Infectious Diseases ◽  
Burkina Faso ◽  
Rural Areas ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
Health Care Facilities ◽  
Control Measures ◽  
Health District ◽  
Maternal Anaemia

Background. Maternal anaemia is a worldwide public health problem affecting particularly developing countries. In Burkina Faso, little data is available for rural areas. This study aimed to determine the prevalence of maternal anaemia and the risk factors associated with it in the rural health district of Hounde in Burkina Faso but also to define better control measures of maternal anaemia.Methods. This cross-sectional study conducted in 2010 had a sample of 3,140 pregnant women attending antenatal care in all the 18 primary health care facilities of the district. The women’s characteristics and their knowledge about contraceptives and sexually transmitted infections (STI) were collected. Also, physical and gynaecological examination, completed by vaginal, cervix, blood, and stool samplings, were collected.Results. A prevalence of 63.1% was recorded for maternal anaemia. Geophagy rate was 16.3% and vitamin A deficiency 69.3%. In addition, anaemia was independently associated with low education, low brachial perimeter, geophagy, and primigravida. But no statically significant relationship was found between maternal anaemia and infectious diseases or vitamin A deficiency.Conclusion. The magnitude of maternal anaemia was found to be higher in rural Hounde health district and should be addressed by adequate policy including education and the fight against malnutrition.

scholarly journals Rural-urban determinants of vitamin a deficiency among under 5 children in Bangladesh: Evidence from National Survey 2017–18

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Md. Moyazzem Hossain ◽  
Sabina Yeasmin ◽  
Faruq Abdulla ◽  
Azizur Rahman
Keyword(s):  
Vitamin A ◽  
Rural Areas ◽  
Urban Areas ◽  
Vitamin A Deficiency ◽  
Vulnerable Groups ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Data Set ◽  
Vitamin A Supplementation ◽  
Urban And Rural Areas

Abstract Background Vitamin A supplementation reduces child morbidity, mortality, and blindness of people, especially in developing countries like Bangladesh. This study explores significant determinants of vitamin A deficiency among preschool children in rural and urban areas of Bangladesh. Methods The data set was extracted from a nationally representative survey based on a cross-sectional study, the BDHS-2017-18. The base survey was conducted using a two-stage stratified sample of households. A sample of 8364 (urban 2911, rural 5453) children under-5 years old was analyzed using bivariate and multivariate statistical techniques. Results Results have demonstrated that 73.9 and 73.2% of children have had a vitamin A supplementation from urban and rural areas, respectively. Logistic regression analysis showed that parents’ education plays a vital role in consuming vitamin A supplements in urban and rural areas. Children whose mothers have secondary (OR: 1.17, CI: 0.76–1.81) and higher (OR: 1.21, CI: 0.72–2.04) education were more likely to consume vitamin A supplementation than children whose mothers were illiterate in urban areas. However, in rural areas, children whose mothers have secondary education were about 24% and higher education with 60% more likely to consume vitamin A supplementation than children whose mothers were illiterate. Child’s age, regional variation and wealth index also contributing factors for vitamin A deficiency in Bangladesh. Conclusions These findings indicated that the consumption of vitamin A does not cover the target of sustainable development goals. Thus special national and community level efforts are required to ensure the coverage of the national vitamin A program is increased adequately to the most vulnerable groups of children in Bangladesh.

scholarly journals Provision of Vitamin A Through Utilization of Local Food Materials in Rural Parts of Western Kenya

2007 ◽  
Vol 7 (13) ◽  
pp. 02-16
Author(s):  
Kennedy Shiundu ◽  
◽  
S Oyie ◽  
M Kumbe ◽  
R Oniang'o
Keyword(s):  
Vitamin A ◽  
Rural Areas ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
Nutrition Intervention ◽  
Leafy Vegetables ◽  
Potential Contribution ◽  
Negative Consequences ◽  
Cross Sectional Survey ◽  
Cross Sectional

High prevalence and the negative consequences of the deficiencies resulting from inadequate intake of iron, iodine and vitamin A have resulted in focused global efforts to alleviate them. Vitamin A deficiency which has serious consequences can be prevented by consumption of vitamin A rich foods. This study was undertaken to determine the viability of locally available foods in providing vitamin A to the impoverished populations in rural areas of Kenya. A cross-sectional survey was carried out in Butere-Mumias District of Western Province, Kenya from December 2003 to February 2004. The study compared the potential contribution of local foods to the provision of vitamin A, to the diets of children aged 12-71 months in the two divisions of Butere and Khwisero, as based on the Helen Keller International (HKI) method. Vitamin A rich foods consumed in the two study areas are dark green leafy vegetables, kales, papaya margarine, orange/yellow fleshed sweet potatoes, eggs and ripe mangoes. Butere and Khwisero divisions where the study was conducted are adjacent to each other. Butere division had an ongoing nutrition intervention project to promote African leafy vegetables, while Khwisero division did not. Of the 16 clusters surveyed, consumption of vitamin A was insufficient in the six of the eight communities in Butere, and three of the eight communities, in Khwisero. The frequency of consumption of vitamin A-rich foods in the study area fell below the threshold values of the HKI Method. Consumption of these foods was not regular as planting was done on an ad hoc basis especially in Khwisero division in areas which were not reached by the on-going campaign in the Butere division. Vitamin A deficiency was most likely a public health problem in the two divisions. This study recommends increased activities in the area to control vitamin A deficiency, prophylactic vitamin A supplementation and efforts to increase vitamin A consumption.

scholarly journals Knowledge, perception and utilization of biofortified cassava and orange-fleshed sweet potato (OFSP) in selected rural areas in Nigeria

2021 ◽  
Vol 21 (05) ◽  
pp. 18019-18034
Author(s):  
Chinwe Adaugo Uzokwe ◽  
◽  
GO Iheme ◽  
OU Oteh ◽  
MC Ewude ◽  
...  
Keyword(s):  
Sweet Potato ◽  
Rural Areas ◽  
Vitamin A Deficiency ◽  
Demographic Data ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Study Results ◽  
Orange Fleshed Sweet Potato

Vitamin A deficiency is a major public health problem in Nigeria. Staple crops are targeted by biofortification efforts because they possess low micronutrient density and are consumed in large quantities by a large proportion of poor households. This study was designed to assess the knowledge, perception and utilization of biofortified cassava and orange-fleshed sweet potato in selected Local government Areas in Abia and Imo States. The study was descriptive and cross-sectional in design. A total of 710 respondents were selected using a multi-stage sampling technique. A structured interviewer-administered questionnaire was used to elicit the required information. Statistical analysis was performed using descriptive statistics(frequency, percentage, mean and standard deviation)and inferential(correlation)analysis. Socio-demographic data revealed a preponderance of females, married, well-educated and working-class respondents. Monthly income above ₦29,000(US$ 70.54) and household size of 4-6 members were reported in 53.5% and 48.6% of the respondents. Study results further revealed that some (34.9%)of the respondents had good knowledge, while 46.1% and 19.0% had an average and poor knowledge of biofortified staples, respectively. Orange fleshed sweet potatoes and biofortified cassava were purchased at least once monthly by 73.7% of the respondents, however 16.5% and 27.5% of the respondents consumed these biofortified staples on a daily and weekly basis. Low positive perception towards the consumption (27.5%), benefits (39.6%) and barriers (16.9%) of utilizing studied biofortified staples was reported. A positive correlation was observed between respondents’ knowledge of biofortified staples and their benefits perception (p = 0.003), purchase (p =0.001) and consumption (p= 0.001) frequency.Therefore, while a good number of the respondents were fairly knowledgeable about the studied biofortified staples, it significantly influenced the perception and utilization of these staples, despite being reportedly low. Therefore, increased sensitization, price subsidy and availability of these biofortified staples will help improvetheir acceptance and utilization among rural households.

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