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Abstract: A handbook on nutrition intervention to reach preschool children identifies major factors that professionals should consider in planning, designing, funding, operating, and evaluating nutrition programs in developing countries. Conceptual frameworks are presented for the intervention design and evaluation. These frameworkscover definition of the problem, design questions, and cost/effectiveness considerations. Design questions are specific to type of intervention. The 7 types of intervention programs examined are: supplementary feeding; nutrition education; fortification; formulated foods; consumer subsidies; agricultural production, and integrated programs (i.e. integrated with health care). Much data is presented in tabular form and a bibliography is included. (rkm).
Some elements of successful nutrition intervention strategies; Nutrition interventions: basic concepts; The economic effects of early malnutrition: economic considerations for nutrition intervention programs; Socio economic development and nutritional status: efficiency of intervention programs; Integrating nutrition into agricultural policy; Comments on economic growth, income distribution, and human and social development in Latin America; Role of the Government in income distribution and nutritional improvement: the chilean case; Success of failure of supplementary feeding programs as a nutritional intervention; Strategies for treatment of protein energy malnutrition; Nutrition-infection cycle as related to intervention techniques; Nutrient-specific interventions; Nutrition education.
With U.S. health care costs projected to grow at an average rate of 5.5 percent per year from 2018 to 2027, or 0.8 percentage points faster than the gross domestic product, and reach nearly $6.0 trillion per year by 2027, policy makers and a wide range of stakeholders are searching for plausible actions the nation can take to slow this rise and keep health expenditures from consuming an ever greater portion of U.S. economic output. While health care services are essential to heath, there is growing recognition that social determinants of health are important influences on population health. Supporting this idea are estimates that while health care accounts for some 10 to 20 percent of the determinants of health, socioeconomic factors and factors related to the physical environment are estimated to account for up to 50 percent of the determinants of health. Challenges related to the social determinants of health at the individual level include housing insecurity and poor housing quality, food insecurity, limitations in access to transportation, and lack of social support. These social needs affect access to care and health care utilization as well as health outcomes. Health care systems have begun exploring ways to address non-medical, health-related social needs as a way to reduce health care costs. To explore the potential effect of addressing non-medical health-related social needs on improving population health and reducing health care spending in a value-driven health care delivery system, the National Academies of Science, Engineering, and Medicine held a full-day public workshop titled Investing in Interventions that Address Non-Medical, Health-Related Social Needs on April 26, 2019, in Washington, DC. The objectives of the workshop were to explore effective practices and the supporting evidence base for addressing the non-medical health-related social needs of individuals, such as housing and food insecurities; review assessments of return on investment (ROI) for payers, healthy systems, and communities; and identify gaps and opportunities for research and steps that could help to further the understanding of the ROI on addressing non-medical health-related social needs. This publication summarizes the presentations and discussions from the workshop.
Nutrition Intervention Strategies in National Development reviews nutritional programs as key components of policy planning for national development in general and health programs in particular. It summarizes research on targeted application of nutrition knowledge in public health and efforts to reduce worldwide malnutrition, and it highlights the importance of planned controlled change in the quality of diet as a preventive strategy against widespread disease. Organized into seven sections encompassing 33 chapters, this volume begins with an overview of the basic concepts of nutrition intervention and some elements of successful nutrition intervention strategies. It then discusses the economic effects of early malnutrition and economic considerations for nutrition intervention programs; the role of the government in income distribution and nutritional improvement; supplementary feeding programs; and strategies for addressing protein energy malnutrition. The reader is also introduced to the nutrition-infection cycle in relation to intervention techniques, nutrient-specific interventions including prevention of iron deficiency, and nutrition education. Scientists, nutritionists, policymakers, medical doctors, economists, education specialists, and health workers concerned with nutrition intervention programs will find this book extremely helpful.
Nutrition-sensitive, food-based approaches towards hunger and malnutrition are effective, sustainable and long-term solutions. This book discusses the policy, strategic, methodological, technical and programmatic issues associated with such approaches, proposes “best practices” for the design, targeting, implementation and evaluation of specific nutrition-sensitive, food-based interventions and for improved methodologies for evaluating their efficacy and cost-effectiveness, and provides practical lessons for advancing nutrition-sensitive food-based approaches for improving nutrition at policy and programme level.
We evaluate the impacts of a traditional food distribution and a nutrition-sensitive food distribution intervention in the context of a rapidly increasing inflationary pressure in Egypt. Besides evaluating the relative and absolute impacts of these interventions on household food and nutrition security, we also examine their impacts on households’ preferences for in-kind versus cash transfers. We implement a clustered randomized control trial through which we randomly assigned communities into: (i) “nutrition-sensitive” food box, (ii) traditional “staple-heavy” food box, and (iii) control group. We find that the nutrition-sensitive food distribution cushioned falls in dietary quality and food security of targeted households relative to the control group while the impact of the traditional and staple-heavy food distribution appears to be negligible. The nutrition-sensitive food boxes increased beneficiary households’ dietary diversity by about 9 percent while also increasing energy, protein, and iron intake by 12, 13, and 19 percent, respectively. We also find that experience with the food boxes increases households’ preference for in-kind transfers, more so among households experiencing high inflation rates and among those households not covered by other food and cash transfer programs. Receiving food boxes increases preference for in-kind transfer by about 9-11 percentage points. Our findings have important implications for the debate on the efficacy of alternative interventions to support poor households as food prices rise and the relative efficacy of in-kind and cash-transfers. The lack of effectiveness of the staple-heavy food boxes suggests that the design and content of in-kind transfers are crucial when considering this policy option, including compared to cash.
In the United States, people living in low-income neighborhoods frequently do not have access to affordable healthy food venues, such as supermarkets. Instead, those living in "food deserts" must rely on convenience stores and small neighborhood stores that offer few, if any, healthy food choices, such as fruits and vegetables. The Institute of Medicine (IOM) and National Research Council (NRC) convened a two-day workshop on January 26-27, 2009, to provide input into a Congressionally-mandated food deserts study by the U.S. Department of Agriculture's Economic Research Service. The workshop, summarized in this volume, provided a forum in which to discuss the public health effects of food deserts.