A School Feeding Supply Chain Framework: Critical Factors for Sustainable Program Design

School feeding is an established development aid intervention with multiple objectives including education, nutrition, and value transfer. Traditionally run by international organizations in low‐income settings, school feeding programs have had a substantial impact in many less‐developed countries. However, recent rethinking by the World Bank and the World Food Programme has prompted a shift toward long‐term, sustainable solutions that rely more upon local resources, local capacity, and community participation. Supply chain management, which is critical to program delivery, is vital to developing a sustainable approach to school feeding. We propose a theoretical framework that identifies the internal and external factors that shape the supply chain and connects them to the objectives and performance measures of sustainable programs. Drawing upon supply chain management theory, current school feeding practices, and expert feedback, this article contributes to development aid logistics and program transitioning with a focus on sustainable program design. It aims to provide a comprehensive introduction to school feeding and relevant supply chain issues, a framework to identify sustainability problems in school feeding supply chains, and a starting point for further research on program design.     

稻粟、桑蚕种养及丝纺技术:中华远古文明的绝世奇葩

考古发现证明 :我国是最早进入农业文明的国家。早在一万年以前 ,我国先民就已从事原始农业活动。而我国的水稻历史 ,至少比世界各国早五、六千年。我国同时是世界人工栽培粟最早的国家。早在 80 0 0年前的黄河流域 ,粟就已成为了先民的主要食粮。我国不仅是世界上最早的桑蚕和丝绸之国 ,而且远在五、六千年以前的帝喾和尧舜时代 ,我国先民就已熟练地掌握了养蚕缫丝和丝绸纺织技术 ,而且已达到了绝妙的工艺水平     

Severity and determinants of stunting in children under age 2 years in Odisha (India): a tribal v/s non-tribal analysis

Prevalence of stunting among India’s tribal under-five children has witnessed a 3% annual decline in the last 8 years. Cross-sectional data of 1000 children (287 tribal and 713 non-tribal) aged 0–23 months from Odisha’s Rapid Survey of Children (RSOC, 2014) was analysed to identify the predictors of stunting and severe stunting among tribal children and to suggest policy and programme implications. Results show significant determinants of childhood stunting to be birth order, maternal illiteracy and determinants for severe stunting were maternal age <18 years at marriage and <20 years at birth, and <3 antenatal clinic visits. Severe stunting in tribal children was predicted by basic causes: poverty and maternal age <20 years at first birth and age <18 years at marriage. Findings strongly suggest to accelerate efforts towards reducing childhood stunting in Odisha more specifically among tribal children for whom a special strategy is urgently warranted.     

陕北白绒山羊精细养殖技术平台的设计

介绍了国内外畜禽精细养殖技术平台的研究进展,提出了平台采用的技术架构和开发环境,设计了平台的总体结构、数据库表和各子系统的功能模块。平台提供了生产管理、辅助育种、饲料配方、疾病诊断等功能,实现了陕北白绒山羊精细养殖过程中的数字化管理。     

关于工业反哺农业的政策选择问题

如果我们将工业反哺农业理解为工业对于农业的一种价值让渡,那么,就工业的范围而言,不仅包括城市工业和第三产业,而且包括建立在农村的二、三产业。从内容上讲,主要包括工业产品、税收、价格、工业化制度、工业化理念、资金和保险支持等。     

Women’s experiences of infant feeding support: Findings from a cross-sectional survey in Victoria,Australia

ObjectiveTo evaluate new mothers’ experiences of infant feeding support.DesignA postal survey developed for this study was sent to all new mothers in ten local government areas in Victoria, Australia when their baby was six months of age. Questions explored infant feeding methods, feeding support services, and experiences of infant feeding support. This survey made up one component of the Supporting breastfeeding In Local Communities (SILC) cluster randomised controlled trial.Findings997/4127 women (24%) completed the survey between 15 April 2013 and 31 July 2013. Women received infant feeding support from multiple sources, including professionals, family members, and peers. Overall, 88% reported receiving adequate infant feeding support. Women who reported not receiving adequate infant feeding support were less likely to be giving any breast milk at six months compared to those reporting adequate support (OR = 0.59; 95% CI 0.40, 0.88). Adjusting for breastfeeding intention and parity did not alter the association (Adj. OR = 0.60; 95% CI 0.40, 0.90). Women were most satisfied when they received accessible, available, consistent professional infant feeding support provided in a non-judgemental and reassuring way. Women were dissatisfied when there were barriers restricting access to support, or when they received conflicting advice or support that made them feel guilty, pressured or judged.Key conclusionsRegardless of infant feeding method, women wanted accessible, non-judgemental support. Given that receiving adequate support was associated with more breast milk feeding at six months, care providers should ensure accessible infant feeding support is available to all new mothers.     

“Its Own Kind of Torture”: Denial,Acknowledgment, and the Debate About Force Feeding at Guantánamo Bay

Social science research has revealed how U.S. political and media elites, as well as U.S. citizens, downplayed and denied allegations of torture during the country's wars in Afghanistan and Iraq. This research effectively applies and extends Stanley Cohen's ( 2001 ) typology of the rhetoric of denial. We lack, however, a typology of the rhetoric of acknowledgment. In this article, I synthesize studies of discourse of torture to develop just such a typology. I propose three rhetorical forms of acknowledgment, which parallel Cohen's forms of denial. Literal or factual acknowledgment includes claims to convince audiences that alleged incidents indeed occurred. Interpretive acknowledgment consists of claims to affirm that those allegations constitute serious human rights violations, such as cruel, inhuman, or degrading treatment or torture. Implicatory acknowledgment includes efforts to delegitimize torture. I then illustrate the use of the rhetoric of acknowledgment through a qualitative content analysis of newspaper coverage of force feeding at the United States' detention center at Guantánamo Bay, Cuba. This case allows me to extend our understanding of the rhetoric of denial and acknowledgment by revealing ways in which discourse around force feeding deviates from that around the United States' use of “enhanced interrogation” and torture.     

Birth of a very low birth weight preterm infant and the intention to breastfeed 'naturally'

An interpretive phenomenological study involving 17 Australian parents was undertaken to explore parents' experiences of breastfeeding very low birth weight (VLBW) preterm infants from birth to 12 months of age. Data were collected from 45 individual interviews held with both mothers and fathers, which were then transcribed verbatim and analysed using thematic analysis. From this study, the analysis identified the following themes: the intention to breastfeed naturally; breast milk as connection; the maternal role of breast milk producer; breastmilk as the object of attention; breastfeeding and parenting the hospitalised baby and the demise of breastfeeding. The discussion presented here presents the theme of the intention to breastfeed 'naturally'. This study found that all of the participant women decided to breastfeed well before the preterm birth, and despite the birth of a VLBW preterm infant continued to expect the breastfeeding experience to be normal regardless of the difference of the postpartum experience. It is without doubt that for these parents the pro-breastfeeding rhetoric is powerfully influential and thus successful in promoting breastfeeding. Furthermore, all participants expected breastfeeding to be 'natural' and satisfying. There is disparity between parents' expectations of breastfeeding 'naturally' and the commonplace reality of long-term breast expression and uncertain at-breast feeding outcomes. How the parents came to make the decision to breastfeed their unborn child -- including the situations and experiences that have influenced their decision making -- and how the preterm birth and the dominant cultures subsequently affected that decision will be discussed. The findings have implications for midwifery education and maternity care professionals who support parents making feeding decisions early in pregnancy and those striving to breastfeed preterm infants.     

Mothers’ attitudes and beliefs about infant feeding highlight barriers to exclusive breastfeeding in American Samoa

BackgroundIn American Samoa, initiation of breastfeeding is almost universal but exclusive breastfeeding, a promising target for obesity prevention, is short in duration.Aims(1) To examine American Samoan mothers’ feeding experiences and attitudes and beliefs about infant feeding and (2) to identify potential barriers to exclusive breastfeeding.MethodsEighteen semi-structured interviews were conducted with American Samoan mothers at 16–32 days postpartum. Interviews focused on mother's knowledge and beliefs about infant feeding, how their infants were fed, why the mother had chosen this mode of infant feeding, and how decisions about feeding were made within her social surroundings. A thematic qualitative analysis was conducted to identify salient themes in the data.FindingsIntention to exclusively breastfeed did not predict practice; most women supplemented with formula despite intending to exclusively breastfeed. The benefits of breastfeeding were well-recognized, but the importance of exclusivity was missed. Formula-use was not preferred but considered an innocuous “back-up option” where breastfeeding was not possible or not sufficient for infant satiety. Identified barriers to exclusive breastfeeding included: the convenience of formula; perceptions among mothers that they were not producing enough breast milk; and pain while breastfeeding. The important support role of family for infant feeding could be utilized in intervention design.ConclusionThis study identified barriers to exclusive breastfeeding that can be immediately addressed by providers of breastfeeding support services. Further research is needed to address the common perception of insufficient milk in this setting.     

Women who experience feelings of aversion while breastfeeding: A meta-ethnographic review

ProblemLimited literature is available about women who wish to breastfeed but experience unexpected feelings of aversion in reaction to their infant suckling at the breast while breastfeeding.BackgroundBreastfeeding benefits mothers, infants and society yet breastfeeding rates continue to fall below recommendations in part due to inadequate tailored support after hospital discharge. Influences on breastfeeding are complex and include many physiological, psychosocial and cultural factors.AimTo better understand the experience of women who have feelings of aversion during breastfeeding by synthesising the existing literature.MethodsMEDLINE, CINAHL, PsycINFO, Maternity and Infant Care databases were searched for relevant literature published between 2000 to 2019. Using Covidence software, five qualitative research studies were identified. Studies were then analysed using meta-ethnographic qualitative synthesis.FindingsFeelings of aversion during breastfeeding were described as visceral and overwhelming; leading to feelings of shame and inadequacy. This synthesis identified five findings; a central conceptual category of “it’s such a strong feeling of get away from me” with four key metaphors translated from this central conceptual category: “I do it because I feel it is best for my baby”, “I can’t control those feelings”, “I should be able to breastfeed my son and enjoy it”, and “I’m glad I did it”. This phenomenon may negatively affect a women’s sense of self and impact on the mother-infant relationship.ConclusionSome women who want to breastfeed can experience feelings of aversion while breastfeeding. The feelings of ‘aversion’ while breastfeeding can inhibit women from achieving their personal breastfeeding goals.