PDF(Pubmed)
Abstract：
BACKGROUND: Timor-Leste\'s food insecurity, propelled by political conflicts, a fragile economy and biophysical limitations that characterize mountainous Small Island Developing States (SIDS), is expressed in a high incidence (50%) of stunted children. Hence, the Millennium Development Goals Achievement Fund\'s Joint Program\'s (MDG-F JP) in 2009 was a timely intervention to reduce prevalence of underweight among under-fives. Since the impact of the program remains largely unclear, the current study investigates the contributions of the MDG-F JP on improving children\'s nutritional status in Timor-Leste, in order to inform policymakers on how to make future programs more effective.
METHODS: Using bivariate analyses and multiple linear regression models we analyzed Demographic and Health Survey (DHS) data from under-fives in 2009-2010 and 2016, combined with spatially explicit data from geographic information systems (GIS). The analyses generated trends and factors associated with undernutrition, which were used in a quasi-experimental setting to compare districts that received the MDG-F JP with similar districts that did not receive MDG-F JP interventions.
RESULTS: A comprehensive set of factors dependent on seasons, locations, and individuals determine undernutrition in Timor-Leste. A positive impact of the MDG-F JP was found for the average severity of wasting, but not for stunting and underweight.
CONCLUSIONS: The findings reinforce the pressing need for integrated and cross-sectoral programs, aimed especially at agricultural workers, mothers, and children. The agricultural challenge is to sustainably select, produce and conserve higher-yield and nutrient-rich crops, and educational enhancement should be aligned with local practices and research.
METHODS: Using bivariate analyses and multiple linear regression models we analyzed Demographic and Health Survey (DHS) data from under-fives in 2009-2010 and 2016, combined with spatially explicit data from geographic information systems (GIS). The analyses generated trends and factors associated with undernutrition, which were used in a quasi-experimental setting to compare districts that received the MDG-F JP with similar districts that did not receive MDG-F JP interventions.
RESULTS: A comprehensive set of factors dependent on seasons, locations, and individuals determine undernutrition in Timor-Leste. A positive impact of the MDG-F JP was found for the average severity of wasting, but not for stunting and underweight.
CONCLUSIONS: The findings reinforce the pressing need for integrated and cross-sectoral programs, aimed especially at agricultural workers, mothers, and children. The agricultural challenge is to sustainably select, produce and conserve higher-yield and nutrient-rich crops, and educational enhancement should be aligned with local practices and research.
摘要：
背景：东帝汶的粮食不安全，在政治冲突的推动下，脆弱的经济和生物物理限制是多山的小岛屿发展中国家（SIDS）的特征，在发育迟缓的儿童中发病率很高(50%)。因此，2009年，千年发展目标成就基金的联合计划（MDG-FJP）是一项及时的干预措施，旨在减少五岁以下儿童体重不足的患病率。由于该计划的影响仍不清楚，本研究调查了MDG-FJP对改善东帝汶儿童营养状况的贡献，以告知政策制定者如何使未来的计划更有效。
方法：使用双变量分析和多元线性回归模型，我们分析了2009-2010年和2016年五岁以下人口与健康调查（DHS）数据，并结合了地理信息系统（GIS）的空间明确数据。分析产生了与营养不良相关的趋势和因素，在准实验环境中使用，以比较接受MDG-FJP的地区与未接受MDG-FJP干预的类似地区。
结果：一组取决于季节的综合因素，地点,和个人确定东帝汶的营养不良。发现MDG-FJP对消瘦的平均严重程度有积极影响，但不适用于发育迟缓和体重不足。
结论：这些发现加强了对综合和跨部门计划的迫切需要，特别是针对农业工人，母亲们,还有孩子.农业面临的挑战是可持续地选择，生产和保护高产量和营养丰富的作物，加强教育应与当地的实践和研究保持一致。
方法：使用双变量分析和多元线性回归模型，我们分析了2009-2010年和2016年五岁以下人口与健康调查（DHS）数据，并结合了地理信息系统（GIS）的空间明确数据。分析产生了与营养不良相关的趋势和因素，在准实验环境中使用，以比较接受MDG-FJP的地区与未接受MDG-FJP干预的类似地区。
结果：一组取决于季节的综合因素，地点,和个人确定东帝汶的营养不良。发现MDG-FJP对消瘦的平均严重程度有积极影响，但不适用于发育迟缓和体重不足。
结论：这些发现加强了对综合和跨部门计划的迫切需要，特别是针对农业工人，母亲们,还有孩子.农业面临的挑战是可持续地选择，生产和保护高产量和营养丰富的作物，加强教育应与当地的实践和研究保持一致。
