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Related Experiment Video

Updated: May 27, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
04:23

A Treatment Package without Escape Extinction to Address Food Selectivity

Published on: August 21, 2015

Beyond food insecurity: how context can improve complementary feeding interventions.

Keriann H Paul1, Monica Muti, Sabra S Khalfan

  • 1Cornell University, Ithaca, New York 14853, USA. khp9@cornell.edu

Food and Nutrition Bulletin
|November 12, 2011
PubMed
Summary

Context significantly impacts infant complementary feeding practices and nutrient intake in food-insecure regions. Tailoring interventions to local social, cultural, and environmental factors is crucial for effective nutrition strategies.

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Last Updated: May 27, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
04:23

A Treatment Package without Escape Extinction to Address Food Selectivity

Published on: August 21, 2015

Area of Science:

  • Nutrition Science
  • Public Health
  • Anthropology

Background:

  • Contextual factors beyond food security are under-explored in complementary feeding recommendations.
  • Understanding local circumstances is vital for designing effective nutrition interventions.

Purpose of the Study:

  • To compare complementary feeding practices and nutrient intakes in two food-insecure sub-Saharan African settings.
  • To determine how local context influences infant nutrition.
  • To inform the design of context-specific intervention strategies.

Main Methods:

  • Formative research conducted in rural Zimbabwe and Pemba Island, Tanzania.
  • Data collected via 24-hour dietary recalls, household interviews, and focus group discussions.
  • Study population included mothers of 6- to 12-month-old infants.

Main Results:

  • Infants in both settings exhibited suboptimal nutrient intake, poor dietary diversity, and inadequate hygiene.
  • Key contextual determinants included indigenous knowledge, maternal livelihoods, family eating behaviors, agriculture, and local ecosystems.
  • Intervention needs varied: Pemba infants required home-based fortification, while Zimbabwean infants needed fortified food-based supplements.

Conclusions:

  • Contextual assessment is essential for designing effective complementary feeding interventions.
  • Nutrition education should integrate indigenous learning methods and family eating behaviors.
  • A framework for future formative research in this area is proposed.