Market food diversity mitigates the effect of environment on women’s dietary diversity in the Agriculture to Nutrition (Atonu) study, Ethiopia

Bibliographic Data

ID15090551
AuthorsRamya Ambikapathi (0000-0002-2013-2516, Harvard Global Health Institute, corresponding author), Nilupa S Gunaratna (0000-0003-2504-4694, State Street (United States)), Isabel Madzorera (0000-0001-7226-5997, Harvard Global Health Institute), Simone Passarelli (0000-0003-1044-3393, Harvard Global Health Institute), Chelsey R Canavan (0000-0002-1372-9015, Harvard Global Health Institute), Ramadhani Noor (0000-0001-6479-1452, Harvard Global Health Institute), Ramadhani A Noor, Tshilidzi Madzivhandila (Food, Agriculture and Natural Resources Policy Analysis Network), Simbarashe Sibanda (Food, Agriculture and Natural Resources Policy Analysis Network), Semira Abdelmenan (0000-0003-2753-8364, Addis Continental Institute of Public Health), Amare Worku Tadesse (0000-0002-7805-3191, Addis Continental Institute of Public Health), Yemane Berhane (0000-0002-2527-1339, Addis Continental Institute of Public Health), Lindiwe Majele Sibanda (Food, Agriculture and Natural Resources Policy Analysis Network), Wafaie W Fawzi (0000-0002-2908-600X, Harvard Global Health Institute)
Year2019
Volume22
Issue11
Pages2110-2119
Publication date2019-08-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s136898001900051x
PMID30994082
OpenAlexW2938853878
LanguageEN
Citations received7
References cited12

Objective In Ethiopia, women’s dietary diversity is low, primarily due to poor food availability and access, both at home and market level. The present study aimed to describe market access using a new definition called market food diversity (MFD) and estimate the impact of MFD, crop and livestock diversity on dietary diversity among women enrolled in the Agriculture to Nutrition (ATONU) trial. Design Baseline cross-sectional data collected from November 2016 to January 2017 were used for the analysis. Availability of foods in markets was assessed at the village level and categorized into nine food groups similar to the dietary diversity index for women. Bivariate and multivariate mixed-effects regression analyses were conducted, adjusted for clustering at the village level. Setting Chicken-producing farmers in rural Ethiopia. Participants Women ( n 2117) aged 15–49 years. Results Overall, less than 6 % of women met the minimum dietary diversity (≥5 food groups) and the most commonly consumed food groups were staples and legumes. Median MFD was 4 food groups (interquartile range: 2–8). Multivariate models indicated that women’s dietary diversity differed by livestock diversity, food crop diversity and agroecology, with significant interaction effects between agroecology and MFD. Conclusions Women’s dietary diversity is poor in Ethiopia. Local markets are variable in food availability across seasons and agroecological zones. The MFD indicator captures this variability, and women who have access to higher MFD in the highland agroecological zone have better dietary diversity. Thus, MFD has the potential to mitigate the effects of environment on women’s dietary diversity

Agricultural biodiversity · Agricultural science · Agriculture · Agroecology · Biology · Crop diversity · Dietary diversity · Diversity (politics · Economics · Environmental health · Food group · Food security · Geography · Livestock · Socioeconomics · Child Nutrition and Water Access · Energy and Environment Impacts · Food Security and Health in Diverse Populations · Medicine

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