Intrahousehold Dimensions of Micronutrient Deficiencies: A Review of the Evidence
AbstractAlthough micronutrient deficiency is a global problem, it is not a universal one; the burden is not evenly shared within countries or households. Empirical evidence from 69 studies compiled for this review indicates that there are important non-linearities in relationships among food intakes, sharing and caring behaviour, and micronutrient status that lead to a diversity of outcomes not always predictable by age or gender. Mothers and girls display a higher prevalence of some deficiencies than men or boys, but the situation is confounded or reversed in other contexts. No single age cohort, gender or location is invariably worse off than every other, all of the time. The manifestation of deficiencies is determined by synergies among nutrients, diseases and biological functions, on the one hand, and interacting social, economic and environmental processes, on the other. The unmasking of age and gender diversity in risks and outcomes is important for better establishing the global prevalence of micronutrient problems and for improving the focus of public action. The tools used in assessing deficiencies need to be re-examined in light of multiple interactions among micronutrients, on the one hand, and among health and behavioural confounders, on the other. Understanding local dietary practices, health care preferences, activity patterns and tradeoffs in resource access is as crucial as specifying physiological benchmarks. Clinical rigour needs to be combined with rigourous contextual insight. The conventional narrow focus on one deficiency, for one priority group at a time needs to be questioned. Progress in tackling single micronutrient problems for single target groups may not mean that everyone is, or remains, better off. Sustainable gains for whole populations are likely to require combinations of actions at various levels to influence the incentive and behaviour structures operating down to the intrahousehold level.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Friedman School of Nutrition Science and Policy in its series Working Papers in Food Policy and Nutrition with number 04.
Length: 41 pages
Date of creation: 01 Mar 2002
Date of revision:
Find related papers by JEL classification:
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
- I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
You can help add them by filling out this form.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Morgan Hewitt) The email address of this maintainer does not seem to be valid anymore. Please ask Morgan Hewitt to update the entry or send us the correct address.
If references are entirely missing, you can add them using this form.