Drivers of millet consumption among school aged children in central Tanzania

Open Access Journal; Published online: 06 Aug 2021Background: Iron and zinc deficiency are common public health problems in low-income countries largely due to poor consumption of iron and zinc rich foods. It has previously been observed that 57% of school aged children (SAC) in Tanzania suffer from anemia. In addition, estimates indicate that over 25% of the population have inadequate zinc intake. Pearlmillet is an example of a nutrient dense, resilient cereal crop, that can be promoted to diversify diets and combat iron and zinc deficiency. This study overall aim was to increase pearl millet consumption among school aged (5 – 12 years) children. As part of the study, we investigated, the drivers of food choice relating to pearl millet consumption. Methods: The study was a cross-sectional study of randomly selected households in Kongwa district, Dodoma region of Tanzania. In total, 128 women of reproductive age (20 – 49 years) were randomly selected for the study. A study questionnaire consisting of 66 items, was developed and validated. The constructs in the questionnaire were categorized in two groups: internal and external factors. Respondents were asked to indicate their level of agreement or disagreement with statements read to them by interviewers. The scores on intention and behavior constructs were based on the number of times caregivers intended to, or had fed their school going children with pearl millet in the referent month. Intention was considered high if it was higher than the median intention score of the group, and low if it was equal to or lower than the median scores. Correlations and multiple linear regressions were performed to measure association between constructs and to identify predictive constructs. The Mann-Whitney U test was used for score comparison. Results: There was a significant difference between intention and behavior among those who did not consume pearl millet (P = 0.003), and those who consumed pearl millet two or more times a week, in the same month (P = 0.01). Knowledge was significantly correlated with behavior identity (r = 0.58, P = 0.001), while health behavior identity was significantly correlated with intention (r = 0.31, P = 0.001). Intention of caregivers was significantly and positively correlated (r = 0.44, P = 0.001) with and predicted consumption of pearl millet (r = 0.87, P = 0.067). Conclusion: Increasing knowledge or awareness on nutritional benefits of pearl millet among caregivers may increase consumption of pearl millet by children of school going age

Drivers of Pigeon Pea Consumption Among School-Aged Children in Central Tanzania

Background: Protein energy malnutrition (PEM) and iron deficiencies (ID) are of major public health concern in Tanzania including among school-aged children. PEM and ID in early childhood have serious, long-term consequences because they impede motor, sensory, social and emotional development, growth retardation, poor cognitive development, learning disability of children, lowered resistance to infectious diseases, and reduced physical work capacity. The objective of this study was to elucidate the drivers of pigeon pea consumption among school-aged children in Dodoma district, Central Tanzania. Understanding these drivers would be useful in promoting pigeon pea consumption among school-aged children as one of the strategies to increase dietary protein and iron intake. Methods: This study was a cross-sectional study in which data were collected using a questionnaire based on a combination of the Theory of Planned Behavior and Health Belief Model. The data were collected from caregivers (n = 138) in four villages in Kongwa district, Dodoma region, Central Tanzania. We used correlations and multiple regressions to assess associations between constructs and identify predictive constructs. Mann–Whitney U tests were used for score comparisons with a significant p-value set at <0.10. Results: Health value was significantly correlated with health behavior identity (rs = 0.63, p < 0.001) and also significantly predicted health behavior identity (rs = 0.49, p = 0.001). The constructs cues to action and control belief were significantly associated with intention (β = −0.41, p = 0.059 and β = 0.06, p = 0.019 respectively). Finally, we observed that intention was a significant predictor of behavior (β = 1.38, p = 0.001). We also observed a significant negative interaction between perceived barriers and intention to consume pigeon pea (β = −0.04, p = 0.006), indicating that perceived barriers limit intention to consume pigeon pea. Conclusion and Implication: Our findings indicate that when the caregiver places increased importance on preventing her school-aged child from being iron or protein deficient or indeed anemic (health value), it results in a positive evaluation of the effectiveness of giving pigeon pea to address these nutrient deficiencies. Programs and efforts aimed at promoting pigeon pea consumption should focus on educating caregivers on iron and protein deficiency and the role that pigeon pea could play in addressing these. However, perceived barriers such as pest infestation during storage need to be addressed to increase pigeon pea consumption. The involvement of post-harvest management specialists is therefore crucial. Along with this, increasing productivity and crop management is also crucial to ensure year-round affordable supply of pigeon pea

Persistent child malnutrition in Tanzania: risks associated with traditional complementary foods (A review)

African Journal of Food Science, 2010, 4 (11) : 679 - 692Despite numerous nutritional interventions that have taken place in Tanzania, the Country still experiences a high rate of child malnutrition. Millions of children suffer from one or more forms of malnutrition resulting in stunting, underweight, wasting and anemia. The growth of children often declines with the introduction of complementary foods around the age of 6 months and continues to decline up to 24 months that have greater implications for health during adult-hood. Poor breastfeeding and child feeding practices augmented by very early introduction of nutritionally inadequate and contaminated complementary foods are major factors contributing to persistent child malnutrition in Tanzania. These complementary foods comprise mainly cereal-based porridges with little or no vegetables and often lacking animal proteins. The promotion of exclusive breastfeeding during the first 6 months and appropriate feeding practices has been the integral parts of the intervention processes taking place in Tanzania. Food safety education is a critical prerequisite in the child health programs and is a cost effective intervention with long term positive impacts. This paper reviews the persistent child malnutrition in Tanzania and the causative factors to highlight risks associated with use of complimentary

Persistent child malnutrition in Tanzania: risks associated with traditional complementary foods (A review)

African Journal of Food Science, 2010, 4 (11) : 679 - 692Despite numerous nutritional interventions that have taken place in Tanzania, the Country still experiences a high rate of child malnutrition. Millions of children suffer from one or more forms of malnutrition resulting in stunting, underweight, wasting and anemia. The growth of children often declines with the introduction of complementary foods around the age of 6 months and continues to decline up to 24 months that have greater implications for health during adult-hood. Poor breastfeeding and child feeding practices augmented by very early introduction of nutritionally inadequate and contaminated complementary foods are major factors contributing to persistent child malnutrition in Tanzania. These complementary foods comprise mainly cereal-based porridges with little or no vegetables and often lacking animal proteins. The promotion of exclusive breastfeeding during the first 6 months and appropriate feeding practices has been the integral parts of the intervention processes taking place in Tanzania. Food safety education is a critical prerequisite in the child health programs and is a cost effective intervention with long term positive impacts. This paper reviews the persistent child malnutrition in Tanzania and the causative factors to highlight risks associated with use of complimentary

Antimicrobial effect of slightly acidic electrolyzed water for inactivation of Salmonella spp. and Escherichia coli on fresh strawberries (Fragaria L.)

African Journal of Microbiology Research 2010, Vol. 4(20) :2174-2180Antimicrobial effect of slightly acidic electrolyzed water (SAEW: pH 5.6 ± 0.1, 20.5 ± 1.3 mg/L available chlorine concentration; ACC) against indigenous aerobic mesophiles and inoculated Escherichia coli and Salmonella spp. on fresh strawberry was assessed. The antimicrobial effect of SAEW was compared with that of strong acidic electrolyzed water (StAEW) and sodium hypochlorite (NaOCl) solution. SAEW effectively reduced total aerobic mesophilic bacteria from strawberries by 1.68 log10CFU/g and was not significantly different from that of NaOCl solution (p > 0.05). Antimicrobial effect of SAEW against Salmonella spp. and E. coli was indicated by a more than 2 log10CFU/g reduction of their population and the effect was not significantly different from that of NaOCl solution and StAEW at similar treatment conditions (p > 0.05). From these findings, SAEW with a near-neutral pH and low available chlorine concentration exhibits an equivalent bactericidal effectiveness to NaOCl solution and thus SAEW is a potential sanitizer that would be used as an alternative for StAEW and NaOCl solution in the fresh fruit and vegetables industry

A review of microbiological safety of fruits and vegetables and the introduction of electrolyzed water as an alternative to sodium hypochlorite solution

African Journal of Food Science, 2010; 4(13): 78 - 789Over the past few years, food safety has become and continues to be the number one public concern. Considerable progress to strengthen food safety systems has been achieved in many countries, highlighting the opportunities to reduce and prevent food-borne disease. However, unacceptable rates of food-borne illness still remain and new hazards continue to enter the food supply chain. Contaminations in food and agricultural products may occur in every stage of the food supply chain, from the field to the table, that is production, harvesting, processing, storage and distribution, calling for proper decontamination and insuring food safety at each of these stages using an effective antimicrobial agent. Several commercial products are available for this purpose, however, most of available products are seriously hindered by a number of work and environmental safety limitations calling for the development of a new product which is both safe for environment and workers. In this accord, the use of acidic electrolyzed water (AEW), a new concept developed in Japan, which is now gaining popularity in other countries has been introduced. The principle behind its sterilizing effect is still explored, but it has shown to have strong and significant bactericidal and virucidal and moderate fungicidal properties. Some studies have been carried out in Japan, China, Korea, Canada, Europe and the USA on its pre- and post-harvest application in the field of food processing. This review provides an overview of microbiological safety of food and agricultural produces, points out the burdens of food borne diseases; highlights the drawbacks of currently employed sanitizers and introduces electrolyzed water as a novel non-thermal food sanitizer with potential of application in agriculture and food industry

Nutritional and sensory quality of composite extruded complementary food

Complementary foods in Ethiopia have nutritional and sensory limitations which can be attributed to cereal‐dominated ingredients and lack of appropriate processing techniques. This study aimed to optimize the nutritional and sensory quality of complementary food product through compositing and extrusion of various local ingredients. A constrained D‐optimal mixture experiment with 13 runs was designed. Accordingly, 55–65 g/100 g oats, 11–23 g/100 g soybean and 6–11 g/100 g linseed, and a premix of 9.9 g/100 g sugar, 0.6 g/100 g table salt, three g/100 g moringa and 1.5 g/100 g fenugreek were blended and extruded using a co‐rotating twin screw extruder with set parameters. Statistical model evaluation and optimization were done using Minitab version 16 software package. There is a statistically significant (p &lt; 0.05) association between the blend of oats and soybean, oats and linseed, soybean and linseed, and the protein, fat, carbohydrate, fiber, ash, β‐carotene content as well as aroma, taste, and consistency. On the contrary, there is a no statistically significant (p &lt; 0.05) association between the blends and moisture, energy, and zinc content together with appearance and overall acceptability. The optimal blending ratio was 55.0 g/100 g oats, 21.0 g/100 g soybean, and 9.0 g/100 g linseed plus 15.0 g/100 g premix. Evidence‐based selection of locally grown plant‐based ingredients, an optimal mixture of these ingredients and optimal processing, can result in a complementary food product with an improved dietary quality for children in low‐income settings