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Micronutrient-rich food consumption, intra-household food allocation and child stunting in rural Nigeria

Published online by Cambridge University Press:  03 December 2018

Olusegun Fadare*
Affiliation:
International Food Policy Research Institute, 1201 Eye Street NW, Washington, DC 20005-3915, USA
George Mavrotas
Affiliation:
International Food Policy Research Institute, 1201 Eye Street NW, Washington, DC 20005-3915, USA
Dare Akerele
Affiliation:
Department of Agricultural Economics and Farm Management, Federal University of Agriculture, Abeokuta, Nigeria
Motunrayo Oyeyemi
Affiliation:
International Food Policy Research Institute, 1201 Eye Street NW, Washington, DC 20005-3915, USA
*
*Corresponding author: Email o.fadare@cgiar.org
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Abstract

Objective

Children from rural households are often deprived of adequate micronutrient intakes either from food or supplementation. The present study examines: (i) the determinants of households’ micronutrient-rich food consumption; and (ii) the combined effect of vitamin A supplementation and micronutrient-rich food consumption on child stunting in households with different food allocation patterns.

Design

Cross-sectional study. Households’ micronutrient-rich food consumption frequency and vitamin A supplementation were used as a proxy measure for child micronutrient intakes. Intra-household food allocation patterns were assessed from caregivers’ perception of the disparity in food distribution within the household. Descriptive statistics and logistic regression were employed in analysing the study’s objectives.

Setting

Rural communities in Kwara State, Nigeria.

Participants

Included 419 children aged 6–59 months and 413 households.

Results

Owning small livestock and a refrigerator, knowledge of micronutrient-rich foods and higher parental education had strong associations with households’ micronutrient-rich food consumption. Children from households that consumed micronutrient-rich foods and received more diverse diets were less likely to experience stunting. The combined effect of micronutrient-rich food consumption and vitamin A supplementation was stronger on the likelihood of stunting reduction than the separate effect of each.

Conclusions

Assets ownership, human capital and knowledge of micronutrient-rich foods improve consumption of micronutrient-rich foods among the study population. Micronutrient supplementation to children with poor access to micronutrient-rich foods may not substantially enhance child growth unless reinforced through consumption of micronutrient-rich foods. Fruit and vegetable gardening, livestock holdings and nutrition education to parents should be integral parts of community nutrition programming.

Information

Type
Research paper
Copyright
© The Authors 2018 
Figure 0

Fig. 1 (colour online) Distribution of height-for-age Z-scores of children aged 6–59 months by gender (, female, n 222; , male, n 208) in Kwara State, rural Nigeria, November 2014, as compared with the WHO child growth standard normal distribution curve of the reference population (). Plot generated from WHO Anthro software based on the survey data

Figure 1

Table 1 Foods used for assessing households’ micronutrient-rich food consumption

Figure 2

Table 2 Frequency of consumption of micronutrient-rich foods by households in Kwara State, rural Nigeria, November 2014 (n 413)

Figure 3

Table 3 Descriptive statistics and comparisons of means for variables used in the analysis of the determinants of stunting in children aged 6–59 months in Kwara State, rural Nigeria, November 2014 (n 419)

Figure 4

Table 4 Micronutrient intakes, intra-household food allocation and stunting prevalence in children aged 6–59 months in Kwara State, rural Nigeria, November 2014 (n 419)

Figure 5

Fig. 2 (colour online) Mean frequency of consumption of micronutrient-rich food groups by households located in Nupe () and Yoruba communities () in Kwara State, rural Nigeria, June to November 2014 (n 413)

Figure 6

Fig. 3 (colour online) Distribution (, density plot; , kernel density plot) of households’ micronutrient-rich food consumption frequency score in Kwara State, rural Nigeria, November 2014 (n 413)

Figure 7

Table 5 Logistic results of the determinants of households’ consumption of micronutrient-rich foods in Kwara State, rural Nigeria, November 2014 (n 413)

Figure 8

Table 6 Logistic regression results of the determinants of stunting in children in children aged 6–59 months in Kwara State, rural Nigeria, November 2014 (n 419)