| Updated Indicators for Infant and Young Child Feeding (IYCF) [message #16777] |
Fri, 01 March 2019 14:16  |
DataDENT
Messages: 11
Registered: January 2019
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An inter-agency technical consultation to review WHO-UNICEF Infant and Young Child Feeding (IYCF) indicators was held in July 2018. An outcome of this consultation was the recommendation to develop three new indicators of unhealthy dietary practices in children, measured by consumption in the last 24 hours of: (i) sugar-sweetened beverages; (ii) "junk" food; (iii) zero fruit or vegetable. The guidance on the new indicators is scheduled to be finalized in 2019. We propose to include these three indicators in the DHS-8 core questionnaire, which could be calculated by modifying existing Q650.
1. Sugar-sweetened beverage consumption
Definition: Percentage of children 6-23 months who consumed sugar-sweetened beverages during the previous day.
2. Junk food consumption
Definition: Percentage of children 6-23 months of age who consumed sweet or savory junk foods during the previous day.
3. Zero fruit and vegetable consumption
Definition: Percentage of children 6-23 months of age who consumed no fruits or vegetables during the previous day.
Attached to this post is a completed submission form with full justification for the recommendation.
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This recommendation originated in the September 2018 Technical Consultation on Measuring Nutrition in Population-Based Household Surveys and Associated Facility Assessments--a 2-day working meeting convened by the Bill & Melinda Gates Foundation and United States Agency for International Development in collaboration with the World Health Organization (WHO) and United Nations Children's Fund (UNICEF), and coordinated by Data for Decisions to Expand Nutrition Transformation (DataDENT). The consultation included more than 60 technical experts, survey program representatives from DHS, MICS, LSMS and SMART, country data stakeholders, and donors from the nutrition measurement community.
This recommendation was authored by Alissa Pries (Helen Keller International (HKI)) and reviewed by Julia Krasevec (UNICEF), Chika Hayashi (UNICEF), Megan Deitchler (Intake Center for Dietary Assessment), Mary Arimond (Intake Center for Dietary Assessment), and Mduduzi Mbuya (Global Alliance for Improved Nutrition (GAIN)).
This recommendation is endorsed by the WHO-UNICEF Technical Expert Advisory Group on Nutrition Monitoring (TEAM). Out of the 10 sets of recommendations endorsed by TEAM, this recommendation was prioritized as Tier 1 of 3 (critical data need).
This recommendation is also endorsed by Countdown to 2030, Alive & Thrive, the nutrition team at the Bill & Melinda Gates Foundation, and the Department of International Health at the Johns Hopkins Bloomberg School of Public Health.
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| Re: Updated Indicators for Infant and Young Child Feeding (IYCF) [message #16925 is a reply to message #16777] |
Thu, 14 March 2019 05:12  |
Mauro Brero
Messages: 12
Registered: March 2019
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UNICEF Tanzania Nutrition team proposes to maintain indicators 1 and 2. For indicator 3 we propose that the indicator is stated in a positive way instead of the current form. We suggest that the indicator should be percent of children who consumed fruits or vegetables.
The 3 indicators are very relevant in the country and the information will be used to support current effort to address the double burden of malnutrition, focusing on prevention of overweight and obesity among vulnerable groups.
UNICEF Tanzania Nutrition team.
[Updated on: Thu, 14 March 2019 05:15] Report message to a moderator |
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| Re: Updated Indicators for Infant and Young Child Feeding (IYCF) [message #17020 is a reply to message #16777] |
Fri, 15 March 2019 07:03 |
Rolf Klemm
Messages: 7
Registered: March 2019
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Helen Keller International (HKI) endorses the recommendation for inclusion of updated indicators for infant and young child feeding in DHS-8.
There is a need to expand understanding of diets among children under two years of age in the face of evolving food environments. Many countries combatting child undernutrition are now concurrently struggling with overnutrition. Studies by HKI and others have shown marked consumption of unhealthy foods such as sugar-sweetened beverages (SSB) and junk foods among young children in Asia and Africa (Huffman et al., 2014), with rates among 12-23 month-old children as high as 74% in Dakar, Senegal, 84% in Kathmandu Valley, Nepal, and 87% in Bandung, Indonesia (Feeley et al., 2017, Pries et al., 2017; Green et al., in press). Further research among 1-2 year olds in Kathmandu Valley has also found that nearly one-quarter of energy intakes from foods come from unhealthy snack foods/beverages (Pries et al., in press).
DHS measurement of unhealthy dietary patterns during the complementary feeding period, such as consumption of nutrient-poor foods (SSB and junk foods) and low intake of fruits/vegetables, would allow tracking of trends over time within countries, and comparisons across countries/regions in varying stages of the double burden of malnutrition. This data would be invaluable for targeting of programs, and for informing policy to safeguard young child nutrition. Where data indicate high consumption of SSB and junk foods or low consumption of fruits/vegetables among young children, governments and NGOs such as HKI can focus programmatic efforts on increasing consumption of nutrient-rich, locally available foods during the complementary feeding period and developing strategies to limit consumption of unhealthy foods and beverages.
References:
Huffman, S. L., Piwoz, E. G., Vosti, S. A. & Dewey, K. G. Babies, soft drinks and snacks: a concern in low and middle-income countries? Matern. Child Nutr. 10, 562574 (2014).
Feeley, A. B. et al. Promotion and consumption of commercially produced foods among children: Situation analysis in an urban setting in Senegal. Matern. Child Nutr. 12, 6476 (2016).
Pries, A.M. et al. Consumption of commercially produced snack foods and sugar-sweetened beverages during the complementary feeding period in four African and Asian urban contexts. Matern. Child Nutr. 13, e12412 (2017).
Green, M. et al. High proportions of children below 3 years of age consume commercially produced snack foods and sugar-sweetened beverages in Bandung City, Indonesia. Matern. Child Nutr. (in press)
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