Cargando…
Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya
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 sc...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6618016/ https://www.ncbi.nlm.nih.gov/pubmed/30827036 http://dx.doi.org/10.1111/mcn.12803 |
_version_ | 1783433823749406720 |
---|---|
author | Boedecker, Julia Odhiambo Odour, Francis Lachat, Carl Van Damme, Patrick Kennedy, Gina Termote, Céline |
author_facet | Boedecker, Julia Odhiambo Odour, Francis Lachat, Carl Van Damme, Patrick Kennedy, Gina Termote, Céline |
author_sort | Boedecker, Julia |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6618016 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-66180162019-07-22 Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya Boedecker, Julia Odhiambo Odour, Francis Lachat, Carl Van Damme, Patrick Kennedy, Gina Termote, Céline Matern Child Nutr Original Articles 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. John Wiley and Sons Inc. 2019-04-11 /pmc/articles/PMC6618016/ /pubmed/30827036 http://dx.doi.org/10.1111/mcn.12803 Text en © 2019 The Authors. Maternal and Child Nutrition Published by John Wiley & Sons, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Boedecker, Julia Odhiambo Odour, Francis Lachat, Carl Van Damme, Patrick Kennedy, Gina Termote, Céline Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya |
title | Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya |
title_full | Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya |
title_fullStr | Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya |
title_full_unstemmed | Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya |
title_short | Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya |
title_sort | participatory farm diversification and nutrition education increase dietary diversity in western kenya |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6618016/ https://www.ncbi.nlm.nih.gov/pubmed/30827036 http://dx.doi.org/10.1111/mcn.12803 |
work_keys_str_mv | AT boedeckerjulia participatoryfarmdiversificationandnutritioneducationincreasedietarydiversityinwesternkenya AT odhiamboodourfrancis participatoryfarmdiversificationandnutritioneducationincreasedietarydiversityinwesternkenya AT lachatcarl participatoryfarmdiversificationandnutritioneducationincreasedietarydiversityinwesternkenya AT vandammepatrick participatoryfarmdiversificationandnutritioneducationincreasedietarydiversityinwesternkenya AT kennedygina participatoryfarmdiversificationandnutritioneducationincreasedietarydiversityinwesternkenya AT termoteceline participatoryfarmdiversificationandnutritioneducationincreasedietarydiversityinwesternkenya |