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Richard Mutisya 1 , Zipporah Bukania 1 , Lydia Kaduka 1 , Moses Mwangi 1 , Robert Karanja 2 and Timothy Johns 3 1 Centre for Public Health Research–KEMRI 2 Centre for Biotechnology Research and Developmen t –KEMRI 3 School of Dietetics and Human Nutrition McGill University .
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Richard Mutisya1, Zipporah Bukania1, Lydia Kaduka1, Moses Mwangi1, Robert Karanja2 and Timothy Johns3 1Centre for Public Health Research–KEMRI 2Centre for Biotechnology Research and Development–KEMRI 3School of Dietetics and Human Nutrition McGill University KARI-McGill Food Security Research Project Innovating for resilient farming systems Nutrition Education: A community-based approach in enhancing household food security and nutritional status in Machakos & Makueni Counties Research to Feed Africa CIFSRF Symposium Naivasha, Kenya 23-27 June 2014 Photos: IDRC/PANOS, Sven Torfinn
Nutrition & Health Stream Overview • NUTRITION AND HEALTH BASELINE SURVEY • Food security, dietary intake and diversity • Anthropometric assessment • Clinical / Biochemical assessment • NUTRITION EDUCATION • ENDLINE SURVEY • Knowledge, Attitude and Practices (KAP) • FOOD VALUE ADDITION • Identification of wild and local foods • Nutrient analyses of local foods • Functional analysis of anti-kwashiorkor activity
Background Nutrition and Health Research Stream Baseline Survey Key findings: • 23.8% stunting levels in children (6-36 months) • 14.4% women underweight • 64.2% women have medium & low dietary diversity • 86% households with severe food insecurity • 80% purchase foods on credit (coping mechanism) • 47% households treat water before consumption
Background • Resilient farming aimed at alleviation of food insecurity and its dietary/health consequences is potential solution to improve these statistics • Nutrition education can be used to: • Change dietary practices • Improve household food security • Mitigate unhealthy food-related behaviors with limited resources
Objective To identify and train farmer nutrition champions (FNC) on nutrition and good dietary practices consistent with resilient farming. Specific objectives: • To understand community’s knowledge, attitudes and practices (KAP) on nutrition and dietary practice • To build the capacity of FNCs to implement dietary behavior change communication • To equip community members with basic knowledge on nutrition and good dietary practice
Methodology • FGDs: to assess communities’ KAP of nutrition and dietary practices • Didactic Lectures: to deliver basic nutrition education and address key gaps identified in KAP exercise • Teach-back methodology: to apply an integrated approach that blends learning training skills with teaching course content
Results • Community food basket composition: • Cereals: millet, maize, sorghum and their respective flours • Legumes: beans, cowpeas, pigeon peas and green grams • Vegetables: kales & cabbages, TLVs where cowpeas and pumpkin leaves are in-season • Fruits: various consumed when in-season • Meats: beef, goat & chicken, as well as eggs/milk • Nutrition and disease: • The participants observed that nutrition is important in maintaining good health and management of diseases • Key messages: • Main source of food is through own production • Lack of knowledge on nutrition and diseases
Conclusions & Recommendations • Trained FNCs are potential agents for nutrition messages at community level • Offer a long-term, sustainable solution for educating communities with tailored nutrition education interventions • National and county policies should consider modalities of incorporating FNC models into community health strategies and extension services
Acknowledgements This research was made possible through the Canadian International Food Security Research Fund (#106510). The Canadian International Food Security Research Fund (CIFSRF) is a program of Canada’s International Development Research Centre (IDRC) undertaken with the financial support of the Government of Canada provided through Foreign Affairs, Trade and Development Canada (DFATD). We acknowledge the support of Lutta W. Muhammad and Gordon M. Hickey, Principal investigators of this CIFSRF project for the Kenya Agricultural Research Institute (KARI) and McGill University, respectively. We also acknowledge the Director KEMRI and Center Director CPHR for their support. Photos: IDRC/PANOS, Sven Torfinn
Special thanks goes to all farmers and households who took part in the KARI-McGill Food Security Research Project with KEMRI THANK YOU Photos: IDRC/PANOS, Sven Torfinn