TY - JOUR
T1 - Agroforestry diversity, indigenous food consumption and nutritional outcomes in Sauria Paharia tribal women of Jharkhand, India
AU - Ghosh-Jerath, Suparna
AU - Kapoor, Ridhima
AU - Singh, Archna
AU - Nilima,
AU - Downs, Shauna
AU - Goldberg, Gail
AU - Fanzo, Jessica
N1 - Funding Information:
This work was supported by the DBT/Wellcome Trust India Alliance Fellowship ( https://www.indiaalliance.org/ ; IA/CPHI/16/1/502639) awarded to Suparna Ghosh‐Jerath. The authors would like to acknowledge the invaluable contribution of staff at ‘Ekjut’, a grassroots NGO in Jharkhand. We would specifically like to acknowledge the support of Mr Mohd Sarfraz Ali during data collection phase of the study. We are very grateful to Ms Kiran Kumari Pasi, Deputy Commissioner Godda District, Jharkhand, for her genuine interest and support for our work. We would like to thank Dr R.D. Paswan, Civil Surgeon Godda, for granting permission to conduct the study. The authors would like to recognize the contribution of Mr Manoj Soni for development of android based data collection platform for the study, which has enhanced the quality and efficiency of field data collection manifold. Authors would also like to thank all the field staff, interns and nutrition consultants and ASHAs and Anganwadi workers in the study villages for their support during all phases of the study and their warmth and cooperation that has made this study an enriching and mutually satisfying experience. Lastly, we would owe a debt of gratitude to the Sauria Paharia families especially for the time given during the sowing season, sparing those invaluable hours for us amidst a critical phase of their agricultural cycle. We hope that our findings will be able to compensate for their contribution in some small measure.
PY - 2021/1
Y1 - 2021/1
N2 - Like several indigenous populations, Sauria Paharias, a vulnerable indigenous tribal group residing in a biodiverse environment of Jharkhand, India, have high levels of undernutrition. We assessed agroforestry and dietary diversity, food consumption especially indigenous food (IF) intake and nutritional status of Sauria Paharia women through a cross-sectional study conducted in 18 villages of Godda district, Jharkhand. Household level information was elicited through household surveys including a dietary survey and a food frequency questionnaire. Twenty-four-hour dietary recalls (24 HDR) and anthropometric assessments were taken on one randomly selected woman per household. An index, Food Accessed Diversity Index (FADI) created to measure agroforestry diversity, showed a low mean score of 0.21 ± 0.15 and range: 0, 0.85. Fifty-nine percent of women consumed any IF during 24 HDR. Median minimum dietary diversity score for women (MDD-W) was 3 (acceptable score ≥5). More than 96% of women had intakes below estimated average requirements for all nutrients studied (energy; vitamins A, C, thiamine, riboflavin, niacin, pyridoxine; folate; iron; calcium and zinc) except protein; 41% women were underweight. IF consumption was independently associated with calcium and vitamin A intake. Decision trees developed for micronutrient consumption at different levels of MDD-W score and IF consumption scenarios revealed 1.3 to 2.9 times higher consumption of micronutrients among women with MDD-W ≥ 3 or 4. Strategies like agricultural extension programmes promoting indigenous varieties and nutrition education for increasing dietary diversity with IFs have potential to address undernutrition in Sauria Paharia women.
AB - Like several indigenous populations, Sauria Paharias, a vulnerable indigenous tribal group residing in a biodiverse environment of Jharkhand, India, have high levels of undernutrition. We assessed agroforestry and dietary diversity, food consumption especially indigenous food (IF) intake and nutritional status of Sauria Paharia women through a cross-sectional study conducted in 18 villages of Godda district, Jharkhand. Household level information was elicited through household surveys including a dietary survey and a food frequency questionnaire. Twenty-four-hour dietary recalls (24 HDR) and anthropometric assessments were taken on one randomly selected woman per household. An index, Food Accessed Diversity Index (FADI) created to measure agroforestry diversity, showed a low mean score of 0.21 ± 0.15 and range: 0, 0.85. Fifty-nine percent of women consumed any IF during 24 HDR. Median minimum dietary diversity score for women (MDD-W) was 3 (acceptable score ≥5). More than 96% of women had intakes below estimated average requirements for all nutrients studied (energy; vitamins A, C, thiamine, riboflavin, niacin, pyridoxine; folate; iron; calcium and zinc) except protein; 41% women were underweight. IF consumption was independently associated with calcium and vitamin A intake. Decision trees developed for micronutrient consumption at different levels of MDD-W score and IF consumption scenarios revealed 1.3 to 2.9 times higher consumption of micronutrients among women with MDD-W ≥ 3 or 4. Strategies like agricultural extension programmes promoting indigenous varieties and nutrition education for increasing dietary diversity with IFs have potential to address undernutrition in Sauria Paharia women.
KW - dietary diversity
KW - indigenous foods
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U2 - 10.1111/mcn.13052
DO - 10.1111/mcn.13052
M3 - Article
AN - SCOPUS:85088588764
VL - 17
JO - Maternal and Child Nutrition
JF - Maternal and Child Nutrition
SN - 1740-8695
IS - 1
M1 - e13052
ER -