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Predictors of the diets consumed by adolescent girls, pregnant women and mothers with children under age two years in rural eastern India

Published online by Cambridge University Press:  12 August 2020

Sayeed Unisa ,
Abhishek Saraswat Open the ORCID record for Abhishek Saraswat [Opens in a new window] ,
Arti Bhanot ,
Abdul Jaleel ,
Rabi N. Parhi ,
Sourav Bhattacharjee ,
Apollo Purty ,
Sudhira Rath ,
Babita Mohapatra  and
Avinash Lumba
...Show all authors
Sayeed Unisa
Affiliation:
International Institute for Population Sciences, Mumbai, India
Abhishek Saraswat
Affiliation:
International Institute for Population Sciences, Mumbai, India
Arti Bhanot
Affiliation:
Independent Consultant, New Delhi, India
Abdul Jaleel
Affiliation:
NCEARD, Lady Irwin College, New Delhi, India
Rabi N. Parhi
Affiliation:
Field Office, UNICEF, Patna, Bihar, India
Sourav Bhattacharjee
Affiliation:
Field Office, UNICEF, Bhubaneswar, Odisha, India
Apollo Purty
Affiliation:
Bihar Rural Livelihoods Promotion Society, Bihar, India
Sudhira Rath
Affiliation:
Odisha Livelihoods Mission, Odisha, India
Babita Mohapatra
Affiliation:
Odisha Livelihoods Mission, Odisha, India
Avinash Lumba
Affiliation:
Field Office, UNICEF, Raipur, Chhattisgarh, India
Sonali Sinha
Affiliation:
Field Office, UNICEF, Bhubaneswar, Odisha, India
Nita Kejrewal
Affiliation:
Deendayal Antyodaya Yojana, National Rural Livelihoods Mission, India
Neeraj Agrawal
Affiliation:
All India Institute of Medical Sciences (AIIMS), Patna, Bihar, India
Vikas Bhatia
Affiliation:
AIIMS, Bhubaneswar, Odisha, India
Manisha Ruikar
Affiliation:
AIIMS, Raipur, Chhattisgarh, India
Vani Sethi*
Affiliation:
Country Office, UNICEF, New Delhi, India
*
*Corresponding author. Email: [email protected]
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Abstract

Adolescents, pregnant women and mothers of children under 2 years of age are in stages of life characterized by higher nutritional demands. The study measured the dietary diversity of 17,680 adolescent girls, pregnant women and mothers of children under age 2 years in the eastern Indian states of Bihar, Chhattisgarh and Odisha using data from the Swabhimaan baseline survey conducted in 2016. The association of women’s mean Dietary Diversity Scores with socioeconomic, health and nutrition service indicators was assessed. The sampled population was socioeconomically more vulnerable than the average Indian population. There was not much variation in the types of foods consumed daily across target groups, with diet being predominantly cereal (98%) and vegetable (83%) based. Nearly 30% of the mothers had low Dietary Diversity Scores, compared with 25% of pregnant women and 24% of adolescent girls. In each target group, more than half of the respondents were unable to meet the Minimum Dietary Diversity score of at least five of ten food groups consumed daily. Irrespective of their background characteristics, mean Dietary Diversity Scores were significantly lower in Bihar than in Chhattisgarh and Odisha for all target groups. Having at least 6 years of education, belonging to a relatively rich household and possessing a ration card predicted mean dietary diversity. Project interventions of participatory women’s group meetings improved mean Dietary Diversity Scores for mothers and adolescent girls. Considering the association between poverty and dietary diversity, the linkage between girls and women and nutrition-focused livelihoods and supplementary nutrition programmes needs to be tested.

Keywords

DietWomenIndia
Type
Research Article
Information
Journal of Biosocial Science , Volume 53 , Issue 5 , September 2021 , pp. 663 - 682
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Aurino, E (2017) Do boys eat better than girls in India? Longitudinal evidence on dietary diversity and food consumption disparities among children and adolescents. Economics & Human Biology 25, 99–111.CrossRefGoogle ScholarPubMed
Baranowski, T (2012) 24-hour recall and diet record methods. In Willett, W (ed.) Nutritional Epidemiology. Oxford University Press, New York, pp. 49–69.CrossRefGoogle Scholar
Chattopadhyay, A, Sethi, V, Nagargoje, VP, Saraswat, A, Surani, N et al. (2019) WASH practices and its association with nutritional status of adolescent girls in poverty pockets of eastern India. BMC Women’s Health 19, 89–101.CrossRefGoogle ScholarPubMed
Deaton, A and Dreze, J (2009) Food and nutrition in India: facts and interpretations. Economic and Political Weekly XLIV(7), 42–65.Google Scholar
Desai, S (2017) Adolescent Health: Priorities and Opportunities for Rashtriya Kishor Swasthya Karyakram (RKSK) in Uttar Pradesh – Policy Brief. URL: https://www.popcouncil.org/uploads/pdfs/2017PGY_UDAYA-RKSKPolicyBriefUP.pdf (accessed 10th August 2019).CrossRefGoogle Scholar
FAO (2018) Dietary Assessment – A Resource Guide to Method Selection and Application in Low Resource Settings. URL: http://www.fao.org/3/i9940en/I9940EN.pdf (accessed 29th July 2019).Google Scholar
FAO and FHI 360 (2016) Minimum Dietary Diversity for Women – A Guide to Measurement. URL: http://www.fao.org/3/a-i5486e.pdf (accessed 29th July 2019).Google Scholar
Harris-Fry, HA, Paudel, P, Harrisson, T, Shrestha, N, Jha, S et al. (2018) Participatory women’s groups with cash transfers can increase dietary diversity and micronutrient adequacy during pregnancy, whereas women’s groups with food transfers can increase equity in intra household energy allocation. Journal of Nutrition 148(9), 1472–1483.CrossRefGoogle Scholar
IIPS (2016) National Family and Health Survey (NFHS-4) – India Factsheet. URL: http://rchiips.org/NFHS/pdf/NFHS4/India.pdf (accessed 2nd August 2019).Google Scholar
Indian Express (2017) Introduce Eggs, Milk in Mid-Day Meal, ICDS Diet: NHRC. URL: https://indianexpress.com/article/india/introduce-eggs-milk-in-mid-day-meal-icds-diet-nhrc-4910152/ (accessed 22nd August 2019).Google Scholar
Keats, E, Rappaport, A, Shah, S, Oh, C, Jain, R et al. (2018) The dietary intake and practices of adolescent girls in low- and middle-income countries: a systematic review. Nutrients 10(12), E1978.CrossRefGoogle ScholarPubMed
Lee, SE, Talegawkar, SA, Merialdi, M and Caulfield, LE (2012) Dietary intakes of women during pregnancy in low- and middle-income countries. Public Health Nutrition 16(8), 1340–1353.CrossRefGoogle ScholarPubMed
Ministry of Woman and Child Development (2009) Nutritional Norms under ICDS. Revised Letter No. 5-9/2005-ND-Tech Vol. II dated 24.2.2009. Government of India. URL: https://wcd.nic.in/sites/default/files/supjud17052012.pdf (accessed 10th August 2019).Google Scholar
National Institute of Nutrition (2011) Dietary Guidelines for Indians – A Manual. URL: http://ninindia.org/DietaryGuidelinesforNINwebsite.pdf (accessed 2nd August 2019).Google Scholar
National Nutrition Monitoring Bureau (2012) Diet and nutritional status of rural population, prevalence of hypertension & diabetes among adults and infant and young child feeding practices. Report of Third Repeat Survey, Technical Report Number 26. URL: http://nnmbindia.org/1_NNMB_Third_Repeat_Rural_Survey___Technicl_Report_26.pdf (accessed 2nd August 2019).Google Scholar
Nguyen, PH, Huybregts, L, Sanghvi, TG, Tran, LM, Frongillo, EA et al. (2018) Dietary diversity predicts the adequacy of micronutrient intake in pregnant adolescent girls and women in Bangladesh, but use of the 5-Group cutoff poorly identifies individuals with inadequate intake. Journal of Nutrition 148(5), 790–797.CrossRefGoogle ScholarPubMed
Nithya, DJ, and Bhavani, RV (2018) Dietary diversity and its relationship with nutritional status among adolescents and adults in rural India. Journal of Biosocial Science 50(3), 397–413.CrossRefGoogle ScholarPubMed
NITI Aayog Government of India (2015) A Quick Evaluation of Anganwadis under ICDS. URL: http://niti.gov.in/writereaddata/files/document_publication/report-awc.pdf (accessed 18th August 2019).Google Scholar
Rammohan, A, Goli, S, Singh, D, Ganguly, D and Singh, U (2018) Maternal dietary diversity and odds of low birth weight: empirical findings from India. Women and Health 59(4), 375–390.CrossRefGoogle ScholarPubMed
Rathi, N, Riddell, L and Worsley, A (2017) Food consumption patterns of adolescents aged 14–16 years in Kolkata, India. Nutrition Journal 16, 50.CrossRefGoogle ScholarPubMed
Reshmi, RS, Dinachandra, K, Bhanot, A, Unisa, S, Menon, GT et al. (2019) Context for layering women’s nutrition interventions on a large scale poverty alleviation program: evidence from three eastern Indian states. PLoS One 14, doi: 10.1371/journal.pone.0210836.Google Scholar
Shashikantha, S, Sheethal, M and Vishma, B (2016) Dietary diversity among women in the reproductive age group in a rural field practice area of a medical college in Mandya district, Karnataka, India. International Journal of Community Medicine and Public Health 3(3), 746–749.Google Scholar
Stephenson, J, Heslehurst, N, Hall, J, Schoenaker, DA, Hutchinson, J et al. (2018) Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. The Lancet 391(10132), 1830–1841.CrossRefGoogle ScholarPubMed
Swindale, A and Bilinsky, P (2006) Household Dietary Diversity Score (HDDS) for Measurement of Household Food Access: Indicator Guide. Version 2. URL: https://www.fantaproject.org/sites/default/files/resources/HDDS_v2_Sep06_0.pdf (accessed 17th September 2019).Google Scholar
WHO (2006) Adolescent Nutrition: A Review of the Situation in Selected South-East Asian Countries. URL: https://apps.who.int/iris/bitstream/handle/10665/204764/B0239.pdf?sequence=1&isAllowed=y (accessed 5th September 2019).Google Scholar
WHO (2016) WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. URL: https://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng.pdf;jsessionid=136AD11CB5C0CE3559943492BDDF4669?sequence=1 (accessed 5th September 2019).Google Scholar