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      Household dietary diversity and Animal Source Food consumption in Ethiopia: evidence from the 2011 Welfare Monitoring Survey

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          Abstract

          Background

          It is imperative to track dietary quality and progress in nutritional outcomes in a population to develop timely interventions. Dietary diversity is a commonly used proxy to assess dietary quality in low-income countries. This study identified predictors of household dietary diversity in Ethiopia and pattern of consumption of animal source food (ASF) among households.

          Methods

          Secondary data were analyzed from the 2011 Ethiopian Welfare Monitoring Survey (WMS). This survey used a structured questionnaire to collect socio-demographic and economic data. Dietary data were collected using a dietary diversity questionnaire measuring dietary diversity over the past 1 week. A Household Dietary Diversity Score (HDDS) was constructed according to the Food and Agricultural Organization (FAO) guidelines. Consumption of ASFs is described by its distribution among the regions and by HDDS. Multiple logistic regression analysis was fitted to identify independent predictors for HDDS.

          Results

          A total of 27,995 households were included in the analyses. A little over half of the study households (52.2%) had more than four household members, and 75% of households were male headed. The mean HHDS was five food groups. Cereals were the most commonly (96%) consumed food groups. Fish, egg and fruits, on the other hand, were the least consumed food groups. ASFs were consumed in greater proportion among households with higher HDDS. Being part of the higher and middle socio economic strata ( P < 0.001), literacy ( P < 0.01), urban residence ( P < 0.01), male headed household ( P < 0.01), larger family size ( P <0.01) and owning livestock ( P < 0.01) were positively associated with higher HDDS.

          Conclusions

          Considering these findings, nutrition sensitive interventions which address the problem through economic and educational empowerment and modern technologies supporting agricultural practices need to be designed to increase both local production and increased consumption.

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          Most cited references47

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          The world health report 2002 - reducing risks, promoting healthy life.

          J Guilbert (2003)
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            Measuring the Food Access Dimension of Food Security: A Critical Review and Mapping of Indicators.

            With food security now a top priority for many governments and for the global development community, there is heightened awareness of the need to improve our understanding and measurement of food security.
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              Commonalities in the experience of household food insecurity across cultures: what are measures missing?

              This paper hypothesizes that there is a common "core" to the household food insecurity experience that goes beyond insufficient food quantity and that transcends culture. The paper for the first time employs an exploratory approach to identify cross-cultural commonalities of the food insecurity experience as captured in 22 scales and related ethnographies derived from 15 different countries. The constant comparative method was used to code elements of the food insecurity experience expressed in the ethnographies and to regroup them into domains and subdomains. This typology was then applied to ascertain which experiential domains and subdomains were measured (or not) across all 22 studies. Survey data from 11 of the studies were then analyzed to assess similarities in the relative frequency with which culturally diverse households responded to questionnaire items related to these common domains/subdomains. The analysis confirmed that insufficient food quantity, inadequate food quality, and uncertainty and worry about food were a significant part of the food insecurity experience in all sampled cultures; concerns about social unacceptability emerged in all ethnographic accounts. Several subdomains were identified, such as concern over food safety and meal pattern disruption, with potentially important consequences for physical and psychological well-being. The comparative survey data showed that the relative frequency at which populations responded to domain-related questionnaire items was similar across all but a few cultures. Future food insecurity assessments should consider these core domains and subdomains as the starting point for measures that can generate rich information to inform food security policies and programs.
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                Author and article information

                Contributors
                abdulhalikw@gmail.com
                teferabelachew@gmail.com
                garummatolu@yahoo.com
                beyenewondafrash@googlemail.com
                carl.lachat@ugent.be
                rverstraeten@itg.be
                Patrick.Kolsteren@ugent.be
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                25 November 2016
                25 November 2016
                2016
                : 16
                : 1192
                Affiliations
                [1 ]Department of Epidemiology, Jimma University College of Health Sciences, Jimma, Ethiopia
                [2 ]Department of Population and Family Health, Jimma University College of Health Sciences, Jimma, Ethiopia
                [3 ]Department of Health Education and Behavioral Sciences, Jimma University College of Health Sciences, Jimma, Ethiopia
                [4 ]Nutrition and Child Health Unit, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, Antwerp, 2000 Belgium
                [5 ]Department of Food Safety and Food Quality, Ghent University, Coupure links 653, Ghent, B 9000 Belgium
                Article
                3861
                10.1186/s12889-016-3861-8
                5123272
                27884138
                64c3f08a-8dee-4ae3-a993-24ea61609964
                © The Author(s). 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 11 March 2016
                : 22 November 2016
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100000200, United States Agency for International Development;
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Public health
                household dietary diversity,animal source food consumption,ethiopia
                Public health
                household dietary diversity, animal source food consumption, ethiopia

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