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FAO/18306

K. Vliegen

Kristien Vliegen is a nutritionist and an Associate Professional Officer in FAO’s Aliment and Diet Division. She formed in Viet Nam as Technical Officer for the Domiciliary Aliment Aegis for Diet Advance Activity declared in this article.

During the 1996 World Aliment Summit, governments agreed that “Food aegis exists back all bodies at all times accept concrete and bread-and-er admission to sufficient, safe and alimental aliment to accommodated their comestible needs and aliment preferences for an alive and advantageous life” (FAO, 1996). Programmes that articulation diet education, home agronomical and livestock assembly can accept a acceptable absolute appulse on adolescent diet and domiciliary aliment security.

In rural areas of Viet Nam, about 45 percent of accouchement and 40 percent of women are malnourished. In adjustment to advance diet and enhance domiciliary aliment security, a three-year pilot activity was agitated out from March 1997 to June 2000. With a accession of US$1.8 actor from the Australian Agency for International Development (AusAID) the activity approved to validate an access for arrest adolescent malnutrition in the countryside.

The activity accumulated home agronomical to accommodate both aliment and assets with diet apprenticeship for the families of angular accouchement beneath bristles years of age. The acquaintance has provided advantageous acquaint for FAO and others alive to advance domiciliary aliment security. It approved some of the means in which diet can be congenital into added rural and breadth development programmes.

In 1997, the Domiciliary Aliment Aegis for Diet Advance Activity was set up by Viet Nam’s Ministry of Agronomics and Rural Development (MARD), in accord with the Civic Institute of Diet (NIN) and FAO. The abstraction was to accommodate diet apprenticeship with the alteration of small-scale agronomical technology to food-insecure households with angular children. The action was to accord training and actual baby grants to called households, which were acutely articular and carefully monitored. The home area were accustomed with a simple and bargain approach. It was begin that, back the households accepted the comestible and bread-and-er allowances of home gardening, the appulse of establishing and utilizing advantageous home area was larger. These efforts gave the domiciliary associates a faculty of actuality complex in a programme and an allurement to advance adolescent agronomics practices.

FIGURE 1

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Household aliment aegis model

The activity formed at the national, provincial, collective and common levels to ability its primary beneficiaries and to apparatus its activities. Some 12 000 poor households, anniversary with at atomic one adolescent angular child, were assisted. In addition, 1 800 association workers and district-, province- and national-level agents of the agronomics and bloom ministries and the women’s abutment were trained. The activity was operational in eight ambit of Viet Nam: Phu Tho province, Thanh Ba and Ha Hoa districts; Nam Dinh province, Vu Ban and My Loc districts; Binh Dinh province, Tuy Phuoc and Phu Cat districts; Binh Thuan province, Bac Binh and Ham Thuan Nam districts; Quang Binh province, Le Thuy, Quang Ninh, Tuyen Hoa and Minh Hoa districts; Quang Ninh province, Hoanh Bo district; Thanh Hoa province, Lang Chanh and Hau Loc districts; and Gia Lai province, Mang Yang and Kon Chro districts. Figure 1 illustrates the project’s objectives and activities.

The access taken by the project, of establishing arena and collective teams fatigued from absolute government agents and accouterment them with added specialist training and actual bound incentives, could be acclimated for added rural domiciliary improvements. Bound incentives were additionally accustomed to collective networks.

An absolute appraisal of the activity assured that it was cost-effective, innovative, adjustable and appropriate, although both cost-efficiency and sustainability could accept been added added with greater use of the absolute collective basement of agents and collaborators.

A ysis was agitated out to yze changes in the ambition households’ ability of diet and comestible practices. The baseline and aftereffect surveys were conducted afterwards a seven-month breach in 1999. In addition, account advance ecology was agitated out during the study. The samples included 40 accouchement from ambition households in the activity communes (Nam Dinh and Binh Thuan provinces) and 20 accouchement in a ascendancy collective (Nam Dinh province). During anniversary home visit, an all-embracing semi-structured account was conducted. Accepted questions were asked in adjustment to actuate the amount of malnutrition, the abundance of feeding, the aliment articles given, changes in agronomics practices, acquaintance of comestible cachet and weight of the child, compassionate of accoutrement (e.g. the advance chart) and compassionate of what constitutes a alimental meal. The after-effects of the interviews are apparent in Figures 2, 3 and 4. Although the sample was too baby to be statistically significant, it provides quantitative break of the appulse of the project.

As able-bodied as belief the accouchement account and visiting their homes, the activity collaborators gave the mothers added diet information. The capital capacity covered were feeding, weaning foods, hygiene and adolescent care. During the interviews, the mothers were activated on their diet knowledge. The capital capacity addressed were mothers’ ability of the diet cachet and weight of their accouchement and compassionate of the use of the advance blueprint and the acceptation of the coloured bowl. For example, in Viet Nam, the “coloured bowl” abstraction is acclimated to allegorize a counterbalanced meal. The white rice or rice soup can be coloured amber by abacus meat, fish, backtalk or shrimp, blooming by abacus vegetables and chicken by abacus egg.

A acreage household’s acquaintance

Farmer Thi, his wife Thanh and their three-year-old babe alive in Chinh Cong collective in Phu Tho province. Their adventure is archetypal of households accommodating in the project: “Before, we formed in the rice fields all day long. Now we accept abstruse to adapt our time better. Besides alive in the fields, we assignment in our home garden and, at the aforementioned time, attending afterwards our daughter. In the beginning, neither our parents nor we absolutely believed in home gardening. But, appliance the project’s seeds, bake-apple copse and fertilizers, we approved it out. Now we see that our home garden can accord us a acceptable and bargain meal every day. Selling vegetables additionally increases our income. Many of our neighbours accept asked our admonition about how to accomplish a home garden. But the best important affair is that our babe has become stronger, convalescent and happy.”

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The activity emphasized the accent of appliance the advance blueprint to empower mothers to advance acceptable comestible cachet in their accouchement and to anticipate advance retardation. Figure 2 shows that there was a aberration in ability amid mothers in the activity communes and those in the ascendancy commune. Best of the mothers in the activity communes knew the comestible cachet and weight of their children. Many mothers knew how abundant their accouchement advised and accepted the use and acceptation of the advance chart. In the activity communes, added than bisected of the mothers accepted the acceptation of the coloured basin and how to adapt it for their children, while in the ascendancy collective alone a few were knowledgeable.

K. Vliegen

In Viet Nam, children’s comestible cachet is classified according to weight-for-age (WFA) standards. “Normal” is classified as > 90 percent of accepted WFA, “moderate malnutrition” as 75 to 90 percent, “severe malnutrition” as 60 to 74.9 percent, and “very astringent malnutrition” as < 60 percent.

During the aeon of the survey, there was an advance in the comestible cachet of the accouchement in the activity communes: 15 out of 40 of the above bigger from a comestible cachet of astringent malnutrition to one of abstinent malnutrition, or from a comestible cachet of abstinent malnutrition to normal. In contrast, none of the accouchement in the ascendancy collective bigger their comestible status.

FIGURE 2

Mothers’ knowledge

Monthly affable demonstrations were accustomed to the affliction givers so that they could see how to adapt a advantageous meal and barter adventures with others. Bigger adolescent agronomics practices are the aftereffect of this applied appliance of diet knowledge. Figure 4 shows that, during the project, improvements were fabricated in the circadian vegetable and fruits burning of the accouchement in the activity communes, and that best of the mothers afflicted their agronomics practices afterwards the activity was implemented. In the ascendancy commune, however, no improvements were observed.

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K. Vliegen

Training courses, abstraction visits, workshops and affairs were captivated so that participants could allotment adventures and barter information. The project’s assessment, development and training access for amalgam domiciliary aliment security, diet and home agronomical has been acclimated by added projects. Civic activity experts agitated out training courses for the German Agency for Technical Cooperation (GTZ), Save the Accouchement Japan (SCJ), the Netherlands Development Organization (SVN), New Zealand Official Development Abetment (NZODA), the United Nations International Drug Ascendancy Programme (UNDCP), a FAO/Belgium project, a activity adjourned by the European Abutment (EU) and the Italian Association for Participation in Development (APS). The accomplishing of this archetypal in added communities is beneath consideration.

In October 1999, an appraisal mission by FAO, the Government of Viet Nam and Australian Agency for International Development (AUSAID) begin that the activity had directed its efforts to the poorest, best food-insecure households in 20 communes in four provinces, at a absolute amount of US$18 per household. The activity was accustomed with abbreviation the amount of malnutrition by 12.8 percent aural two years. The appraisal accepted the allegation of a antecedent pilot abstraction of four communes, in which the diet improvements were sustained. The activity enabled 82 percent of the accommodating households to advance aliment assembly and aliment availability through bigger home garden, beastly assembly and added agronomics activities.

FIGURE 3

Nutritional bearings of children

(percentage of children, October 1999)

FIGURE 4

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Comparison of agronomics practices in activity and ascendancy groups

(Percentage of children)

REFERENCES

FAO. 1996. World Aliment Summit Plan of Action. Rome.

FAO/Government of Viet Nam. Domiciliary Aliment Aegis for Diet Improvement, Appraisal Mission Report, Hanoi, Viet Nam.

Report on a diet and domiciliary aliment aegis activity in Viet Nam

Programmes that articulation diet education, home agronomical and livestock assembly can accept a acceptable absolute appulse on adolescent diet and domiciliary aliment security. In rural areas of Viet Nam, about 45 percent of accouchement and 40 percent of women are malnourished. To advance diet and enhance domiciliary aliment security, a three-year pilot activity was agitated out from March 1997 to June 2000. The activity chip diet apprenticeship with the alteration of small-scale agronomical technology to food-insecure households with angular children. The action was to accord training and actual baby grants to called households, which were acutely articular and carefully monitored. Some 12 000 poor households, anniversary with at atomic one adolescent angular child, were assisted. In addition, 1 800 association workers and district-, province- and national-level agents from the agronomics and bloom ministries and the women’s abutment were trained. Bound incentives were additionally accustomed to collective networks.

Small baseline and aftereffect surveys to appraise the archetypal were conducted afterwards a seven-month breach in 1999. In addition, account advance ecology was agitated out during the study. The samples included 40 accouchement from ambition households in the activity communes and 20 accouchement in a ascendancy commune. Affliction givers were interviewed in adjustment to actuate the amount of malnutrition, the abundance of feeding, the aliment articles given, changes in agronomics practices, acquaintance of comestible cachet and weight of the children, compassionate of accoutrement and acknowledgment of what constitutes a alimental meal. In the communes area the activity was agitated out there were improvements in adolescent carers’ ability and children’s advance status.

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An absolute appraisal of the activity assured that it was cost-effective, innovative, adjustable and appropriate.

Viet Nam: affinity sur un projet sur la diet et la sécurité alimentaire des ménages

Les programmes associant l’information nutritionnelle, l’horticulture familiale et la assembly animale peuvent avoir un appulse positif abiding sur la diet des enfants et la sécurité alimentaire des ménages. Dans les zones rurales du Viet Nam, 45 cascade cent aggress des enfants et 40 cascade cent des femmes sont mal nourris. Cascade améliorer la diet et la sécurité alimentaire des ménages, un projet pilote de trois ans a été mené à bien de mars 1997 à juin 2000. Le projet intégrait l’information nutritionnelle et le transfert de technologies agricoles simples à des ménages souffrant d’insécurité alimentaire et dont les enfants sont mal nourris. La stratégie consistait à accorder une accumulation et de modestes advisers à des ménages choisis, qui avaient été clairement ciblés et qui étaient suivis de près. Quelque 12 000 ménages démunis ayant chacun au moins un enfant mal nourri ont ainsi reçu une assistance. En outre, 1 800 agents communautaires et le cadre de district, de arena et civic des Ministères de l’agriculture et de la santé, ainsi que de l’Union des femmes ont été formés. Des incitations limitées ont également été accordées à des réseaux de communes.

Des enquêtes initiales et de suivi ont été menées à sept mois d’intervalle en 1999 cascade évaluer le modèle. En outre, un suivi mensuel de la croissance a été effectué chaplet l’étude. Les échantillons incluaient 40 enfants appartenant à des ménages cibles des communes visées par le projet et 20 enfants vivant dans une collective de contrôle. Les responsables des enfants ont été interviewés afin de déterminer le degré de malnutrition, la fréquence de l’alimentation, les produits alimentaires donnés, l’évolution des pratiques alimentaires, la connaissance de l’état nutritionnel et du poids de l’enfant, la compréhension des instruments et l’appréciation de ce qui constitue un repas nourrissant. Dans les communes où le projet a été réalisé, on a constaté une amélioration des connaissances des responsables des enfants et de la croissance de ceux-ci.

Une évaluation indépendante du projet a conclu que ce projet était rentable, novateur, adjustable et approprié.

Viet Nam: informe sobre un proyecto de nutrición y seguridad alimentaria en los hogares

Los programas que vinculan la educación nutricional, el mantenimiento de huertos familiares y la producción pecuaria pueden tener efectos positivos y sostenibles sobre la nutrición infantil y la seguridad alimentaria de los hogares. En las zonas rurales de Viet Nam, aproximadamente el 45 por ciento de los niños y el 40 por ciento de las mujeres sufren malnutrición. Para mejorar la nutrición y fomentar la seguridad alimentaria de los hogares, se llevó a cabo desde marzo de 1997 hasta junio de 2000 un proyecto piloto de tres años de duración. El proyecto integraba la educación nutricional con la transferencia de tecnología agrícola en pequeña escala a hogares expuestos a la inseguridad alimentaria y con niños malnutridos. La estrategia consistió en impartir capacitación y proporcionar cantidades muy pequeñas a título de donación a hogares cuidadosamente seleccionados y seguidas de cerca. Se prestó asistencia a 12 000 hogares pobres, cada uno de los cuales tenía como mínimo un niño pequeño malnutrido. Además, se capacitó a 1 800 agentes comunitarios y a claimed local, bigoted y nacional de los Ministerios de Agricultura y Salud y de la Unión de Mujeres. También proporcionaron incentivos limitados a redes de municipios.

En 1999 se realizaron, a intervalos de siete meses, encuestas de referencia y seguimiento en pequeña escala para evaluar el modelo. Además, durante el estudio se realizó una vigilancia mensual del crecimiento. Las muestras incluyeron 40 niños de hogares seleccionados en los municipios del proyecto y 20 niños de un municipio de control. Se realizaron entrevistas a las personas encargadas del cuidado de los niños para determinar el grado de malnutrición, la frecuencia de la alimentación, los productos alimenticios suministrados, los cambios en las prácticas de alimentación, el conocimiento del estado nutricional y el peso de los niños, la comprensión de los instrumentos y la valoración de lo que constituía un alimento nutritivo. En los municipios donde se había llevado a cabo el proyecto se observaron mejoras en los conocimientos de las personas encargadas del cuidado y en el estado de crecimiento de los niños.

Una evaluación independiente del proyecto llegó a la conclusión de que era eficaz en función de los costos, innovador, adjustable y apropiado.

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