The state of moderate and severe food insecurity in Ethiopia has not been significantly reduced for a long time due to cultural, natural, and manmade shocks, which cover most part of the country with considerable magnitude and have adverse effects on the health and economy. This temporal evolution of the wider geographic distribution of the food insecurity levels has not been investigated for the feeding culture and shocks effect in Ethiopia, though previous studies have indicated significant geographic distribution and related factors. In addition, the longtime zone-specific comprehensive drivers were not assessed. Therefore, this study focused on investigating the feeding culture-adjusted food insecurity levels (FCSL) and their evolutional sustainability across zones by identifying the factors causing each level of household's food insecurity tailored to a specific zone. In this study, Ethiopian socio-economic longitudinal data from years 2012, 2014, and 2016 with a sample size of 3835 households were analyzed. An ordinal spatiotemporal model with different interactions under empirical Bayes estimation was adopted, and the type III interaction with Markov random field was selected to reveal the evolution of FCSL sustainability across zones and find-out the causing factors of households to each level of food insecurity tailored to zone-level by analyzing the effects of diverse factors and shocks. The result reveals that a greater portion (52.07 %) of households' population is moderately and chronically food insecure. Basically, households living in neighboring zones have significantly similar food insecurity levels, and slight improvements were observed over time. This transition over time within neighboring zones, revealed that chronic food insecurity in neighboring zones has transited to moderate food insecurity, particularly in most of the northern and southwestern areas of Ethiopia. However, the interaction term showed that the change in food insecurity levels for households living in neighboring zones is similar at one time point, but the evolution is not sustainable. Therefore, working on major zone-specific factors, such as enhancing zone-level urbanization through improving market and road linkage to rural areas, education, employment, non-agricultural businesses, and promoting integrated farming by conserving soil with consideration of additional confounding factors, will bring change and can sustainably eradicate moderate and chronic food insecurity in zone households through controlling dependency ratios, shocks, and small land size farming. This study brings resilient, manageable, and zone-specific mitigation for households living in food-insecure and vulnerable zones.
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http://dx.doi.org/10.1016/j.heliyon.2024.e32958 | DOI Listing |
BMC Public Health
January 2025
Grounded Research Hub, Rotherham Doncaster and South Humber NHS Foundation Trust, Doncaster, DN4 8QN, UK.
Background: Households in areas of socio-economic deprivation are more likely to consume diets low in fruit and vegetables. Fresh Street is a place-based fruit and vegetable voucher scheme with vouchers redeemable with local independent (non-supermarket) vendors. Paper vouchers are offered to all households in a geographical area regardless of household type, size, or income with no requirement to demonstrate need.
View Article and Find Full Text PDFSci Rep
January 2025
Global Health and Migration Unit, Department of Women's and Children Health, Uppsala University, Uppsala, 751 85, Sweden.
Malnutrition among women of reproductive age is a critical public health issue in LMICs, where undernutrition coexists with rising overweight and obesity rates. In Ethiopia, particularly among urban women, maternal and child undernutrition remains high despite efforts to combat poverty and food insecurity. This study examined the relationship between food affordability and the nutritional status of 4797 women in Addis Ababa.
View Article and Find Full Text PDFDisabil Health J
December 2024
Department of Labor Studies and Employment Relations, School of Management and Labor Relations, Rutgers University, 94 Rockafeller Rd., Piscataway, NJ USA 08854, United States.
Background: Low earnings are associated with household insecurity. Direct Support Professionals (DSPs) provide support for people with intellectual and developmental disabilities, typically for wages close to state minimums, and may experience insecurity.
Objective: The purpose of the study was to evaluate the prevalence of food and housing insecurity among DSPs.
BMJ Open
January 2025
O'Donnell School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA
Introduction: Linking patients living with chronic, diet-related diseases and food insecurity to charitable food assistance, medically tailored groceries (MTGs) and food resource coaching may empower patients to better manage their health in a way that is economically sustainable. This protocol paper describes the implementation of a study evaluating MTGs and food resource coaching in a food pantry setting.
Methods And Analysis: A randomised controlled trial whereby patients of a safety-net health centre will be screened for The Emergency Food Assistance Program (TEFAP) and study eligibility.
PLoS One
January 2025
School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
The concept of 'resilience' is pervasive, permeating academic disciplines and political discourses. This paper considers (i) the construal of 'resilience' in the contexts of food insecurity and cost-of-living in governmental discourses in the United Kingdom (UK); (ii) to what extent the political representations are reflected in research funding calls of UK national funding bodies, thus showing possibility of shaping research agendas; and (iii) to what extent official uses of 'resilience' reflect lay understandings. We are combining a corpus-based discourse analysis of UK governmental discourses and research funding calls with a study of focus group discussions.
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