Underweight and associated factors among children under five years in North Shewa Zone, Oromia, Ethiopia: An observational community-based study

Background Acute and chronic child undernutrition is a continuous problem in Ethiopia. Therefore, this study was initiated to compare the prevalence of underweight and its associated factors among children aged 6-23 months in the Kuyu district, North Shewa zone, Oromia, Ethiopia. Methods An observational community-based study was conducted on 612 children (304 from household security and 308 from household food insecurity). A structured and standardize questionnaire was used in this study. Anthropometric measurements were generated using WHO standardize. Data was analyzed using SPSS version 20.0. Bivariate and multivariate logistic regression analysis was used to identify the independent variables associated with underweight (weight-for-age) among children in household food security and insecurity, a p value less than 0.05 with 95%CI was considered as statistically significant. Results The results indicated that 30.9% [95%CI; 25.7, 36.2] and 36.7% [95% CI; 31.8, 42.5] of children were underweight for their age in household food security and insecurity. Low wealth status (AOR=3.2; 95%CI: 1.099, 9.275), poor dietary diets (AOR=5.2; 95%CI: 2.046, 13.27), and lack of breastfeeding for two years (AOR= 2.1; 95%CI= 1.78, 5, 42) were associated with underweight children in household food security. Whereas lack of antenatal care visits (AOR=0.52; 95%CI: 0.12, 0.68) and poor dietary diets (AOR=3.01; 95%CI= 2.1, 17.4) were other independent variables associated with underweight children in household food insecurity. Conclusions This study established that there was a high prevalence of underweight in children from Oromia. Therefore, introducing household income generating activities are vital interventions in order to overcome the problem of undernutrition in this region.

Risk Factors of Stunting and Wasting among Children Aged 6–59 Months in Household Food Insecurity of Jima Geneti District, Western Oromia, Ethiopia: An Observational Study

Undernutrition is the most difficult and widespread public health concern in low-income nations including Ethiopia. Therefore, this study aimed to investigate the associated risk factors of stunting and wasting among children aged 6–59 months in Jima Geneti district, Western Oromia, Ethiopia. A community-based cross-sectional study was conducted on 500 children from December 1 to 28, 2020. A multiple-stage sampling method was performed to select children from each kebele. Anthropometric measurements were taken, and the nutritional status was generated using WHO Anthro v. 3.2.1. Data analysis was performed using the SPSS version 20.0. Bivariate and multivariate logistic regression analyses were carried out to identify the associated risk factors of stunting and wasting among children in the study area. Statistical significance was set at p < 0.05 . The study results showed that the prevalence of stunting and wasting among children was 27% and 11.8%, respectively. The findings of this study also revealed that the prevalence of household food insecurity and poor dietary diets was 19.6% and 52.2%, respectively. Low wealth status (AOR = 2.5; 95% CI: 1.1, 5.55) and poor dietary diets (AOR = 4.7; 95% CI: 2.5, 8.83) were associated risk factors for stunting. However, child meal frequency (AOR = 3.9; 95% CI: 1.23, 12.6), and children who did feed leftover food (AOR = 2.75; 95% CI: 1.02, 7.44) were associated risk factors for wasting. Poor dietary diets (AOR = 2.65; 95% CI: 1.06, 6.66) were also associated risk factors for wasting. The findings of this study concluded that the prevalence of stunting and wasting was high in the study area. Therefore, addressing family-level risk factors which are major drivers of children’s nutritional status is crucial to ensure the nutritional status of children.

Perceived social support is greater among food secure Iranian households during the COVID-19 outbreak

Purpose Coronavirus Disease 2019 (COVID-19) pandemic has affected many different aspects of people’s lives around the world, including household food security. This study aims to investigate the food security status and its determinants, with emphasis on perceived social support among the Iranian population during the epidemic.. Design/methodology/approach This cross-sectional study was conducted among 2,871 Iranian adults by social media in all provinces of the country. Demographic and socioeconomic information, household food security status and perceived social support status were assessed by the validated questionnaires. Data was analyzed by statistical package for the social sciences version 22.0, with one-way ANOVA, Chi-square and multinomial logistic regression tests. Findings The prevalence of food security among the studied population was 55.2%. The results indicated that perceived social support plays a protective role on food security [odds ratio (OR) = 1.07, confidence interval (CI) = 1.06, 1.09, P-value < 0.001]. Reduced income during the epidemic [OR = 0.29, CI = 0.17, 0.47, P-value < 0.001] and presence of an old person (>65 years old) in the household [OR = 1.72, CI = 1.14, 2.60, P-value < 0.05], were significantly higher among moderate to severe food insecure group than food-secure group. More monthly income [OR = 0.28, CI = 0.13, 0.57, P-value < 0.001] and homeownership [OR = 1.83, CI = 1.22, 2.75, P-value < 0.05] were also predictors of food security status. Originality/value The development of supportive strategies which act immediately can protect vulnerable people against the consequences of the epidemic, including food insecurity. Long-term planning should also be considered to improve society’s resistance against such disasters.

Why the World Should Not Follow the Failed United States Model of Fighting Domestic Hunger

Many industrialized nations have followed the lead of the United States (US) in reducing workers’ wages and cutting government safety nets, while giving their populaces the false impression that non-governmental organizations can meet the food and basic survival needs of their low-income residents. The history of the last 50 years and the global COVID-19 pandemic demonstrate why that is a mistake, leading to vastly increased household food insecurity, poverty, and hunger. This paper takes a close look at US data to help to better understand the significant impact US federal government policy measures had on limiting hunger throughout the pandemic and how we can learn from these outcomes to finally end hunger in America and other developed nations. The top three policy prescriptions vital in ending household food insecurity in the US and industrialized countries are as follows: (1) to create jobs; raise wages; make high quality healthcare and prescription medicine free; and ensure that high quality childcare, education, transportation, and broad-band access are affordable to all; (2) to enact a comprehensive “Assets Empowerment Agenda” to help low-income people move from owing to owning in order to develop middle-class wealth; and (3) when the above two steps are inadequate, ensure a robust government safety net for struggling residents that provides cash, food, and housing assistance.

Food Insecurity Measurement: Stakeholder Comparisons of the EU-SILC and HFSSM Indicators and Considerations Towards the Usefulness of a Headline Indicator

Prior to the February 2019 announcement that the Household Food Security Survey Module (HFSSM) will be used to estimate household food insecurity, there has not been a standardised measurement approach used in the United Kingdom (UK). Measurement has instead been somewhat inconsistent, and various indicators have been included in national and regional surveys. There remains a gap relating to the comparative usefulness of current and past food insecurity measures used in Northern Ireland (NI) (HFSSM; European Union-Survey of Income and Living Conditions (EU-SILC) food deprivation questions), and the potential usefulness of a headline indicator similar to that used to measure fuel poverty. This study presents findings from Northern Ireland (NI) stakeholder interviews (n = 19), which examined their perspectives on food insecurity measures which have previously been or are currently, or could potentially, be used in the UK/NI (HFSSM; EU-SILC food deprivation questions; headline indicator). Interview transcripts were coded using QSR NVivo (v.12) and inductively analysed to identify relevant themes. Stakeholders preferred the HFSSM to the EU-SILC, reasoning that it is more relevant to the food insecurity experience. A headline indicator for food insecurity was considered useful by some; however, there was consensus that it would not fully encapsulate the food insecurity experience, particularly the social exclusion element, and that it would be a complex measure to construct, with a high degree of error. This research endorses the use of the HFSSM to measure food insecurity in the UK, and provides recommendations for consideration of any future modification of the HFSSM or EU-SILC measurement instruments.

Sustainable Intensification Practices Reduce Food Deficit for the Best- and Worst-Off Households in Ethiopia and Mozambique

An adequate food supply is widely recognized as a necessary condition for social development as well as a basic human right. Food deficits are especially common among semi-subsistence farming households in eastern and southern Africa and farm productivity is widely regarded as the locus for enhancing household food outcomes. However, knowledge gaps surrounding benefits associated with climate smart, productivity-enhancing technologies require attention. This study evaluates benefits associated with sustainable intensification farm management practices (crop residue retention, minimum tillage, manure application and use of herbicides, pesticides, fertilizer, and improved seeds) for household calorie and protein supplies and demonstrates their scope across households with high-, moderate- and low- likelihoods of calorie and protein deficits. Household-level calorie and protein deficits were estimated from survey data on food production, acquisition and consumption for households in Ethiopia and Mozambique. Multinomial logistic models were used to identify drivers of household food deficit status and logistic model trees established “rules of thumb” to classify households by food deficit status as low, moderate or high likelihood. In Ethiopia, especially wet seasons were associated with a high likelihood of a food deficit while especially dry seasons were associated with a high likelihood of food deficit in Mozambique. The practices associated with sustainable intensification and related technologies substantially enhanced food outcomes in groups with a high- and a low-likelihood of food deficit, and associated benefits were high for the best-off households. Benefits associated with sustainable intensification technologies were not observed for households with a moderate likelihood of a food deficit and some technologies even increased risk. The sustainable intensification practices assessed here were associated with improved food outcomes yet benefits were limited in scope for households of intermediate status. Thus, there is a need to expand the technical options available to reduce food deficit.

The Effects of Commercial Orientation on (Agro) Pastoralists’ Household Food Security: Evidence from (Agro) Pastoral Communities of Afar, Northeastern Ethiopia

Commercialization has been increasingly promoted for (agro) pastoral communities as an intervention to improve incomes and food access. Using households from rural Afar, this study examines the food security effects of the livestock commercial orientations of (agro) pastoralists by employing propensity score matching (PSM) procedures. The results show that, despite the fact that the market production of (agro) pastoralists is stressed by a broad range of factors, identified as cultural, infrastructural, and production risks, participation in livestock sales significantly decreased the severity of food insecurity in both the household food insecurity access score (HFIAS), and the reduced coping strategy index (rCSI) measures. However, the results failed to find consistently significant effects via the per capita consumption expenditure measure, in which case, the ‘subsistence’ and ‘commercially’ oriented groups are alike. Yet, given the factors depressing market production, properly addressed with policy measures, the income generated from livestock sales improved the welfare of (agro) pastoralists, at least by some (the HFIAS and rCSI) of the livelihood indicators. This highlights the importance of combining market infrastructure investments with culturally sensitive policy measures in order to sustain the traditional livestock husbandry of (agro) pastoralists. Therefore, in order to sustainably improve the food security situations in (agro) pastoral areas, the promotion of market production through the broadening of market access for both sales and purchases is important.