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Journal article
“Then you raise them with Shirchoy or cookies”: Understanding influences on delayed dietary diversity among children in Tajikistan
Maternal and child nutrition, v 15(2), pp e12694-n/a
Apr 2019
PMID: 30231190
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Dietary diversity is a key component of infant and young child feeding (IYCF) as well as adult health. In Tajikistan, a predominantly rural, former Soviet country in Central Asia, we conducted formative research to identify barriers to dietary diversity and strategies for nutrition behaviour change. In Spring, 2016, mixed‐methods data collection took place across 13 villages in all five regions, collecting collaborative mapping; structured assessments of stores and markets; home visits for dietary recalls; food storage, preparation, and meal observations; focus groups with pregnant women, mothers of young children, fathers, and mothers‐in‐law; and in‐depth expert interviews with local nutrition and health influentials. Overall, maternal diet was adequate in terms of diversity (only 13% reported <5/10 food groups in the past 24 hr); however, only 42% of index children 6–24 months met WHO guidelines for diversity, and only 34% met minimum acceptable diet criteria. In addition to issues of poverty and food scarcity, qualitative data reveal many behavioural barriers to timely introduction of diverse complementary foods. Women's strategies focused on gradual introduction of household diet components, without regard for diversity or nutrition. Foods such as meat were seen as costly and thus inappropriate for IYCF, and food taboos (i.e., fresh vegetables) further reduced diversity. Infant food preparation methods such as grinding were seen as impractical, and many foods were withheld until children develop teeth. Possible nutrition education strategies include point‐of‐purchase campaigns to improve availability and appeal of IYCF‐friendly foods, as well as influencing other key household members through mosques, schools, and health care providers.
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Details
- Title
- “Then you raise them with Shirchoy or cookies”: Understanding influences on delayed dietary diversity among children in Tajikistan
- Creators
- Ann C. Klassen - Drexel UniversityBrandy Joe Milliron - Drexel UniversityYuki Suehiro - United Nations Children's FundSafina Abdulloeva - United Nations Children's FundBeth Leonberg - Drexel UniversitySuzanne Grossman - Drexel UniversityMargaret Chenault - Drexel University College of Nursing and Health ProfessionsLisa Bossert - Drexel UniversityJalal Maqsood - Drexel UniversityRauf Abduzhalilov - Drexel UniversityMalika Iskandari - Drexel University
- Publication Details
- Maternal and child nutrition, v 15(2), pp e12694-n/a
- Publisher
- Wiley
- Number of pages
- 0
- Grant note
- UNICEF Tajikistan Fulbright Foreign Student Program
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Nutrition Sciences; Community Health and Prevention
- Web of Science ID
- WOS:000461886000011
- Scopus ID
- 2-s2.0-85055263258
- Other Identifier
- 991019168433504721
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- Collaboration types
- International collaboration
- Web of Science research areas
- Nutrition & Dietetics
- Pediatrics