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改善妇女营养对南亚迅速减少儿童发育迟缓至关重要:营养特定干预措施与营养敏感措施相结合必不可少。

Improving women's nutrition imperative for rapid reduction of childhood stunting in South Asia: coupling of nutrition specific interventions with nutrition sensitive measures essential.

作者信息

Vir Sheila C

机构信息

Public Health Nutrition and Development Centre, New Delhi, India.

出版信息

Matern Child Nutr. 2016 May;12 Suppl 1(Suppl 1):72-90. doi: 10.1111/mcn.12255.

Abstract

The implications of direct nutrition interventions on women's nutrition, birth outcome and stunting rates in children in South Asia are indisputable and well documented. In the last decade, a number of studies present evidence of the role of non-nutritional factors impacting on women's nutrition, birth outcome, caring practices and nutritional status of children. The implications of various dimensions of women's empowerment and gender inequality on child stunting is being increasingly recognised. Evidence reveals the crucial role of early age of marriage and conception, poor secondary education, domestic violence, inadequate decision-making power, poor control over resources, strenuous agriculture activities, and increasing employment of women and of interventions such as cash transfer scheme and microfinance programme on undernutrition in children. Analysis of the nutrition situation of women and children in South Asia and programme findings emphasise the significance of reaching women during adolescence, pre-conception and pregnancy stage. Ensuring women enter pregnancy with adequate height and weight and free from being anemic is crucial. Combining nutrition-specific interventions with measures for empowerment of women is essential. Improvement in dietary intake and health services of women, prevention of early age marriage and conception, completion of secondary education, enhancement in purchasing power of women, reduction of work drudgery and elimination of domestic violence deserve special attention. A range of programme platforms dealing with health, education and empowerment of women could be strategically used for effectively reaching women prior to and during pregnancy to accelerate reduction in stunting rates in children in South Asia.

摘要

直接营养干预对南亚妇女营养、生育结局及儿童发育迟缓率的影响是无可争议且有充分记录的。在过去十年中,一些研究提供了证据,证明非营养因素对妇女营养、生育结局、育儿方式及儿童营养状况的影响。妇女赋权和性别不平等的各个方面对儿童发育迟缓的影响正日益得到认可。有证据表明,早婚早孕、中等教育水平低、家庭暴力、决策权不足、对资源控制不力、繁重的农业活动、妇女就业增加,以及现金转移计划和小额融资计划等干预措施对儿童营养不良都起着关键作用。对南亚妇女和儿童营养状况的分析以及项目结果强调了在青春期、孕前和孕期接触妇女的重要性。确保妇女在怀孕时身高体重适宜且不贫血至关重要。将特定营养干预措施与妇女赋权措施相结合至关重要。改善妇女的饮食摄入和保健服务、预防早婚早孕、完成中等教育、增强妇女购买力、减轻工作负担以及消除家庭暴力值得特别关注。一系列涉及妇女健康、教育和赋权的项目平台可被战略性地用于在怀孕前和孕期有效接触妇女,以加速降低南亚儿童的发育迟缓率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a2/6860083/4bd2de6eb2bf/MCN-12-72-g001.jpg

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