Type and extent of trans-disciplinary co-operation to improve food security, health and household environment in low and middle income countries: systematic review

Acknowledgements: We are grateful to Dr Steve Turner and Dr Adam Price for their insightful comments that improved the manuscript. We would like to thank Heather Clark and Bimbola Kalejaiye for their help in data extraction. We are also grateful to Melanie Bickerton and Dr Amudha Poobalan for their systematic review advice.Peer reviewedPublisher PD

Body mass index and self-perception of overweight and obesity in rural, urban and rural-to-urban migrants: PERU MIGRANT study.

OBJECTIVE: This study aimed to compare self-reported weight and body mass index (BMI) in order to determine discrepancies between subjective and objective obesity-related markers, and possible explanatory factors of overweight and obesity underestimation, in urban, rural and migrant populations. MATERIALS AND METHODS: Data from the PERU MIGRANT study, a cross-sectional study, in low-income settings, of urban, migrant (rural-to-urban), and rural groups, including BMI, self-reported weight and socio-demographic indicators were analyzed. Percentage of concurrences between BMI and self-reported weight and Kappa coefficients for inter-rater agreement were calculated. Univariate and standardized descriptive analyses were performed to identify potential explanatory variables for weight underestimation in only overweight and obese individuals, using established BMI and waist circumference cut offs. RESULTS: 983 Participants-199 urban, 583 migrants and 201 rural-were analyzed. Based on BMI, overall prevalence of obesity was 20.1% (95% CI 17.6%-22.6%), and overweight was 38.3% (95% CI 35.2%-41.2%), with differences between study groups (p<0.001). Only 43% of the whole sample had matching self-reported weight and BMI status, whereas 54% underestimated and 3% overestimated their BMI category. Kappa coefficient, between BMI and self-reported weight, for the entire sample was 0.16, rural residents had the lowest coefficient (0.01) and the most underestimation, especially in the overweight category. In overweight and obese individuals, deprivation index (p = 0.016), age (p = 0.014) and waist circumference (p<0.001) were associated with weight underestimation. DISCUSSION: Overall, high levels of overweight, obesity, and underestimation of BMI status were found, with poor agreement between BMI and self-reported weight, showing the unawareness of weight status severity in this low-income setting

Participatory research (PR) at CIP with potato farming systems in the Andes: evolution and prospects.

Participatory Research (PR) at the International Potato Center (CIP) included seven major experiences. (1) Farmer-back-to-farmer in the 1970s pioneered the idea of working with farmers to identify their needs, propose solutions, and explain the underlying scientific concepts. The ideas were of great influence at CIP and beyond. (2) With integrated pest management (IPM) pilot areas in the early 1990s, entomologists and social scientists developed technologies with farmers in Peru and other countries to control insect pests. Households that adopted just some of the techniques enjoyed high economic returns, and this showed the importance of IPM specialists, social scientists, and farmers working together. (3) Farmer field school (FFS) was adapted for participatory research in the 2000s. Farmers learned that late blight was caused by a microorganism, while testing resistant varieties and fungicides, and researchers took into account more specifically farmer knowledge for training and PR purposes. (4) CIP used participatory varietal selection (PVS) after 2004 to form consortia of farmers, local government, NGOs, and research. Farmers’ preferences were disaggregated by gender. Selection criteria of other market actors were included, and new varieties were released, showing the importance of combining farmer and researcher knowledge in this process. (5) Participatory approaches to develop native potato variety value chains. After 2000, CIP used the PMCA (participatory market chain analysis) and stakeholder platforms to improve smallholders’ access to markets. PMCA brought farmers and other market actors together to form stakeholder platforms which created market innovations, including new potato-based products, expanding the inclusion of diverse actors in the PR processes. (6) Advocacy for PR and policy change with the Andean Change Alliance tested PR methods including PVS and PMCA from 2007 to 2010, providing evidence to influence policies to include smallholders in research and development. (7) After 2010, nutrition-related PR documented anemia among children in the high Andes, which could be mitigated by eating native potatoes rich in zinc and iron. CIP partnered with 20 organizations to improve household incomes and nutrition. Over four decades, CIP continues evolving in using PR, showing that combining social and biological scientists’ input and keeping farmers’ views upfront was key for PR. The experience also showed that the participation of other actors related to the value chains was needed in order to create successful agronomic, market, and social innovations. Future participatory research at CIP may be improved by using ICT to enrich diversity and richness of information sharing among PR actors