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Milk-and-Dairy-Products-in-Human-Nutrition-FAO

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328<br />

<strong>Milk</strong> <strong>and</strong> dairy products <strong>in</strong> human nutrition<br />

(WHO, 2003). Most national dietary guidel<strong>in</strong>es recommend daily consumption of<br />

milk. Some but not all make recommendations on the quantities to be consumed<br />

daily. Recommendations differ accord<strong>in</strong>g to the nutritional needs of different<br />

age groups. Generally, larger quantities of milk <strong>and</strong> dairy are recommended for<br />

children <strong>and</strong> adolescents, pregnant <strong>and</strong> lactat<strong>in</strong>g women <strong>and</strong> the elderly, who have<br />

special requirements. For more <strong>in</strong>formation, see Table 4.7 <strong>in</strong> Chapter 4, <strong>Milk</strong> <strong>and</strong><br />

dairy products as part of the diet. Neumann, Harris <strong>and</strong> Rogers (2002) reviewed<br />

animal-source foods such as milk <strong>and</strong> meat <strong>and</strong> major constituent micronutrients<br />

<strong>and</strong> their impact on child growth, cognitive development <strong>and</strong> health (see Chapters<br />

4 <strong>and</strong> 7; also UNICEF, 1998).<br />

As already discussed <strong>in</strong> Chapters 4 <strong>and</strong> 7, milk <strong>and</strong> dairy foods can make an<br />

important contribution to improv<strong>in</strong>g nutrition for women <strong>and</strong> children <strong>and</strong> are an<br />

important constituent <strong>in</strong> food products aimed at treat<strong>in</strong>g malnourished children.<br />

In livestock-keep<strong>in</strong>g communities where milk is readily available milk <strong>and</strong> dairy<br />

products are fed preferentially to young children, whose nutritional requirements<br />

for growth <strong>and</strong> mental development are greatest between conception <strong>and</strong> two<br />

years of age.<br />

NGOs <strong>in</strong>clud<strong>in</strong>g Heifer International, FARM-Africa <strong>and</strong> Oxfam report <strong>in</strong>creased<br />

milk consumption <strong>and</strong> child growth <strong>in</strong> households rais<strong>in</strong>g livestock. However, the<br />

possible impact of <strong>in</strong>creased <strong>in</strong>come <strong>and</strong> associated purchase of animal products <strong>and</strong><br />

improved health care is seldom considered <strong>in</strong> such reports. Smallholder dairy<strong>in</strong>g,<br />

especially <strong>in</strong> crop–dairy systems, contributes to food security <strong>and</strong> poverty alleviation<br />

of most smallholders <strong>in</strong> many areas of Kenya, directly through milk consumption<br />

<strong>and</strong> <strong>in</strong>directly through <strong>in</strong>come generation (Muriuki, Mwangi <strong>and</strong> Thorpe,<br />

2001). In the Ethiopian Highl<strong>and</strong>s, the <strong>in</strong>troduction of improved technologies<br />

(cross-bred cows, improved feed<strong>in</strong>g <strong>and</strong> management) made a significant contribution<br />

to food security <strong>and</strong> nutrition as well as to alleviat<strong>in</strong>g poverty (Tangka, Ouma<br />

<strong>and</strong> Staal, 1999).<br />

While agricultural programmes, <strong>in</strong>clud<strong>in</strong>g post-harvest process<strong>in</strong>g, contribute<br />

to the quality <strong>and</strong> quantity of the food supply (Peduzzi, 1990; Soleri, Smith <strong>and</strong><br />

Clevel<strong>and</strong>, 2000), nutritional objectives are seldom <strong>in</strong>tegrated with ma<strong>in</strong> objectives<br />

or monitored. The Agriculture-<strong>Nutrition</strong> Project, a jo<strong>in</strong>t venture between ICRW,<br />

IFPRI, <strong>and</strong> the United States Agency for International Development (USAID)<br />

<strong>in</strong> Ghana, Kenya, Mozambique, Nigeria <strong>and</strong> Ug<strong>and</strong>a, promoted stronger l<strong>in</strong>ks<br />

between agriculture <strong>and</strong> nutrition while also consider<strong>in</strong>g gender (Johnson-Welch,<br />

1999). An important observation is that women are the primary caregivers <strong>in</strong><br />

households <strong>and</strong> many references <strong>in</strong>dicate that <strong>in</strong>come ga<strong>in</strong>ed by women is directed<br />

towards family health, care <strong>and</strong> well-be<strong>in</strong>g.<br />

People <strong>in</strong> low-<strong>in</strong>come countries spend an average of 55 percent of their expenditures<br />

on food, as compared with 16 percent <strong>in</strong> high-<strong>in</strong>come countries (Regmi, 2001).<br />

Agricultural policies that reduce production costs, create <strong>in</strong>centives to produce<br />

more nutrient-rich <strong>and</strong> diversified crops <strong>and</strong> improve access to markets can improve<br />

food supply, nutrition <strong>and</strong> <strong>in</strong>come (Chavas <strong>and</strong> Uriarte, 1999; X<strong>in</strong>shen et al., 2003).<br />

One example is <strong>FAO</strong>’s Special Programme for Food Security (SPFS), operational <strong>in</strong><br />

over 70 low-<strong>in</strong>come, food-deficit countries, which reported that rear<strong>in</strong>g livestock<br />

(with attendant <strong>in</strong>come <strong>and</strong> nutritional ga<strong>in</strong>s) mitigates the impact of HIV/AIDS on<br />

the livelihoods <strong>and</strong> food security of affected households (<strong>FAO</strong>, 2005b).

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