Reed B A, Habicht J P
Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.
Lancet. 1998 Jan 10;351(9096):128-30. doi: 10.1016/S0140-6736(97)06329-0.
In 1996 the sale and export of food aid from refugee camps near Uvira, Zaire, prompted a reduction in donated rations. However, research has revealed that the sales did not reflect an excess of food in the camps. They were provoked by the absence of important components of the food basket, by cultural aversion to the staple (maize) and oil provided, by difficulties in food preparation, and by the refugees' limited ability to diversify their diet and cover pressing non-food needs. Food sales improved the micronutrient content of diets but at the expense of energy lost from an already energy-deficient diet. At most 23% of the refugee households were eating sufficient and adequate diets; the poorest one-fifth of households were twice as likely to sell or exchange food as were other households and their diets were the worst. These findings demonstrate the perils of the gap between policy and practice in food-aid distribution.
1996年,扎伊尔乌维拉附近难民营的食品援助销售和出口导致捐赠口粮减少。然而,研究表明,这些销售并非反映难民营食物过剩。其原因是食物篮缺乏重要组成部分、对提供的主食(玉米)和油存在文化抵触、食物制备困难,以及难民在饮食多样化和满足紧迫非食物需求方面能力有限。食品销售改善了饮食中的微量营养素含量,但代价是本就能量不足的饮食中能量流失。最多只有23%的难民家庭饮食充足且营养均衡;最贫困的五分之一家庭出售或交换食物的可能性是其他家庭的两倍,而且他们的饮食最差。这些发现表明了粮食援助分配政策与实践之间差距的危险性。