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Food supplementation, nutritional intake of recipients and operational aspects: an integrated pilot nutrition initiative of BRAC

Published online by Cambridge University Press:  02 January 2007

Masuma Novak*
Affiliation:
Family Medicine, Department of Public Health and Clinical Medicine, Umeå University, SE-901 85 Umeå, Sweden
*
*Corresponding author: Email masuma.novak@fammed.umu.se
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Abstract

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Objectives

To explore the nutritional quality of supplementary foods and additional energy consumption by the recipients in a pilot nutrition initiative of BRAC.

Design

In-depth interviews, observations during feeding at feeding centres, and laboratory analyses of supplementary foods for nutrient contents performed at the Institute of Nutrition and Food Science, University of Dhaka, Bangladesh.

Setting

Muktagacha thana (sub-district) in Mymensingh district, a rural area of Bangladesh.

Subjects

Pregnant and lactating mothers and children below 2 years of age.

Results

Analysis revealed that supplementary food, if taken completely, could provide daily energy equivalent to 752 kcal to a mother and 212 kcal to a child below 2 years of age. Mothers consumed about 75% of the food provided (∼ 564 kcal day−1). The food was shared mostly with young children and husbands. In-depth interview with mothers also suggested that they usually skipped breakfast if the food was given in the morning. The children liked the taste of food, and unless the child was sick or had some food before coming to the centre, she/he ate all the food provided. Although the main purpose of the project was to provide nutrition education, it was observed that activities at feeding centres were limited to food distribution with little time devoted to the communication of nutritional messages.

Conclusions

Training should be given to service providers to communicate nutritional messages effectively as part of understanding the goal of the initiative. It is important to explore whether the regular diets of the recipients are replaced by the food supplementation or not.

Type
Research Article
Copyright
Copyright © The Authors 2006

References

1World Health Organization (WHO). Global Database on Child Growth and Malnutrition: Forecast of Trends. Geneva: WHO,2000.Google Scholar
2Kusin, JA, Kardjati, S, Houtkooper, JM, Renqvist, UH. Energy supplementation during pregnancy and postnatal growth. Lancet 1992; 340: 623–6.CrossRefGoogle ScholarPubMed
3Ruel, MT, Rivera, J, Habicht, JP, Martorell, R. Differential response to early nutrition supplementation: long-term effects on height at adolescence. 1995; International Journal of Epidemiology 1995; 24: 404–12.Google Scholar
4Rivera, JA, Habicht, JP. Effect of supplementary feeding on the prevention of mild-to-moderate wasting in conditions of endemic malnutrition in Guatemala. Bulletin of the World Health Organization 2002; 80: 926–32.Google Scholar
5Stein, AD, Barnhart, HX, Hickey, M, Ramakrishnan, U, Schroeder, DG, Martorell, R. Prospective study of protein–energy supplementation early in life and of growth in the subsequent generation in Guatemala. American Journal of Clinical Nutrition 2003; 78: 162–7.CrossRefGoogle ScholarPubMed
6Pachon, H, Schroeder, DG, Marsh, DR, Dearden, KA, Ha, TT, Lang, TT. Effect of an integrated child nutrition intervention on the complementary food intake of young children in rural north Viet Nam. Food and Nutrition Bulletin 2002; 23: 62–9.Google Scholar
7Hendricks, MK, Roux, ML, Fernandes, M, Irlam, J. Evaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa. Public Health Nutrition 2003; 6: 431–7.Google Scholar
8BRAC. Annual Report on Women's Health and Development Programme. Dhaka: BRAC,1993.Google Scholar
9BRAC. Health and Population Programme. Dhaka: BRAC, 1994.Google Scholar
10United Nations Administrative Committee on Coordination, Sub-committee on Nutrition (ACC/SCN). Fourth Report on the World Nutrition Situation. Geneva: ACC/SCN in collaboration with International Food Policy Research Institute, 2000.Google Scholar
11Institute of Nutrition and Food Science (INFS). Nutrition Survey of Rural Bangladesh. Dhaka: INFS, University of Dhaka, 1982.Google Scholar
12Gibson, RS. Strategies for preventing micronutrient deficiencies in developing countries. Asia Pacific Journal of Clinical Nutrition 2004; 13: S23.Google Scholar
13Allen, LH. Interventions for micronutrient deficiency control in developing countries: past, present and future. Journal of Nutrition 2003; 133: 3875S–8S.Google Scholar
14Khatun, M, Stenlund, H, Hornell, A. BRAC initiative towards promoting gender and social equity in health: a longitudinal study of child growth in Matlab, Bangladesh. Public Health Nutrition 2004; 7: 1071–9.CrossRefGoogle ScholarPubMed