Unconditional seasonal cash transfer increases intake of high-nutritional-value foods in young Burkinabe children: results of 24-hour dietary recall surveys within the MAM'Out randomized controlled trial
نویسندگان
چکیده
6 Background: Cash transfer programs have the potential to improve dietary intake by 7 improving accessibility to food. However, quantitative data on the impact of cash transfer 8 programs on children’s energy and nutrient intake is lacking. 9 Objective: The aim of this study was to evaluate the effect of seasonal unconditional cash 10 transfer on children’s energy, micro and macronutrient and food group intake during the lean 11 season in Burkina Faso. 12 Methods: Within the framework of the MAM’Out study, a cluster randomized controlled trial, 13 two 24-h dietary recall surveys were conducted in July and August 2014. Daily energy, 14 macroand micronutrient intake, breastfeeding practices, as well as food group consumption, 15 were analyzed for 322 children aged 14 to 27 months from the intervention group (benefiting 16 from unconditional cash transfer during the lean season 2013 and 2014) and the control 17 group, using mixed linear/logistic/Poisson regression models or a gamma-generalized linear 18 model with log-link. A dietary diversity score was calculated based on seven food groups. 19 Results: Unconditional cash transfers during the lean season improved the diets of rural 20 children through higher consumption of eggs (11.3 g ± 1.55 vs 3.25 g ± 0.79, p<0.001), fat 21 (20.6 g ± 0.80 vs 16.5 g ± 0.89, p<0.01) and vitamin B12 (0.40 mg ± 0.02 vs 0.34 mg ± 0.02, 22 p<0.001) compared to controls, and higher proportions of children eating dairy products (OR: 23 4.14 (1.48, 11.6), p<0.05), flesh food (OR: 2.09 (1.18, 3.70), p<0.05), eggs (OR: 3.61 (1.56, 24 8.37), p<0.05) and iron rich or iron fortified food (OR: 2.23 (1.20, 4.13), p<0.05). No 25 difference was found in energy intake between the two groups. The minimum dietary 26 diversity of two thirds of the children who benefited from cash transfers was adequate 27 compared to that of only one third in the control group (p<0.001). 28 Conclusion: Unconditional seasonal cash transfer increases dietary diversity and intake of 29 high nutritional value foods in Burkinabe children aged 14 to 27 months. As such, their use 30
منابع مشابه
The MAM’Out project: a randomized controlled trial to assess multiannual and seasonal cash transfers for the prevention of acute malnutrition in children under 36 months in Burkina Faso
BACKGROUND Wasting is a public health issue but evidence gaps remain concerning preventive strategies not primarily based on food products. Cash transfers, as part of safety net approach, have potential to prevent under-nutrition. However, most of the cash transfer programs implemented and scientifically evaluated do not have a clear nutritional objective, which leads to a lack of evidence rega...
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