Household food security and dietary diversity in different agro-ecological zones in Western Kenya

Poster presented at Tropentag 2014. International Conference on Research on Food Security, Natural Resource Management and Rural Development. "Bridging the Gap between Increasing Knowledge and Decreasing Resources" Prague (Czech Republic) Sep 17-19 2014

Nutritional status, dietary diversity and morbidity among infants and children aged 6-23 months in rural Western Kenya

Poster presented at International Congress Of Tropical Paediatrics 2014. Nairobi (Kenya), 24-27 Aug 201

Accessibility, availability and consumption of baobab during food emergencies in Kitui and Kilifi counties in Kenya

Baobab (Adansonia digitata L.) is an indigenous fruit tree (IFT) that grows in several dry parts of Kenya such as Kitui and Kilifi counties.  It plays a key role in dietary diversification thus contributing to food and nutrition security. This tree is adaptable to adverse climatic conditions such as droughts and floods, which are common in these counties. Consequently, it acts as a source of income and a food  buffer during disasters. This study evaluated the role baobab plays during food emergencies. The study employed a cross-sectional design where 216 household heads were interviewed through structured interviews. Data were analysed using SPSS version 24. Baobab was available during lean seasons and was used as a source of food and income. Respondents mainly consumed baobab fresh fruits without any processing (94%). During times of scarcity when there was nothing else available to eat. About 33.3% used baobab pulp to make porridge while 16.7% made a hard gruel (ugali). Drinks and candies, commonly called ‘mabuyu sweets’, accounted for 41.2% and 28.7%, respectively. In Kilifi, baobab pulp was mixed with coconut milk to be used as an accompaniment to ugali (34.3 %). About two thirds (60.7%) of the respondents collected and stored whole baobab fruits for use during lean seasons. Baobab pulp was sold by 34.7% of the respondents and the income was used to buy food (45.3 %), education (22.7%) and for healthcare (13. 3%). This study indicatesthat baobab fruit and pulp was available and accessible during lean seasons. The baobab pulp was mainly consumed without any processing as a snack. It also used to make different foods at times when many other foods were not available. Households sold baobab fruits to augment their income. Promotion of baobab products could bring better incomes and improve the nutritional status of communities in baobab growing areas and helps to overcome food insecurity in emergencies. Key words: lean seasons, baobab products, income, food insecurity, copin

Exclusive breastfeeding and its effect on growth of Malawian infants: results from a cross-sectional study

Abstract Background: For the optimal nutrition of children under 2 years of age, it is considered important that they be exclusively breastfed for the first 6 months before being given complementary food. Aims and Objectives: A cross-sectional nutritional baseline survey was undertaken in 2011 in the Kasungu and Mzimba Districts of Malawi to assess the nutritional status of children under 2 years of age and its determinants in order to prepare a nutrition education intervention programme. The intention of this study was to assess the nutritional status of infants aged 0–<6 months with regard to food intake. Methods: Interviews were conducted on randomly selected families with children under 2 years; anthropometric measurements were obtained from mothers and their children. Only infants between 0 and <6 months were selected for analysis (n  =  196). An ANCOVA test was performed on age of the infant with mothers’ height and weight as covariates. Results: Prevalence of stunting (infants’ length-for-age Z-score (LAZ) <−2SD) was 39%, wasting (WLZ <−2SD) 2%, and underweight (WAZ <−2SD) 13%. Of the infants under 6 months, 43% were exclusively breastfed. Predominant breastfeeding and mixed breastfeeding were less common (21% and 36%, respectively). The ANCOVA confirmed the association between exclusive breastfeeding and LAZ and WAZ: exclusively breastfed infants had a higher mean (SE) LAZ (−1·13, 0·12) and WAZ (−0·41, 0·13) than infants not being exclusively breastfed (−1·59, 0·11, and −0·97, 0·11, respectively). There was no overall significant association between breastfeeding practice and WLZ. Conclusion: Exclusive breastfeeding of infants under 6 months is associated with higher mean LAZ and WAZ. Promotion of exclusive breastfeeding in low-income countries is important in preventing growth retardation

Relating dietary diversity and food variety scores to vegetable production and socio-economic status of women in rural Tanzania

The objective of the present study was to measure diversity in nutrition with dietary scores, and to assess their relationship to vegetable production and the socio-economic status of women in rural Tanzania. A dietary diversity score (DDS) and a food variety score (FVS) were created from data gathered with three semi-quantitative 24-h recalls performed during three non-consecutive seasons during 2006/2007. Data on vegetable production, selling and buying and socio-economic data was gathered with a semi-quantitative questionnaire. A total of 252 randomly selected women from three districts of north-eastern and central Tanzania participated. The median DDS of 6 and the mean FVS of 8.3 were low, suggesting an overall poor dietary quality, with about one third of participants having an alarmingly low DDS of only two to four food groups per day. These women consumed a very basic diet consisting mainly of cereals and vegetables. Differences among districts were pronounced while those among seasons were less distinct. The DDS and FVS were both significantly associated with ethnicity, occupation and status within the household of participants. As a more varied diet is not necessarily healthier, integration of both quantity and quality in the scores is proposed for future studies. This can be achieved, for example, by weighing food types according to their importance in the diet. As both scores are linked to the production, selling and buying of vegetables, the promotion of homestead food production may be a good way to improve dietary diversity

Einsatz und Bewertung reflektometrischer Bestimmungsverfahren in der Eilfall- und Routinediagnostik einer paediatrischen Intensivstation Abschlussbericht

SIGLEAvailable from TIB Hannover: F96B481 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekBundesministerium fuer Forschung und Technologie (BMFT), Bonn (Germany)DEGerman

Community-based educational intervention improved the diversity of complementary diets in western Kenya: results from a randomized controlled trial

AbstractObjectiveLack of diversity is a major factor contributing to inadequate nutrient intakes among children during the complementary feeding period in many rural areas in developing countries. This has been attributed to inadequate feeding practices and nutrition knowledge among their caregivers. The aim of the present study was to assess the effect of an educational intervention on children’s dietary diversity and nutrition knowledge of caregivers.DesignCluster randomization was applied and twenty matched village pairs were randomly assigned to the intervention or control group. The nutrition education intervention consisted of four sessions comprising of group trainings and cooking demonstrations that were conducted over a period of 5 months.SettingHouseholds in rural communities in Bondo and Teso South sub-counties, western Kenya.SubjectsCaregivers with children aged 6–17 months receiving nutrition education.ResultsThe children’s dietary diversity scores (CDDS) and nutrition knowledge scores of the caregivers improved significantly in the intervention group at endline. The treatment effect on CDDS was positive and significant (P=0·001). The CDDS rate of the children in the intervention group was 27 % larger than it would have been without the treatment effect. The intervention also had a significant effect on the caregivers’ nutrition knowledge scores (incidence rate ratio=2·05; P&lt;0·001). However, the nutrition knowledge of the caregivers did not have a significant effect on CDDS (P=0·731).ConclusionsThe nutrition education intervention led to improvements in children’s dietary diversity and nutrition knowledge of the caregivers.</jats:sec