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Land is an emotive issue for women in Kenya, majority of who still suffer the consequences of not having access to land, leading to economic insecurity. This paper aims at examining the effects of women access to land on household nutritional outcomes among smallholder farmers in Kenya.

The study uses primary data collected from a sample of 384 small-scale women farmers selected using multi-stage sampling technique. For data analysis, household nutritional outcomes were measured using Households Dietary Diversity Scores (HDDS) and Household Hunger Scale Scores (HHS). Stratification multilevel and matching-smoothing approach that controls for pre-treatment heterogeneity bias and treatment effect heterogeneity bias was used in estimating heterogeneous effects of women access to land.

The analysis reveals that women access to land has a significant positive effect on household nutritional outcomes. All households across all propensity scores strata benefited significantly but differently from women access to land in terms of nutritional outcomes.

Econometrically, propensity matching technique used in computing heterogeneity effects captures selection bias due to observable characteristics but it fails to capture selection bias due to unobservable factors. However, robust strategies were employed to ensure minimal estimation bias.

The paper provides insights on the determinants of women access to land and the influence women access to land has on household nutritional outcomes. In addition, by employing one of the conventional impact evaluation techniques, the paper contributes to knowledge by taking into accounts the heterogeneity in the effects of women access to land on household nutritional outcomes.

Bioelectrical impedance vector analysis (BIVA) and phase angle (PA) have importance in assessing nutritional and prognosis, and this study hypothesized that these measurements can have a relationship with nutritional risk and outcomes. This study aims to analyze the association between Nutrition Risk in the Critically ill (NUTRIC) score and bioelectrical impedance measures with hospital mortality in critically ill patients.

A prospective, cohort study was performed with a consecutive sample of patients admitted to an intensive care unit (ICU), between January and June 2017 at a hospital university in Northwest Brazil. The NUTRIC score and the bioelectric measures, such as resistance (R), reactance (Xc), PA and BIVA, were completed within the first 24 h of admission. The Student’s t or Mann–Whitney, Pearson’s or Spearman’s coefficient and Fisher’s exact tests and BIVA were used for statistical analyses.

The sample consisted of 81, with a mean age of 57 (16.7) years, with 60.5% women. It was detected that PA and Xc were lower (p < 0.001), and age was higher (p < 0.001) in a high nutritional-risk group. It was found an association between low nutritional risk and hospital discharge (p < 0.001), and that individuals who died spent more days in the ICU (p = 0.0375), had significantly lower PA and Xc values (p = 0.043 and p = 0.0172, respectively) and higher NUTRIC scores (<0.0001). There was a displacement of the mean impedance vector in men and women with high nutritional risk (p = 0.0037 and p = 0.004, respectively).

The height measurement was estimated using predictive formulas, which may affect the accuracy of the values; BIA was performed only upon admission of the patient to the ICU and the study population was heterogeneous, as it is a general ICU.

This paper shows that, in critically ill patients, nutritional screening and the assessment of bioelectrical measures help in clinical-nutritional decisions, and were able to predict outcomes.

The purpose of this paper is twofold: first, to examine the effect of interventional measures on admitted children and, second, to estimate the level of utilization of nutrition rehabilitation centres (NRCs) through bed occupancy rate in India.

A cross-sectional study involving review of records of malnourished children admitted during 1st January to 31st December 2014 in four districts of Northern Karnataka, India. The data were collected during January 2015.

A statistically significant difference was obtained between the weight of children at admission and discharge (p < 0.001). The average weight gain during the stay at the centres was 6.1 ± 7.1 g/kg/day. The proportion of severely malnourished children decreased from 56 per cent at admission to 32 per cent at discharge. The children who stayed for a stipulated period of 14 days were fully recovered and discharged from the centre compared to those stayed for lesser period. Poor follow-up visits of discharged children are observed, and the average bed occupancy rate was only 40 per cent.

This study showed that, the NRCs were effective in improving the condition of admitted children, but the utilization of these NRCs was sub-optimal in Karnataka. This study pointed to a number of operational issues that need to be addressed if these NRCs are being used effectively.

The purpose of this paper is to identify the pathways through which social protection policies in China and India can address the key challenges facing poor, vulnerable, and disadvantaged groups under rapid transformation in both countries.

This paper reviews the main social protection policies in China and India and analyzes the challenges that they are facing. This analysis is based on an evaluation of poverty and food security trends in both countries among vulnerable and disadvantaged groups followed by an overview of major experiences and gaps in social protection policies in the two emerging Asian giants.

Improving the coverage and targeting of social protection systems is vital, and will require a multi-faceted reform portfolio that promotes more integrated and horizontally equitable systems. Emphasis should be placed on developing productive, cross-sectoral social protection programs that combine short-term social safety support with long-term tools to enhance productivity, paying special attention to nutrition, health, and human capital development. More efficient coverage and targeting should bridge the rural and urban divide and be grounded in transparent criteria and procedures that govern program implementation at all levels of the government. As both countries become more urbanized, social protection programs need to give equal attention to emerging food insecurity and nutrition issues within urban areas without detracting from food security and nutrition efforts in rural areas.

Faced with a sizable population of undernourished and poor people, India and China have applied rather different approaches to address food insecurity. The originality and value of this paper lie in an in-depth parallel analysis of how China and India can better use their social protection systems to address food insecurity and undernutrition among poor, vulnerable, and disadvantaged groups.

The purpose of this study is to assess the adherence to MedDiet among adults during the COVID-19 pandemic and the economic crisis, using the validated 14-item MedDiet assessment tool.

A quantitative research approach, based on the distribution of an online survey throughout the social media platforms, via networking, was the applied method. The structure of the survey included the socio-economic and demographic data along with the weekly adherence to physical activity; and the validated MedDiet assessment tool. The target population included 1,030 Lebanese adults from all provinces. Descriptive statistics were used to explore the characteristics of the sample population. Adherence to the MedDiet was determined by the Med-Diet score ≥ 9. Significant differences among the variables and the adherence to the MedDiet were examined using the chi-square test.

Mean adherence to the MedDiet was found to be lower than an adequate score among 60.8% of participants [mean adherence 8/14 < 9 (S.D. 2.2)]. Participants from North Province, those aged 45 years and above, university graduates, participants with an average income and those who exercised for a minimum of 30 min for three times/week had a higher mean of adherence compared to other groups. Higher percentage of those who exercised had adequate adherence compared to those who exercised less or did not. More than 50% of the participants consumed olive oil, vegetables, red meat, butter/margarine, sugary drinks, commercial sweets and sofrito according to recommendations. Less than 50% of the participants consumed fruits, nuts, fish and wine according to the MedDiet standards. More men consumed fruits (55.1%), wine (21%), fish (29%) and nuts (48.5%) than women according to the MedDiet recommendations; however, more women consumed legumes (69.7%) and Sofrito (88.4%) than men, in addition more women preferred consuming chicken over meat (72.3%).

The findings call for an urgent need of spreading national awareness among adult population in Lebanon to increase the adherence to MedDiet. To add, information gained from this study serve to help understanding nutritional behavior during the COVID-19 pandemic and the economic crisis, so public health authorities can start planning to save the threatened health-care system and preserve the wellness of the population.

This paper aims to evaluate the effectiveness of nutrition interventions conducted in pregnant adolescents and their implications for future research.

The papers in this systematic study were searched through PubMed, PMC, the Cochrane Library (Trial), ScienceDirect and Google Scholar that were published from 2000 to 2019. An experimental study using a randomized controlled trial (RCT) or non-RCT among pregnant adolescents aged 10-19 years were inclusion criteria for this study. While exclusion criteria were studies published before 2000, non-experimental study and non-English-language studies.

A total of 14 studies were identified in this review. Six studies provided interventions in the form of nutrition and health education and seven studies provided interventions in the form of nutritional supplementation (calcium, vitamin D, iron-folate, lipid-based nutrient supplements and multi-micronutrient powder. One study provided dietary intervention. The interventions in pregnant adolescents in the form of education and nutritional supplementation effectively increased the knowledge and nutrition of pregnant adolescents and decreased low birth weight (LBW) and premature birth. The impact on birth outcomes was still quite diverse. Some of the studies in this review were conducted without a comparison group, a small sample size and conducted in health-care facilities.

This systematic review implies a future nutrition intervention for pregnant adolescents is needed to improve nutritional status of pregnant adolescents and birth outcome. Future research using double blind RCT method with bigger sample size and various nutritional outcome are wide open to be developed.

Interventions in pregnant adolescents effectively increased the knowledge and nutrition of pregnant adolescents and decreased LBW and premature birth. The program implementation in the community needs to be improved so that the effectiveness of the program remains optimal as in healthcare facilities.

The debate concerning the relationship between maternal education and child nutritional status is not a foregone conclusion. This paper aims to contribute to the existing debate by examining this relationship for the case of Uganda.

Theoretically, the study was based on household models of optimization, just like in the standard consumer theory, to gain insights into household demand for the health good. Empirically, the paper employed maximum-likelihood probit models and computed marginal effects in order to obtain logically interpretable results.

The paper finds that once the socio-economic factors are controlled for, the significance of maternal education, especially primary and secondary levels, in influencing child nutrition status decays but post-secondary education persists. Therefore, if mothers are exposed to the same socio-economic conditions, it is education of the mother beyond secondary level that generates a difference in the child nutrition outcomes.

These findings suggest that efforts to improve the child health outcomes in the future need to target measures that aim to educate women beyond secondary level. The government program to extend free education at the secondary level is a good start and should be strengthened.

Literature presents no consensus on the effect of maternal education and child nutritional status. It is often argued that maternal education is simply a proxy for the socio-economic conditions and geographical area of residence such its significance decays once these are controlled for. Yet others argue that maternal education is a single most important factor influencing child nutritional outcomes. The debate is still very hot and this study sought to contribute to this debate for the case of Uganda.

The purpose of this paper is to analyze the main determinants of child nutrition in rural Nepal, focusing on the influential role of maternal autonomy.

This paper uses data from the 2006 Nepal Demographic Health Survey (NDHS) to estimate econometric models using OLS and logit techniques. The dependent variables are the two anthropometric measures of child weight‐for‐height (a measure of wasting) and height‐for‐age (a measure of stunting).

No evidence was found of gender discrimination against the girl child in either of our nutritional measures. However, our results show that the explanatory variables have differential effects on male and female children. Estimation results show that maternal autonomy variables have a limited influence on child nutrition measures, but household wealth has a large positive impact on child nutrition, both short‐term and long term.

The large sample size and the range of questions available in our nationally representative dataset, allows us to explore the influence of household level social and economic factors on child nutrition. A study of the role of maternal decision‐making power and control over assets on the nutritional status of children is an important issue in a developing country like Nepal, where health and education outcomes remain poor for large segments of the population.

The purpose of this paper is to determine the gender differentials in childhood feeding practices, health care utilization and nutritional status of children by birth order and sex composition of previous living children in Northern India.

In this paper, data were drawn from India’s 2006 National Family Health Survey. A variety of different analytic methods were used to look for gender differentials in childhood feeding practices, health care utilization and nutritional status of children. Bi-variate analysis was applied to examine the raw values of gender differentials in childhood feeding, health care and nutritional status of children. Besides, gender differentials at the different birth order and sex composition of previous living children have been measured through multivariate logistic regression analysis.

The raw values of gender differentials in childhood feeding, health care and nutritional status of children, regardless of child’s birth order, mother’s number of living sons and other characteristics of the child or mother, shows that the proportion of children who received any liquid, proportion of children receiving solid/semi-solid food and the proportion of fully immunized children vary by their gender significantly. The results of standardized gender differentials by birth order and sex composition of previous living children in the selected indicators of childhood feeding, immunization and health care and nutritional status of children based on multivariate binary logistic regression show that among children of birth order 3+ (3 and higher), male children were less likely to receive solid/semi-solid foods during 24 hours prior to the survey in families with no living son, but two times were more likely to receive any solid/semi-solid food than female children in families with 1+ living sons (p<0.0001). Male children aged 12-23 months born to mothers with no living son were more likely to be fully immunized than female children, while male children born to mothers with 1+ living sons were less likely to be fully immunized than female children (p<0.05) at birth order 3+. However, the analysis showed no significant gender differentials in the nutritional status of children.

The authors observed a strong association between the extents of gender differentials and birth order of the index child and the sex composition of older living siblings. Strong evidence of sex bias against female children was found in families with no living sons and particularly at higher birth orders 2 and 3+ (3 and higher). Overall, the study demonstrates the need to focus on predominance of intra-household differential rather than inter-household differential.

This paper brings out the gender differentials in childhood feeding practices, health care utilization and nutritional status of children by birth order and sex composition of previous living children in Northern India.

India is facing a double burden of malnutrition, i.e. undernutrition and obesity. Women and adolescent health and nutrition are very relevant issues which have not received much attention it deserves in India, especially in the context of a girl child. Hence, the purpose of this study is to assess malnutrition among women and adolescent girls as well as the associated factors.

An attempt was made to assess malnutrition among women and adolescent girls and associated factors. The required data was collected from the north (616) and south transects (659) sample households of Bangalore constituting a total sample size of 1,275. The data was analyzed by adopting multiple linear regression and multinomial logistic regression analysis using STATA software.

The effects of this study simply confirmed that, urbanization had an instantaneous effect on dietary repute of women and adolescent girls, while transferring throughout the gradient from rural to urban with the growing significance of weight problems and obese. In adolescent girls, about 31% were underweight followed by normal weight and overweight across rural–urban interface of Bangalore. The factors such as education, consumption of meat and animal products, a dummy for urban, diabetes and blood pressure were significantly and positively influencing the nutritional status (Body Mass Index) of women across rural–urban interface. While consumption of vegetables, wealth index and per capita income had a positive and significant influence on the nutritional status of adolescent girls.

With limited studies and data available in Karnataka, especially in Bengaluru, one of the fastest growing cities in the world. Against this backdrop, the study was conducted to assess the prevalence of malnutrition among women and adolescents and its association with various socio-economic variables.