scholarly journals Food insecurity in families with children under five years of age on the Brazil-Peru Amazon border

2016 ◽  
Vol 26 (3) ◽  
pp. 307 ◽  
Author(s):  
Alanderson Alves Ramalho ◽  
Saulo Augusto Silva Mantovani ◽  
Humberto Oliart-Guzmán ◽  
Fernando Luiz Cunha Castelo Branco ◽  
Athos Muniz Braña ◽  
...  

Food and nutrition security is the regular and permanent access to quality food in sufficient quantity. The aim of this study was to estimate the prevalence and factors associated with food insecurity in households with children under five in the Amazon frontier Brazil - Peru. The study was conducted in 352 households in Assis Brasil (Brazil) and 89 households Iñapari (Peru), finding a prevalence of food insecurity of 40.6 % and 38.2 % , respectively ( p = 0.856 ) . In Assis Brasil, having domicile with wood floors or land increased by 2.47 times the odds of food insecurity compared to cement fl oors, ceramic or quarry tiles . Belonging to the poorest tertile increased the chance of food insecurity in 6.04 times ( p < 0.001 ), and the increment of each new resident increased by 37 % the chance of food insecurity in the household . In Iñapari, only living in house made of wood or with a wood floor was associated with food insecurity, showing that income is still the main factor associated with food insecurity in the Amazonian borders.

2020 ◽  
pp. 1-14
Author(s):  
Catarina Vezetiv Manfrinato ◽  
Aluízio Marino ◽  
Vitória Ferreira Condé ◽  
Maria do Carmo Pinho Franco ◽  
Elke Stedefeldt ◽  
...  

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.


2020 ◽  
pp. 026010602097185
Author(s):  
Fikadu Tadesse Nigusso ◽  
Azwihangwisi Helen Mavhandu-Mudzusi

Background: Food insecurity and malnutrition has been reported to have a strong connection with human immunodeficiency viruses (HIV); this is more pervasive in Sub-Saharan Africa including Ethiopia. In this study, we examined the predictors of food insecurity and factors associated with malnutrition among people living with HIV (PLHIV) in Benishangul Gumuz Regional State, Ethiopia. Methods: We conducted a cross-sectional study at outpatient antiretroviral therapy (ART) clinics. Data were collected using participant interview, anthropometry, and participants’ chart review. Interviews were carried out with 390 PLHIVs who were on antiretroviral treatment follow-up. Four robust multivariate linear regression models were used to identify predictors of food insecurity and factors associated with malnutrition. Results: The prevalence of food insecurity and malnutrition among PLHIV were found to be 76% and 60%, respectively. The predictors of food insecurity were: urban residence; household dependency; average monthly income below 53.19 USD; poor asset possession; CD4 count below 350 cell/ μL; and recurrent episodes of opportunistic infections (OIs). Correspondingly, malnutrition among PLHIV was found strongly associated with: female gender; urban residence; income below 53.19 USD; poor asset possession; duration of less than one year on ART; and recurrent episodes of OIs. Conclusion: The study findings suggest that the higher prevalence of food insecurity and malnutrition among PLHIV underscore: the need for economic and livelihood intervention; addressing contextual factors including the gender dimensions; adoption of nutrition-specific and sensitive interventions; and integration of food and nutrition security with HIV treatment and care programmes.


2020 ◽  
Author(s):  
Catarina Vezetiv Manfrinato ◽  
Aluizio Marino ◽  
Vitoria Ferreira Conde ◽  
Maria do Carmo Pinho Franco ◽  
Elke Stedefeldt ◽  
...  

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.


2016 ◽  
Vol 21 (7) ◽  
pp. 2257-2266 ◽  
Author(s):  
Saulo Augusto Silva Mantovani ◽  
Alanderson Alves Ramalho ◽  
Thasciany Moraes Pereira ◽  
Fernando Luiz Cunha Castelo Branco ◽  
Humberto Oliart-Guzmán ◽  
...  

Abstract Despite the process of nutritional transition in Brazil, in some places, such as the Amazon region, stunting is still an important public health problem. We identified the prevalence and factors associated with stunting in children under five years old residing in the urban area of Assis Brasil. A survey was conducted in which a questionnaire on socioeconomic, maternal and children’s conditions was applied, and height or length was measured. The children with height for age index below -2 Z-scores were considered stunted, according to the criteria by the World Health Organization. Four hundred and twenty-eight children were evaluated. Of these, 62 were stunted. Factors associated with stunting, according to adjusted models, were: the presence of open sewer, the wealth index for households, the receipt of governmental financial aid and the mother’s height, age and education. Therefore, it was observed that family and the mother’s characteristics as well as environmental and socioeconomic factors were closely related to the occurrence of stunting in the population studied, and such nutritional disturbance is still a health problem in the Brazilian Amazon.


2020 ◽  
Author(s):  
Sajama Nepali ◽  
Padam Simkhada ◽  
Ian Glyyn Davies

Abstract Background: Wasting is a consequence of food insecurity, inappropriate dietary practices, and inadequate caring and feeding practices. The present study assessed association between wasting and household food insecurity among under five years old children, along with other socio-demographic characteristics.Methods: This study is a secondary analysis of the Nepal Demographic and Health Survey 2016. The survey is cross-sectional in design with use of standardized tools. The sampling frame used is an updated version of the frame from the 2011 National Population and Housing Census. The participants were children under five years of age (n= 2414). Logistic regression was carried out to identify the odds of being wasted for children belonging to different levels of food insecure households using odds ratio and 95 percent confidence intervals. Results: The prevalence of wasting increased with the level of food insecurity, from mild (9.4%) to moderate (10.8%) and to severe (11.3%). The highest proportions of wasted children were in Province 2 (14.3%), from rural areas (10.1%), born to mothers with no education (12.4%) and from a richer quintile (11.3%). Children belonging to severe food insecure households had 1.36 (95%CI 0.72-2.57) adjusted odds of being wasted and those belonging to mild food insecure and moderately food insecure households had 1.13 (95%CI 0.65-1.97) and 1.36 (95%CI 0.72-2.57) odds of being wasted respectively. Province 1 (AOR 2.06, 95%CI 1.01-4.19) and Province 2 (AOR 2.45, 95%CI 1.22-4.95) were significantly associated with wasting.Conclusion: Considering the increment in childhood wasting as per level of food insecurity, an integrated intervention should be developed in Nepal that, 1. addresses improving knowledge and behavior of community people with respect to diet and nutrition; 2. reduce the problem of food insecurity through agricultural interventions.


2021 ◽  
Author(s):  
Frank Adusei

Abstract The COVID-19 and partial lockdown has brought significant effects on the entire economy, especially on food security and job losses. This study was carried out in Asokwa Municipal with the objective of examining the impact of COVID-19 disease and its related lockdown on food and nutrition security and job losses. The study site form part of the cities in Ghana to experience the partial lockdown, hence it qualifies for the selection. Both primary and secondary data were used. By means of purposive sampling technique, fifty respondents were selected as sample size. The study employed a qualitative approach with a descriptive and narrative posture to the presentation, discussion and analysis of data. Open-ended questionnaire and a checklist were used for data collection through semi-structured interviews. The results revealed that, food and nutrition insecurity, job loss and income reductions are still very common, affecting participants livelihood. Disproportionally affected are households whose income comes from farming, transporters, informal labour, as well as marketers.It was concluded that food insecurity is not outside the impact of COVID-19 and its associated partial lockdown. Food and nutrition security are the global concern at present circumstances. The supply chain has been hit hardest by COVID-19, which causes food insecurity of most vulnerable segment of population which put them at risk. And also, most of the migrant, informal, seasonal farm workers were losing their jobs which may affect their demand for food. Therefore, the government should step-up the measures to control the pandemic without disturbing the food supply chain. The development and use of online marketing strategies where people can make orders of various produce and booked for purchases and or deliveries during a stated time range should be promoted.


Author(s):  
Refida Fitria Anggraini ◽  
Aries Chandra Ananditha ◽  
Latifiyan Nurnaningtiyas Aminoto ◽  
Oski Illiandri

Background: Modification of food presentation is one way to attract toddlers to increase their appetite with attractive colors or cute shapes to increase the child's appetite. Modification of food presentation can also affect appetite changes in children under five, so it takes a unique and exciting food creation that can be an attraction/pleasure for children under five to increase appetite. Children's stability under five depends a lot on their parents or caregivers because the parents must be the main scourge / main factor in increasing the child's appetite. So, it can be said that the development of children under five is very dependent on how their parents manage their child's food—providing a variety of foods, especially vegetables, which children usually do not like so that they become liked by them. There are many things or ways to attract toddlers to like vegetables, namely by adding side dishes that have been mixed with vegetables and rice that can be cooked and mixed with coloring from the vegetables themselves. Objective: To explore the relationship between food presentation modification and appetite changes for children under five at Puskesmas Mojo Surabaya.Method: Analytical Cross-Sectional Observational Research DesignResult: Most of the modification of food presentation for children under five at Puskesmas Mojo Surabaya received it well. Changes in appetite for children under five at Puskesmas Mojo Surabaya are mostly changes in appetite.Conclusion: There is a relationship between modification of food presentation and appetite changes for children under five at Puskesmas Mojo Surabaya.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Desire Banga ◽  
Melvis Baren ◽  
Namale Vivian Ssonko ◽  
Franck Katembo Sikakulya ◽  
Yves Tibamwenda ◽  
...  

Background. Mortality among children with severe acute malnutrition remains an immense health concern in the hospitals in developing countries, but its attributes are not completely assessed in various hospital settings. The aim of this study was to determine the proportion of mortality, the comorbidities, and factors associated with in-hospital mortality among children under five years of age admitted with severe acute malnutrition at Jinja Regional Referral Hospital, Eastern Uganda. Methods. This was a hospital-based analytical and descriptive prospective cohort study conducted in the nutritional unit of Jinja Regional Referral Hospital. A total of 338 children and their caretakers who met the criteria were consecutively enrolled into the study. Descriptive statistics were used to each of the independent factors, and comorbidities were subjected to chi-squared test followed by logistic regression analysis to assess its association incidence of mortality among children. All independent variables with p values ≤ 0.05 were entered into a multivariate model for factors and comorbidities independently. Factors and comorbidities with p values ≤ 0.05 were considered as associates of mortality among children. Results. Of the 338 children under 5 years of age enrolled, 49 (14.5%) died, although the majority of children were diagnosed with dehydration, 128 (37.9%); pneumonia, 127(37.6%); and malaria, 87(25.7%). Anemia ( aRR = 2.9 , 95% CI: 1.23-6.62, p = 0.01 ), bacteremia ( aRR = 10.0 , 95% CI: 3.62-29.01, p = 0.01 ), HIV ( aRR = 4.8 , 95% CI: 1.42-16.30, p < 0.01 ), TB ( aRR = 4.3 , 95% CI: 1.28-14.49, p < 0.02 ), and shock ( aRR = 60.9 , 95% CI: 9.05-410.28, p < 0.01 ) were the comorbidities significantly associated with a likelihood of mortality. Conclusions. The mortality among children under 5 years of age admitted with severe acute malnutrition is still high (14.5% versus 5%). The comorbidities are significantly associated with mortality. The clinicians are recommended to follow-up closely patients with severe acute malnutrition and to focus on the critical comorbidities identified.


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