Cost of the Diet (CoD) tool: First results from Indonesia and applications for policy discussion on food and nutrition security
Cost of the Diet (CoD) tool: First results from Indonesia and applications for policy discussion on food and nutrition security
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DOI：
10.1177/15648265130342s105
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发表时间：
2013-06-01
影响因子：
1.9
通讯作者：
de Pee, Saskia
中科院分区：
文献类型：
--
作者：
Baldi, Giulia;Martini, Elviyanti;de Pee, Saskia
背景资料。营养饮食的最低成本(MCNut)是根据当地食物的可获得性、价格和营养含量，以尽可能低的成本满足家庭所有营养需求的理论饮食成本。与家庭支出进行比较，可以看出能够负担得起营养饮食的家庭比例。探索使用饮食成本(Cod)工具进行印尼食品和营养安全的政策对话。从2011年10月至2012年6月，市场调查收集了四个省的粮食商品供应和定价数据。家庭构成和支出数据来自二次数据(SUSENAS，2010年)。作为重点，进行了小组讨论，以更好地了解食品消费做法。不同类型的强化食品和分配机制也被模拟。在这四个地区之间发现了明显的差异：在帝汶Tengah Selatan，只有25%的家庭能够负担得起营养需求，而在城市泗水，80%的家庭能够负担得起。这四个地区5岁以下儿童体重不足和发育迟缓的患病率与能够负担得起营养饮食的家庭比例呈负相关。儿童饮食成本的最大降幅是通过社会安全网模拟提供强化混合食品。大米强化，无论是补贴的还是商业价格的，都能大大提高家庭的营养负担能力。鳕鱼分析是讨论在不同地区实现适当营养的制约因素和改善营养的可能方法，包括使用特殊食品和不同分配战略的有用切入点。
Background. The Minimum Cost of a Nutritious Diet (MCNut) is the cost of a theoretical diet satisfying all nutrient requirements of a family at the lowest possible cost, based on availability, price, and nutrient content of local foods. A comparison with household expenditure shows the proportion of households that would be able to afford a nutritious diet.Objective. To explore using the Cost of Diet (CoD) tool for policy dialogue on food and nutrition security in Indonesia.Methods. From October 2011 to June 2012, market surveys collected data on food commodity availability and pricing in four provinces. Household composition and expenditure data were obtained from secondary data (SUSENAS 2010). Focus,group discussions were conducted to better understand food consumption practices. Different types of fortified foods and distribution mechanisms were also modeled.Results. Stark differences were found among the four areas: in Timor Tengah Selatan, only 25% of households could afford to meet the nutrient requirements, whereas in urban Surabaya, 80% could. The prevalence rates of underweight and stunting among children under 5 years of age in the four areas were inversely correlated with the proportion of households that could afford a nutritious diet. The highest reduction in the cost of the child's diet was achieved by modeling provision of fortified blended food through Social Safety Nets. Rice fortification, subsidized or at commercial price, can greatly improve nutrient affordability for households.Conclusions. The CoD analysis is a useful entry point for discussions on constraints on achieving adequate nutrition in different areas and on possible ways to improve nutrition, including the use of special foods and different distribution strategies.