Nepal Health Status

o Average female BMI 19.1 o Male BMI 20.5 o 49 % Anemic o 49% Malnutrition

Nepal Health Status Cont..

35% have improved sanitation facilities 85% have clean drinking water High blood pressure 35% More than 40 % of children have stunted growth Rural health care facilities limited access; up to a 2 day bus ride

Himalayan Mountains, Nepal

Wheat, barley, buckwheat and potato Only 40% of available land used for farming Land abandoned for Kathmandu, Nepals tourist city

Kathmandu, Nepal

Low land Facts

Men and children eat first Women eat if anything is left Average female BMI 13.6-16.5 Main diet, rice, potato curry, dal soup Men eat meat curry, fish Women drink milk

Nepals common foods

Seroti: A common breakfast made from fried rice flour paste

Common foods
Snacks: Fulaura fermented blackgram fried in oil Mesu: Pickled bamboo shoots Dinner Dal soup Alcohol: Jandh, raski

Dal Soup
2 tablespoons grape seed oil 2 tablespoons garam masala, recipe follows 1 cup chopped tomatoes 1 cup brown lentils 5 cups water Pinch salt and freshly ground black pepper Few fresh cilantro sprigs, for garnish Garam Masala 2 cinnamon sticks 1 teaspoon turmeric

Special Occasions
Worship food: Dahi Chiura-rice with yogurt Wedding food: Puwa-roasted rice flour with butter, sugar, and spices

Ginger
Origin is Asia Taste- pungent-resembles lemon and soap Used for nausea, rheumatoid arthritis, migraines, sore throat, clearing of fat deposits in arteries

Ginger nutrient profile

o o o o o o o Serving size 1tsp. Calories 1.6 CHO 1.6 G Folate 0.2mcg Choline 0.6mg Calcium 0.3mg Magnesium 0.9mg Phosphorus 6.7mg

Potassium 8.3mg Sodium 0.3mg Omega 3 0.7mg Phyto-sterol 0.3mg

Rachel Johnson/Mandy Murray

Alu Tama
Calories Carbs
Fat Protein Sodium Sugar

Bamboo shoots - Canned, drained solids, 1 cup (1/8" slices) Generic - Black Eyed Peas, Cooked, No Added Salt, 1/2 cup uncooked Generic White Onion - Raw, 1/2 cup

25

180

46

18

30

34

Peppers - Hot chili, red, raw, 2 pepper

Spices - Cumin Powder, 0.33 tbsp

36

7 8

1 1

0 0

0 0

3 26

0 0

Spices - Chili powder, 1 tsp

Spice World - Minced Garlic, 1 tsp (5g)

Derlea Foods Ginger - Minced, 1 tsp (5g)

yogurt 1 cup
Spices - Turmeric, ground, 1 tsp Spices - Pepper, black, 0.5 tsp Swanson - 99% Fat Free Chicken Broth, 1 cup Pomi - Chopped Tomatoes, 1 cup Raw - Cilantro, 1 cup Oil - Vegetable, canola, 2 tbsp Russet Potatoes -

160
8

12
1

8
0

9
0

120
1

12
0

10

860

56

12

10

248

28

Modified Recipe
Bamboo shoots - Canned, drained solids, 1 cup (1/8" slices) Generic - Black Eyed Peas, Cooked, No Added Salt, 1/2 cup uncooked Generic White Onion - Raw, 1/2 cup Peppers - Hot chili, red, raw, 2 pepper Spices - Cumin Powder, 0.33 tbsp Spices - Chili powder, 1 tsp Spice World - Minced Garlic, 1 tsp (5g) Derlea Foods - Ginger - Minced, 1 tsp (5g) Spices - Turmeric, ground, 1 tsp 25 4 1 2 9 2 180 46 0 18 30 2 34 36 7 8 0 5 8 8 8 1 1 1 1 1 0 0 0 0 0 0 0 1 2 0 0 0 0 0 3 8 3 26 0 0 1 5 5 0 0 0 0 0

Spices - Pepper, black, 0.5 tsp Pomi - Chopped Tomatoes, 1 cup Raw - Cilantro, 1 cup Kathryn's - Organic Extra Virgin Coconut Oil, 1 Tbsp (15 mL) Squash - Zucchini, includes skin, raw, 2 cup, chopped Pacific Natural Foods - Organic Low Sodium Vegetable Broth, 1 cup (8 fl. oz.) 250mL Fage - Yogurt Non-fat, 4 oz

3 56 4 120 40

1 12 1 0 8

0 0 0 14 0

0 2 0 0 3

0 10 8 0 25

0 8 0 0 4

15

140

67

12

43

References
Aase TH, Chaudhary R, Vetaas O. Farming flexibility and food security under climatic uncertainty: Manang, Nepal Himalaya.Area. Jun2010, Vol. 42 Issue 2, p228-238. 11p.1.10.1111/j.1475-4762.2009.0091 Dahal,NR,Karki TB, Swamylingappa B, Li Q, Gu G. Traditional Foods and Beverages of Nepal--A Review. Reviews International. 2005, Vol. 21 Issue 1, p1-25. 25p. 10.10H1/FRI-200040579 GlobalHealthObservatory,NepalCountryProfiles,WorldHealthOrganization http://www.who.int/gho/countries/npl/country_profiles/en/2013 Accessed 10/4/13 Kohrt B. Navigating Diagnoses: Understanding MindBody Relations, Mental Health, and Stigma in Nepal. Culture, Medicine & Psychiatry. Dec2008, Vol. 32 Issue 4, p462-491. 30p. 2. 10.1007/s11013-008-9110-6 Russell A. Writing Traveling Cultures: Travel and Ethnography amongst the Yakkha of East Nepal. Ethnos: Journal of Anthropology. Sep2007, Vol. 72 Issue 3, p361-382. 22p. 1. 10.1080/00141840701576976 Self-Nutrition Data Know What You Eat http://nutritiondata.self.com/facts/vegetables-and-vegetableproducts/2447/2 Updated 3/21/12 Accessed 10/5/13 Srinivasan CS, Zanello G, Shankar B. Rural-urban disparities in child nutrition in Bangladesh and Nepal. BMC Public Health. 2013, Vol. 13 Issue 1, p1-15. 15p. 10.1186/1471-2458-13-581 Sudo N, Sekiyama M, Maharjan M, Ahtsuka R. Gender differences in dietary intake among adults of Hindu communities in lowland Nepal: assessment of portion sizes and food consumption frequencies. European Journal of Clinical Nutrition. Apr2006, Vol. 60 Issue 4, p469-477. 9p. 410.1038/sj.ejcn.1602339