John Hopkins PoShan Report

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An emerging approach to accelerating gains made in food security and nutrition outcomes of rural, agrarian populations is improved agriculture in combination with efficacious microcredit, health and nutrition interventions. Yet limited empirical evidence exists on the kinds of actions in agriculture that support or impede nutrition and health and the optimal ways to integrate actions beyond pilot activities to achieve value-added outcomes. The PoSHAN Community Studies seeks to generate evidence on whether, how, to what extent and in what contexts, agricultural interventions can improve nutrition and health outcomes among women and young children across the major agro-ecological zones of Nepal.

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Policy & Science for Health, Agriculture and Nutrition (PoSHAN Community Studies), Nepal1Manohar S, 2Shrestha R, 3Gauchan D, 4Adhikari R 1Klemm R, 1West Jr, K1Center for Human Nutrition, Department of International Health, Bloomberg, School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA, 2 PoSHAN Study Team, Johns Hopkins University, Kathmandu, Nepal, 3 Nepal Agricultural Research Council, Kathmandu, Nepal, 4 Kathmandu Medical College, Kathmandu, NepalIntroductionResultsObjectiveUpcoming Embedded Sentinel Site StudiesFuture AnalysesMethodsAn emerging approach to accelerating gains made in food security and nutrition outcomes of rural, agrarian populations is improved agriculture in combination with efficacious microcredit, health and nutrition interventions. Yet limited empirical evidence exists on the kinds of actions in agriculture that support or impede nutrition and health and the optimal ways to integrate actions beyond pilot activities to achieve value-added outcomes. The PoSHAN Community Studies seeks to generate evidence on whether, how, to what extent and in what contexts, agricultural interventions can improve nutrition and health outcomes among women and young children across the major agro-ecological zones of Nepal. To assess and monitor household food security, dietary intake and nutritional status of preschool-aged children and their mothers, with measures of agricultural diversity, local market food prices and exposure to agricultural and microeconomic extension, nutrition and health programs in Nepal. Design: Three nationally representative, annual (April-June, 2013-15) panel surveys of ~5,000 preschool-aged children and mothers each will be conducted in 21 randomly-selected Village Development Committees (VDCs, 3 wards in each) balanced across mountain, hill and terai zones of Nepal. One sentinel VDC in each zone has been established for year-round assessments. Methods: Households in each site are screened for children