Menu ENN Search

Dietary diversity in Bhasan Char relocation camp, Bangladesh: Children and adolescents

View this article as a pdf

This is a summary of the following paper: Das S, Fahim S, Rasul M et al. (2023) Nutritional and dietary diversity status of under-5 children and adolescent girls among forcibly displaced Myanmar nationals living in Bhasan Char relocation camp, Bangladesh: A cross-sectional survey. BMJ Open, 13, e068875. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069579/pdf/bmjopen-2022-068875.pdf

 

This cross-sectional survey of 248 children (aged 6–59 months) and 299 adolescent girls (aged 11–17 years) was randomly sampled from a population of 17,698 forcibly displaced Myanmar nationals residing in Bhasan Char relocation camp. Sociodemographic information, dietary diversity status, length/height, weight, mid-upper arm circumference (MUAC), and head circumference data were collected from all participants.

Children consuming at least four of eight food groups within the preceding 24 hours were deemed to have ‘minimum dietary diversity’. Adolescent dietary diversity was determined using Food and Agricultural Organization ‘Women’s Dietary Diversity Score’ guidelines.

For adolescent girls, severe (14.1%) and moderate (28.8%) stunting prevalence was high. Most consumed starchy staples (98%) and dark green leafy vegetables (79%), but few consumed animal-based proteins or vitamin A- or iron-rich foods. The distribution of dietary diversity did not vary much by nutritional status, with an overall average of 3.1 (SD 1.03) out of nine food groups consumed.

For children aged 6–59 months, severe (8.5%) and moderate (23.1%) stunting was also prevalent. Severe (1.2%) and moderate (10.9%) wasting was more common by weight-for-height than MUAC, which were 0.8% and 8.5% respectively. Only 25% of children aged 6– 59 months achieved minimum dietary diversity.

“Nearly all the children we surveyed consumed diets that were mainly carbohydrate based and poorly diversified, irrespective of their nutritional status.”

Regression analyses showed that no anthropometric indices, for both adolescent girls or children in the study, were significantly associated to dietary diversity scores – which may reflect the generally poor dietary diversity across all groups, making it difficult to compare between each.

Appropriate measures were taken to sample only a single member from each household and validated anthropometry tools, pretested survey questioners, and pretested food frequency questionnaires were used, increasing the validity of this study. The researchers recruited enough participants for the study to be appropriately powered, based on their sample size calculation.

As the data collection period was short (7–12 November 2021), seasonality may skew these results as different periods of the year may present different crop shortfalls. All participants had access to improved drinking water and sanitation systems, which may not be true of comparable settings. There was a 100% response rate, which is unusual, but this may reflect the tightly controlled environment this group has been relocated to.

The findings for these two study groups are important. Both are disproportionally affected by malnutrition, yet they are distinct groups and we cannot extrapolate the findings to other child, youth, or even adult populations in this setting. Diets for these two refugee groups were poor compared to the local population and efforts should be made to improve their long-term nutrient status – through the provision of diversified and micronutrient-fortified rations.

More like this

FEX: Improving the quality of complementary feeding in Rohingya refugee camps in Bangladesh

View this article as a pdf Mohammad Zahidul Manir is Nutrition Officer at UNICEF Cox's Bazar office, Bangladesh. Mohammad Shahnewaz Morshed is Nutrition Officer in charge of...

FEX: Diet and nutrition status among school-age children and adolescents in Tanzania

View this article as a pdf By Sauli John, Geofrey Mchau, Heavenlight Ayubu, Stanslaus Mafung'a, Samafilan Ainan, Wiggins Kyatikila, Elizabeth Lyimo, Frank Chacky, Fatoumata...

FEX: Assessment of adolescent girl nutrition, dietary practices and roles in Zimbabwe

Amelia Reese-Masterson and Pamela Murakwani Amelia Reese-Masterson has been with International Medical Corps since November 2011 as Research Advisor in the Nutrition, Food...

FEX: Ethiopia: Are children of employed mothers less stunted than those of unemployed mothers?

View this article as a pdf Kedir Mohammed is the Nutrition Cluster Coordinator of the Sub-National Emergency Nutrition Coordination Unit (ENCU), Semera, Afar Region,...

FEX: Impact of agronomy and livestock interventions on women’s and children’s dietary diversity in Mali

By Damouko Bonde Lisez cet article en français ici Damouko Bonde is a specialist in project monitoring and evaluation with AVSF Mali. This project was implemented and...

FEX: Determinants of adolescent nutritional status and practices in Burkina Faso: A pooled secondary analysis

View this article as a pdf Lisez cet article en français ici By Deepali Godha, Maurice Zafimanjaka, Estelle Bambara, Nathalie Likhite and Manisha Tharaney. Deepali...

Nepal’s success story: What helped to improve maternal anaemia?

View this article as a pdf Dr Ram Padarath Bichha is Director of the Family Welfare Division, Department of Health Services, Ministry of Health and Population, Nepal. Kedar...

FEX: Impact evaluation of a DFID programme to accelerate improved nutrition for the extreme poor in Bangladesh

Summary of evaluation1 Location: Bangladesh What we know: There is little evidence of the impact of integrated livelihoods and nutrition programmes. What this article adds:...

FEX: Dietary intake and practices of adolescent girls in low and middle-income countries: A systematic review

View this article as a pdf This is a summary of the following paper: Keats, E.C., Rappaport, A.I., Shah, S., Oh, C., Jain, R. & Bhutta, Z.A. (2018). The Dietary Intake and...

FEX: An integrated multi-sector approach to improve the nutritional status among school-age children and adolescents in Malawi

View this article as a pdf By Doreen Matonga, Keisha Nyirenda, Jason Chigamba and Dalitso Kang'ombe Doreen Matonga is a Communication for Development Specialist at UNICEF...

FEX: Consumption of iron-rich foods among adolescent girls in Nepal: Identifying behavioural determinants

By Ajay Acharya, Pooja Pandey Rana, Bhim Kumari Pun and Basant Thapa View this article as a pdf Ajay Acharya is a Family Planning Specialist for the USAID-funded Suaahara II...

FEX: Preventing teen pregnancies and supporting pregnant teenagers in Ecuador

View this article as a pdf By Sara Bernardini, Geraldine Honton, Laura Irizarry, Jesús Sanz, Estefanía Castillo, Carmen Guevara and Lorena Andrade Sara...

FEX: Improving minimum dietary diversity for children aged 6-23 months when household affordability is a major constraint in northeast Bangladesh.

View this article as a pdf Lisez cet article en français ici By Md Masud Rana, Sheikh Shahed Rahman, Md Al-Amin Shovan, Bazlul Kabir Joarder and Mohammad Raisul...

FEX: Realising rights and livelihoods opportunities among tribal populations in rural India

By Salome Yesudas View this article as a pdf Lisez cet article en français ici Salome Yesudas works as a consultant with several organisations on local food systems...

FEX: In Yemen, Cash Assistance Contributes to Positive Nutritional Outcomes

View this article as a pdf Tammam Ahmed is a Nutrition Specialist at Save the Children International Main Chowdhury is Director of Programme, Development, and Quality at Save...

FEX: Risk of nutritional deficiencies increases during female adolescence – a comparison of the cost of a nutritious diet across sex and age

View this article as a pdf By Zuzanna Turowska, Janosch Klemm, Nora Hobbs and Saskia de Pee Zuzanna Turowska is a Food Systems Analyst in the Nutrition Division of the World...

NEX: Breaking the cycle of malnutrition: Designing an adolescent programme in Nepal

Lisez cet article en français ici View this article as a pdf Min Raj Gyawali is the Senior Manager for Health Services with the Suaahara II programme in...

FEX: School-age children and adolescent nutrition status in South Asia: A scoping review

This is a summary of the following paper: Choedon T, Brennan E, Joe W et al (2023) Nutritional status of school-age children 5-19 years in South Asia: A scoping review....

FEX: Early is best but it is not always too late. Young Lives evidence on nutrition and growth in Ethiopia, India, Peru and Vietnam

View this article as a pdf Summary of report Location: Ethiopia, India, Peru and Vietnam What this article is about: Anthropometric data, taken from 12,000 children across...

FEX: A multi-sector approach for nutrition in school-age children and adolescents in Malawi

This is a summary of a Field Exchange field article that was included in issue 66. The original article was authored by Doreen Matonga, Keisha Nyirenda, Jason Chigamba and...

Close

Reference this page

Dietary diversity in Bhasan Char relocation camp, Bangladesh: Children and adolescents. Field Exchange 71, December 2023. p26. www.ennonline.net/fex/71/dietary-diversity-in-bhasan-char-relocation-camp-bangladesh-children-and-adolescents

(ENN_7766)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.