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close this bookCulture, Environment, and Food to Prevent Vitamin A Deficiency (International Nutrition Foundation for Developing Countries - INFDC, 1997, 208 pages)
View the document(introductory text...)
View the documentPreface
View the documentAcknowledgements
View the documentContributing authors
close this folderPart I. Vitamin A in food and diets
close this folder1. Vitamin A and food: The current situation
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View the documentOverview: What this book is about
View the documentThe Vitamin A situation
View the documentProposed solutions to the problem
View the documentFocused ethnography to understand local culture and environment for Vitamin A programs
View the documentThe structure of this book
close this folder2. The complexities of understanding Vitamin A in food and diets: The problem
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View the documentIntroduction
View the documentOverview of natural Food sources of Vitamin A
View the documentVitamin A food composition data
View the documentEffect of food processing on Vitamin A
View the documentFood composition tables for Vitamin A
View the documentAssessment of dietary Vitamin A intake
View the documentDietary Vitamin A intake patterns
View the documentOther dietary and health factors influencing Vitamin A status
View the documentPrograms that improve intake of Vitamin A-rich food
View the documentSummary
close this folderPart II. Creating the protocol
close this folder3. Theory and process: The methods
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View the documentThe International Union of Nutritional Sciences, committee on nutrition and anthropology
View the documentTheory of the methodological approach
View the documentOverview of methods of data-collection described in the protocol manual
View the documentTesting the protocol
View the documentComment
close this folderPart III. Assessing natural food sources of Vitamin A in the community
close this folder4. The Philippines: The Aetas Canawan during wet and dry seasons
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View the documentThe Vitamin A problem in the Philippines
View the documentThe Aetas of Canawan, Morong
View the documentThe Aeta's way of life
View the documentConcepts of food and deficiency
View the documentFactors affecting food intake
View the documentA typical meal
View the documentSuggested dietary modifications
close this folder5. Community assessment of natural food sources of Vitamin A in Niger: The hausas of Filingué
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View the documentBackground discussion of Niger
View the documentFood sources of Vitamin A
View the documentMeal patterns and food utilization
View the documentCultural beliefs about Vitamin A-rich foods
View the documentVitamin A deficiency
View the documentSummary and recommendations
close this folder6. China: The people of Doumen Village, Kai Feng Municipality, Henan Province
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View the documentBackground and introduction
View the documentEating Vitamin A-rich vegetable food
View the documentCultural beliefs regarding key foods
View the documentFood patterns
View the documentFood preparation
View the documentNightblindness
close this folder7. Peru: The rural community of Chamis and the urban suburb of San Vicente in Cajamarca
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View the documentIntroduction
View the documentOverview of the location
View the documentFood sources of Vitamin A
View the documentPrincipal differences between Chamis and San Vicente
View the documentFamily and individual food patterns
View the documentFeeding patterns by age gender
View the documentVitamin A-rich food patterns
View the documentCultural beliefs
View the documentVitamin A and health
View the documentSummary and conclusions
View the documentPolicy recommendations
View the documentRecommendations for research
close this folder8. India: The rural community of Sheriguda in Andhra Pradesh
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View the documentIntroduction
View the documentTeam members and task
View the documentCurrent status of the problem
View the documentStudy population
View the documentCommunity food sources
View the documentFood consumption pattern
View the documentCultural/ecological pattern
View the documentSummary and policy strategies
close this folderPart IV. Understanding Vitamin A deficieny in the community
close this folder9. The contexts of culture, environment, and food
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View the documentOverview
View the documentOverall performance of the protocol
View the documentKeys to finding local community food sources to prevent Vitamin A deficiency: What foods are available and how much vitamin a do they contain?
View the documentKeys to understanding consumption patterns of vulnerable groups
View the documentKeys to beliefs and perceptions about food
View the documentKeys to cultural, ecological and socioeconomic factors that constrain consumption of Vitamin A-rich food and prevention of deficiency
View the documentKeys to explanations and understandings of Vitamin A deficiency symptoms
View the documentLooking to the next steps: From ethnography to intervention design
View the documentReferences

Keys to beliefs and perceptions about food

Except under conditions of extreme scarcity, food beliefs play an important role in food selection. The main techniques used in the manual to describe food beliefs are open-ended, key-informant interviews and structured interviews with mother-respondents that use formal ethnographic methods to discover emic categories, food attributes, and qualities.

Some of the food beliefs identified are found across wide culture areas, although they often show considerable intragroup variation as well as locally introduced variation. An example of a widely held belief is the finding from Sheriguda, concerning papaya. Throughout southern India, papaya is seen as a food that causes dysmenorrhea in women and impotence in men. Although it is rich in provitamin A, it is usually not accepted as a suitable food for pregnant or lactating women, infants, or young children. In Sheriguda, papaya is generally available, but consumed only by children four to fifteen years of age. Other beliefs related to vitamin A consumption included: liver is bad for children as it will cause indigestion; eggs are a "hot" food and should be used with caution; and pumpkin is a vatham food, a feature that can cause swelling and indigestion. The attributions or qualities of food in Sheriguda emphasized taste, goodness for health, hot/cold, vatham, giving strength, used for festivals, causing diarrhea or cough, increases blood, and generally not good for the body.

In the Peruvian rural area (Chamis) and in periurban San Vicente, the hot or cold humoral system continues to be important in structuring food beliefs. Foods are designated as caliente (hot) or fresco (cool). Caliente foods include vitamin A-rich items, including green herbs, while fruits are generally fresco. Sweet potato and carrot are neutral. Other important attributes of food in Chamis include giving strength, good taste, causing indigestion, and causing diarrhea. In San Vicente the attribute of good nutrition is recognized, and for children included such foods as eggs, cow's milk, breastmilk, carrot, sweet potato, papaya, and mango. Other attributes included "combatting weakness" and "good taste."

While the sites differed with respect to the literacy level of the mother-respondents, the techniques for identifying food attributes and qualities performed well in all of them. In Filingué, Niger, the attributes of animal foods included the concepts of strengthening, fattening, healthful, and blood-rich. Some foods were designated that make children feel good, are tasty, or vitamin-rich. In Doumen village people identified food as tasty, prestigious, nutritious, healthful, and filling. In selecting vegetables, beans, and meats, the main attributes of concern were price and taste. For staple foods (noodles, rice, steamed bread), filling and taste were both important. Commonly-held beliefs included the capacity of foods to impart their characteristics to the individuals who consume them. For example, it was thought that eating rabbit meat might cause a child to have a mouth and lips like a rabbit.

Among the Aetas, the concept of richness emerged as a quality of concern with respect to food. People suggested that if one eats rich food they will become spoiled and want it all the time; therefore, moderation is encouraged, except during feasts. Other food attributes included: strength-giving, filling, tasty, healthful, expensive, and prestigious. Some foods are characterized as delicious, nutritious, good for mother/child, good for the eyes, good for the blood, and for increasing breastmilk.