Availability, Accessibility and Contribution of Infant Flours to the Diet of Children Aged 6-59 Months in Benin — Oak Academic Publishing
Research ArticleOpen AccessGoogle Scholar indexed
Availability, Accessibility and Contribution of Infant Flours to the Diet of Children Aged 6-59 Months in Benin
School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
,
School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
,
School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
,
Laboratory of Food and Bioresource Sciences and Technologies and Human Nutrition, School of Sciences and Techniques of Conservation and Transformation of Agricultural Products, University Center of Sakété, National University of Agriculture, Sakété, Benin
,
School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
,
School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
,
School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
,
School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
1 School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
2 School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
3 School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
4 Laboratory of Food and Bioresource Sciences and Technologies and Human Nutrition, School of Sciences and Techniques of Conservation and Transformation of Agricultural Products, University Center of Sakété, National University of Agriculture, Sakété, Benin
5 School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
6 School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
7 School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
8 School of Nutrition and Food Sciences and Technologies, Faculty of Agronomic Sciences, University of Abomey-Calavi, Cotonou, Benin
This study assesses the nutritional composition as well as the availability and affordability of infant flour found on the market and in the households of Benin. To do that assessment, a two-step cross-sectional survey based on food ethnography methods was used. A total of 61 marketplaces were visited in seven towns and rural districts as part of the availability and affordability survey, while 400 children (aged 6 to 59 months) were surveyed to track the uses of infant flours at the household level. The results obtained reveal that pre-manufactured infant flour is sold more in urban areas (Cotonou, Porto-Novo and Parakou) than in rural ones. The average infant flours price did not vary (p = 0.985) in any given year (regardless of abundance or lean periods) nor does it vary (p = 0.133) from one point of sale to another (drugstore or supermarkets). However, the average price is found to be expensive considering the purchasing power of the households surveyed. On the other hand, the amount of ingredients used in the production of the flour types found on the market complies with the recommendations of the Codex Alimentarius, unlike the homemade ones. Pre-manufactured infant flour is found to be outside of the economic reach of most households (92%) who rely heavily on the homemade ones to feed their children. In light of the above, public authorities should help improve geographic access and pricing affordability to quality infant flour for low-income households in urban and remote areas. Moreover, awareness should be raised among mothers relative to the importance of complementary feeding through education on good nutrition practices.
INSAE (2019) Enquête Démographique et de Santé au Bénin 2017-2018: Indicateurs Clés [Demographic and Health Survey 2017-2018]. INSAF, Cotonou, 255-284.
INSAE (2013) Enquête Démographique et de Santé au Bénin 2011-2012: Indicateurs Clés [Demographic and Health Survey 2011-2012]. INSAF, Cotonou, 573.
Songré-Ouattara, L.T., Aly Savadogo, K.G., Bationo, F. and Diawara, B. (2016) Evaluation de l’aptitude nutritionnelle des aliments utilisés dans l’alimentation com-plémentaire du jeune enfant au Burkina Faso. Journal de la Société Ouest-Africaine de Chimie, 41, 41-50.
Stewart, C.P., lannotti, L., Dewey, K.G., Michaelsen, K.F. and Onyango, A.W. (2013) Contextualising Complementary Feeding in a Broader Framework for Stunting Prevention. Maternal & Child Nutrition, 9, 27-45. https://doi.org/10.1111/mcn.12088
Abubakar, A., Holding, P., Van De Vijver, F.J., Newton, C. and Van Baar, A. (2010) Children at Risk for Developmental Delay Can Be Recognised by Stunting, Being Underweight, Ill Health, Little Maternal Schooling or High Gravidity. Journal of Child Psychology and Psychiatry, 51, 652-659. https://doi.org/10.1111/j.1469-7610.2009.02193.x
Walker, S.P., Chang, S.M., Powell, C.A., Simonoff, E. and Grantham-McGregor, S.M. (2007) Early Childhood Stunting Is Associated with Poor Psychological Functioning in Late Adolescence and Effects Are Reduced by Psychosocial Stimulation. The Journal of Nutrition, 137, 2464-2469. https://doi.org/10.1093/jn/137.11.2464
Bhutta, Z.A., Das, J.K., Rizvi, A., Gaffey, M.F., Walker, N., Horton, S., et al. (2013) Evidence-Based Interventions for Improvement of Maternal and Child Nutrition: What Can Be Done and at What Cost? The Lancet, 382, 452-477. https://doi.org/10.1016/S0140-6736(13)60996-4
Dewey, K.G. and Huffman, S.L. (2009) Maternal, Infant, and Young Child Nutrition: Combining Efforts to Maximize Impacts on Child Growth and Micronutrient Status. Food and Nutrition Bulletin, 30, S187-S189. https://doi.org/10.1177/15648265090302S201
Victora, C.G., de Onis, M., Hallal, P.C., Blossner, M. and Shrimpton, R. (2010) Worldwide Timing of Growth Faltering: Revisiting Implications for Interventions. Pediatrics, 125, e473-e480. https://doi.org/10.1542/peds.2009-1519
PAM/UNICEF (2008) Analyse globale de vulnérabilité, de la Sécurité Alimentaire et de la Nutrition. République du Bénin.
World Health Organization: OMS (2003) Stratégie mondiale pour l’alimentation du nourrisson et du jeune enfant. Genève.
World Health Organization: OMS (2018) Alimentation du nourrisson et du jeune enfant. http://www.who.int/mediacentre/factsheets/fs342/fr/
Codex Alimentarius (2013) Guidelines on Formulated Complementary Foods for Older Infants and Young Children. CAC/GL 8-1991. http://www.fao.org/input/download/standards/298/CXG_008e.pdf
Codex Alimentarius (2006) Codex Standard for Processed Cereal-Based Foods for Infants and Young Children. Codex STAN 074-1981, REV.1-2006. http://www.fao.org/input/download/standards/290/cxs_074e.pdf
Dimaria, S.A., Schwartz, H., Icard-Vernière, C., Picq, C., Zagre, N.M. and Mouquet-Rivier, C. (2018) Adequacy of Some Locally Produced Complementary Foods Marketed in Benin, Burkina Faso, Ghana, and Senegal. Nutrients, 10, Article 785. https://www.researchgate.net/publication/325832374 https://doi.org/10.3390/nu10060785
Fanou-Fogny, N., Chadare, F.J., Madode, Y.E., Kanhounon, S.M., Houndélo, G., Yétongnon, K., Kayode, A.P.P. and Hounhouigan, D.J. (2017) [Fiche Technique N˚1. La Méthode Free-listing: Applications Pour les Farines Infantiles au Bénin. Fiches Techniques sur l’ethnographie Alimentaire [Technical Note No1. Free-Listing Method: Applications for Inflant Flours in Benin. Technical Note Series on Food Ethnography]. Benin National Library Publications, Cotonou, 54.
Blum, L., Pelto, P., Pelto, G. and Kuhnlein, H. (1997) Community Assessment of Natural Food Sources of Vitamin A—Guidelines for an Ethnographic Protocol. International Nutrition Foundation for Developing Countries, International Development Research Centre, Boston.
Fanou, N., Van Dam, B., Koreissi, Y., Dossa, R. and Brouwer, I. (2009) Factors Predicting Consumption of Fonio grain (Digitariaexilis) among Urban Malian Women of Reproductive Age. Journal of Nutrition Education and Behavior, 9, 1927-1944.
PAM (2014) Analyse globale de vulnérabilité, de la Sécurité Alimentaire. République du Bénin.
Gibson, R.S. and Ferguson, E.L. (2008) An Interactive 24-Hour Recall for Assessing the Adequacy of Iron and Zinc Intakes of Developing Countries. Harvest Plus Technical Monograph 8. International Food Policy Research Institute, International Center for Tropical Agriculture, Washington DC.
The Food and Agriculture Organization: FAO (2013) FAO/INFOODS E-Learning Course on Food Composition Data. http://www.fao.org/infoods/infoods/training/en/
The Food and Agriculture Organization: FAO (2012) West Africa Food Composition Table. Rome.
TACAM (1997) Table de Composition du Mali. Norvege.
Lukmanji, Z., Hertzmark, E., Mlingi, N., Assey, V., Ndossi, G. and Fawzi, W. (2008) Tanzania Food Composition Tables. MUHAS-TFNC, HSPH, Dar es Salaam Tanzania-2008.
United States Department of Agriculture: USDA (2002) Nutritive Value of Food. Agricultural Research Service Home and Garden Bulletin Number 72.
United States Department of Agriculture: USDA (2007) Table of Nutrient Retention Factors, Release 6. Nutrient Data Laboratory Beltsville Human Nutrition Research Center (BHNRC) Agricultural Research Service (ARS) U.S. Department of Agriculture (USDA).
Donkin, A.J., Dowler, E.A., Stevenson, S.J. and Turner, S.A. (1999) Mapping Access to Food in a Deprived Area: The Development of Price and Availability Indices. Public Health Nutrition, 3, 31-38. https://doi.org/10.1017/S1368980000000057
Lutter, C.K. and Dewey, K.G. (2003) Proposed Nutrient Composition for Fortifed Complementary Foods. The Journal of Nutrition, 133, 3011S-3020S. https://www.ncbi.nlm.nih.gov/pubmed/12949402 https://doi.org/10.1093/jn/133.9.3011S
Banque Mondiale (2009) Plan Stratégique de Développement de l’Alimentation et de la Nutrition: Partie A Diagnostic de la situation nutritionnelle. Core Group: Bénin, République du Bénin.
Kouton, S.E., Hounkpatin, W.A., Ballogou, V.Y., Lokonon, J.H. and Soumanou, M.M. (2017) Caractérisation de l’alimentation des jeunes enfants agés de 6 à 36 mois en milieu rural et urbain du Sud-Bénin. Journal of Applied Biosciences, 110, 10831-10840. https://www.ajol.info/index.php/jab/article/view/156074 https://doi.org/10.4314/jab.v110i1.13
Bruyeron, O., Monvois, J. and Trèche, S. (2015) Technologie et Partenariat Agro-alimentaire. Bulletin de réseau N˚15 Mai 1998.
Trèche, S. (2002) Complementary Foods in Developing Countries: Importance, Required Characteristics, Constraints and Potential Strategies for Improvement.
Mémina, S. (1994) Production artisanale de farines infantiles. Expériences et procédés. Gret: Ministère de la coopération.
Gison, R.S., Bailey, K.B., Gibbs, M. and Ferguson, E.L. (2010) A Review of Phytate, Iron, Zinc, and Calcium Concentrations in Plant-Based Complementary Foods Used in Low-Income Countries and Implications for Bioavailability. Food and Nutrition Bulletin, 31, 134S-146S. https://doi.org/10.1177/15648265100312S206
Isabelle, L., Christèle, I.V., Christian, P. and Serge, T. (2003) Effets du trempage de graines et de farines de céréales et de légumineuses sur leur teneur en phytates et leurs rapports molaires Phy/Fe et Phy/Zn. 2ème Atelier international Voies alimentaires d’amélioration des situations nutritionnelles Food-based approaches for a healthy nutrition Ouagadougou.
Adeoye, B.K., Chukwunulu, A., Makinde, Y.O., Ngozi, E.O., Ani, I.F. and Ajuzie, N.C. (2018) Quality Assessment of Complementary Food Produced Using Fermentation and Roasting Methods. American Journal of Food and Nutrition, 6, 96-102. http://pubs.sciepub.com/ajfn/6/4/1
Oladeji, A.E., Bussie, M.D., Ibironke, P., Therese, G. and David, C. (2016) Nutritional Evaluation and Consumer Preference of Legume Fortified Maize-Meal Porridge. Journal of Food and Nutrition Research, 4, 664-670. http://pubs.sciepub.com/jfnr/4/10/6
Olaoye, O.A., Onilude, A.A. and Idowu, O.A. (2006) Quality Characteristics of Bread Produced from Composite Flours of Wheat, Plantain and Soybeans. African Journal of Biotechnology, 5, 1102-1106.
Udensi, E.A., Ekwu, F.C. and Isinguzo, J.N. (2007) Antinutrients Factors of Vegetable cowpea (Sesquipedalis) Seeds during Thermal Processing. Pakistan Journal of Nutrition, 6, 194-197. https://scialert.net/abstract/?doi=pjn.2007.194.197 https://doi.org/10.3923/pjn.2007.194.197
Grembombo, I. (2003) Evaluation des principaux facteurs de risque de la malnutrition chez les enfants de 6-36 mois dans la commune de Bopa. Thèse d’Ingénieur Agronome, Faculté des Sciences Agronomiques. Université d’Abomey-Calavi, Abomey-Calavi, 101 p.
Mitchodigni, M.I. (2002) Contribution des aliments de compléments à la couverture des besoins nutritionnels du jeune enfant: Cas de la vallée de l’Ouémé. Thèse d’Ingénieur Agronome, Faculté des Sciences Agronomiques. Université d’Abomey-Calavi, Abomey-Calavi, 101 p.