Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya

Dados Bibliográficos

ID15536367
AutoresJulia Boedecker (0000-0002-1312-899X, Alliance Bioversity International - CIAT, autor correspondente), Francis Odhiambo Oduor (0000-0001-8082-6387, Healthy Diets from Sustainable Food Systems Initiative Bioversity International Nairobi Kenya), Francis Odhiambo Odour (Alliance Bioversity International - CIAT), Carl Lachat (0000-0002-1389-8855, Ghent University), Patrick Van Damme (0000-0002-2548-633X, Ghent University), Gina Kennedy (0000-0002-5232-2250, Alliance Bioversity International - CIAT), Céline Termote (0000-0003-3217-0226, Alliance Bioversity International - CIAT)
Ano2019
Volume15
Fascículo3
Páginase12803-e12803
Data de publicação2019-03-03
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/mcn.12803
PMID30827036
OpenAlexW2920187978
IdiomaEN
Citações recebidas15
Referências citadas32

Our study assessed the effectiveness of a community-based participatory approach in increasing micronutrient adequacy of diets of women and young children through agricultural activities and nutrition education in Vihiga County, Western Kenya. Outcome indicators include the mean dietary diversity score (DDS), the percentage of women and children reaching minimum dietary diversity (MDD), and micronutrient adequacy (mean adequacy ratio). The project consisted of(a) a diagnostic survey covering agrobiodiversity and nutrition, (b) participatory development of activities to improve nutrition, (c) a baseline survey covering dietary intakes, (d) participatory implementation of the developed activities, and (e) an endline survey covering dietary intakes. The diagnostic survey was conducted in 10 sublocations of Vihiga County, which were pair-matched and split into five intervention and five control sublocations. The intervention sublocations developed activities towards improving nutrition. Before implementation, a baseline survey collected the dietary intake data of 330 women-child pairs in the intervention and control sublocations. To support the activities, communities received agriculture and nutrition training. After 1 year of implementation, an endline survey collected dietary intake data from 444 women-child pairs in the intervention and control sublocations. Impact was assessed using the difference-in-difference technique. Highly significant positive impacts on children's mean DDS (treatment effect = 0.7, p < 0.001) and on the share of children reaching MDD (treatment effect = 0.2, p < 0.001) were shown. Higher dietary diversity can be explained by the development of subsistence and income-generating pathways and increased nutrition knowledge. Participatory farm diversification and nutrition education were shown to significantly increase dietary diversity of young children in Western Kenya

Agriculture · Dietary diversity · Diversification (marketing strategy · Economic growth · Environmental health · Food security · Geography · Micronutrient · Nutrition Education · Participatory action research · Subsistence agriculture · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Poverty, Education, and Child Welfare · Gerontology