10 results on '"Schreinemachers, Pepijn"'
Search Results
2. Identifying positive and negative deviants and factors associated with healthy dietary practices among young schoolchildren in Nepal: a mixed methods study
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Shahi, Prasant Vikram, Shrestha, Rachana Manandhar, Schreinemachers, Pepijn, Shibanuma, Akira, Kiriya, Junko, Ong, Ken Ing Cherng, and Jimba, Masamine
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- 2023
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3. Africa’s evolving vegetable seed sector: status, policy options and lessons from Asia
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Schreinemachers, Pepijn, Howard, Julie, Turner, Michael, Groot, Simon N., Dubey, Bhupen, Mwadzingeni, Learnmore, Chagomoka, Takemore, Ngugi, Michael, Afari-Sefa, Victor, Hanson, Peter, and Wopereis, Marco C. S.
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- 2021
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4. Effect of an Integrated School Garden and Home Garden Intervention on Anemia Among School-Aged Children in Nepal: Evidence From a Cluster Randomised Controlled Trial.
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Baliki, Ghassan, Weiffen, Dorothee, Schreinemachers, Pepijn, Shrestha, Akina, Shrestha, Rachana Manandhar, Schreiner, Monika, and Brück, Tilman
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SCHOOL children ,SCHOOL gardens ,SCHOOL integration ,CLUSTER randomized controlled trials ,NUTRITION ,HOME schooling ,AGRICULTURE - Abstract
Background: Integrated school and home garden interventions can improve health outcomes in low-income countries, but rigorous evidence remains scarce, particularly for school-aged children and to reduce anemia. Objective: We test if an integrated school and home garden intervention, implemented at pilot stage, improves hemoglobin levels among school children (aged 9-13 years) in a rural district in the mid-hills of Nepal. Methods: We use a cluster randomized controlled trial with 15 schools each in the control and treatment groups (n = 680 school children). To test if nutritional improvements translate into a reduction of anemia prevalence, hemoglobin data were collected 6 months after intervention support had ended. Using structural equation modeling, we estimate the direct and indirect effects of the treatment through several pathways, including nutritional knowledge, good food and hygiene practices, and dietary diversity. Results: The integrated school and home garden intervention did not lead to a direct significant reduction in anemia. Causal positive changes of the treatment on nutritional outcomes, although significant, are not strong enough to impact hemoglobin levels. The program improved hemoglobin levels indirectly for children below 12 by increasing the use of good food and hygiene practices at home. These practices are associated with higher hemoglobin levels, particularly for girls, young children, and in households where caregivers are literate. Conclusions: Even integrated school and home garden interventions are not sufficient to reduce anemia among school children. Incorporating behavioral change components around food and hygiene practices into integrated garden interventions is important to unlocking their health impacts. Plain language title: Effect of a Joint School and Home Garden Programme on Child Health Among School-Aged Children in Nepal Plain language summary: The effects of agricultural and nutritional support programs on health are not fully understood. This article looks at school and home gardens, which are gaining attention in the research and development community, but evidence for their effects is limited, particularly for lower-income countries. We examine whether a joint school and home garden program improves blood iron levels among school children (aged 9-13 years) in rural Nepal. Low levels are an indicator for anemia—a common nutritional disorder in South Asia. Our data come from an experiment involving 30 schools and 680 children and was measured via a finger prick method 6 months after program support ended. We also evaluate if the program influenced blood iron levels through the nutritional knowledge of children and their caregivers; through the use of good food and hygiene practices at home and the children's dietary diversity. Our results indicate that the program did not lead to a direct reduction in anemia. However, for children under the age of 12, the program indirectly improved blood iron levels through behavioral changes in the use of good food and hygiene practices (e.g., washing hands before eating). We therefore argue that including education on nutrition and good food and hygiene practices as part of integrated garden support programs is key to improving children's health. [ABSTRACT FROM AUTHOR]
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- 2023
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5. The effect of women’s home gardens on vegetable production and consumption in Bangladesh
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Schreinemachers, Pepijn, Patalagsa, Marie Antoinette, Islam, Md. Rafiqul, Uddin, Md. Nasir, Ahmad, Shahabuddin, Biswas, Sitesh Chandra, Ahmed, Md. Tanvir, Yang, Ray-Yu, Hanson, Peter, Begum, Shawkat, and Takagi, Chifumi
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- 2015
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6. Sustaining Agriculture and Nutrition Interventions: Continued Engagement of Village Model Farmers in Nepal.
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Bhandari, Shiva, Frongillo, Edward A., Suwal, Rojee, Schreinemachers, Pepijn, Gupta, Aman Sen, Blake, Christine E., Tiwari, Narayan Prasad, and Cunningham, Kenda
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COMMUNITY health workers ,ETHNIC groups ,BIVARIATE analysis ,AGRICULTURE ,VEGETABLE farming ,NUTRITION ,CHILD rearing - Abstract
Background: In homestead food production (HFP) programs, village model farmers (VMFs), after training, implement agriculture and nutrition activities to improve household knowledge and practices. Little evidence exists on what enables VMFs to remain actively engaged and for impacts to be sustained.Objective: To examine variables explaining active engagement of VMFs, at least 4 years post-training, in an HFP program in Nepal.Methods: We used cross-sectional data, collected from 2018 to 2019, among 4750 VMFs of Suaahara, a multisectoral nutrition program. We assessed whether respondents registered their HFP group with the local government, conducted regular group meetings, discussed vegetable growing and chicken rearing practices with group members, or engaged in saving and credit activities in their HFP group. Outcome variable was a count of these 4 activities in which the VMF engaged. Socioeconomic, demographic, and programmatic explanatory variables were identified a priori and by bivariate analysis and were adjusted in ordinal regression models accounting for clusters.Results: On average, VMFs engaged in 1.4 activities. Having attended primary or secondary school (adjusted odds ratios [AOR] = 1.39), being a female community health volunteer (AOR = 1.27), being from an advantaged caste/ethnic group (AOR = 1.34), receiving additional trainings (AOR = 1.56) and inputs (AOR = 1.31) were associated with more active engagement of VMFs.Conclusion: Village model farmers receiving more training and inputs were more likely to remain actively engaged. Female community health workers, people from higher caste/ethnic groups, and those with primary or secondary education were more likely to remain active VMFs and could be targeted for this role in HFP programs leading to sustained impact. [ABSTRACT FROM AUTHOR]- Published
- 2022
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7. Vegetables for Healthy Diets in Low- and Middle-Income Countries: A Scoping Review of the Food Systems Literature.
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Harris, Jody, Tan, Winson, Raneri, Jessica E., Schreinemachers, Pepijn, and Herforth, Anna
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Background: Vegetables are an essential element in healthy diets, but intakes are low around the world and there is a lack of systematic knowledge on how to improve diets through food system approaches. Methods: This scoping review assessed how studies of food systems for healthy diets have addressed the role of vegetables in low- and middle-income countries. We apply the PRISMA guidelines for scoping reviews to narratively map the literature to an accepted food systems framework and identify research gaps. Results: We found 1383 relevant articles, with increasing numbers over 20 years. Only 6% of articles looked at low-income countries, and 93% looked at single-country contexts. Over half of articles assessed vegetables as a food group, without looking at diversity within the food group. 15% looked at traditional vegetables. Issues of physical access to food were among the least studied food system topics in our review (7% of articles). Only 15% of articles used a comprehensive food system lens across multiple dimensions. There is also a research gap on the impacts of different policy and practice interventions (13% of articles) to enable greater vegetable consumption. Conclusions: Food system studies necessarily drew on multiple disciplines, methods and metrics to describe, analyze, and diagnose parts of the system. More work is needed across disciplines, across contexts, and across the food system, including understanding interventions and trade-offs, and impacts and change for diets particularly of marginalized population groups. Filling these gaps in knowledge is necessary in order to work toward healthy vegetable-rich diets for everyone everywhere. [ABSTRACT FROM AUTHOR]
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- 2022
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8. Drivers of Food Choice among Children and Caregivers in Post-earthquake Nepal.
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Schreinemachers, Pepijn, Shrestha, Rachana Manandhar, Gole, Bishal, Bhattarai, Dhruba Raj, Ghimire, Puspa Lal, Subedi, Bhishma P., Brück, Tilman, Baliki, Ghassan, Gautam, Ishwori P., and Blake, Christine E.
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FOOD habits , *NEPAL Earthquake, 2015 , *SNACK foods , *DIETARY fiber , *FOOD consumption , *MEAT - Abstract
Food systems in many countries are experiencing a shift from traditional foods toward processed foods high in sugar, fat and salt, but low in dietary fiber and micronutrients. There is an urgent need to better understand drivers of changing food behavior, particularly for lower-income countries. This study analyzes drivers of food choice among children and parents in rural Nepal. It uses qualitative data collected through key informant interviews and focus group discussions with school children, parents and teachers. The study reveals substantial changes in food behavior during the past decade with increased consumption of rice, meat, and highly processed snack foods while an increased consumption of fruit and vegetables is not evident. It identifies cash availability is the main driver of increased rice, meat and snack food consumption. The second driver is the 2015 Nepal earthquake, which accelerated the transition from homegrown food to purchased food as people got habituated to eating more meat and snack foods while reconstruction tripled local wages and changed the food environment. This shows how humanitarian assistance in the wake of extreme shocks can unintentionally contribute to unhealthy eating habits. An integrated school and home garden intervention appears to contribute to healthier diets. [ABSTRACT FROM AUTHOR]
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- 2021
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9. DATASET: Impact of training rural households in home gardening and nutrition in Combination with quality vegetable seed supplies in Cambodia
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Brown, Stuart and Schreinemachers, Pepijn
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QUALITY VEGETABLE SEED SUPPLY ,HOME GARDENS ,CAMBODIA ,NUTRITION ,RURAL DEVELOPMENT - Abstract
Despite Cambodia's rapid economic growth in the most recent decade, levels of poverty and malnutrition remain high. Home garden vegetable production combined with nutrition training has the potential to abate these problems through the increased production and intake of nutrient-dense vegetables by household members and the creation of income for women from selling some of the produce. Evidence for the nutritional impact of home garden interventions is available for low income countries in Africa and Asia, but the evidence base remains small (Ruel and Alderman 2013; DFID 2014). For Cambodia, Olney et al. (2009) previously evaluated the impact of the homestead food production program of Hellen Keller International. Their study found that households included in the program produced and consumed more fruit and vegetables and that this was associated with greater dietary diversity, though not with improved maternal and child health and nutritional outcomes. The USAID-funded project "Deploying vegetable seed kits to tackle malnutrition in Cambodia" (USAID Award Number: AID-BFS-IO-12-00004) aims to contribute to reduced malnutrition, especially of women and children, through diet diversification by promoting the production and consumption of vegetables as affordable sources of essential vitamins and micronutrients. The project aims to achieve this through the deployment of diet-enhancing vegetable home garden seed kits and the development of household gardens in combination with nutrition training in each country in partnership with private seed companies, local and national governments, nutrition & health partners, and USAID mission and programs. The project is planned for a period of 3 years from October 2015 to September 2018. The objective of this study is to evaluate the impact of the project on key nutritional outcome indicators by applying a randomized controlled trial design. This document describes the intervention design and study implementation plan.
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- 2017
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10. Fruit and vegetable biodiversity for nutritionally diverse diets: Challenges, opportunities, and knowledge gaps.
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Harris, Jody, van Zonneveld, Maarten, Achigan-Dako, Enoch G., Bajwa, Babar, Brouwer, Inge D., Choudhury, Dhrupad, de Jager, Ilse, de Steenhuijsen Piters, Bart, Dulloo, M. Ehsan, Guarino, Luigi, Kindt, Roeland, Mayes, Sean, McMullin, Stepha, Quintero, Marcela, and Schreinemachers, Pepijn
- Abstract
Planetary health brings together intrinsically linked issues of human health and natural systems. This paper reviews evidence of how agrobiodiversity underpins dietary diversity for current human populations in the context of fruits and vegetables, and ways to maintain and improve these for future generations. Both the conservation and sustainable use of fruit and vegetable biodiversity and the consumption of diverse diets are sub-optimal, and in many contexts getting worse. Agrobiodiversity and nutrition are linked through food availability, access, conservation and consumption, with potential win-wins but notable trade-offs for policy and action through time, place, agrobiodiversity use, and equity. We pinpoint research gaps and call for inclusive deliberation for action. • Conservation of fruit and vegetable biodiversity and consumption of diverse diets are sub-optimal. • Agrobiodiversity and nutrition are linked through food availability, access, conservation, and consumption. • There are potential win-wins and trade-offs for policy and action, building on food systems. • More research is needed, particularly in the context of fruit and vegetable biodiversity and diets in different contexts. [ABSTRACT FROM AUTHOR]
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- 2022
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