changing values and food choice in lmic: key learnings

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Changing Values and Food Choice in LMIC: Key Learnings from the DFC program DFC Team: Edward Frongillo, Shilpa Constantinides, Ligia Reyes, Krystal Rampalli, Shiva Bhandari, Abdullah Khan, Emma Kenney, Sharraf Samin, Deepika Singapogu Christine E. Blake, PhD, RD

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Page 1: Changing Values and Food Choice in LMIC: Key Learnings

Changing Values and Food Choice in LMIC: Key Learnings from the DFC program

DFC Team:

Edward Frongillo, Shilpa Constantinides, Ligia Reyes, Krystal Rampalli, Shiva Bhandari, Abdullah Khan, Emma Kenney, Sharraf Samin, Deepika Singapogu

Christine E. Blake, PhD, RD

Page 2: Changing Values and Food Choice in LMIC: Key Learnings

Definition

Values are generalized ends with connotations of

rightness, goodness or inherent desirability

Page 3: Changing Values and Food Choice in LMIC: Key Learnings

Values Drive Food Choice

• Food choice encompasses processes by which individuals and households decide

– what to grow, gather, purchase, or obtain

– how to acquire, store, prepare, distribute, and consume the food they eat

• Play a central role in the changing food choice behaviors of those experiencing the nutrition transition

Page 4: Changing Values and Food Choice in LMIC: Key Learnings

Conceptualizations and levels of values• Universal:

– Common or held by leaders, relative importance differ by culture and individual

– Ex. Universal Human Values (Kidder, 2006)

• E.g., love, fairness, freedom, unity, responsibility, respect for life

• Social (Cultural): – Core principles or ideals upon which an entire community exists

– Ex. Hofstede’s Cultural Dimensions Theory – compares cultures of nation states

• E.g., Power distance, Individualism versus collectivism, Etc.

• Personal:– Trans-situational, desirable goals that serve as guiding principles in people’s lives

– Schwartz proposed personal values that are universal in content and structure

• E.g., Self-directed thought, conformity, achievement, stimulation etc.

– Personal values in specific situations

• Work; immigration; sexuality; parenting; food choice etc.

(Rokeach, 1973; Kidder, 2006; Hofstede, 2003; Schwartz et. al, 2012; Schwartz, 2015; Baker et al., 2004; Consiglio et. al., 2016; Paradise et. al., 1999; Lyerly and Reeve, 2015; Connors et. al., 2001 )

Page 5: Changing Values and Food Choice in LMIC: Key Learnings

Food Choice Values

• Situational goals that manifest as considerationsto guide how and why people eat what they do

• Cost, taste, convenience, health, managing relationships are common

• Universal and Cultural values shape considerations– What is acceptable cost (price, value)?– What constitutes good taste (flavor, texture,

preferences, social status)?– What is considered convenient (time, access,

packaging)?– What is good for Health (individual, environment)?

Connors et. al., 2001; Lyerly and Reeve, 2015; Blake et. al., 2021; Blake et. al., 2007; Blake and Bisogni, 2003

Page 6: Changing Values and Food Choice in LMIC: Key Learnings

Understanding how values drive food choice in rapidly changing LMIC context provides necessary information for effective policy and program action to ensure demand for sustainable healthy dietshttps://www.who.int/publications/i/item/978924

1516648

Page 7: Changing Values and Food Choice in LMIC: Key Learnings

Facilitate, synthesize and disseminate research to provide a deep understanding of the drivers of

food choice among the poor in developing countries in South Asia and Sub-Saharan Africa

Page 8: Changing Values and Food Choice in LMIC: Key Learnings

Values that drive food choice

Cultural

• Patterns in meal composition and timing

• Required ingredients or staples

• Body size ideals

• Animal source foods

• Traditional agricultural or acquisition practices

• Social status and food

• Gender roles and agency around food

Personal• Cost • Health • Convenience• Taste • Snacking• Personal relationships• Trustworthiness of food

vendors and outlets• Cleanliness and freshness • Child preferences• Etc.

Wertheim-Heck and Raneri, 2021; Stokes-Walters et. al., 2021; Flax et. al, 2020; Samaddar et. al., 2020; Thakwalakwa et. al., 2020

Page 9: Changing Values and Food Choice in LMIC: Key Learnings

• Insights from Malawi: Body size perceptions and food preferences drive food choice among mothers and children– Valerie Flax, RTI International:

• Insights from India: Nudging behavioral intentions of food choice towards healthier diets– Matty Demont, International Rice Research Institute:

• Insights from Kenya: Cultural values drive behaviors and decision making for animal source foods– Salome R. A. Bukachi, University of Nairobi:

Page 10: Changing Values and Food Choice in LMIC: Key Learnings

DFC References1. Cuevas R, De Guia A, Demont M. Developing a framework of gastronomic systems research to unravel drivers of food

choice. International Journal of Gastronomy and Food Science. 2017; 9:88–99.2. Wertheim-Heck S, Raneri JE, Oosterveer P. (2019). Food safety and nutrition for low-income urbanites: exploring a social justice

dilemma in consumption policy. Environment and Urbanization.3. Raneri JE, Wertheim-Heck S. Healthy Diets from Sustainable Food Systems Initiative, Bioversity International Retail diversity for

dietary diversity: Resolving food-safety versus nutrition priorities in Hanoi. In Food environments: Where people meet the food system. Pg: 61-69. UNSCN NUTRITION. 2019.

4. Wertheim-Heck S, Raneri JE. A cross-disciplinary mixed-method approach to understand how food retail environment transformations influence food choice and intake among the urban poor: Experiences from Vietnam. Appetite, Volume 142, 2019.

5. Pradeilles R, Marr C, Laar A, Holdsworth M, Zotor F, Tandoh A, Klomegah S, Coleman N, Bash K, Green M, et al. How ready are communities to implement actions to improve diets of adolescent girls and women in urban Ghana? BMC Public Health. BMC PublicHealth; 2019;19:1–14.

6. Zhang LX, Koroma F, Fofana ML, Barry AO, Diallo S, Songbono JL, Stokes-Walters R, Klemm RD, Nordhagen S, Winch PJ. (2020) “Food Security in Artisanal Mining Communities: An Exploration of Rural Markets in Northern Guinea.” Foods. 9(4):479.

7. Bliznashka, L., Danaei, G., Fink, G., Flax, V. L., Thakwalakwa, C., & Jaacks, L. M. (2020). Cross-country comparison of dietary patterns and overweight and obesity among adult women in urban Sub-Saharan Africa. Public Health Nutrition, 1-11.

8. Flax VL, Thakwalakwa C, Phuka JC, Jaacks LM. Body size perceptions, body size preferences, and food choice among mothers and their children in Malawi. Maternal & Child Nutrition.

9. Cuevas, R.P., Custodio, M.C., Ynion, J., Samaddar, A. & Demont, M. 2020. “Gastronomic systems research.” Gastronomy and Food

Science. Galanakis, C.M. & Wang. E., eds., Amsterdam: Elsevier, in press.

10. Samaddar, A., Custodio, M.C., Ynion, J., Cuevas, R., Ray (Chakravarti), A., Mohanty, S.K. & Demont, M. “Capturing diversity and

cultural drivers of food choice in eastern India.” International Journal of Gastronomy and Food Science. (22) December 2020.

14. Flax VL, Thakwalakwa C, Schnefke CS, Phuka JC, Jaacks LM. Food purchasing decisions of Malawian mothers with young children

in households experiencing the nutrition transition. Appetite.

15. Green,M., Pradeilles, R., Laar, A., Osei-Kwasi, H., Bricas, N., Coleman, N., Klomegah, S., Njeri, M., Tandoh, A., Akparibo, R., Griffiths, P., Kimani, E., Mensah, K., Muthari, S., Zotor, F., Holdsworth, M. Characterising the food and advertising environments of deprived neighborhoods in African cities. BMJ Open.

Page 11: Changing Values and Food Choice in LMIC: Key Learnings

DFC References14. Custodio MC, Ynion J, Cuevas RP, Samaddar A, Ray (Chakravarti) A, Mohanty S, Demont M. “Expert elicitation database capturing

diversity and cultural drivers of food choice and nutritional implications in eastern India.” Data in Brief, in press.15. Ekesa, B, Ariong, RM, Kennedy, G, Baganizi, M, Dolan, I. "Relationships between land tenure insecurity, agrobiodiversity, and dietary

diversity of women of reproductive age: Evidence from Acholi and Teso subregions of Uganda." Matern Child Nutr. 2020; 16( S3):e12965.

16. Thakwalakwa C, Flax VL, Phuka JC, Garcia H, Jaacks LM. (2020). “Drivers of food consumption among overweight mother-child dyads in Malawi.” PLoS ONE 15(12): e0243721.

17. Stokes-Walters R, Fofana ML, Songbono JL, Barry AO, Diallo S, Nordhagen S, Zhang LX, Klemm RD, Winch PJ. “‘If you don’t find anything, you can’t eat’ – Mining livelihoods and income, gender roles, and food choices in northern Guinea.” Resources Policy, 2021.

18. Schreinemachers, P., Baliki, G., Shrestha, R.M., Bhattarai, D.R., Gautam, I.P., Ghimire, P.L., Subedi, B.P., Brück, T. Nudging children toward healthier food choices: an experiment combining school and home gardens. Global Food Security, 2021.

19. Holdsworth, M., Pradeilles, R., Tandoh, A., Green, M., Wanjohi, M., Zotor, F., Asiki, G., Klomegah, S., Abdul-Haq, Z., Osei-Kwasi,

H., Akparibo, R., Bricas, N., Griffiths, P., Laar, A. 2020. Unhealthy eating practices of city-dwelling Africans in deprived

neighbourhoods: evidence for policy action from Ghana and Kenya. Global Food Security Journal, 2021.

20. Wertheim-Heck, S. and Raneri, J.E. Food policy and the unruliness of consumption: An intergenerational social-practice approach to uncover shifts in diets among low-income urbanites in modernizing Hanoi, Vietnam. Global Food Security, 2021.

21. Girard, A.W., Ripkey, C., Dominguez-Salas, P., Kinyabo, J., Mwanri, A., Little, P.D. Climate Change and Sedentarization in Tanzania: Health and Nutrition Implications. Global Food Security, 2021.

22. Matita M, Chirwa E, Johnston D, Mazalale J, Smith, R, Walls H. Does household participation in food markets increase dietary diversity? Evidence from rural Malawi. Global Food Security, 2021.