Household food insecurity in Panamanian subsistence farming communities is associated with indicators of household wealth and constraints on food production
Abstract:Objective:To determine if constraints on agricultural production were a novel construct in the Panama Food Security Questionnaire (FSQ) and to characterize agricultural and economic determinants of food insecurity during the planting, growing and harvesting time periods in subsistence farming communities.Design:This longitudinal study followed households during land preparation, growing and harvest periods in one agricultural cycle. Agricultural production and economic variables were recorded and the Panama FS… Show more
“…Importantly, increases in agricultural production happened without households increasing the size of their landholdings, indicating successful intensification of practices. Community demonstration gardens were a central component of this intervention, and continuing the gardens into the 5th year of the intervention appeared to impact sustainability of gains made by the intervention as households in communities with gardens used more of the agricultural knowledge learned through the Pooled data for all production variables have been previously reported (37) . †Different letters indicate differences in main effect (years in VERASAN) at P < 0.05 corrected for multiple pairwise comparisons (corrected P < 0.0167).…”
Section: Discussionmentioning
confidence: 99%
“…Data on household demographics, income and durable household assets for a household wealth index (HWI) were collected at the time of recruitment (37) . Data on agricultural techniques learned and used were collected early in the study as 0-year households began training in the community demonstration gardens.…”
Section: Methodsmentioning
confidence: 99%
“…Household food production in 2011 and 2012 was measured as diversity of crops planted (total crops, grains and starches, legumes and vegetables), quantities of staples planted and harvested (rice, maize, beans, plantain and cassava) and number of domestic animals kept for food, as previously reported (37) . Harvest data were only collected for 2011 because the study ended before the 2012 harvest was complete.…”
Section: Food Productionmentioning
confidence: 99%
“…Household food insecurity score Household food insecurity was measured using an experience-based food security questionnaire adapted for Panama and validated for this population (37) that was administered to each household during land preparation, growing and harvest periods. Food insecurity scores (FIS) ranging from 0 ('food secure') to 42 ('severely food insecure') were calculated for each household in each period (37) .…”
Section: Food Productionmentioning
confidence: 99%
“…During harvest, 165 households previously recruited during land preparation or growing months participated, and an additional eight households were recruited, resulting in a sample size of 173. Further details can be found in Krause et al (37) . Basic population characteristics are summarised in Table 1.…”
Objectives:
To explore impacts of a demonstration garden-based agricultural intervention on agricultural knowledge, practices and production, food security and preschool child diet diversity of subsistence farming households.
Design:
Observational study of households new to the intervention or participating for 1 or 5 years. Variables measured were agricultural techniques learned from the intervention and used, agricultural production, household food insecurity (FIS) and child diet diversity (DDS), over one agricultural cycle (during land preparation, growing and harvest months).
Setting:
Fifteen rural subsistence farming communities in Panama.
Participants:
Households participating in intervention (n 237) with minimum one preschool child.
Results:
After 1 year, participants had more learned and applied techniques, more staple crops produced and lower FIS and higher DDS during land preparation and growing months compared with those new to the intervention. After 5 years, participants grew more maize, chickens and types of crops and had higher DDS during growing months and, where demonstration gardens persisted, used more learned techniques and children ate more vitamin A-rich foods. Variables associated with DDS varied seasonally: during land preparation, higher DDS was associated with higher household durable asset-based wealth; during growing months, with greater diversity of vegetables planted and lower FIS; during harvest, with older caregivers, caregivers working less in agriculture, more diverse crops and receiving food from demonstration gardens.
Conclusions:
The intervention improved food production, food security and diets. Sustained demonstration gardens were important for continued use of new agricultural techniques and improved diets.
“…Importantly, increases in agricultural production happened without households increasing the size of their landholdings, indicating successful intensification of practices. Community demonstration gardens were a central component of this intervention, and continuing the gardens into the 5th year of the intervention appeared to impact sustainability of gains made by the intervention as households in communities with gardens used more of the agricultural knowledge learned through the Pooled data for all production variables have been previously reported (37) . †Different letters indicate differences in main effect (years in VERASAN) at P < 0.05 corrected for multiple pairwise comparisons (corrected P < 0.0167).…”
Section: Discussionmentioning
confidence: 99%
“…Data on household demographics, income and durable household assets for a household wealth index (HWI) were collected at the time of recruitment (37) . Data on agricultural techniques learned and used were collected early in the study as 0-year households began training in the community demonstration gardens.…”
Section: Methodsmentioning
confidence: 99%
“…Household food production in 2011 and 2012 was measured as diversity of crops planted (total crops, grains and starches, legumes and vegetables), quantities of staples planted and harvested (rice, maize, beans, plantain and cassava) and number of domestic animals kept for food, as previously reported (37) . Harvest data were only collected for 2011 because the study ended before the 2012 harvest was complete.…”
Section: Food Productionmentioning
confidence: 99%
“…Household food insecurity score Household food insecurity was measured using an experience-based food security questionnaire adapted for Panama and validated for this population (37) that was administered to each household during land preparation, growing and harvest periods. Food insecurity scores (FIS) ranging from 0 ('food secure') to 42 ('severely food insecure') were calculated for each household in each period (37) .…”
Section: Food Productionmentioning
confidence: 99%
“…During harvest, 165 households previously recruited during land preparation or growing months participated, and an additional eight households were recruited, resulting in a sample size of 173. Further details can be found in Krause et al (37) . Basic population characteristics are summarised in Table 1.…”
Objectives:
To explore impacts of a demonstration garden-based agricultural intervention on agricultural knowledge, practices and production, food security and preschool child diet diversity of subsistence farming households.
Design:
Observational study of households new to the intervention or participating for 1 or 5 years. Variables measured were agricultural techniques learned from the intervention and used, agricultural production, household food insecurity (FIS) and child diet diversity (DDS), over one agricultural cycle (during land preparation, growing and harvest months).
Setting:
Fifteen rural subsistence farming communities in Panama.
Participants:
Households participating in intervention (n 237) with minimum one preschool child.
Results:
After 1 year, participants had more learned and applied techniques, more staple crops produced and lower FIS and higher DDS during land preparation and growing months compared with those new to the intervention. After 5 years, participants grew more maize, chickens and types of crops and had higher DDS during growing months and, where demonstration gardens persisted, used more learned techniques and children ate more vitamin A-rich foods. Variables associated with DDS varied seasonally: during land preparation, higher DDS was associated with higher household durable asset-based wealth; during growing months, with greater diversity of vegetables planted and lower FIS; during harvest, with older caregivers, caregivers working less in agriculture, more diverse crops and receiving food from demonstration gardens.
Conclusions:
The intervention improved food production, food security and diets. Sustained demonstration gardens were important for continued use of new agricultural techniques and improved diets.
BackgroundAgricultural interventions are often recommended to address undernutrition in subsistence farming communities. However, intensified agriculture exposure can increase soil transmitted helminth (STH) infections, which are linked with poor child growth. This study examined impacts of the VERASAN public health and agricultural intervention program on preschool child growth attainment (HAZ and WAZ) and relative growth velocity over 7 months [change in height-for-age (∆HAD) and weight-for-age (∆WAD) difference].MethodsVERASAN was initiated in 15 subsistence farming communities in rural Panama experiencing chronic undernutrition. Activities targeted improved household food security, preschool child diets and growth by intensifying and diversifying household agriculture. Our objectives were to explore the relationship between VERASAN and preschool child growth attainment (HAZ and WAZ) and velocity (∆HAD and ∆WAD) during one agricultural cycle in 238 households. We compared those new to VERASAN with those involved for 1 or 5 years, and identified if agricultural practices, food security, diet diversity and treatment of pre-existing STH infection were associated with growth attainment or velocity.ResultsPrior participation in VERASAN did not directly influence WAZ, HAZ or ΔHAD but VERASAN-related benefits had an indirect influence. ΔHAD was positively associated with VERASAN-associated improvements in diet diversity and food security. HAZ and WAZ during land preparation were positively associated with diet diversity and HAZ with food security during harvest. HAZ was negatively associated with children visiting the agricultural plot, consuming leafy green vegetables and pre-existing hookworm infections. Both agricultural season and STH influenced ΔWAD. Children in VERASAN for 1 or 5 years experienced growth faltering between land preparation and growing season, but not those new to VERASAN. In contrast, between growing and harvest, ∆WAD declined in children new to VERASAN compared to children in VERASAN for longer. ΔWAD from land preparation to harvest was higher with pre-existing Ascaris infection whereas it was lower between growing season and harvest for pre-existing hookworm infection.ConclusionIn a context of preschool child growth faltering, malnutrition and STH infections, improved food security, agricultural production and diet diversity associated with VERASAN were associated with improved growth. In contrast, STH infections were negatively associated with some, but not all, growth outcomes.
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