| Minimum Dietary Diversity for Women (MDD-W) and Unhealthy Diets [message #16778] |
Fri, 01 March 2019 14:20  |
DataDENT
Messages: 11
Registered: January 2019
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Women of reproductive age (WRA) are nutritionally vulnerable due to pregnancy, lactation, and cultural practices. For WRA, information is needed on the diversity of the diet, which is associated with micronutrient adequacy in resource poor settings, and the extent to which unhealthy food groups are consumed by WRA. We propose three indicators to capture dietary diversity of WRA.
1. Minimum dietary diversity for women (MDD-W)
Definition: Proportion of women 1549 years of age who consumed at least five out of ten defined food groups the previous day or night.
2. Percent of women of reproductive age who consumed sugar-sweetened beverages (SSB) in the previous day or night.
Definition: Proportion of women 15-49 years of age who consumed any sugar-sweetened beverages the previous day or night.
3. Percent of women of reproductive age who consumed "junk food" in the previous day or night.
Definition: Proportion of women 15-49 years of age who consumed any savory or fried snacks, or any sweets during the previous day or night.
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 Megan Deitchler (FHI360/Intake Center for Dietary Assessment) and reviewed by Mary Arimond (Intake Center for Dietary Assessment), Terri Ballard (Independent Consultant), Anna Herforth (Independent Consultant/Ag2Nut Community of Practice lead), Alissa Pries (Helen Keller International (HKI)), Estefania Custodio (European Commission (EC)), Alexandra Tung (Food and Agriculture Organization of the United Nations (FAO)), Yves Martin Prevel (Institute of Research for Development), and Francois Kayitakire (EC).
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 2 of 3 (high priority data need).
This recommendation is also endorsed by the EC, FAO, Countdown to 2030, Alive & Thrive, Global Alliance for Improved Nutrition (GAIN), the nutrition team at the Bill & Melinda Gates Foundation, and the Department of International Health at the Johns Hopkins Bloomberg School of Public Health.
[Updated on: Fri, 01 March 2019 14:38] Report message to a moderator |
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| Re: Minimum Dietary Diversity for Women (MDD-W) and Unhealthy Diets [message #16840 is a reply to message #16778] |
Thu, 07 March 2019 15:17  |
DHS QRE Administrator
Messages: 107
Registered: January 2019
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Senior Member |
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Originally posted by Naveen Paudyal on March 7 as a report to the forum moderator. Moved as a reply to this post by the moderator.
I did not see women of adolescent age, 10-14 years covered in the MDD-W, where country has need for the information/ data related to adolescent age to move ahead with the adolescent nutrition programme and further measure the progress. Global momentum is also targeting women of adolescent age as well under new emerging programming. My report is on this context if it is possible to include adolescent module as well. I did not find appropriate theme area to discuss about it but has taken opportunity to discuss about it under MDD-W.
DHS QRE Administrator
The DHS Program
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| Re: Minimum Dietary Diversity for Women (MDD-W) and Unhealthy Diets [message #16908 is a reply to message #16778] |
Wed, 13 March 2019 21:44 |
SUN Movement MEAL Team
Messages: 9
Registered: March 2019
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MDD-W is a key nutrition indicator selected in the SUN Movement's MEAL Results Framework; however, we are currently unable to track it for a majority of SUN member countries due to the fact that these data are not yet being collected on a large scale, such as through the DHS or MICS surveys. We strongly recommend the inclusion of these questions.
The availability of the MDD-W as a validated proxy for micronutrient adequacy provides an opportunity for data on food groups collected for women to now be able to be used meaningfully for assessment, monitoring and tracking; for cross-country comparison, and to help monitor progress towards SDG targets in SUN countries.
Given the dramatic increase in overweight and obesity among women in SUN countries in recent years, we agree that monitoring the quality of diets of WRA is important.
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| Re: Minimum Dietary Diversity for Women (MDD-W) and Unhealthy Diets [message #16922 is a reply to message #16778] |
Thu, 14 March 2019 05:02 |
Mauro Brero
Messages: 12
Registered: March 2019
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UNICEF Tanzania Nutrition team concurs with all the indicators except that the wording should be changed from previous day or night to previous 24 hours. We also suggest to increase the age group to include early adolescence, i.e. 10-14 years old girls.
It would also be relevant in this section of the questionnaire to add an indicator about physical activity among women, as reduced physical activity has been identified in Tanzania (but also globally) among the drivers of increased overweight and obesity.
These indicators will be used to track progress on impact of maternal nutrition interventions and to further inform planning and programming to improve those interventions.
UNICEF Tanzania Nutrition team.
[Updated on: Thu, 14 March 2019 05:06] Report message to a moderator |
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| Re: Minimum Dietary Diversity for Women (MDD-W) and Unhealthy Diets [message #16981 is a reply to message #16973] |
Thu, 14 March 2019 17:31 |
Olutayo
Messages: 12
Registered: March 2019
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Nigeria, like many other low and middle income countries, has a high burden of malnutrition. The DHS is considered the authoritative source for the prevalence of nutrition outcomes as well as many nutrition determinants. However, nutrition determinants data focus on disease, care for women and children, access to sanitary environments and health services. The DHS has included limited information about food-based nutrition determinants. This has been a huge gap since all of food, care and health must be addressed to improve nutrition. If we do not have a full picture of where the problem lies, we cannot provide adequate solutions. Recognizing this, relevant government ministries, FAO and other nutrition stakeholders in Nigeria successfully advocated for the inclusion of MDD-W in the Nigeria DHS-7. The purposes of including MDD-W in Nigeria included:
1. Obtain indication of micronutrient adequacy of women's diet in Nigeria for
•Prioritizing scale-up and targeting of existing and new nutrition interventions
•Improving design and implementation of micronutrient deficiency control programmes
2. Provide periodic information about food-based nutrition indicators for
•Monitoring changes in nutrition determinants
•Assessing impact of nutrition-sensitive actions
It would be quite useful indeed if MDD-W becomes a core nutrition indicator in DHS so that the data is available for all subsequent survey years and other countries. I therefore endorse the recommendation to include this indicator
Olutayo Adeyemi
Nutrition Capacity Strengthening Officer
FAO Nigeria
[Updated on: Thu, 14 March 2019 17:32] Report message to a moderator |
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