Liệu đa dạng chế độ ăn uống của hộ gia đình có thể cung cấp thông tin về độ đầy đủ dinh dưỡng? Những bài học từ phân tích hệ thống thực phẩm ở Ethiopia

Daniel Ayalew Mekonnen1, Elise F. Talsma2, Laura Trijsburg2, Vincent Linderhof1, T.J. Achterbosch1, Aafke Nijhuis2, Ruerd Ruben3, Inge D. Brouwer2
1Wageningen Economic Research, Pr. Beatrixlaan 582, 2595, Den Haag, BM, Netherlands
2Division of Human Nutrition, Wageningen University, Wageningen, Netherlands
3Development Economics, Wageningen University, Wageningen, The Netherlands

Tóm tắt

Tóm tắtNghiên cứu này đã xem xét việc sử dụng chỉ số đa dạng chế độ ăn uống của hộ gia đình (HDDS) để đánh giá độ đầy đủ dinh dưỡng của hộ gia đình ở Ethiopia. Nghiên cứu cũng đã phân tích các yếu tố liên quan đến HDDS theo khung hệ thống thực phẩm. Kết quả cho thấy mức tiêu thụ dinh dưỡng trung bình ở Ethiopia khác nhau theo nơi cư trú và theo hồ sơ thu nhập, trong đó các hộ gia đình ở khu vực đô thị và những hộ gia đình trong các nhóm thu nhập cao hơn có điểm số thuận lợi hơn. Trong số 13 loại dinh dưỡng được nghiên cứu, chúng tôi phát hiện sự thiếu hụt dinh dưỡng đối với chất béo, canxi, kẽm, riboflavin, niacin, axit folic, vitamin C và vitamin A dao động từ 46% đến 89%, và tỷ lệ thiếu hụt vitamin B12 lên tới 100%. Các kết quả kinh tế lượng cho thấy HDDS là một chỉ số mạnh dự đoán xác suất trung bình về độ đầy đủ dinh dưỡng (MPA) của một hộ gia đình, và một HDDS bằng 10 là ngưỡng tối thiểu mà tại đó HDDS có thể cải thiện MPA của hộ gia đình. Chúng tôi đã tìm thấy bằng chứng gợi ý trong các hệ thống thực phẩm rằng việc cải thiện thu nhập hộ gia đình, khả năng tiếp cận dịch vụ y tế và giao thông là có lợi để cải thiện HDDS và mức tiêu thụ dinh dưỡng ở Ethiopia.

Từ khóa


Tài liệu tham khảo

Abegaz, G. A., Hassen, I. W., & Minten, B. (2018). Consumption of animal-source foods in Ethiopia: Patterns, changes, and determinants. ESSP/EDRI working paper 113. Addis Ababa: IFPRI–ESSP.

Ågren, G., & Gibson, R. (1968). Food composition table for use in Ethiopia. Swedish international development authority, Stockholm, and Ethiopian nutrition institute, Addis Ababa.

Aweke, C. S., Lahiff, E., & Hassen, J. Y. (2020). The contribution of agriculture to household dietary diversity: Evidence from smallholders in east Hararghe, Ethiopia. Food Security. https://doi.org/10.1007/s12571-020-01027-w.

Bachewe, F. N., Berhane, G., Minten, B., & Taffesse, A. S. (2015). Agricultural growth in Ethiopia (2004-2014): Evidence and drivers. In Working paper 81. Addis Ababa: IFPRI–ESSP.

Bachewe, F., Hirvonen, K., Minten, B., & Yimer, F. (2017). The rising costs of nutritious foods in Ethiopia. In ESSP research note 67. Addis Ababa: IFPRI–ESSP.

Berhane, G. Z. Paulos, Tafere, K. & Tamru, S. (2011). Food grain consumption and calorie intake patterns in Ethiopia. ESSP II Working Paper No. 23, Addis Ababa: Ethiopia Strategy Support Program II (ESSP II).

Cameroon, A. C., & Trivedi, P. K. (2010). Microeconometrics using Stata (Revised ed.). College Station, TX, USA: StataCorp LP.

Central Statistical Agency (CSA) [Ethiopia] & ICF. (2016). Ethiopia demographic and health survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF.

Central Statistical Agency (CSA) [Ethiopia] & World Bank. (2017). Ethiopia socioeconomic survey (ESS), wave three (2015/2016). Basic information document. Addis Ababa, and Washington, DC.

Coates, J., Patenaude, B. N., Rogers, B. L., Roba, A. C., & Woldetensay, Y. K. (2018). Intra-household nutrient inequity in rural Ethiopia. Food Policy, 81, 82–94.

Coates, J, Rogers, B. L., Blau, A., Lauer, J., & Rob, A. (2017). Filling a dietary data gap? Validation of the adult male equivalent method of estimating individual nutrient intakes from household-level data in Ethiopia and Bangladesh. Food Policy, 72, 27–42.

D’Souza, A., & Jolliffe, D. (2016). A profile of food insecurity dynamics in rural and small town Ethiopia. Ethiopian Journal of Economics, 15(2), 77–112.

Dercon, S., Gilligan, D. O., Hoddinott, J., & Woldehanna, T. (2009). The impact of agricultural extension and roads on poverty and consumption growth in fifteen Ethiopian villages. American Journal of Agricultural Economics, 91(4), 1007–1021.

Ethiopian Public Health Institute (EPHI). (2013). Ethiopian national food consumption survey. Addis Ababa, Ethiopia.

Ethiopian Public Health Institute (EPHI). (2016). Ethiopian national micronutrient survey report. Addis Ababa, Ethiopia.

European Food Safety Authority (EFSA). (2017). Dietary reference values for nutrients: Summary report. EFSA supporting publication, 2017, e15121, 98 pp. https://doi.org/10.2903/sp.efsa.2017.e15121.

Filzmoser, P., Gussenbauer, J. & Templ, M. (2016). Detecting outliers in household survey data. Final report, Vienna University of Technology. http://www.ihsn.org/sites/default/files/resources/Outliers_long_report.pdf accessed January 8, 2019.

Gebru, M., Remans, R., Brouwer, I., Baye, K., Melesse, M. B., Covic, N., et al. (2018). Food systems for healthier diets in Ethiopia toward a research agenda. In IFPRI discussion paper 01720. Washington, DC: International Food Policy Research Institute.

Harris-Fry, H., Shrestha, N., Costello, A., & Saville, N. M. (2017). Determinants of intra-household food allocation between adults in South Asia – A systematic review. International Journal for Equity in Health, 16(1), 107. https://doi.org/10.1186/s12939-017-0603-1.

Harris, T., Yang, Z., & Hardin, J. W. (2012). Modeling underdispersed count data with generalized Poisson regression. The Stata Journal, 12(4), 736–747.

Heady, D., & Masters, W. (2019). Agriculture for nutrition: Direct and indirect effects. In S. Fan, S. Yosef, & R. Pandya-Lorch (Eds.), Agriculture for improved nutrition: Seizing the momentum. Oxfordshire, UK: CAB International.

Herforth, A., & Ahmed, S. (2015). The food environment, its effects on dietary consumption, and potential for measurement within agriculture-nutrition interventions. Food Security, 7(3), 505–520.

Herrador, Z., Perez-Formigo, J., Sordo, L., Gadisa, E., Moreno, J., Benito, A., & Aseffa, A. E. (2015). Low dietary diversity and intake of animal source foods among school aged children in libo kemkem and fogera districts, Ethiopia. PLoS One, 10(7), e0133435. https://doi.org/10.1371/journal.pone.0133435.

Hirvonen, K. (2016). Rural-urban differences in children’s dietary diversity in Ethiopia: A Poisson decomposition analysis. Economics Letters, 147, 12–15.

Hirvonen, K., Hoddinott, J., Minten, B., & Stifel, D. (2017). Children’s diets, nutrition knowledge, and access to markets. World Development, 95, 303–315.

Hirvonen, K., Taffesse, A. S., & Hassen, I. W. (2016). Seasonality and household diets in Ethiopia. Public Health Nutrition, 19(10), 1723–1730.

HLPE. (2017). Nutrition and food systems. A report by the High Level Panel of Experts on Food Security and Nutrition of the Committee on World Food Security, Rome.

Institute of Medicine (IOM). (2006). Dietary reference intakes: The essential guide to nutrient requirements. Jennifer J. Otten, Jennifer Pitzi Hellwig, Linda D. Meyers, editors. National Academies Press, Washington, D.C.

Langenhoven, M. L., Conradie, P. J., Wolmarans, P., & Faber, M. (1991). MRC food quantities manual (Second edition: Parow Valley ed.). Cape Town: South African Medical Research Council.

Minten, M., Dereje, M., Bachewe, F., & Tamru, S. (2018). Evolving food systems in Ethiopia: Past, present and future. ESSP working paper 117. Washington DC, and Addis Ababa, Ethiopia: IFPRI and EDRI.

Minten, B., Tamru, S., Engida, E., & Kuma, T. (2016). Transforming staple food value chains in Africa: The case of teff in Ethiopia. The Journal of Development Studies, 52(5), 627–645.

Murphy, S. P. & Vorster, H. H. (2007). Methods for using nutrient intake values (NIVs) to assess or plan nutrient intakes. Food and Nutrition Bulletin, 28(1) (supplement s51-s60).

Roba, K. T., O’Connor, T. P., O’Brien, N. M., Aweke, C. S., Kahsay, Z. A., Chisholm, N., & Lahiff, E. (2019). Seasonal variations in household food insecurity and dietary diversity and their association with maternal and child nutritional status in rural Ethiopia. Food Security, 11, 651–664.

Ruel, M. T. (2019). New evidence on nutrition-sensitive agricultural programs, in Fan et al. (eds.) agriculture for improved nutrition – Seizing the momentum. Oxfordshire, UK: CAB international.

Ruel, M. T. (2003). Operationalizing dietary diversity: A review of measurement issues and research priorities. Journal of Nutrition, 133, 3911S–3926S.

Ruel, M. T., Quisumbing, A. R., & Balagamwala, M. (2018). Nutrition-sensitive agriculture: What have we learned so far? Global Food Security, 17, 128–153.

Shiferaw, A., Söderbom, M., Siba, E., & Alemu, G. (2015). Road infrastructure and enterprise dynamics in Ethiopia. The Journal of Development Studies, 51(11), 1541–1558.

Sibhatu, K. T., & Qaim, M. (2018). Review: Meta-analysis of the association between production diversity, diets, and nutrition in smallholder farm households. Food Policy, 77, 1–18.

Stifel, D., & Minten, B. (2017). Market access, well-being, and nutrition: Evidence from Ethiopia. World Development, 90, 229–241.

Sununtnasuk, C., & Fiedler, J. L. (2017). Can household-based food consumption surveys be used to make inferences about nutrient intakes and inadequacies? A Bangladesh case study. Food Policy, 72, 121–131.

Swindale, A. & Bilinsky, P. (2006). Household dietary diversity score (HDDS) for measurement of household food access: Indicator Guide. Version 2. FANTA.

Tasciotti, L., & Wagner, N. (2014). Urban agriculture and dietary diversity: Empirical evidence from Tanzania. The European Journal of Development Research, 27(5), 631–649.

US Department of Agriculture, Agricultural Research Service (USDA). (2016). Nutrient data laboratory. USDA national nutrient database for standard reference, Release 28 (Slightly revised). Version Current: May 2016.

Vandercasteelen, J., Beyene, S. T., Minten, B., & Swinnen, J. (2018). Cities and agricultural transformation in Africa: Evidence from Ethiopia. World Development, 105, 383–399.

von Thünen, J. H. (1826). The isolated state. The Editors of Encyclopaedia Britannica. Location theory: economics and geography. https://www.britannica.com/topic/location-theory Accessed 23 April 2019.

Voortman, T., Kiefte-de Jong, J.C., Ikram, M.A., Stricker, B.H., van Rooij, F.J.A., Lahousse, L., Tiemeier, H., et. al. (2017). Adherence to the 2015 Dutch dietary guidelines and risk of non-communicable diseases and mortality in the Rotterdam study. European Journal of Epidemiology, 32(11) 993–1005.

West, C.E., Pepping, F., Scholte, I., Jansen, W., & Albers, H.F. (1989). Tanzania food composition table for energy and eight important nutrients in foods commonly eaten in East Africa. Technical Centre for Agriculture and Rural Cooperation (CTA) of ACP/ECP.

World Health Organization (WHO) & Food and Agriculture Organization (FAO). (2004). Vitamin and mineral requirements in human nutrition (2nd ed.). Geneva: WHO.

Wibowo, Y., Sutrisna, B., Hardinsyah, H., Djuwita, R., Korib, M. M., Syafiq, A., Tilden, A., & Najib, M. (2015). Relationship between intra-household food distribution and coexistence of dual forms of malnutrition. Nutrition Research and Practice, 9(2), 174–179.

Wiesmann, D. Arimond, M. & Loechl, C. (2009). Dietary diversity as a measure of the micronutrient adequacy of women’s diets: Results from rural Mozambique site. Washington, DC: Food and Nutrition Technical Assistance II Project, FHI 360.

Wondemu, K. A., & Weiss, J. (2012). Rural roads and development: Evidence from Ethiopia. European Journal of Transport and Infrastructure Research, 12(4), 417–439.

Worku, I. H., Dereje, M., Minten, B., & Hirvonen, K. (2017). Diet transformation in Africa: The case of Ethiopia. Agricultural Economics, 48, supplement, 73–86.

World Bank. (2015). Ethiopia’s great run: The growth acceleration and how to pace it. Report no. 99399-ET. Washington DC: World Bank.