Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya
Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya
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DOI：
10.1111/mcn.12803
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发表时间：
2019-07-01
影响因子：
3.4
通讯作者：
Termote, Celine
中科院分区：
文献类型：
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作者：
Boedecker, Julia;Odour, Francis Odhiambo;Termote, Celine
我们的研究评估了肯尼亚西部Vihiga县通过农业活动和营养教育提高妇女和幼儿膳食微量营养素充足性的社区参与性方法的有效性。结果指标包括平均膳食多样性评分、达到最低膳食多样性的妇女和儿童百分比以及微量营养素充足率（平均充足率）。该项目包括：（a）一项涉及农业生物多样性和营养的诊断性调查;（B）参与性地开展改善营养的活动;（c）一项涉及饮食摄入量的基线调查;（d）参与性地实施所开展的活动;（e）一项涉及饮食摄入量的终点调查。诊断调查在Vihiga县的10个分区进行，这些分区是配对的，分为5个干预分区和5个对照分区。干预分区开展了改善营养的活动。在实施前，基线调查收集了干预和对照子区330对妇女儿童的膳食摄入量数据。为了支持这些活动，社区接受了农业和营养培训。实施1年后，一项终点调查收集了干预和对照子区444对妇女儿童的膳食摄入量数据。使用差异中的差异技术评估影响。对儿童的平均DDS（治疗效果= 0.7，p < 0.001）和达到MDD的儿童比例（治疗效果= 0.2，p < 0.001）显示出高度显著的积极影响。饮食多样性增加的原因是，发展了谋生和创收途径，增加了营养知识。在肯尼亚西部，示范性农场多样化和营养教育大大增加了幼儿的饮食多样性。
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.