Community perspectives on food security and dietary diversity among rural smallholder farmers: A qualitative study in central Uganda

Nabuuma, Deborah; Ekesa, Béatrice; Faber, Mieke; Mbhenyane, Xikombiso

doi:10.1016/j.jafr.2021.100183

Cited by 19 publications

(25 citation statements)

References 21 publications

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“…Malnutrition can be in many forms, including hunger, obesity, and micronutrient deficiency [60]. Our results are similar to many other studies [4,32,33,61] and showed that cereal-based nutrition is common among WRA. A woman's diet in our sample was mainly based on noodles, bread, rice, buckwheat, potatoes, and other starchy foods.…”

Section: Discussionsupporting

confidence: 91%

“…Working women have challenges organizing time for cooking, although they obtain more income than a housewife. Time was a limiting factor in another study as well [4]. Limited time for cooking might negatively impact nutrition, and this situation conversely impacts DD.…”

Section: Socio-economic Factors and Nutrition Adequacymentioning

confidence: 87%

“…The survey included modules on socioeconomics, demographics, farm, market, and 24-hour diet recall (Figure 2) and was administered by female trained encoders. Determinants of nutrition include distance to the market, household income, and household production [4]. Some studies found that cropland and kitchen garden positively impact dietary diversity score [40].…”

Section: Questionnairementioning

confidence: 99%

“…According to a study, education and advocacy positively impacted DD [61]. Nutrition knowledge and awareness are among the main determinants of DD [4]. Classes on nutrition and home economics should be an integral part of the school program [32].…”

Section: Socio-economic Factors and Nutrition Adequacymentioning

confidence: 99%

“…The term coined 'triple burden of malnutrition' refers to a situation when overnutrition, undernutrition, and micronutrient deficiency exist. It is a serious public health problem in low-income countries [2][3][4], including Kyrgyzstan. Micronutrient deficiency is a lack of vitamins and minerals crucial to health, and it may result from poor diet and diseases [3].…”

Section: Introductionmentioning

confidence: 99%

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Dietary Quality of Women of Reproductive Age in Low-Income Settings: A Cross-Sectional Study in Kyrgyzstan

2022

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Dietary diversity and adequate nutrient intake are essential for conducting a healthy life. However, women in low-income settings often face difficulties in ensuring dietary quality. This research assessed relationships between the dietary diversity, nutrient adequacy, and socio-economic factors among women of reproductive age (WRA) in Kyrgyzstan. A cross-sectional study was undertaken in four locations, including two rural and two urban areas in the north and south of Kyrgyzstan. A survey with pre-coded and open-ended questions was employed during the interviews of 423 WRAs aged 18–49. Data collection was conducted in March–May 2021. The average value body mass index (BMI) of WRA was 24.2 ± 4.6 kg/m2. The dietary diversity score (DDS) was higher among rural women (common language effect size) cles = 0.67, adjusted p < 0.001) in the northern region (cles = 0.61, p < 0.05) who have cropland (cles = 0.60, p < 0.001) and a farm animal (cles = 0.60, p < 0.05). Mean nutrient adequacy ratio (NAR) was below 1 in most micronutrients, whereas thiamine, riboflavin, vitamins B6 and C, folic acid, calcium, and magnesium were even lower than 0.5. Women with a kitchen garden or a cropland had better NAR energy (cles = 0.57), NAR carbohydrate (cles = 0.60), NAR fiber (cles = 0.60), NAR vitamin B1 (cles = 0.53), and NAR folic acid (cles = 0.54). Respondents who receive remittances and a farm animal have better NARs for energy, carbohydrates, fiber, vitamin B1, folic acid, iron, zinc, and mean adequacy ratio for 16 nutrients (MAR 16) than those who do not. Education and income have a negative correlation with dietary quality. This study contributes to the limited literature on the quality of diets in Kyrgyzstan. Hidden hunger and undernutrition are a severe problem among WRA in low-income settings. Recommendations are including study programs in nutrition, teaching households farming practices, and raising awareness on adequate nutrition.

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Section: Discussionsupporting

confidence: 91%

Section: Socio-economic Factors and Nutrition Adequacymentioning

confidence: 87%

Section: Questionnairementioning

confidence: 99%

Section: Socio-economic Factors and Nutrition Adequacymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dietary Quality of Women of Reproductive Age in Low-Income Settings: A Cross-Sectional Study in Kyrgyzstan

2022

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Using an intersectionality framework to assess gender inequities in food security: A case study from Uganda

Barak,

Musiimenta,

Melgar‐Quiñonez

2024

World Med & Health Policy

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Prior research in health equity, including food security, indicates that disadvantaged groups, such as women with limited resources, face many obstacles in achieving food security. One of the first of its kind to draw on intersectionality and the social determinants of health frameworks, this study identified and tested gender differences in experiencing food security inequities using nationally representative data from the Gallup World Poll, Uganda 2019 (N = 951). Binary logit models disaggregated by gender were estimated to identify gender differences in food security. Three points of intersection were categorized: individual characteristics (gender, age, region, marital status, household number of children and adults); available resources (education, income, employment, shelter, social support); and the socio‐political context (community infrastructures, corruption within the business). Testing the moderation effect of gender with each variable (difference‐in‐difference) showed that although most variables correlated with a difference in experiencing food security by gender, only two—marital status, and social support—presented a statistically significant difference. Accounting for this moderation effect, the final model showed that lacking shelter and residing in Eastern Uganda decreased food security. More adults in the household, higher education, higher income, available social support, and satisfaction with community infrastructures enhanced the odds of food security. Results suggest that (a) conventional food security quantitative approaches may not suffice to model inequities when gender is a control variable rather than a foundation to explain inequities; and (b) gendered‐centered analysis helps better identify disadvantaged groups and inform policies that target associated inequities.

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Aquaculture: Contributions to Global Food Security

Dewali,

Sharma,

Melkani

et al. 2023

Emerging Solutions in Sustainable Food and Nutrition Security

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Community perspectives on food security and dietary diversity among rural smallholder farmers: A qualitative study in central Uganda

Cited by 19 publications

References 21 publications

Dietary Quality of Women of Reproductive Age in Low-Income Settings: A Cross-Sectional Study in Kyrgyzstan

Dietary Quality of Women of Reproductive Age in Low-Income Settings: A Cross-Sectional Study in Kyrgyzstan

Using an intersectionality framework to assess gender inequities in food security: A case study from Uganda

Aquaculture: Contributions to Global Food Security

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