دورية أكاديمية

A Food Transfer Program without a Formal Education Component Modifies Complementary Feeding Practices in Poor Rural Mexican Communities.

التفاصيل البيبلوغرافية
العنوان: A Food Transfer Program without a Formal Education Component Modifies Complementary Feeding Practices in Poor Rural Mexican Communities.
المؤلفون: Ramírez-Luzuriaga, María J., Unar-Munguía, Mishel, Rodríguez-Ramírez, Sonia, Rivera, Juan A., González de Cosío, Teresa
المصدر: Journal of Nutrition; Jan2016, Vol. 146 Issue 1, p107-113, 7p
مصطلحات موضوعية: NUTRITION research, IRON in the body, MICRONUTRIENTS, ANIMAL feeding behavior, MEXICANS, ENRICHED foods, COMPARATIVE studies, DIET, FAMILIES, FOOD relief, INFANTS, IRON compounds, LONGITUDINAL method, RESEARCH methodology, MEDICAL cooperation, NUTRITIONAL requirements, POVERTY, RESEARCH, RURAL population, EVALUATION research, RANDOMIZED controlled trials, CROSS-sectional method, NUTRITIONAL status
مصطلحات جغرافية: MEXICO
مستخلص: Background: Inadequate complementary feeding partially explains micronutrient deficiencies in the first 2 y of life. To prevent malnutrition, the Mexican government implemented the Programa de Apoyo Alimentario (PAL), which transferred either food baskets containing micronutrient-fortified milk and animal food products or cash to beneficiary families along with educational sessions.Objective: This study evaluated the impact of PAL on 2 indicators of complementary feeding: minimum dietary diversity and consumption of iron-rich or iron-fortified foods in children aged 6-23 mo.Methods: A secondary analysis of the original PAL evaluation design was conducted through a randomized community trial implemented with 3 intervention groups (food basket with education, food basket without education, and cash transfer with education) and a control. The impact of PAL after 14 mo of exposure was estimated in 2 cross-sectional groups of children aged 6-23 mo at baseline and at follow-up in a panel of 145 communities by using difference-in-difference models. Only children who lived in households and communities that were similar between treatment groups at baseline were included in the analysis. These children were identified by using a propensity score.Results: Of the 3 intervention groups, when compared with the control, only the food basket without education group component increased the consumption of iron-rich or iron-fortified foods by 31.2 percentage points (PP) (P < 0.01) and the prevalence of minimum dietary diversity by 21.6 PP (P < 0.01).Conclusion: These findings suggest that in order to improve dietary quality in children, food baskets that include fortified complementary foods may be more effective than cash transfers. The fact that the 2 food basket groups differed in the observed impact does not allow for more convincing conclusions to be made about the education component of the program. This trial was registered at clinicaltrials.gov as NCT01304888. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Nutrition is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:00223166
DOI:10.3945/jn.115.215962