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Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya

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Abstract
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.
Keywords
community-based participatory approach, dietary diversity, kitchen gardening, micronutrient adequacy, nutrition education, participatory action research, AGRICULTURAL INTERVENTIONS, FEEDING PRACTICES, YOUNG-CHILDREN, FOOD, HOME, SUBSISTENCE, HOUSEHOLDS, QUALITY, ANEMIA, WOMEN

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Citation

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MLA
Boedecker, Julia, et al. “Participatory Farm Diversification and Nutrition Education Increase Dietary Diversity in Western Kenya.” MATERNAL AND CHILD NUTRITION, vol. 15, no. 3, 2019.
APA
Boedecker, J., Odhiambo Odour, F., Lachat, C., Van Damme, P., Kennedy, G., & Termote, C. (2019). Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya. MATERNAL AND CHILD NUTRITION, 15(3).
Chicago author-date
Boedecker, Julia, Francis Odhiambo Odour, Carl Lachat, Patrick Van Damme, Gina Kennedy, and Céline Termote. 2019. “Participatory Farm Diversification and Nutrition Education Increase Dietary Diversity in Western Kenya.” MATERNAL AND CHILD NUTRITION 15 (3).
Chicago author-date (all authors)
Boedecker, Julia, Francis Odhiambo Odour, Carl Lachat, Patrick Van Damme, Gina Kennedy, and Céline Termote. 2019. “Participatory Farm Diversification and Nutrition Education Increase Dietary Diversity in Western Kenya.” MATERNAL AND CHILD NUTRITION 15 (3).
Vancouver
1.
Boedecker J, Odhiambo Odour F, Lachat C, Van Damme P, Kennedy G, Termote C. Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya. MATERNAL AND CHILD NUTRITION. 2019;15(3).
IEEE
[1]
J. Boedecker, F. Odhiambo Odour, C. Lachat, P. Van Damme, G. Kennedy, and C. Termote, “Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya,” MATERNAL AND CHILD NUTRITION, vol. 15, no. 3, 2019.
@article{8606380,
  abstract     = {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.},
  articleno    = {e12803},
  author       = {Boedecker, Julia and Odhiambo Odour, Francis and Lachat, Carl and Van Damme, Patrick and Kennedy, Gina and Termote, Céline},
  issn         = {1740-8695},
  journal      = {MATERNAL AND CHILD NUTRITION},
  keywords     = {community-based participatory approach,dietary diversity,kitchen gardening,micronutrient adequacy,nutrition education,participatory action research,AGRICULTURAL INTERVENTIONS,FEEDING PRACTICES,YOUNG-CHILDREN,FOOD,HOME,SUBSISTENCE,HOUSEHOLDS,QUALITY,ANEMIA,WOMEN},
  language     = {eng},
  number       = {3},
  pages        = {12},
  title        = {Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya},
  url          = {http://dx.doi.org/10.1111/mcn.12803},
  volume       = {15},
  year         = {2019},
}

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