Doing things their way? Food, farming and health in two Ugandan cities

Mackay, Heather; Mugagga, Frank; Kakooza, Lydia; Chiwona‐Karltun, Linley

doi:10.1080/23748834.2017.1414425

Cited by 11 publications

(21 citation statements)

References 65 publications

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“…Other studies have found such greater female obesity prevalence and high diabetes and hypertension burden (Schwartz et al 2014;Maher et al 2011). These findings complicate claims from nutrition transition regarding how such urbanisation, food and health transitions interlink (Mackay et al 2018). An intention with the FGDs was to further explore these food and health circumstances from the healthcare professionals' perspectives.…”

Section: Emplacing Nutrition Transition Claimsmentioning

confidence: 95%

“…The country thus might not be expected to display advanced nutritional, food system and epidemiological transitions. Indeed previous research does suggest that nutritional and food system changes are not highly advanced in Mbale and Mbarara, yet NCD experience is already keenly apparent (Mackay et al 2018). Other studies of NCD presence within Uganda also suggest that the claims of nutrition transition theory, especially regarding causes of epidemiologic change, require careful nuance and contextualisation (Kavishe 2015;STEPS 2014).…”

Section: Nutrition Transition Theorymentioning

confidence: 99%

“…Mbale is located in the mountainous region towards the border with Kenya and the core urban area houses approximately 70,000 people. Mbarara is the administrative centre of the Western region located at a major road junction on the high plateau with approximately 90,000 population (see (Mackay et al 2018) for more on the cities). My 2015 household survey collected data from 1000 households per city.…”

Section: Emplacing Nutrition Transition Claimsmentioning

confidence: 99%

“…My 2015 household survey collected data from 1000 households per city. Analysis led to the conclusion that there was, in these two cities at that time, uncertain evidence for advanced nutritional and food system transitions (Mackay et al 2018). Yet the presence of NCDs-often claimed to be caused by changing food and nutritional systems-were clearly apparent (ibid).…”

Section: Emplacing Nutrition Transition Claimsmentioning

confidence: 99%

“…I was interested in how healthcare personnel represented such phenomena, and whom they described as being more, or less, affected. In addition, I explore their reactions to findings from a 2015 household survey in these cities, with which I was involved (Mackay et al 2018). The survey depicted socio-economic and geographic inequalities in relation to diets, food security, and non-communicable disease (NCD) experience (such as diabetes, hypertension, obesity) that cast doubt on commonly assumed causal processes as espoused by nutrition transition theory (Popkin 2001).…”

Section: Introductionmentioning

confidence: 99%

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A feminist geographic analysis of perceptions of food and health in Ugandan cities

Mackay

2019

Gender, Place & Culture

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This article contributes to a feminist geographic analysis of how urban food and health environments and noncommunicable disease experience may be being constructed, and contested, by healthcare professionals (local elites) in two secondary Ugandan cities (Mbale and Mbarara). I use thematic and group interaction analysis of focus group data to explore material and discursive representations. Findings make explicit how healthcare professionals had a tendency to prescribe highly classed and gendered assumptions of bodies and behaviours in places and in daily practices. The work supports the discomfort some have felt concerning claims of an African nutrition transition, and is relevant to debates regarding double burden malnutrition. I argue that a feministic analysis, and an intersectional appreciation of people in places, is advantageous to food and health-related research and policy-making. Results uncover and deconstruct a dominant patriarchal tendency towards blaming women for obesity. Yet findings also exemplify the co-constructed and malleable nature of knowledge and understandings, and this offers encouragement.

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Section: Emplacing Nutrition Transition Claimsmentioning

confidence: 95%

Section: Nutrition Transition Theorymentioning

confidence: 99%

Section: Emplacing Nutrition Transition Claimsmentioning

confidence: 99%

Section: Emplacing Nutrition Transition Claimsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A feminist geographic analysis of perceptions of food and health in Ugandan cities

Mackay

2019

Gender, Place & Culture

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Analysing Diet Composition and Food Insecurity by Socio-Economic Status in Secondary African Cities

Mackay

Omondi²,

Jirström³

et al. 2022

Transforming Urban Food Systems in Secondary Cities in Africa

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This chapter takes as its starting point theorizing around nutrition and food system transitions thought to be increasingly occurring in urban Africa, and how this may be linked to a growing non-communicable disease burden. We focus specifically on the secondary city context by analysing household survey data gathered from six cities across Ghana, Kenya and Uganda during 2013–2015. We asked how diet composition and diversity, food sources and food security varied by socio-economic status, using expenditure and demographic data to create a proxy for household well-being. In this way, we investigate one of the claimed keystones affecting urban food systems and dietary health in sub-Saharan Africa—that of obesogenic urban food environments. Our findings indicate that the socio-economic status of a household was the most important factor influencing household dietary diversity and food security status, i.e. better-off households were more likely to feel food secure and eat from a greater variety of food groups. In addition, the number of income sources was additionally associated with higher dietary diversity. We also found that a household’s involvement in agriculture had only a small positive effect on food security in one city and was associated with a reduction in dietary diversity scores. Our findings emphasize the importance of supporting aggregated national and international statistics on agricultural production and trade with detailed local analyses that focus on actual household food access and consumption. We also see reasons to be cautious about making causal claims regarding consumption change and obesogenic urban environments as the major contributor to a rising obesity and non-communicable disease burden in Africa.

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“Money has the final say in the market”: the Situational Geography of Urban Food Security in Lilongwe, Malawi

Mambo

Grant

2023

Urban Forum

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Doing things their way? Food, farming and health in two Ugandan cities

Cited by 11 publications

References 65 publications

A feminist geographic analysis of perceptions of food and health in Ugandan cities

A feminist geographic analysis of perceptions of food and health in Ugandan cities

Analysing Diet Composition and Food Insecurity by Socio-Economic Status in Secondary African Cities

“Money has the final say in the market”: the Situational Geography of Urban Food Security in Lilongwe, Malawi

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