Reproductive Health, Nutritional Status, and Macroeconomic Shocks: A Multi-Level, Quasi-Natural Experimental Analysis of Food Commodity Prices

生殖健康、营养状况和宏观经济冲击：食品商品价格的多层次、准自然实验分析

• 批准号: ES/K013130/1
• 负责人: David Stuckler
• 金额: $ 37.43万
• 依托单位: University of Oxford
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2013
• 资助国家: 英国
• 起止时间: 2013 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FK013130%2F1
• 关键词: Reproductive; Health; Nutritional; Status; Macroeconomic

Global food price rises threaten to undermine progress in improving maternal and child health and nutrition. As the World Bank 2012 Global Monitoring Report titled 'Food prices, nutrition, and the MDGs' concluded "Even temporarily high food prices affect the long-term development of children...seemingly small shocks can exert great damage if they are not dealt with early." While there is strong evidence that maternal and fetal nutrition affect children's development, there is relatively little evidence linking aspects of reproductive health (e.g. breastfeeding, neonatal mortality) to the price and availability of nutritious food. Thus, our project aims to:(1) Assess the effects of food commodity prices on reproductive and child health, specifically maternal and childhood nutrition, fetal development, neonatal mortality, and early-childhood development;(2) Identify national, state and household policy responses which may mitigate or exacerbate the reproductive and child-health effects of rising food prices.To fulfil these aims, the initial phase of the project will provide a detailed qualitative and quantitative multi-level, case-study of India, which will then be extended as a cross-national analysis of Demographic and Health Surveys in 84 countries. The project will combine PopDev priority resources such as DFID Young Lives with multiple data sources and large-scale surveillance projects containing rich information on economic policy, food prices, nutrition, reproductive health. The project will build a collaborative exchange between Public Health Foundation of India (PHFI), Cambridge, and LSHTM, supported by a multi-disciplinary international advisory team. Its findings will reach a wide group of stakeholders through a proposed policy workshop and briefs at Chatham House, as well as through meetings with Indian stakeholders at PHFI, and through publications in population, development, and public health journals.

全球粮食价格上涨有可能破坏在改善妇幼保健和营养方面取得的进展。正如世界银行2012年题为《粮食价格、营养和千年发展目标》的全球监测报告所总结的那样，“即使是暂时的高粮价也会影响儿童的长期发展。如果不及早处理，看似很小的冲击可能造成巨大的破坏。“虽然有强有力的证据表明母亲和胎儿的营养影响儿童的发育，但将生殖健康的各个方面（如母乳喂养、新生儿死亡率）与营养食品的价格和供应联系起来的证据相对较少。因此，我们的项目旨在：（1）评估粮食商品价格对生殖健康和儿童健康的影响，特别是对孕产妇和儿童营养、胎儿发育、新生儿死亡率和儿童早期发育的影响;（2）确定国家、邦和家庭的政策反应，以减轻或加剧粮食价格上涨对生殖和儿童健康的影响，为了实现这些目标，项目的第一阶段将提供一个详细的定性和定量的多层次的印度案例研究，然后将扩大为对84个国家的人口和健康调查的跨国分析。该项目将把联合收割机PopDev的优先资源，如国际发展部的“年轻生命”与多种数据来源和大规模监测项目结合起来，这些项目包含关于经济政策、粮食价格、营养、生殖健康的丰富信息。该项目将在印度公共卫生基金会（PHFI）、剑桥和LSHTM之间建立合作交流，并得到多学科国际咨询团队的支持。将通过拟议在查塔姆大厦举办的政策讲习班和简报会，通过在PHFI与印度利益攸关方举行的会议，以及通过在人口、发展和公共卫生期刊上发表的出版物，向广大利益攸关方宣传其调查结果。

项目成果

Has India's national rural health mission reduced inequities in maternal health services? A pre-post repeated cross-sectional study.

• DOI: 10.1093/heapol/czw100
• 发表时间: 2017-03
• 期刊: Health policy and planning
• 影响因子: 3.2
• 作者: Vellakkal S;Gupta A;Khan Z;Stuckler D;Reeves A;Ebrahim S;Bowling A;Doyle P
• 通讯作者: Doyle P

Palm oil taxes and cardiovascular disease mortality in India: economic-epidemiologic model.

• DOI: 10.1136/bmj.f6048
• 发表时间: 2013-10-22
• 期刊: BMJ (Clinical research ed.)
• 作者: Basu S;Babiarz KS;Ebrahim S;Vellakkal S;Stuckler D;Goldhaber-Fiebert JD
• 通讯作者: Goldhaber-Fiebert JD

Adequately diversified dietary intake and iron and folic acid supplementation during pregnancy is associated with reduced occurrence of symptoms suggestive of pre-eclampsia or eclampsia in Indian women.

• DOI: 10.1371/journal.pone.0119120
• 发表时间: 2015
• 期刊: PloS one
• 影响因子: 3.7
• 作者: Agrawal S;Fledderjohann J;Vellakkal S;Stuckler D
• 通讯作者: Stuckler D

What do Indian children drink when they do not receive water? Statistical analysis of water and alternative beverage consumption from the 2005-2006 Indian National Family Health Survey.

• DOI: 10.1186/s12889-015-1946-4
• 发表时间: 2015-07-05
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Fledderjohann J;Doyle P;Campbell O;Ebrahim S;Basu S;Stuckler D
• 通讯作者: Stuckler D

A qualitative study of factors impacting accessing of institutional delivery care in the context of India's cash incentive program.

• DOI: 10.1016/j.socscimed.2017.01.059
• 发表时间: 2017-04
• 期刊: Social science & medicine (1982)
• 作者: Vellakkal S;Reddy H;Gupta A;Chandran A;Fledderjohann J;Stuckler D
• 通讯作者: Stuckler D