Nutrition Intervention Strategies in National Development

Nutrition Intervention Strategies in National Development

1st Edition - January 28, 1983

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  • Editor: Barbara Underwood
  • eBook ISBN: 9780323149952

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Description

Nutrition Intervention Strategies in National Development reviews nutritional programs as key components of policy planning for national development in general and health programs in particular. It summarizes research on targeted application of nutrition knowledge in public health and efforts to reduce worldwide malnutrition, and it highlights the importance of planned controlled change in the quality of diet as a preventive strategy against widespread disease. Organized into seven sections encompassing 33 chapters, this volume begins with an overview of the basic concepts of nutrition intervention and some elements of successful nutrition intervention strategies. It then discusses the economic effects of early malnutrition and economic considerations for nutrition intervention programs; the role of the government in income distribution and nutritional improvement; supplementary feeding programs; and strategies for addressing protein energy malnutrition. The reader is also introduced to the nutrition-infection cycle in relation to intervention techniques, nutrient-specific interventions including prevention of iron deficiency, and nutrition education. Scientists, nutritionists, policymakers, medical doctors, economists, education specialists, and health workers concerned with nutrition intervention programs will find this book extremely helpful.

Table of Contents


  • Contributors

    Foreword

    Preface

    I Nutrition Interventions in General

    1. Some Elements of Successful Nutrition Intervention Strategies

    Conceptualization

    Commitment

    Multisectorial, Visible, and Stable Infrastructure

    Feedback for Program Adjustments

    Needs Oriented

    Community Participation

    Conclusion

    References

    2. Nutrition Interventions: Basic Concepts

    Text

    Reference

    II Socioeconomic Strategies

    3. The Economic Effects of Early Malnutrition: Economic Considerations for Nutrition Intervention Programs

    Justification for Investment in Alleviating Early Malnutrition

    Resource Savings Effect

    Human Capital Effect

    Approaches to Study the Economic Effects of Early Malnutrition

    The Case of Latin America

    Conclusion

    Reference

    4. Socioeconomic Development and Nutritional Status: Efficiency of Intervention Programs

    Text

    General Comments

    References

    5. Integrating Nutrition into Agricultural Policy

    Text

    References

    6. Comments on Economic Growth, Income Distribution, and Human and Social Development in Latin America

    Growth, Distribution, and Poverty

    Factors Determining Distributive Inequality

    Magnitude and Difficulty of Redistribution

    The Free Market: Does It Solve the Distributive Inequalities?

    Areas of State Intervention

    7. Role of the Government in Income Distribution and Nutritional Improvement: The Chilean Case

    Text

    Reference

    III Supplementary Feeding Programs

    8. Success or Failure of Supplementary Feeding Programs as a Nutritional Intervention

    Supplementary Feeding Programs as Nutritional Intervention

    Nature of Supplementary Feeding

    Justification for Supplementary Feeding Programs

    Types of Supplementary Feeding Programs

    Evidence of Success in Reducing the Prevalence of Malnutrition

    Conclusions

    References

    9. Supplementary Feeding Program in Pregnancy and Lactation: Consideration for Intervention Programs

    Introduction

    The Limits of Adaptation

    Pregnancy and Lactation as a Continuum

    Maternal Weight and Weight Gain as Indices of Risk

    Does Maternal Nutrition Affect Fetal Growth?

    Would Nutrition Intervention Be Expected to Increase Birth Weight?

    What Else Might Be Affected? What Else Should Be Measured?

    Conclusions

    References

    10. Supplementary Feeding during Pregnancy: Impact on Mother and Child in Bogota, Colombia

    Initial Nutritional State

    Actual Level of Supplementation

    Impact of Supplementary Feeding during Pregnancy on Mothers and Children in Bogota

    References

    11. Nutrition Intervention Programs in Chile for Pregnant Women and Nursing Mothers: The Issues

    Selection of Recipient Populations

    Assessment of Nutritional Status

    Selection of Type of Supplement

    When to Supplement

    Evaluation of Program Effectiveness

    Supplementation during Lactation

    References

    12. Effectiveness of Supplementary Feeding Programs in Chile

    Description of Intervention Programs with Nutritional Impact

    General Comments

    References

    13. Comments on the Supplementary Feeding Programs in Chile

    Text

    14. Case Study of a National Supplementary Feeding Program: The WIC Program in the United States

    Introduction

    History

    What WIC Does

    WIC in the Future—Expansion, Stabilization, or Extinction?

    Conclusion

    References

    15. School Feeding Programs in the Philippines

    Introduction

    Applied Nutrition Program (ANP)

    Cooperative for American Relief Everywhere (CARE)

    Catholic Relief Services (CRS)

    World Food Program Assisted Project

    Future Plans and Conclusions

    References

    IV Strategies for Treatment of Protein Energy Malnutrition

    16. Rehabilitation of Protein Energy Malnutrition in Young Infants: Hospital and Community Based Programs in Chiang Mai, Thailand

    Experience with Hospital Rehabilitation of Severe PEM at Chiang Mia

    Fluid and Electrolyte Imbalance Therapy

    Therapy for Infection

    Dietary Therapy

    References

    17. Nutrition Recovery Centers: The Chilean Experience

    General Background

    The Need of a Strategy of Direct Protection to the Infant

    Creation of the Chilean Nutrition Foundation (CONIN)

    Recovery of the Impoverished Family

    Summary

    References

    18. Comments on Nutrition Rehabilitation Center Programs

    Text

    References

    V Nutrition-Infection Cycle as Related to Intervention Techniques

    19. Importance of Infection and Immunity in Nutrition Intervention Programs and Priorities for Interventions

    Introduction

    Priorities for Interventions on the Nutrition-Infection Complex in Developing Countries

    References

    20. Evaluating the Health Benefits of Improved Water Supply through Assessment of Nutritional Status in Developing Countries

    Introduction

    Water Supply and Health Benefits

    Water and Nutrition Relationships

    Tubewell Water and Cholera in Rural Bangladesh

    Discussion

    References

    21. Environmental Sanitation: A Nutrition Intervention

    Introduction

    Experimental Design

    Evaluation of Bacterial Contamination of Feeding Bottles

    Evaluation of Seasonal Diarrhea Episodes

    Evaluation of Nutritional Status

    Changes of Attitudes, Habits, and Quality of Life

    Final Comments

    References

    VI Nutrient-Specific Interventions

    22. Iron Deficiency: Methods to Measure Prevalence and Evaluate Interventions

    Text

    References

    23. Prevalence of Nutritional Anemias among Pregnant Women in Chile

    Prevalence of Iron Deficiency

    Prevalence of Folic Acid Deficiency

    Conclusion

    References

    24. Evaluation of Iron Status and Prevalence of Iron Deficiency in Infants in Chile

    Normal Hematological Values in Infants

    Prevalence of Iron Deficiency in Infants

    Iron Deficiency Redefined

    Conclusion

    References

    25. Iron Fortification: What Must Be Considered?

    Text

    26. Prevention of Iron Deficiency by Means of Iron Fortification of Sugar

    Introduction

    Background Characteristics of Central American Populations

    Selection of the Iron Salt

    Other Considerations

    Objectives of the Fortification Study

    Design of the Study

    Results of 20 Months of Fortification and Discussion

    References

    27. Prevention of Iron Deficiency in Infants by Milk Fortification

    Text

    References

    28. Interventions for the Prevention of Endemic Goiter

    Methods of Intervention

    Components of a Successful Intervention Program for Endemic Goiter

    References

    29 The Use of Food Fortification to Prevent Folate Deficiency

    Pilot Survey of Folate Deficiency

    Preliminary Trial of Folate-Fortified Maize Meal

    Properties of Folic Acid Relevant to Food Fortification

    Effects of Different Levels of Fortification in Pregnant Women

    Target Groups for a Folate Fortification Program

    The Antimegaloblastic Effect of Folate-Fortified Foods

    Pilot Field Trial of Folate-Fortified Food

    Possible Hazards of Food Fortification with Folate

    Technological and Economic Considerations

    References

    30. Interventions for the Prevention of Vitamin A Deficiency: A Summary of Experiences

    Events Leading to Coordinated Intervention

    Selection of Intervention Strategies

    Summarization of Experience in Vitamin A Interventions

    Central America—Sugar Fortification

    Philippines—Monosodium Glutamate

    Indonesia—Monosodium Glutamate

    Horticultural Approach

    Combined Interventions

    Summary

    References

    VII Nutrition Education

    31. Why Teach Nutrition and to Whom?

    Text

    References

    32. Some Problems in the Implementation and Evaluation of Food and Nutrition

    Text

    33. Nonformal Education: An Instrument for Nutrition Intervention Education Programs

    Introduction

    Conceptual Basis

    Methodological Aspects

    Case Study

    Conclusions

    References

    Index






Product details

  • No. of pages: 448
  • Language: English
  • Copyright: © Academic Press 1983
  • Published: January 28, 1983
  • Imprint: Academic Press
  • eBook ISBN: 9780323149952

About the Editor

Barbara Underwood

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