인도·남아시아

Micronutrient malnutrition is a serious public health problem among women and children in Bangladesh, Cambodia, Nepal and the Philippines. Helen Keller International has been implementing homestead food production (HFP) programs (coupled with nutrition education) in these countries to increase and ensure year-round availability and intake of micronutrient-rich foods in poor households, particularly among women and children.  Between 2003 and 2007, the HFP program was implemented among ~30,000 households in these four countries. Data collected from representative samples taken for evaluations of HFP programs in these countries illustrated the benefit of the program for households. Data were collected through interviews with households in villages that had the HFP program and from control households in non-HFP program villages. Blood samples collected from ~1000 children aged 6-59 months and ~1200 non-pregnant women before and after program implementation were analyzed for hemoglobin. The review showed that the HFP program significantly improved dietary diversification. The combined data from all four countries showed improved animal food consumption among program households, with liver consumption increasing from 24% at baseline to 46% at endline and the median number of eggs consumed by families per week increasing from 2 to 5.  The sale of HFP products also improved household income. Anemia prevalence among children in program households decreased in all the countries; however, the decrease was only significant in Bangladesh and the Philippines.  Although anemia prevalence also decreased among control households in three countries, the magnitude of change was higher in program households compared with control households.