{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:47:27Z","timestamp":1785300447133,"version":"3.55.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Food Nutr Bull"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Food environments are rapidly changing in low- and middle-income countries (LMICs), leading to dietary shifts. Many gaps exist in the measurement of food environments in LMICs making it difficult to characterize the linkages between food environments and diets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study was to examine the feasibility of implementing USAID Advancing Nutrition's Market Food Environment Assessment (MFEA)\u2014a suite of 7 non-resource intensive food environment assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We implemented the MFEA package in 4 countries (Liberia, Honduras, Nigeria, and Timor-Leste) and assessed the feasibility of implementing the package by conducting a descriptive analysis, using both qualitative and quantitative data of enumerators\u2019 feedback collected through training evaluations, feedback forms, detailed notes from meetings, and final reports from in-country partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, we found it feasible to implement the MFEA, some assessments being easier to implement and more practical than others. Several key themes related to the MFEA implementation were identified across the countries, including: the potential for vendors to be hesitant to engage in assessments; the importance of ascertaining buy-in from local officials; the need to shift toward electronic, rather than paper-based, data collection; difficulties in selecting markets; the time constraints of conducting some of the assessments; and the need for better alignment between the instructions, data collection, and data analysis sheets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The package of food environment assessments, with minimal additional refinement, can be used to characterize market food environments in LMIC settings to inform context-specific interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Testing the feasibility of implementing a package of 7 assessments to measure factors influencing food access in low-resource settings<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03795721241296185","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T05:23:58Z","timestamp":1733894638000},"page":"125-141","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Piloting Market Food Environment Assessments in LMICs: A Feasibility Assessment and Lessons Learned"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2161-3343","authenticated-orcid":false,"given":"Shauna","family":"Downs","sequence":"first","affiliation":[{"name":"Department of Health Behavior, Society and Policy, School of Public Health, Rutgers University, Newark, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Warne","sequence":"additional","affiliation":[{"name":"Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"McClung","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition, Arlington, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Vogliano","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition, Arlington, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noni","family":"Alexander","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition, Arlington, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Kennedy","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition, Arlington, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selena","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Crum","sequence":"additional","affiliation":[{"name":"USAID Advancing Nutrition, Arlington, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"bibr1-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1016\/j.gfs.2022.100632"},{"key":"bibr2-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32497-3"},{"key":"bibr3-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003970"},{"key":"bibr4-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2022.101055"},{"key":"bibr5-03795721241296185","doi-asserted-by":"publisher","DOI":"10.3390\/foods10112728"},{"key":"bibr6-03795721241296185","doi-asserted-by":"publisher","DOI":"10.3390\/foods9040532"},{"key":"bibr7-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1016\/j.gfs.2018.08.003"},{"key":"bibr8-03795721241296185","unstructured":"HLPE. Nutrition and Food Systems. A Report by the High Level Panel of Experts on Food Security and Nutrition of the Committee on World Food Security. https:\/\/www.fao.org\/3\/i7846e\/i7846e.pdf"},{"key":"bibr9-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1007\/s12571-015-0455-8"},{"key":"bibr10-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1038\/s43016-021-00299-5"},{"key":"bibr11-03795721241296185","unstructured":"USAID Advancing Nutrition.\n                      Methods, Tools, and Metrics for Evaluating Market Food Environments in Low- and Middle-Income Countries\n                      . USAID Advancing Nutrition; 2021. https:\/\/www.advancingnutrition.org\/sites\/default\/files\/2021-07\/methods_evaluating_market_environments_1.pdf"},{"key":"bibr12-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0014294"},{"key":"bibr13-03795721241296185","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17103359"},{"key":"bibr14-03795721241296185","unstructured":"Lochetti G, Meldrum G, Kennedy G, Termote C. Seasonal Food Availability Calendar for Improved Diet Quality and Nutrition: Methodology Guide. Alliance of Bioversity International and CIAT; 2020. Accessed August 26, 2023. https:\/\/cgspace.cgiar.org\/handle\/10568\/108914"},{"key":"bibr15-03795721241296185","unstructured":"Herforth A. Cost and Affordability of Healthy Diets across and within Countries: Background Paper for The State of Food Security and Nutrition in the World 2020. FAO Agricultural Development Economics Technical Study No. 9. Food & Agriculture Org.; 2020."},{"key":"bibr16-03795721241296185","unstructured":"National Cancer Institute. The Healthy Eating Index \u2013 Population Ratio Method. 2021. https:\/\/www.google.com\/url?q=https:\/\/epi.grants.cancer.gov\/hei\/population-ratio-method.html&sa=D&source=docs&ust=1692977054437985&usg=AOvVaw0L128ErQ3bexL9ex63Qppe"},{"key":"bibr17-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1007\/s12571-017-0748-1"},{"key":"bibr18-03795721241296185","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.02.002"},{"key":"bibr19-03795721241296185","unstructured":"FAO and FHI 360. Minimum Dietary Diversity for Women: A Guide for Measurement. 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