Browsing by Author "Biesalski, H. K."

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Consumption of dark green leafy vegetables predicts vitamin a and iron intake and status among female small-scale farmers in Tanzania
(Nutrients/ MDPI, 2019) Stuetz, W.; Gowele, V.; Kinabo, J.; Bundala, N.; Mbwana, H.; Rybak, C.; Eleraky, L.; Lambert, C.; Biesalski, H. K.
Inadequate consumption of micronutrient-dense foods such as vegetables and meat are an important contributing cause for anemia and deficiencies of iron and vitamin A in rural communities of Tanzania. A cross-sectional study was conducted in 2016 to examine nutritional and micronutrient status and their associations to the diet of female small-scale farmers in the sub-humid Kilosa (n = 333) and the semi-arid Chamwino (n = 333) districts, in the Morogoro and Dodoma region. An overall higher prevalence of overweight (19.7%) and obesity (7.1%) than of underweight (5.9%) was detected. Significantly more women in the two villages of Kilosa (27–40%) than in the two villages of Chamwino district (19–21%) were overweight/obese, but also more frequently had anemia (34–41% vs. 11–17%), iron deficiency (24–32% vs. 15–17%), and low serum retinol (21–24% vs. 8–9%). Overall, only a small proportion of women reached recommended daily micronutrient intakes: 27% for vitamin A, 17% for iron, 7% for zinc, and 12–38% for B-vitamins. The amount of dark green leafy vegetables (DGLV) consumed was the main determinant of vitamin A and iron intake by women in Chamwino and corresponded to higher hemoglobin, serum retinol and iron status than in the villages of the Kilosa district; in agreement, DGLV consumption also predicted iron and vitamin A intake in Kilosa district. DGLV consumed with wholemeal millet was advantageous in terms of women’s vitamin A and iron intake and status over the predominantly maize-rice-based diet lacking vegetables.
Determinants of household dietary practices in rural Tanzania: Implications for nutrition interventions
(Cogent food & Agriculture, 2016) Mbwana, H. A.; Kinabo, J.; Lambert, C.; Biesalski, H. K.
A household cross-sectional survey of a sample of 120 households to analyze consumption practices and determinants of household dietary diversity in rural areas of differing agro-climatic conditions in Tanzania was conducted in four villages of Morogoro and Dodoma regions. The respondent was the mother/woman or any other person responsible for food preparation and serving in the household. The inclusion criteria were those women who had given consent to participate, those from a rural area and in the age bracket 15 to 49 years. Data were collected using the Food and Agriculture Organization dietary diversity questionnaire with twelve food groups. Two independent multinomial logistic regression models were used to establish relationships between dietary diversity and categorical variables in Morogoro and Dodoma regions. The mean dietary diversity scores were 4.7 and 4.1 for Morogoro and Dodoma, respectively. The Cereals were highly consumed by all households that participated in the study during the past 24 h preceding the survey and that the consumption of animal based protein foods was below 40%. Determinants of household dietary diversity in Morogoro included literacy status of the mother and prior nutrition training/knowledge. In Dodoma, cultivated land size, literacy status of the mother and distance to a water source determined household dietary diversity. It is therefore recommended that nutrition and food security interventions should not only empower rural women but also pay special attention to differences in agro-ecological environments of the areas in determining interventions to address malnutrition and for effective successful implementation and outcomes.
Factors influencing stunting among children in rural Tanzania: an agro-climatic zone perspective
(Springer, 2017-04) Mbwana, H. A.; Kinabo, J.; Lambert, C.; Biesalski, H. K.
This paper analyzed stunting in children in Tanzania and its linkages to agro-climatic conditions and related factors, unraveling the complex interactions of determinants of under-nutrition in two contrasting regions of Tanzania. We used logistic regression models to establish relationships between stunting and multiple variables belonging to different domains. The prevalence of stunting and severe stunting in children was 41% and 21% respectively, while 11% of women had a Body Mass Index of below 18.5. Results also indicate that 17% of children and 16% of women were anaemic. Regression analysis showed that major determinants of child stunting in the semi-arid Dodoma region are cultivated land size, gender and age of the child, duration of breastfeeding, household size, use of iodized salt and the distance to a water source. In sub-humid Morogoro, cultivated land size, a child’s age, duration of breastfeeding, literacy status of the mother and Body Mass Index of the mother predict stunting. We discuss how these factors influence the nutrition status of children in each agro-climatic region. The pooled model provided strong evidence to link agro-climatic zone characteristics to stunting among children. It is recommended that nutrition interventions should be specific to agroclimatic environments. Implementing agro-climatic sensitive interventional actions may help to reduce undernutrition and food insecurity in specific areas.
Harvesting vegetables from the kitchen garden: an educative and sustainable approach to improve dietary practices and nutritional status among rural families in Tanzania
(Sokoine University of Agriculture, 2019) Mbwana, H. A.; Kinabo, J.; Lambert, C.; Biesalski, H. K.
Undernutrition continues to inflict significant social, health and economic consequences in developing countries, Tanzania inclusive. The aim of the present study was to implement, monitor and assess the impact of bag gardening and household nutrition education on dietary practices and nutritional status in rural villages in Tanzania. Nutrition education covered various gaps observed in a preceded nutrition survey (baseline). Bag gardening practical demonstrations and hand on implementation skills were carried out to the participating 120 households. McNemar and marginal homogeneity tests were conducted to compare the baseline to endline results for each section of the questionnaire. Results indicated that at baseline only 27% of households had a high Dietary Diversity Score as compared to 52% at endline. Daily and weekly consumption rates increased by 10-50% from baseline to endline periods.There were significant differences in knowledge aspects of factors influencing inclusion of vegetables in a meal, knowledge of bag and cultivation of vegetables in a bag garden, receiving nutrition education before, knowledge of foods that increase intake of fibre, knowledge of food groups and iron deficiency anaemia between the baseline and endline time points with p<0.05.The intervention increased consumption of green leafy vegetables, dietary diversity and nutrition knowledge of participants in the topics covered including general nutrition, nutrition requirements for specific groups, preparation and preservation of foods, improving nutrition through kitchen gardens and tips for improving health. We recommend progressing this type of intervention further by selecting foods containing high vitamin A amounts to be included in bag gardens.
Rural agriculture for improved nutrition: stakeholder insights from different sectors in Tanzania
(CUVILLIER VERLAG, 2017-09) Mbwana, H.; Kinabo, J.; Reif, C.; Stuetz, W.; Sieber, S.; Mutabazi, K. D.; Biesalski, H. K.
Nutrition sensitive pathways and approaches involving agriculture are being recognised as essential to guarantee nutrition security and lessen undernutrition. In Tanzania, the majority of the population lives in the rural areas and 80% depend on agriculture as the main source of livelihood. Although agriculture can play a big role in alleviating undernutrition, its role in tackling malnutrition needs to be dealt with based on policies to the actual implementation. This study aimed to investigate perspectives of stakeholders on links between rural agriculture and nutrition, opportunities and challenges, evidences and policy inferences. Methodology: Open ended interviews were conducted with 11 stakeholders identified for the Scale-N project in Tanzania who contribute in one way or another to the nutrition sector. Two focus group discussions with 20 farmers from Mzula and Tindiga villages in Dodoma and Kilosa were conducted. Stakeholders acknowledged obstacles to better achievement of undernutrition reduction which included absence of clear cut motivations in the agriculture sector regarding enhancing nutrition, concentrating on cash crops, lack of accountability for agriculture matters for improving nutrition, policies exist but putting them into action is hindered, limited competence in the available human resources, absence of coordination between sectors, lack of proof that agriculture works for nutrition and economic constraints to support agriculture. Possible measures mentioned to be taken to improve rural agriculture for better nutrition including home gardening with different crops, nutrition training, better access to markets and labour saving technologies to women. From the farmers’ side, 13 mentioned lack of extension services, 17 mentioned lack of access to agricultural productive resources, lack of knowledge about nutritious and safe food and the majority mentioned increased occurrences of natural disasters such as floods and serious drought. Numerous possibilities are present to strengthen the role of agriculture on nutrition in Tanzania, however, there is need to strengthen the structure and making of policies which will in turn need proper implementation for the desired success.