School of Health and Welfare, Dalarna University, Falun, Sweden.
Research Evaluation, Accountability, Learning and Monitoring (REALM) Save the Children International, Somalia Country Office, Mogadishu, Somalia.
Matern Child Nutr. 2024 Oct;20(4):e13707. doi: 10.1111/mcn.13707. Epub 2024 Jul 31.
The study aimed to assess household and child dietary diversity in Southern Somalia by identifying determinants of adequate dietary diversity in three internally displaced person (IDP) camps in Baidoa, Dayniile and Dharkanley. A total of 1655 female main caregivers with 2370 children (6-59 months old) were included. Data on household dietary diversity score and child dietary diversity score indicators were collected from all households. The questionnaire was read face-to-face to the female main caregivers. Multivariate logistic regression analysis was performed to identify factors associated with adequate dietary diversity, which was defined as the consumption of at least four food groups within 24 h before the survey. The proportion of households achieving adequate HDDS was high in all locations 95.8%, 96.9% and 89.0% in Baidoa, Dharkanley and Dayniile, respectively, and the total adequate household dietary diversity score (AHDDS) was 95.6%. The proportion of adequate child dietary diversity score (ACDDS) was achieved in 63.5%, 8.5% and 38.3%. The main factors associated with AHDDS were larger household size, greater wealth, attendance of antenatal care (ANC) and joint decision-making between husband and wife, while factors associated with ACDDS included ANC attendance, age, the consumption of ready-to-use therapeutic food and deworming tablets. These findings can guide future programmes and policies aimed at improving maternal and child nutrition in IDP camps in Somalia. By tackling these diverse factors, a promising pathway emerges to enhance the nutritional welfare of both households and children in IDP camps.
本研究旨在评估索马里南部家庭和儿童的饮食多样性，方法是确定拜多阿、达尼勒和达卡勒莱 3 个境内流离失所者营地中 1655 名主要女性照顾者及其 2370 名 6-59 个月大儿童的饮食多样性充足的决定因素。从所有家庭收集有关家庭饮食多样性评分和儿童饮食多样性评分指标的数据。问卷是逐一向女性主要照顾者朗读的。采用多变量逻辑回归分析来确定与充足饮食多样性相关的因素，充足饮食多样性定义为在调查前 24 小时内至少摄入 4 种食物组。拜多阿、达卡勒莱和达尼勒的家庭达到充足 HDDS 的比例分别为 95.8%、96.9%和 89.0%，总充足家庭饮食多样性评分（AHDDS）为 95.6%。达到充足儿童饮食多样性评分（ACDDS）的比例分别为 63.5%、8.5%和 38.3%。与 AHDDS 相关的主要因素是家庭规模较大、财富较多、参加产前护理（ANC）和夫妻共同决策，而与 ACDDS 相关的因素包括参加 ANC、年龄、使用即食治疗食品和驱虫片。这些发现可以为今后旨在改善索马里境内流离失所者营地母婴营养的方案和政策提供指导。通过解决这些多样化的因素，为改善境内流离失所者营地家庭和儿童的营养福利开辟了一条有希望的途径。
