Skip to main content
×
Home
    • Aa
    • Aa
  • Access
  • Cited by 5
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Dancause, Kelsey N Vilar, Miguel Chan, Chim DeHuff, Christa Wilson, Michelle Soloway, Laura E Tarivonda, Len Regenvanu, Ralph Kaneko, Akira Garruto, Ralph M and Lum, J Koji 2012. Patterns of childhood and adolescent overweight and obesity during health transition in Vanuatu. Public Health Nutrition, Vol. 15, Issue. 01, p. 158.


    Racine, Elizabeth F Jemison, Kyle Huber, Larissa R and Arif, Ahmed A 2009. The well-being of children in food-insecure households: results from The Eastern Caribbean Child Vulnerability Study 2005. Public Health Nutrition, Vol. 12, Issue. 09, p. 1443.


    Hackett, M. Melgar-Quinonez, H. Perez-Escamilla, R. and Segall-Correa, A. M. 2008. Gender of respondent does not affect the psychometric properties of the Brazilian Household Food Security Scale. International Journal of Epidemiology, Vol. 37, Issue. 4, p. 766.


    Renzaho, André M. N. 2008. Is a Healthy Diet Affordable and Accessible in the City of Yarra, Victoria-Australia? An Analysis of Cost Disparity and Nutritional Choices. Ecology of Food and Nutrition, Vol. 47, Issue. 1, p. 44.


    Chisti, Mohammod J Hossain, Mohammad I Malek, Mohammad A Faruque, Abu SG Ahmed, Tahmeed and Salam, Mohammed A 2007. Characteristics of severely malnourished under-five children hospitalized with diarrhoea, and their policy implications. Acta Paediatrica, Vol. 96, Issue. 5, p. 693.


    ×

Food insecurity, malnutrition and mortality in Maewo and Ambae islands, Vanuatu

  • Andre MN Renzaho (a1)
  • DOI: http://dx.doi.org/10.1079/PHN2005902
  • Published online: 01 January 2007
Abstract
AbstractContext

This paper reports on findings from the ex-post evaluation of the Maewo Capacity Building project in Maewo Island, Vanuatu, which was funded by World Vision Australia.

Objectives

To examine the extent to which the infrastructure and systems left behind by the project contributed to the improvement of household food security and health and nutritional outcomes in Maewo Island, using Ambae Island as a comparator.

Setting

Two-stage cluster survey conducted from 6 to 20 July 2004, which included anthropometric measures and 4.5-year retrospective mortality data collection.

Participants

A total of 406 households in Maewo comprising 1623 people and 411 households in Ambae comprising 1799 people.

Main outcome measures

Household food insecurity, crude mortality rate (CMR), under-five mortality rate (U5MR) and malnutrition prevalence among children.

Results

The prevalence of food insecurity without hunger was estimated at 15.3% (95% confidence interval (CI): 12.1, 19.2%) in Maewo versus 38.2% (95% CI: 33.6, 43.0%) in Ambae, while food insecurity with hunger in children did not vary by location. After controlling for the child's age and gender, children in Maewo had higher weight-for-age and height-for-age Z-scores than children of the same age in Ambae. The CMR was lower in Maewo (CMR=0.47/10 000 per day, 95% CI: 0.39, 0.55) than in Ambae (CMR=0.59/10 000 per day, 95% CI: 0.51, 0.67) but no difference existed in U5MR. The major causes of death were similar in both locations, with frequently reported causes being malaria, acute respiratory infection and diarrhoeal disease.

Conclusions

Project initiatives in Maewo Island have reduced the risks of mortality and malnutrition. Using a cross-sectional 'external control group' design, this paper demonstrates that it is possible to draw conclusions about project effectiveness where baseline data are incomplete or absent. Shifting from donor-driven evaluations to impact evaluations has greater learning value for the organisation, and greater value when reporting back to the beneficiaries about project impact and transformational development in their community. Public health nutritionists working in the field are well versed in the collection and interpretation of anthropometric data for evaluation of nutritional interventions such as emergency feeding programmes. These same skills can be used to conduct impact evaluations, even some time after project completion, and elucidate lessons to be learned and shared. These skills can also be applied more widely to projects which impact on the longer-term nutritional status of communities and their food security.

    • Send article to Kindle

      To send this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Food insecurity, malnutrition and mortality in Maewo and Ambae islands, Vanuatu
      Your Kindle email address
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Food insecurity, malnutrition and mortality in Maewo and Ambae islands, Vanuatu
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Food insecurity, malnutrition and mortality in Maewo and Ambae islands, Vanuatu
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Email andre.renzaho@worldvision.com.au
Correspondence address: World Vision Australia, 1 Vision Drive, East Burwood, Victoria 3151, Australia.
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

4J Burgermeister . Number of chronically hungry people is rising by 5m a year. British Medical Journal 2005; 327: 1303.

15M Petticrew , H Roberts . Evidence, hierarchies and typologies: horses for courses. Journal of Epidemiology and Community Health 2003; 57: 527–9.

16JP Habicht , CG Victora , JP Vaughan . Evaluation designs for adequacy, plausibility and probability of public health programme performance and impact. International Journal of Epidemiology 1998; 28: 10–8.

19S Wassertheil-Smoller . Biostatistics and Epidemiology: A Primer for Health Professionals. New York: Springer-Verlag, 1995.

21MJ Campbell , SA Julious , DG Altman . Sample sizes for binary, ordered categorical, and continuous outcomes in two group comparisons. British Medical Journal 1995; 311: 1145–8.

23P Salama , F Assefa , A Talley L van der Veen , C Gotway . Malnutrition, measles, mortality and the humanitarian response during a famine in Ethiopia. Journal of the American Medical Association 2001; 286: 563–71.

31A Hatloy , LE Torheim , A Oshaug . Food variety–a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. European Journal of Clinical Nutrition 1998; 52: 891–8.

35T Grein , F Checchi , JM Escriba , A Tamrat , U Karunakara , C Stokes , Mortality among displaced former UNITA members and their families in Angola: a retrospective cluster survey. British Medical Journal 2003; 327: 650.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: