Estimating minimum dietary diversity for children aged 6–23 months: a comparison of agreement and cost of two recall methods in Cambodia and Zambia

Autor: Laura S Hackl, Lidan Du-Skabrin, Amry Ok, Chiza Kumwenda, Navy Sin, Lukonde Mwelwa-Zgambo, Ramji Dhakal, Bubala Thandie Hamaimbo, Elise C Reynolds, Katherine P Adams, Charles D Arnold, Christine P Stewart, Erin M Milner, Sarah Pedersen, Jennifer Yourkavitch
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Public Health Nutrition, Vol 27 (2024)
Druh dokumentu: article
ISSN: 13689800
1368-9800
1475-2727
DOI: 10.1017/S1368980024000107
Popis: Abstract Objective: To compare the agreement and cost of two recall methods for estimating children’s minimum dietary diversity (MDD). Design: We assessed child’s dietary intake on two consecutive days: an observation on day one, followed by two recall methods (list-based recall and multiple-pass recall) administered in random order by different enumerators at two different times on day two. We compared the estimated MDD prevalence using survey-weighted linear probability models following a two one-sided test equivalence testing approach. We also estimated the cost-effectiveness of the two methods. Setting: Cambodia (Kampong Thom, Siem Reap, Battambang, and Pursat provinces) and Zambia (Chipata, Katete, Lundazi, Nyimba, and Petauke districts). Participants: Children aged 6–23 months: 636 in Cambodia and 608 in Zambia. Results: MDD estimations from both recall methods were equivalent to the observation in Cambodia but not in Zambia. Both methods were equivalent to the observation in capturing most food groups. Both methods were highly sensitive although the multiple-pass method accurately classified a higher proportion of children meeting MDD than the list-based method in both countries. Both methods were highly specific in Cambodia but moderately so in Zambia. Cost-effectiveness was better for the list-based recall method in both countries. Conclusion: The two recall methods estimated MDD and most other infant and young child feeding indicators equivalently in Cambodia but not in Zambia, compared to the observation. The list-based method produced slightly more accurate estimates of MDD at the population level, took less time to administer and was less costly to implement.
Databáze: Directory of Open Access Journals
Externí odkaz: