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1.
J Nutr ; 151(8): 2245-2254, 2021 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-34036351

RESUMO

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic and associated lockdown measures have disrupted educational and nutrition services globally. Understanding the overall and differential impacts of disruption of nutritional (school feeding) services is critical for designing effective post-COVID-19 recovery policies. OBJECTIVES: The aim of this study was to examine the impact of COVID-19-induced disruption of school feeding services on household food security in Nigeria. METHODS: We combined household-level, pre-COVID-19 in-person survey data with postpandemic phone survey data, along with local government area (LGA)-level information on access to school feeding services. We used a difference-in-difference approach and examined temporal trends in the food security of households with and without access to school feeding services. Of the sampled households, 83% live in LGAs with school feeding services. RESULTS: Households experienced an increase in food insecurity in the post-COVID-19 survey round. The share of households skipping a meal increased by 47 percentage points (95% CI: 44-50 percentage points). COVID-19-induced disruptions of school feeding services increased households' experiences of food insecurity, increasing the probability of skipping a meal by 9 percentage points (95% CI: 3-17 percentage points) and the likelihood of going without eating for a whole day by 3 percentage points (95% CI: 2-11 percentage points). Disruption of school feeding services is associated with a 0.2 SD (95% CI: 0.04-0.41 SD) increase in the food insecurity index. Households residing in states experiencing strict lockdown measures reported further deterioration in food insecurity. Single mothers and poorer households experienced relatively larger deteriorations in food security due to disruption of school feeding services. CONCLUSIONS: Our findings show that COVID-19-induced disruptions in educational and nutritional services have exacerbated households' food insecurity in Nigeria. These findings can inform the designs of immediate and medium-term policy responses, including the designs of social protection policies and alternative programs to substitute nutritional services affected by the pandemic.


Assuntos
COVID-19/epidemiologia , Insegurança Alimentar , Serviços de Alimentação , SARS-CoV-2 , Adulto , Criança , Feminino , Segurança Alimentar , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Instituições Acadêmicas
2.
Food Policy ; 101: 102099, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-36570064

RESUMO

This paper combines pre-pandemic face-to-face survey data with follow up phone surveys collected in April-May 2020 to examine the implication of the COVID-19 pandemic on household food security and labor market participation outcomes in Nigeria. To examine these relationships and implications, we exploit spatial variation in exposure to COVID-19 related infections and lockdown measures, along with temporal differences in our outcomes of interest, using a difference-in-difference approach. We find that households exposed to higher COVID-19 case rates or mobility lockdowns experience a significant increase in measures of food insecurity. Examining possible transmission channels for this effect, we find that the spread of the pandemic is associated with significant reductions in labor market participation. For instance, lockdown measures are associated with 6-15 percentage points increase in households' experience of food insecurity. Similarly, lockdown measures are associated with 12 percentage points reduction in the probability of participation in non-farm business activities. These lockdown measures have limited implications on wage-related activities and farming activities. In terms of food security, households relying on non-farm businesses, poorer households, and those living in remote and conflicted-affected zones have experienced relatively larger deteriorations in food security. These findings can help inform immediate and medium-term policy responses, including social protection policies aiming at ameliorating the impacts of the pandemic.

3.
PLoS One ; 14(4): e0215110, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30947311

RESUMO

[This corrects the article DOI: 10.1371/journal.pone.0212775.].

4.
PLoS One ; 14(2): e0212775, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30817794

RESUMO

BACKGROUND: Nutrition outcomes among young children in Nigeria are among the worse globally. Mother's limited knowledge about food choices, feeding, and health care seeking practices contributes significantly to negative nutrition outcomes for children in most developing countries. Much less is known about the relationship between mother's nutrition-related knowledge and child nutritional outcomes in rural Nigeria. This paper investigates therefore: (i) the association of mother's nutrition-related knowledge with nutrition outcomes of young children living in rural Nigeria, where access to education is limited, and (ii) whether mother's education has a complementary effect on such knowledge in producing positive child nutrition outcomes in such settings. METHODS: Using the Demographic and Health Survey data for Nigeria, we employ both descriptive and regression analyses approaches in analyzing the study's objectives. In particular, we apply ordinary least square (OLS) to investigate the association of mother's nutrition-related knowledge with child HAZ and WHZ while controlling for maternal, child, household and regional characteristics. An index was constructed for mother's nutrition-related knowledge using information on dietary practices, disease treatment and prevention, child immunization, and family planning. RESULTS: We found that mother's knowledge is independently and positively associated with HAZ and WHZ scores in young children. Higher levels of mother's education, typically above primary, have a significant, positive association with child HAZ and WHZ scores. We argue that mother's knowledge of health and nutrition may substitute for education in reducing undernutrition in young children among populations with limited access to formal education. However, the present level of mother's education in rural Nigeria appears insufficient to reinforce knowledge in producing better nutrition outcomes for children. CONCLUSIONS: This study suggests promotion of out-of-school (informal) education, such as adult literacy and numeracy classes where women without formal education can gain health and nutrition knowledge, and practices that could enhance child nutrition outcomes in Nigeria.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Fenômenos Fisiológicos da Nutrição do Lactente , Mães/educação , Estado Nutricional , Adolescente , Adulto , Escolaridade , Feminino , Inquéritos Epidemiológicos/estatística & dados numéricos , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Nigéria , População Rural , Fatores Socioeconômicos , Adulto Jovem
5.
Econ Hum Biol ; 31: 238-248, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30312904

RESUMO

The prevalence of overweight and obesity are increasing in many African countries and hence becoming regional public health challenges. We employ satellite-based night light intensity data as a proxy for urbanization to investigate the relationship between urbanization and women's body weight. We use two rounds of the Demographic and Health Survey data from Nigeria. We employ both nonparametric and parametric estimation approaches that exploit both the cross-sectional and longitudinal variations in night light intensities. Our empirical analysis reveals nonlinear relationships between night light intensity and women's body weight measures. Doubling the sample's average level of night light intensity is associated with up to a ten percentage point increase in the probability of overweight. However, despite the generally positive relationship between night light intensity and women's body weight, the strength of the relationship varies across the assorted stages of night light intensity. Early stages of night light intensity are not significantly associated with women's body weight, while higher stages of nightlight intensities are associated with higher rates of overweight and obesity. Given that night lights are strong predictors of urbanization and related economic activities, our results hint at nonlinear relationships between various stages of urbanization and women's body weight.


Assuntos
Peso Corporal , Iluminação/estatística & dados numéricos , Sobrepeso/epidemiologia , Urbanização , Adolescente , Adulto , Índice de Massa Corporal , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Pessoa de Meia-Idade , Nigéria/epidemiologia , Obesidade/epidemiologia , Prevalência , Adulto Jovem
6.
Food Nutr Bull ; 39(2): 296-314, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29642714

RESUMO

BACKGROUND: Close to half of all children younger than 5 years in the Northeast and Northwest geopolitical zones were estimated to be stunted in their growth for their age in 2013 compared to 22% of children in the rest of Nigeria. OBJECTIVES: We examine the drivers of chronic child undernutrition in northern Nigeria and how those drivers differ from other areas of the country. METHODS: Both a standard child-level regression-based approach and decomposition analysis were used to address the determinants of stunting and decompose how drivers differ between northern Nigeria and other areas of the country using 2008 and 2013 Nigeria DHS data. RESULTS: There are strong differences in the levels of the determinants of undernutrition in young children between the 2 parts of the country. However, equally important, the decomposition analysis shows that there are significant differences between northern Nigeria and other areas of Nigeria in the effect of the same determinant of nutritional status in accelerating or retarding the linear growth of young children. CONCLUSIONS: A national program to address child undernutrition must recognize this heterogeneity in its design. To impose across Nigeria, a single set of approaches to address the factors which results in stunted children is likely to fail for large numbers of children if these strong geographical differences in how these determinants operate to affect child nutritional status are not considered. Solutions need to be developed within northern Nigeria to more closely reflect the way the determinants of nutritional status operate in this area of the country.


Assuntos
Transtornos da Nutrição Infantil/epidemiologia , Inquéritos Epidemiológicos/estatística & dados numéricos , Desnutrição/epidemiologia , Estado Nutricional/fisiologia , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Nigéria/epidemiologia , Fatores de Risco
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