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• W2849270146 abstract "Background (Background, Rationale, Prior Research, and/or Theory): One Health recognizes that the health of people is connected to the health of animals and the environment. One Health solutions are increasingly important in the biodiverse regions of Madagascar, where approximately half of all children suffer from chronic malnutrition, often as the result of poor food security status and a lack of diet diversity. Objective: The purpose of this pilot study was to assess the drivers of food choice and barriers to diet diversity for women and young children, who rely on the land for farming and economic opportunities. Study Design, Setting, Participants, Intervention: Primary caregivers of children under 12 years of age from 10 selected villages in a protected Natural Reserve region of northeast Madagascar, were recruited to participate in a questionnaire and focus group discussion. Three focus groups were conducted in community locations. Outcome Measures and Analysis: The Madagascar Food Questionnaire assessed food practices and belief structures around the nutritional value of foods. The questionnaire data were analyzed for frequencies and descriptive statistics. Focus groups explored the participants' perceptions of the positive and negative aspects of the available foods and concerns about health. A thematic analysis of focus group discussions was conducted by the researchers. Discrepancies were discussed and resolved. Results: A total of 137 participants completed the survey across 10 villages. Important factors identified when shopping and preparing foods were cleanliness, health, and child preferences. Diet diversity was reported least often as important. Energy-dense foods were most often reported as nutritious while many nutritious and low-cost foods were not valued or preferred. Many participants were not consuming animal protein consistently. A total of 23 women in three villages participated in focus groups. Food cost, availability, and health were identified as factors of concern and important in decision making. Conclusions and Implications: Understanding the drivers of food choice and barriers to diet diversity are vital for developing appropriate programs or interventions that One Health conducts in Madagascar, and other developing countries. Funding: St. Louis Zoo's Field Research for Conservation program." @default.
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• W2849270146 date "2018-07-01" @default.
• W2849270146 modified "2023-09-25" @default.
• W2849270146 title "Diet Diversity and Food Security in a Biodiverse Region of Madagascar" @default.
• W2849270146 doi "https://doi.org/10.1016/j.jneb.2018.04.123" @default.
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