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Photo Credit Goes Here Photo credit: Name/Organization Dr. Robin Shrestha, November 2017 Livestock Ownership, Animal Source Foods and Human Nutrition in Nepal: Findings from the 2014 nationally representative PoSHAN Community Survey

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  • Photo Credit Goes Here

    Photo credit: Name/Organization

    Dr. Robin Shrestha, November 2017

    Livestock Ownership, Animal Source Foods and Human Nutrition in Nepal:

    Findings from the 2014 nationally representative PoSHAN Community Survey

  • PRESENTATION OBJECTIVES

    A. Nutrition Innovation Lab – Who? What? Where?

    B. If you own a livestock (including buffalo), does your family eat more animal source foods (ASF)?

    C. Does livestock ownership and ASF intake result in better child and women nutrition?

  • CORE RESEARCH QUESTIONS

    What measurable impacts do investments in agriculture haveon nutrition (positive and/or negative)?

    Does the quality of nutrition governance (political andinstitutional commitment and capacity) affect the effectiveness andimpact of nutrition policies and programs?

    What biological mechanisms must be better understoodwhen designing interventions to accelerate improved nutrition?

  • DOLPA

    MUGU

    JUMLA

    KAILALI

    BARDIYA

    HUMLA

    DOTI

    SURKHET

    DANG

    RASUW ABANKE

    GULMI

    ACHHAM KALIKOT

    JHAPA

    SIRAHA

    SAPTARI

    DARCHULA

    BAJHANG

    BAITADIBAJURA

    MAH

    OTT

    ARI

    CHITW AN

    KASKI

    TANAHU

    PALPA

    BKT

    ILAM

    OKHALDHUNGA

    KHOTANG BHOJPUR

    DHANKUTA

    TAPLEJUNGLALIT KAVRE

    NUW AKOT

    LAMJUNG

    GORKHAROLPA

    SALYANMYAGDI

    DAILEKHJAJARKOT

    RUKUM

    MUSTANG

    MANANG

    Each District: 1 Village Development Community (each with 3 of 9 sampled wards) N = ~5000 households with preschool children

    Policy and Science for Health Agriculture and Nutrition (PoSHAN): sampled districts

    Terai (n=7)

    Mountains (n=7)

    Hills (n=7)

    Johns Hopkins University,New Era, NTAG, NARC, IOM, Tufts, Purdue

  • DISTRIBUTION OF LIVESTOCK OWNED, BY AGRO-ECOLOGY

    0

    10

    20

    30

    40

    50

    60

    Cattle Goat Poultry Pig

    %

    Livestock ownedMountains Hills Terai

    PoSHAN Study, 2014

  • ANIMAL SOURCE FOODS (ASF) CONSUMPTION; BY TYPE OF ASF AND AGRO-ECOLOGY

    Buff5%

    Buff/Goat/Pork17%

    Chicken15%

    Eggs (any)15%

    Milk and dairy  

    products

    48%

    TYPES OF ASF

    0

    5

    10

    15

    20

    25

    30

    35

    40

    ASF consumption by agro-ecology

    Mountain Hills Terai

  • ANIMAL SOURCE FOODS CONSUMPTION BY WEALTH QUINTILE

    05101520253035404550

    Lowest Second Middle Fourth Highest

    PercentASFconsum

    ed

    WealthQuintile

    Buff

    Goat/Buff/Pork

    Chicken/Duck

    Eggs(any)

    Milk/Curd/Whey

  • LIVESTOCK OWNERSHIP AND ASF CONSUMPTION

    Animal Source Food consumption

    Livestock group

    Livestock Ownership Status (Yes/no), by acro--ecological zone

    Mountain Hills TeraiYes (%) no (%) Yes (%) no (%) Yes (%) no (%)

    Animal meat Cattle 14*** 28*** 10*** 16*** 4* 6*

    Milk & dairy products Cattle 42*** 17*** 40** 33** 48*** 35***

    Poultry Poultry 5 4 16 16 12*** 6***

    Eggs (any) Poultry 17 19 11* 15* 11*** 3***

    Fish Fish ponds N/A 2 17* 3* 18** 7*** Values statistically significant at p

  • LIVESTOCK OWNERSHIP AND NUTRITIONAL STATUS IN WOMEN

    Nutrition outcome

    Livestock group

    Livestock ownership Status (Yes/no) Mountain Hills Terai

    Yes (%) no (%) Yes (%) no (%) Yes (%) no (%)

    BMI

  • LIVESTOCK OWNERSHIP AND CHILD NUTRITIONAL STATUS

    Child Nutrition outcome

    Livestock group

    Ownership Status (Yes/no) Acro-ecological zone

    Mountain Hills Terai

    Yes (%) no (%) Yes (%) no (%) Yes (%) no (%)

    Child stunting Cattle 44** 34** 46*** 23*** 35 38

    Poultry 36 39 41** 32** 33** 38**Wasting Cattle 9 6 12*** 5*** 23 20

    Poultry 8 7 7* 10* 22 22Underweight Cattle 29* 24* 35*** 17*** 40 42

    Poultry 23 27 25* 30* 35** 42***p

  • ASF CONSUMPTION & CHILDREN AND WOMEN NUTRITIONAL STATUSAnimal Source food consumed in the last 7 days (Yes/no)

    Nutrition outcomesType of Animal Source foods

    Mountain Hills TeraiYes (%) no (%) Yes (%) no (%) Yes (%) no (%)

    Stunting Buff 43 38 36 36 35 37Animal meat 41 36 37 35 36 37

    Chicken 39 38 33* 38* 38 36Eggs (any) 37 39 26*** 41*** 36 37

    Milk/Curd/Whey 42* 35* 35 37 37 36Wasting Buff 5 8 3** 10** 12 22

    Animal meat 5 9 7 10 17** 23**Chicken 3* 8* 5*** 11*** 19** 23

    Eggs (any) 5* 9* 6* 10* 19* 22*Milk/Curd/Whey 7 7 10 7 20** 24**

    Underweight Buff 30 26 17** 29** 30 41Animal meat 26 26 25 29 36** 42**

    Chicken 24 26 22*** 31*** 40 41Eggs (any) 22* 29* 18*** 32*** 36* 42*

    Milk/Curd/Whey 28 24 28 27 40 42BMI

  • Livestock ownership differs considerably by agro-ecological zone Ownership of Large ruminants (cattle) bears positive effect on dairy

    consumption, but insignificant effects in terms of meat consumption (Azzari, 2015).

    Ownership of poultry affects chicken consumption positively (Azzari, 2015). Similar to our findings, study in Uganda found significant differences in

    consumption patterns of ASF between livestock owners and non-owners. Although non consistent, positive association between ASF consumption and

    improved nutritional status of women or children was found. Buff ownership in hills seems to bring child nutrition benefits (less wasting and higher weight gain).

    Other factors beyond livestock species need to be accounted. Previous studies in Sub-Saharan Africa suggest the same (Hetherington et al. 2017).

    CONCLUSION

  • Nutrition Innovation Lab is a Partnership