“Then you raise them with Shirchoy or cookies”: Understanding influences on delayed dietary diversity among children in Tajikistan

Dietary diversity is a key component of infant and young child feeding (IYCF) as well as adult health. In Tajikistan, a predominantly rural, former Soviet country in Central Asia, we conducted formative research to identify barriers to dietary diversity and strategies for nutrition behaviour change....

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Published in:Maternal and child nutrition 2019-04, Vol.15 (2), p.e12694-n/a
Main Authors: Klassen, Ann C., Milliron, Brandy Joe, Suehiro, Yuki, Abdulloeva, Safina, Leonberg, Beth, Grossman, Suzanne, Chenault, Margaret, Bossert, Lisa, Maqsood, Jalal, Abduzhalilov, Rauf, Iskandari, Malika
Format: Article
Language:English
Subjects:
Adult
Central Asia
Child, Preschool
Culture
Diet - methods
dietary diversity
Female
Health Knowledge, Attitudes, Practice
Humans
Infant
Infant Food - statistics & numerical data
Infant Nutritional Physiological Phenomena
IYCF
Male
Original
poverty
Poverty - statistics & numerical data
Rural Population
Surveys and Questionnaires
Tajikistan
undernutrition
Young Adult
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description Dietary diversity is a key component of infant and young child feeding (IYCF) as well as adult health. In Tajikistan, a predominantly rural, former Soviet country in Central Asia, we conducted formative research to identify barriers to dietary diversity and strategies for nutrition behaviour change. In Spring, 2016, mixed‐methods data collection took place across 13 villages in all five regions, collecting collaborative mapping; structured assessments of stores and markets; home visits for dietary recalls; food storage, preparation, and meal observations; focus groups with pregnant women, mothers of young children, fathers, and mothers‐in‐law; and in‐depth expert interviews with local nutrition and health influentials. Overall, maternal diet was adequate in terms of diversity (only 13% reported
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In Tajikistan, a predominantly rural, former Soviet country in Central Asia, we conducted formative research to identify barriers to dietary diversity and strategies for nutrition behaviour change. In Spring, 2016, mixed‐methods data collection took place across 13 villages in all five regions, collecting collaborative mapping; structured assessments of stores and markets; home visits for dietary recalls; food storage, preparation, and meal observations; focus groups with pregnant women, mothers of young children, fathers, and mothers‐in‐law; and in‐depth expert interviews with local nutrition and health influentials. Overall, maternal diet was adequate in terms of diversity (only 13% reported &lt;5/10 food groups in the past 24 hr); however, only 42% of index children 6–24 months met WHO guidelines for diversity, and only 34% met minimum acceptable diet criteria. In addition to issues of poverty and food scarcity, qualitative data reveal many behavioural barriers to timely introduction of diverse complementary foods. Women's strategies focused on gradual introduction of household diet components, without regard for diversity or nutrition. Foods such as meat were seen as costly and thus inappropriate for IYCF, and food taboos (i.e., fresh vegetables) further reduced diversity. Infant food preparation methods such as grinding were seen as impractical, and many foods were withheld until children develop teeth. 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subjects Adult
Central Asia
Child, Preschool
Culture
Diet - methods
dietary diversity
Female
Health Knowledge, Attitudes, Practice
Humans
Infant
Infant Food - statistics & numerical data
Infant Nutritional Physiological Phenomena
IYCF
Male
Original
poverty
Poverty - statistics & numerical data
Rural Population
Surveys and Questionnaires
Tajikistan
undernutrition
Young Adult
title “Then you raise them with Shirchoy or cookies”: Understanding influences on delayed dietary diversity among children in Tajikistan
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