Research Article

A Nutrition Education Intervention to Combat Undernutrition: Experience from a Developing Country

Box 1

24-hour dietary recall, description of food groups, and serving sizes taken for children.
Number of meals: food intake reported at different times over the day was counted as 1 meal. It was not considered
a meal if any of the following item was taken alone: a cup of tea, betel nut (chalia), toffee/sweet, spicy powder (churan).
High starch foods: 1 bread slice, 1/2 roti (unleavened flatbread made with wheat flour), 1/2 paratha (fried wheat roti),
1/4 nan (commercially made roti of refined flour), 1/2 c boiled rice, 1/2 bun, 1/2 c cooked cereal, 1/2 c cooked vermicelli,
2 biscuits, 1 papa (rusk), 1 potato, 1 corn on cob 1 plain cake slice, 1/2 vegetable patty
(flour wafer with filling of potato and amp; peas), 1/2 samosa (fried savoury snack made of flour with filling of potato),
aloo chaat (spicy potatoes).
Animal protein: 15 g of meat/fish/chicken, 1/2 egg.
Plant protein: 1/2 c lentils cooked, 4 pakoras (fried balls made of gram flour and vegetables), 1/2 c nuts and seeds,
1/2 c nimco (fried savoury usually made of gram flour may contain peanuts), 2 pappadams (papar: thin fried
savoury item usually made of gram flour. Quetta site 24 HDR report this as chips papar), 1/2 c karhi
(gram flour based gravy item), chips nimco shingar (savoury fried moong lentil).
Milk: 120 mL milk, 1/2 c yogurt, 1/2 c milk desserts like custard or kheer (cooked milk and rice dessert), 1/2 c ice-cream,
1 kulfi (local ice-cream), 1/2 c falooda (local ice-cream with noodles).
Vegetables: 1/2 c cooked, 1/4 c raw, 1/4 c boiled peas, 1 corn, 1/2 c salan (local curry which in our study
areas was made of vegetables).
Fruits: 1 medium-sized fruit whole, 1/2 c diced, 1 c fresh juice.
Tea: 1 cup.
Miscellaneous: 2 toffees, 2 sweets, 1 chocolate, 1 packet wafer chips, 1 c or 1 tetra pak fruit
drink, 1 packet chalia (beetle nut).
Mixed traditional dishes:
biryani is a traditional dish of rice and meat cooked in spices. I serving was entered as 1 meat + 1 high starch serving.
Chole chawal is a traditional dish of rice and chick peas. Quetta has reported two servings = PKR 2:00 1/2 c,
PKR 5:00 1 c. This has been entered as 1 high starch + 1 plant protein serving
Chaat is a cooked mixture of chickpeas and potatoes. 1 serving was entered as 1 plant
protein + 1 high starch serving.
Reference for serving sizes: Clinical Nutrition and Dietetics by Zeman and Hansen [9].