Global Alliance for Improved Nutrition (GAIN), Geneva, Switzerland.
Oxford Policy Management Ltd., Abuja, Nigeria.
Matern Child Nutr. 2023 Jan;19(1):e13442. doi: 10.1111/mcn.13442. Epub 2022 Nov 10.
Adequate intake of high-quality nutritious foods during infancy and early childhood is critical to achieving optimal growth, cognitive and behavioural development, and economic productivity later in life. Integrating high-quality and nutrient-dense animal source foods (ASFs), a major source of protein and micronutrients, into children's diets is increasingly considered essential to reducing the global burden of malnutrition in low- and middle-income countries. While eggs are an ASF that shows promise for mitigating child undernutrition, interventions promoting egg consumption among children have had mixed results in improving egg intake and child growth outcomes. As part of an evaluation of a demand creation campaign promoting egg consumption, qualitative research was carried out in September 2019 to assess sociocultural and household factors affecting egg intake among young children living in Kaduna State, Nigeria, where a thriving egg industry and childhood stunting rates of 50% exist. Methods included freelisting exercises (11), key informant interviews (11), in-depth interviews (25) and FGDs (4). Results illuminated cultural rules that restrict egg consumption among children living in low-income households. These rules and norms reflect social and economic valuations that foster male dominance in household decision-making and guide food purchasing and intrahousehold food allocation that allow men to consume eggs more regularly. Study results highlight sociocultural considerations when selecting food interventions to address child malnutrition in low-income contexts. Interventions encouraging increased consumption of ASFs, and specifically eggs in young children, should be informed by formative research to understand sociocultural norms and beliefs guiding egg consumption.
在婴儿期和幼儿期摄入足够的高质量营养食物,对于实现最佳生长、认知和行为发育以及日后的经济生产力至关重要。将高质量和营养密集型的动物源食品(ASF),即蛋白质和微量营养素的主要来源,纳入儿童饮食中,被认为是减少中低收入国家全球营养不良负担的关键。虽然鸡蛋是一种具有减轻儿童营养不足潜力的 ASF,但促进儿童食用鸡蛋的干预措施在改善鸡蛋摄入量和儿童生长结果方面的效果参差不齐。作为一项推广鸡蛋消费的需求创造运动评估的一部分,2019 年 9 月开展了定性研究,以评估影响尼日利亚卡杜纳州幼儿鸡蛋摄入量的社会文化和家庭因素,该州鸡蛋产业蓬勃发展,儿童发育迟缓率为 50%。方法包括自由列表练习(11 项)、关键知情人访谈(11 项)、深入访谈(25 项)和焦点小组讨论(4 项)。研究结果揭示了限制低收入家庭儿童食用鸡蛋的文化规则。这些规则和规范反映了社会和经济价值观,这些价值观助长了家庭决策中的男性主导地位,并指导了食品采购和家庭内部的食品分配,使男性能够更经常地食用鸡蛋。研究结果强调了在选择针对低收入背景下儿童营养不良的食物干预措施时需要考虑社会文化因素。鼓励增加 ASF 消费,特别是幼儿食用鸡蛋的干预措施,应通过形成性研究来了解指导鸡蛋消费的社会文化规范和信念。