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Healthy Start Scheme 29

●● poorer households have a less diverse diet and               ●● relatively inexpensive sweet foods are given as
   are less likely to experiment with new foods                    treats in place of more expensive treats such as
                                                                   toys and branded clothes and shoes
●● socio-demographic status of mothers influences
   the type of diet eaten during pregnancy and the              ●● the variety of fruit and vegetables available for
   foods fed to her children                                       purchase in small local shops may be limited
                                                                   and of poorer quality
●● poverty and poor housing often have an effect
   on a mother’s physical and emotional wellbeing               ●● families are unlikely to purchase fruit and
   and these in turn affect the choice of foods she                vegetables again if the children did not like
   makes for her children                                          them.

●● although there is no significant difference in               Government-funded schemes to support the
   energy intake between different socio-economic               nutritional intake of children in low-income
   groups, the intakes of most vitamins and                     families include:
   minerals in children is lower in lower socio-
   economic groups                                              ●● Healthy Start scheme

●● dental caries and iron-deficiency anaemia are                ●● free school milk for young children and
   both more common in under-fives in                              subsidized milk for others
   low-income households.
                                                                ●● free school meals.
Costs that a low-income family might prioritize
over buying food include:                                       Entitlement varies and is changed from time to
                                                                time by governmental policy.
●● rent/housing
●● heating and lighting                                         Healthy Start Scheme
●● gas and electricity bills
●● clothes and shoes for children.                              This scheme is the latest version of a UK
                                                                Government-funded scheme to give nutritional
In 2003 a survey for the National Children’s Home               support to low-income families with pregnant
(2004) found that:                                              women and children under 4 years (www.
                                                                healthystart.nhs.uk). Eligibility to join the scheme
●●  1  of  families  didn’t  have  enough  money     for  food  depends on family income except for pregnant
    5                                                           teenagers under 18 years who are all entitled to join
    2                                                           irrespective of their financial circumstances.
●●  5  of  families  had  only  just  enough  money  for  food
                                                                   Under the scheme low-income families and
●● almost half of parents had gone short of food so             pregnant teenagers are entitled to:
   the children had enough.
                                                                ●● weekly vouchers to buy fruit, vegetables, milk
Food choices are limited in low-income families                    and infant formula
because:
                                                                ●● free vitamin supplements for pregnant and
●● there may be no public transport links to large                 breastfeeding women and children under 4
   supermarkets where foods are cheaper than in                    years of age.
   smaller local shops
                                                                  Activity 4
●● families cannot take advantage of better value
   bulk buys as their fridge and cupboard storage is               Make a list of factors that need to be addressed
   extremely limited or non-existent                               around food and nutrition in low-income
                                                                   families.
●● families are more likely to spend limited resources
   on cheap and filling foods that are less nutritious
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