Scientific Symposium Proceedings Final Draft - K4Health .SCIENTIFIC SYMPOSIUM March 21 ... phases

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    PROCEEDINGS Agriculture,Food

    SecurityandNutritioninNepalTakingStockandDefiningPriorities

    NUTRITIONCOLLABORATIVESUPPORTRESESEARCHPROGRAM:

    SCIENTIFICSYMPOSIUMMarch2122,2012

    AUTHORS:

    SUDEEPSHRESTHASWETHAMANOHAR

    ROLFKLEMMRAPPORTEURS:

    DIPLAVSAPKOTAAKRITISINGH

    RAMANSHRESTHASUDEEPSHRESTHA

    DISCLAIMER:TheauthorsviewsexpressedinthispublicationdonotnecessarilyreflecttheviewsoftheUnitedStatesAgencyforInternationalDevelopmentortheUnitedStatesGovernment.

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    TABLEOFCONTENTSAbouttheNutritionCollaborativeResearchSupportProgram(NutritionCRSP)......................4Acknowledgements.......................................................................................................................................................4ExecutiveSummary.......................................................................................................................................................5ProgramataGlance......................................................................................................................................................9Opening..............................................................................................................................................................................12SymposiumKeynoteAddress.................................................................................................................................14RoleofevidenceinleveragingagricultureforimprovedhealthandnutritionSession1............................................................................................................................................................................23Agriculturetomarkets..................................................................................................................................................23Session2...........................................................................................................................................................................27LinkingFoodMarketsand/orHomeProductiontoHouseholdAccess....................................................27Session3...........................................................................................................................................................................31HouseholdAvailability,AccessandUsetoDietaryIntakeandNutritionandHealthOutcomesofWomenandYoungChildren.......................................................................................................................................31Session 4.............................................................................................................................................................................33Identifying,Defining,MeasuringLinkagesandEvidenceGaps....................................................................33NextSteps.........................................................................................................................................................................40APPENDIX.........................................................................................................................................................................42Session1Abstracts....................................................................................................................................................421.1HouseholdConsumptionofGrainLegumesinNepalTerai:AStudyonImpactofImprovedTechnoglogies.RKNeupane,NSThakur,PJha,DNPokharel,BPMahatoandRASah.................42

    1.2EfficienciesinLinkingAgriculturalDevelopmentwithHealthandNutritionTraininginNepal.L.ColavitoandM.Pariyar.......................................................................................................................................43

    1.3HighImpactTechnologiesApproachesforImprovedFoodSecurityandNutritionofRuralPoor.JoeSanders.......................................................................................................................................................44

    Session2Abstracts....................................................................................................................................................452.1ApplicationoftheHouseholdEconomyApproachforAssessingFoodSecurityandDescribingLivelihoodsinNepal.SavilleNM1,AkhterN1,ShresthaBP2,ManandharDS,OsrinD,CostelloA........................................................................................................................................................................................45

    2.2HomesteadFoodProductioncontributestoDietaryIntakeofChildren623montholdsinKailaliDistrict,FarWestTerai.DPAdhikari,PPandeyRana1,DDavis,NSharma,HBChand,RKNeupane..................................................................................................................................................................46

    2.3FoodSecurity,FoodPriceandIncomeTrendsinDhanushaDistrict,Nepalbetween2005and2011.ShresthaBP,AkhterN,ManandharDS,OsrinD,CostelloA,SavilleNM................................47

    2.4ValidatingDistrictLevelAssessmentwithSurveyData:ExamplefromtheNEKASP,WorldFoodProgramme.......................................................................................................................................................48

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    Session3Abstracts...................................................................................................................................................493.1NutritionInterventionthatImproveChildandMaternalHealthandSurvivalFindingsfromTrialsintheTeraiofNepal(Expandedabstract)KeithP.West,Jr.,SubarnaK.Khatry,ParulChristian,RolfD.W.Klemm,JoanneKatz,LukeMullany,StevenC.LeClerq,JamesM.Tielsch.49

    3.2GrowthandHealthofRuralChildrenin3districtsofNepal:EffectofaCommunityDevelopmentIntervention.LCMiller,RShrestha,MLohani,PSingh,PSubba,DThapa,SNMahato,NJoshi.........................................................................................................................................................52

    3.3ImpactsofChangesinGrainPulse(legume)ConsumptiononMicronutrientSupplyofRuralWomeninNepalAndNorthIndia.PAndersen...........................................................................................53

    3.4CorrelatesofInfantandYoungChildFeedingPracticesinChepangCommunity.SubediN,PoudelS,RanaTandPaudelAK........................................................................................................................54

    TitleListingsforPosterPresentations...................................................................................................................55ListofParticipants.............................................................................................................................................................56References..............................................................................................................................................................................61

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    ABOUTTHENUTRITIONCOLLABORATIVERESEARCHSUPPORTPROGRAM(NUTRITIONCRSP)TheUSGovernmentsupcomingFeedtheFutureinitiativesupportsanewparadigmthatlinksagriculturewithhealthstrategiestoaddressundernutritionindevelopingcountries.Thisintegratedapproachaimstoprovidelongtermandsustainablesolutionstoundernutritionbyaddressingitsdeterminants.TheNutritionCRSPwillworkwithUSAIDmissions,developmentpartnersandhostcountriesthroughtheFeedtheFutureImplementationPlanandFoodSecurityCountryInvestmentPlanstodeterminethekindsofinvestmentsinagriculture,healthandnutrition,institutionalandhumancapacitydevelopmentandpolicydevelopmentneededtoachievelargescaleimprovementsinanation'shealth.TheNutritionCRSPisaprogramofresearchtopracticethatsupportshumanandinstitutionalcapacitybuildingforresearchandpolicyanalysisinhostcountries,inpartnershipwithlocaluniversities,researchorganizations,andcentersofpolicyformulationwithinthegovernment.ItwaslaunchedinOctober2010,andismanagedbytheFriedmanSchoolofNutritionScienceandPolicyatTuftsUniversity,inpartnershipwiththeSchoolsofPublicHealthatJohnsHopkinsUniversityandHarvard,theCollegeofAgricultureatPurdueUniversity,theCollegeofAgricultural,Environmental,andNaturalSciencesatTuskegeeUniversity,DevelopmentAlternativesInc.,theUSAIDBureauforFoodSecurityandUSAIDmissionsinFeedtheFuturefocuscountries.

    ACKNOWLEDGEMENTS WegratefullyacknowledgethesupportoftheUnitedStatesAgencyforInternationalDevelopment(USAID)forprovidingthefundstosupportthisscientificsymposiumandproceedings.Specialthanksgotothecohostsofthesymposium,theDepartmentofCommunityMedicineandPublicHealthatInstituteofMedicine(IOM)atTribhuvanUniversity,especiallytoDr.SharadOnta,DepartmentHeadandDr.RameshAdhikari,PediatricianandProfessoratIOM.AdditionalthanksgototheNationalAgriculturalResearchCenter(NARC),especiallytoDr.DevendraGauchan.WealsothanktheNepalTechnicalAssistanceGroup(NTAG)foralltheirbehindthescenesworkinassistingwithlogistics,communicationsandregistrationfortheevent.WealsowouldliketorecognizeMr.AtmaramPandey,NPC,Ms.ShabnamShivakoti,MoAC,andMr.DiplavSapkotaaswellasthenumerousindividualswhohelpedsolicitparticipation.WeextendourgratitudetoDr.MarieRuelandDr.SuneethaKadiyalafortheirvaluableadviceandcontributions.Weextendspecialappreciationtotherapporteursoftheevent:Dr.SudeepShrestha,Ms.AkritiSingh,Mr.DiplavSapkotaandDr.RamanShrestha;withouttheirkeenattentionandcomprehensivenotes,thisreportwouldnothavebeenpossible.ThankyoutoDrs.PatrickWebb,RolfKlemmandKeithWestfortheirguidanceandsupportduringthepreparatoryphasesandconductofthisevent.SpecialthankstoMs.SwethaManoharforleadingtheorganizationofthisevent.Finally,wethankeachofthepresenterswhoputanextraordinaryamountofeffortintomakingthiseventasuccessfromsubmittingabstracts,tomakingrevision,tocreatingandshowcasingtheirpostersandoralpresentations.

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    EXECUTIVESUMMARYTheGlobalNutritionCollaborativeRese