Comparison of the Effects of Supplemental Red Palm Oil and Sunflower oil on Maternal Vitamin A Status.

Conflicting results have been reported on the ability of dietary carotenoids to improve vitamin A status in lactating women. Red palm oil is one of the richest dietary sources of beta-carotene. We aimed to determine the efficacy of red palm oil in increasing retinol and provitamin A status in pregnant and lactating women. Ninety rural, pregnant Tanzanian women from 3 randomly selected villages were recruited during their third trimester to participate in 3 dietary intervention groups: a control group, who were encouraged to maintain the traditional practice of eating staples with dark-green leafy vegetables, and 2 study groups, who were given either sunflower or red palm oil for use in household food preparations. The intervention lasted 6 mo. Plasma samples were collected at the third trimester and 1 and 3 mo postpartum, and breast-milk samples were collected 1 and 3 mo postpartum. Supplementation with red palm oil, which is rich in provitamin A, increased alpha- and beta-carotene concentrations significantly (P < 0.001) in both plasma and breast milk. Plasma retinol concentrations were similar in all dietary groups. Breast-milk retinol concentrations tended to decrease from 1 to 3 mo postpartum in the control group, but were maintained in both oil groups. The difference in change in breast-milk retinol concentration between the red palm oil group and the control group was significant (P = 0.041). Consumption of red palm oil increases concentrations of alpha- and beta-carotene in both breast milk and serum and maintains breast-milk retinol concentrations. Sunflower oil consumption seems to conserve breast-milk retinol similarly to consumption of red palm oil. Breast-milk retinol might be maintained through increased dietary intake of these vegetable oils and use of mild cooking preparation methods (such as the addition of oil at the end of cooking and avoidance of frying)

Superiority of newly released sorghum varieties for enhancing farm level genetic gains in Tanzania

Sorghum has a high composition of starch which is a good source of energy as well as higher protein levels that are higher than those found in a cereal like maize. The sorghum system in Tanzania is mostly dominant in Central Zone, Lake Zone and Western Zone which are in semi-arid areas. Most of these regions are characterized by drought, short rainfall duration, unreliable, and erratic rains. This has resulted in crop failure, food shortage and unstable grain prices (Timu et al, 2014). To address these constraints, the Government of Tanzania in collaboration with other development partners and seed companies released a dozen improved sorghum varieties over the past decade. These varieties contain desirable traits such as they are high yielding (ranging 2.0-3.5ton/ha), have resistance to pests, are stress tolerant that is they can grow in areas within 0-1500 meters above sea level and 300-1500 mm rainfall, and take 100 to 120 days to mature. Moreover, improved varieties have the ability to tolerate striga infestation which is a major problem to sorghum farmers during production phase (Table 1). Improved varieties also have better nutrient content to cater for the problem of malnutrition

Assessing healthcare providers' knowledge and practices relating to insecticide-treated nets and the prevention of malaria in Ghana, Laos, Senegal and Tanzania

Abstract Background Research evidence is not always being disseminated to healthcare providers who need it to inform their clinical practice. This can result in the provision of ineffective services and an inefficient use of resources, the implications of which might be felt particularly acutely in low- and middle-income countries. Malaria prevention is a particularly compelling domain to study evidence/practice gaps given the proven efficacy, cost-effectiveness and disappointing utilization of insecticide-treated nets (ITNs). Methods This study compares what is known about ITNs to the related knowledge and practices of healthcare providers in four low- and middle-income countries. A new questionnaire was developed, pilot tested, translated and administered to 497 healthcare providers in Ghana (140), Laos (136), Senegal (100) and Tanzania (121). Ten questions tested participants' knowledge and clinical practice related to malaria prevention. Additional questions addressed their individual characteristics, working context and research-related activities. Ordinal logistic regressions with knowledge and practices as the dependent variable were conducted in addition to descriptive statistics. Results The survey achieved a 75% response rate (372/497) across Ghana (107/140), Laos (136/136), Senegal (51/100) and Tanzania (78/121). Few participating healthcare providers correctly answered all five knowledge questions about ITNs (13%) or self-reported performing all five clinical practices according to established evidence (2%). Statistically significant factors associated with higher knowledge within each country included: 1) training in acquiring systematic reviews through the Cochrane Library (OR 2.48, 95% CI 1.30-4.73); and 2) ability to read and write English well or very well (OR 1.69, 95% CI 1.05-2.70). Statistically significant factors associated with better clinical practices within each country include: 1) reading scientific journals from their own country (OR 1.67, 95% CI 1.10-2.54); 2) working with researchers to improve their clinical practice or quality of working life (OR 1.44, 95% CI 1.04-1.98); 3) training on malaria prevention since their last degree (OR 1.68, 95% CI 1.17-2.39); and 4) easy access to the internet (OR 1.52, 95% CI 1.08-2.14). Conclusions Improving healthcare providers' knowledge and practices is an untapped opportunity for expanding ITN utilization and preventing malaria. This study points to several strategies that may help bridge the gap between what is known from research evidence and the knowledge and practices of healthcare providers. Training on acquiring systematic reviews and facilitating internet access may be particularly helpful

Farmer perceptions on labor-saving technologies in groundnut production systems in Tanzania

Groundnut is among the most valuable crops in Tanzania. It is a good source of oil, food, and income to many households however, it is considered a labor-intensive crop. Farmers perform tedious and laborious activities during ploughing, planting, weeding, harvesting, and shelling just to mention a few. Therefore, in ensuring that groundnut production achieves its potential within and outside the country, the introduction and use of labor- saving technologies cannot be overemphasized. This study intended to assess the farmers perception on groundnut labor-saving technologies in Tanzania. Specifically, the study aimed at (i) analyzing the labor-saving technologies used by groundnut farmers; (ii) Investigating farmers perception on the LSTs. Also, (iii) Comparing the farmers’ resource (such as time and finances) use associated with the traditional tools versus the labor-saving technologies (LST) and (iv) Discussing policy environment for labor saving technology in Tanzania

Vitamin A supplementation in Tanzania: the impact of a change in programmatic delivery strategy on coverage.

BACKGROUND\ud \ud Efficient delivery strategies for health interventions are essential for high and sustainable coverage. We report impact of a change in programmatic delivery strategy from routine delivery through the Expanded Programme on Immunization (EPI+) approach to twice-yearly mass distribution campaigns on coverage of vitamin A supplementation in Tanzania\ud \ud METHODS\ud \ud We investigated disparities in age, sex, socio-economic status, nutritional status and maternal education within vitamin A coverage in children between 1 and 2 years of age from two independent household level child health surveys conducted (1) during a continuous universal targeting scheme based on routine EPI contacts for children aged 9, 15 and 21 months (1999); and (2) three years later after the introduction of twice-yearly vitamin A supplementation campaigns for children aged 6 months to 5 years, a 6-monthly universal targeting scheme (2002). A representative cluster sample of approximately 2,400 rural households was obtained from Rufiji, Morogoro Rural, Kilombero and Ulanga districts. A modular questionnaire about the health of all children under the age of five was administered to consenting heads of households and caretakers of children. Information on the use of child health interventions including vitamin A was asked.\ud \ud RESULTS\ud \ud Coverage of vitamin A supplementation among 1-2 year old children increased from 13% [95% CI 10-18%] in 1999 to 76% [95%CI 72-81%] in 2002. In 2002 knowledge of two or more child health danger signs was negatively associated with vitamin A supplementation coverage (80% versus 70%) (p = 0.04). Nevertheless, we did not find any disparities in coverage of vitamin A by district, gender, socio-economic status and DPT vaccinations.\ud \ud CONCLUSION\ud \ud Change in programmatic delivery of vitamin A supplementation was associated with a major improvement in coverage in Tanzania that was been sustained by repeated campaigns for at least three years. There is a need to monitor the effect of such campaigns on the routine health system and on equity of coverage. Documentation of vitamin A supplementation campaign contacts on routine maternal and child health cards would be a simple step to facilitate this monitoring

Harnessing Opportunities for Informed Investments in the Sorghum Commodity Value Chain in Tanzania: A Business Case

This study was conducted among sorghum farmers, focus groups, seed producers and extension officers in 10 districts of Tanzania to map out business opportunities along the sorghum value chain. Results obtained demonstrated that socio-economic factors such as number of years spent in school, group membership, availability of free seeds, market accessibility and seed accessibility influenced the adoption of improved varieties among sorghum farmers. Improved sorghum seeds reflected the profitability from positive gross benefits obtained among sorghum farmers and seed producers. The general adoption rate among sorghum farmers was low (39.0%), with variety NACO Mtama 1 having the highest adoption rate among farmers (17.0%). Among traders, a majority were large off-takers (79.0%). These off-takers experienced issues such as quality (71.4%), quantity (15.9%), lack of market information (7.9%), unreliable markets (36.3%), low grain quality (24.8%) and high tax levies (10.6%). Further, financial constraints and poor linkages among stakeholders were some inefficiencies in the sorghum value chain. The study recommends greater accessibility to improved sorghum seeds as well as reliable policies that enable processes for sorghum stakeholders along the sorghum value chain

Delineating investment opportunities for stakeholders in sorghum seed systems: a logit model perspective

Background: Seed systems are considered as a vehicle through which the sustainable agricultural intensification can be achieved. However, most sub-Saharan African countries have been ineffective to provide sufficient incentives for stakeholders to consistently invest in the seed systems specifically for crops like sorghum. This study was therefore conducted to uncover investment opportunities for stakeholders in the sorghum seed systems to attain an impactoriented seed production and delivery systems. Results: The study applied descriptive statistics, Logit regression model, and Gross margin to analyze possible areas for investments. Descriptive statistics analyzed the percentage of farmers using sorghum improved varieties and sources used to obtained improved variety seeds. Logit regression model was applied to analyze factors correlating with planting of improved seeds. Gross margin was applied to show profitability of growing improved sorghum seeds and grain. Findings revealed that 39.2% of the sampled farmers were growing improved sorghum variety seeds. Farmers obtained improved variety seeds from both informal (57.8%) and formal (42.2%) sources. Logit estimates indicate that variety preference, unavailability of seeds, resistance to diseases, and drought had significant correlation with planting of improved variety seeds. Seed companies and quality declared seed (QDS) producers earned high margin of 53,08,900 Tanzanian Shillings per hectare (TZS/ha, 1 USD = 2315 TZS during the period of data collection) and 33,94,709 TZS/ha, respectively. Farmers using improved variety seed earned higher margin (8,19,805 TZS/ha) than farmers who did not use improved variety seeds (3,17,373 TZS/ha) Conclusions: The identified investment opportunities were increasing number of farmers using improved variety seeds that would drive increased production, distribution, and marketing of quality seed. The large number of farmers still sourcing seed from the informal channel provides avenue to reach out to these farmers through demand creation and wide variety popularization meeting farmer preferences. The huge margin seed producers make provides good incentive to drive private seed companies and individual seed entrepreneurs to make sustainable business out of sorghum seed. The policy implications for reviving sorghum production and productivity are further discussed

Improved Solar Drying of Vitamin A-rich Foods by Women?s Groups in the Singida District of Tanzania

Working with partners in Ethiopia, Kenya, Peru, Tanzania, and Thailand, ICRW undertook a series of studies to explore how to increase intake of iron, vitamin A and iodine by combining women's productive and reproductive roles. This report summarizes the findings from the intervention research project implemented from 1995-98 in Tanzania. The focus of the study was to promote the adoption of improved home-based solar dryers as a means to enhance nutritional quality of vitamin A-rich foods and consumption of those foods by young children