Small-scale egg production centres increase children's egg consumption in rural Zambia
Dumas SE, Lewis D, Travis AJ
Maternal & child nutrition · 15 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Cross-sectional study (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
- Intake measured by
- Not stated
Who paid for it
- Funding
- Independent funding
- Government
- National Institutes of Health
- University or hospital
- College of Veterinary Medicine, Cornell University
- University or hospital
- David R. Atkinson Center for a Sustainable Future , Cornell University
- Government
- National Center for Advancing Translational Sciences
- Government
- NIH HHS
- Government
- NCATS NIH HHS
- Grants
- National Center for Advancing Translational Sciences (UL1TR000457); National Center for Advancing Translational Sciences (UL1‐TR‐002384); National Institutes of Health (T32OD011000); National Institutes of Health (UL1TR000457)
Based on 6 listed funder(s).
Publication
- Published
- 2018-10-01 · Matern Child Nutr · vol. 14 · issue S3 · p. e12662
- Publisher
- Wiley
- Cited
- 26 citations · more than 81% of similar papers · 1.6× the field average
- References
- 52 works
- Access
- Free to read
- Research areas
- Child Nutrition and Water Access · Poverty, Education, and Child Welfare · Innovation and Socioeconomic Development
- Keywords
- Medicine, Consumption (sociology), Logistic regression, Productivity, Environmental health, Rural area, Production (economics), Demography, Economic growth
- MeSH
- animals, chickens, humans, diet, cross-sectional studies, social welfare, agriculture, eggs, child, preschool, infant, rural population, zambia, female, male, infant nutritional physiological phenomena, child nutritional physiological phenomena, diet, healthy
3 authors
From US
- Sarah E. DumasCornell University; New York State College of Veterinary Medicine; Cornell Atkinson Center for Sustainability
- Dale Lewis
- Alexander J. Travis · correspondingCornell University; New York State College of Veterinary Medicine; Cornell Atkinson Center for Sustainability
Abstract
Animal source foods can efficiently enhance dietary quality, but they remain inaccessible and unaffordable for many women and young children in remote, low-income communities. We piloted an intervention in which 20 groups established egg production centres (EPCs) in their rural Zambian communities to increase the availability of eggs in the local food system. In a repeated cross-sectional design over 1 year (midline [4 months after the start of egg production] and endline [11 months]), we evaluated programme impact on household egg acquisition within those communities and on egg consumption and height-for-age z score (HAZ) among young children (6-36 months) using multilevel linear, logistic, and truncated negative binomial regression techniques. At midline, households in project areas were significantly more likely to consume eggs than those in control areas (OR 2.08, 95% CI [1.56, 2.78]), particularly those located within 250 m of the EPC. Similarly, children living in project communities were significantly more likely to consume eggs at midline than those in control areas (OR 5.53, 95% CI [2.90, 10.58]). Although increased over baseline, egg acquisition and consumption decreased by endline because of depressed egg production over time. There was no impact on children's HAZ, likely because of the short follow-up time and relatively modest "dose" of egg consumption. Although productivity can be improved, the EPC programme offers a novel approach to improving access to eggs in rural communities, and optimization of the production practices and marketing is needed to ensure that egg consumption translates to improved dietary quality, growth, and health.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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