Impact of permagarden intervention on improving fruit and vegetable intake among vulnerable groups in an urban setting of Ethiopia: A quasi-experimental study


Autoři: Fikralem Alemu aff001;  Medhanit Mecha aff002;  Girmay Medhin aff003
Působiště autorů: Fikralem Alemu, Ethiopian Institute of Water Resources, Ethiopia, Addis Ababa aff001;  Medhanit Mecha, Family Health International Ethiopia, Ethiopia, Addis Ababa aff002;  Girmay Medhin, Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa aff003
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0213705

Souhrn

Background

Increasing nutrient intake through home gardening is a sustainable way to address multiple micronutrient deficiencies in developing countries. This study investigated the impact of permagarden intervention in increasing the frequency and diversity of vegetable and fruit consumption among vulnerable families in seven cities of Ethiopia.

Method

A quasi-experimental study was conducted from August 10 to September 30, 2015. A total of 884 care givers (427 from intervention and 457 from control) participated in the study. Data were collected through face to face interviews with caregivers of highly vulnerable children. Propensity score matching (PSM) was used as implemented in STATA software. Program impact on the frequency and diversity of households’ fruit and vegetable consumption between intervention and control groups was assessed using chi square test.

Results

Intervention participants had a 13% higher increase in frequency of vegetable and fruit consumption compared with control participants (p<0.01). Diversity (consumption of 2 or more groups of vegetable and fruit) is higher among intervention groups than control groups (percentage difference = 9, p-value<0.05). A significant higher percentage of participants in intervention group reported getting the one-week vegetable and fruit mainly from their own garden (percentage difference 58.3%, p<0.05). A significantly larger proportion of participants in the intervention group compared to control group reported “high likelihood” on intention to grow vegetables in the future (percentage difference = 30%, and P<0.01). Perceived importance to include vegetable in everyday meal was higher among intervention group participants than control group participants (percentage difference = 11.5%, P<0.01).

Conclusions

The observed higher FV intake among permagarden intervention group compared to control group suggest that nutrition and health programs need to promote permagarden as a means to improve FV intake among vulnerable societies in resource limited countries.

Klíčová slova:

Amhara people – Computer software – Ethiopia – Fruits – Children – Vegetables – Vitamin A


Zdroje

1. Lock K, Pomerleau J, Causer L, Altmann D, McKee M (2005) The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet Bull World Health Organization 83(2).

2. WHO (2004) World Health Assembly 55th Meeting. Global Strategy on Diet, Physical Activity and Health Resolution WHA5523. Geneva, Switzerland: World Health Organization.

3. WHO (1990) Diet, nutrition and the prevention of chronic diseases. Geneva, Switzerland: WHO.

4. WHO FAO (2003) Diet, nutrition and the prevention of chronic diseases. Report of a Joint WHO/FAO Expert Consultation Geneva, Switzerland: WHO.

5. Weber D, Grube T (2012) The contribution of B-carotine to vitamin A supply of humans. Molecular Nutrition & Food research 56.

6. Black R, Cousens S, Johnson H, Lawn J, Rudan I, et al. (2010) Global, regional, and national causes of child mortality in 2008: a systematic analysis. The Lancet 375: 1969;1987.

7. Guerrant RL, DeBoer MD, Moore SR, Scharf RJ, Lima AA. The impoverished gut—a triple burden of diarrhoea, stunting and chronic disease. Nature Reviews Gastroenterology and Hepatology 10: 220–229. doi: 10.1038/nrgastro.2012.239 23229327

8. Bhaskaram P (1992) The vicious cycle of malnutrition-infection with special reference to diarrhea, measles and tuberculosis. Indian Pediatr 29: 14.

9. FAO (2013) Vitamin A: moving the food-based approach forward Greiner T, editor: Hanyang University

10. WHO (2009) Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risks. Geneva: World Health Organization.

11. CSA (2008) Federal Democratic Republic of Ethiopia. Summary and Statistical Report of the 2007 Addis Ababa: Population Census Commission.

12. FAO (2016) Food situation report of Ethiopia food insecurity.

13. FMOH (2007) Federal Ministry of Health Ethiopia, Single point estimate

14. Rivers J, Mason JB, Rose DD, Eisele TP, Gillespie S, et al. The impact of orphanhood on food security in the high-HIV context of Blantyre, Malawi. Food & Nutrition Bulletin 31: 264S–271S.

15. UNICEF (2015) UNICEF data: monitoring the situation of children and women. The State of the World’s Children Report.

16. CSA (2012) The 2011 Ethiopian Demographic Health Survey report Addis Ababa.

17. Blanchette L, Brug J (2005) Determinants of fruit and vegetable consumption among 6-12-year-old children and effective interventions to increase consumption. J Hum Nutr Diet 18: 431–443. doi: 10.1111/j.1365-277X.2005.00648.x 16351702

18. Lock K, Pomerleau J, Causer L, Altmann DR, McKee M (2005) The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Bulletin of the World Health Organization 83: 100–108. doi: /S0042-96862005000200010 15744402

19. Raab C, Grobe D (2005) Consumer knowledge and perceptions about organic food. J Extension 43.

20. Ganann R, Fitzpatrick-Lewis D, Ciliska D, Peirson LJ, Warren RL, et al. (2014) Enhancing nutritional environments through access to fruit and vegetables in schools and homes among children and youth: a systematic review. BMC research notes 7: 1;13.

21. Faber M, Venter SL, Benade A (2002) Increased vitamin A intake in children aged 2–5 years through targeted home-gardens in a rural South African community. Public health nutrition 5: 11–16. doi: 10.1079/phn2001239 12001973

22. Kaplan R (2001) The nature of the view from home psychological benefits. Environment and behavior 33: 507–542.

23. Clayton S (2007) Domesticated nature: Motivations for gardening and perceptions of environmental impact. Journal of environmental psychology 27: 215–224.

24. Alaimo K, Packnett E, Miles RA, Kruger DJ (2008) Fruit and vegetable intake among urban community gardeners. Journal of nutrition education and behavior 40: 94–101. doi: 10.1016/j.jneb.2006.12.003 18314085

25. Algert S, Diekmann L, Renvall M, Gray L (2016) Community and home gardens increase vegetable intake and food security of residents in San Jose, California. California Agriculture 70: 77–82.

26. Jensen P (2013) The Urban Gardens Program for. HIV-Affected Women and Children: A Review and Look to the Future. FANTA, FHI360.

27. (2017) The Technical and Operational Performance Support (TOPS). Permagarden Technical Manual Corps TTPaM, editor. Washington, DC.

28. (2017) Yekokeb Berhan Program for Highly Vulnerable Children in Ethiopia Endline Evaluation Report.: ABH survice PLC.

29. PACT (2012) Child Support Index and Care Plan. Scoring Guide and Care plan Codes. Yekokeb Berhan Program/Pact for Highly Vulnerable Children.

30. USAID (2017) Yekokeb Berhan Program for Highly Vulnerable Children in Ethiopia. Endline Evaluation Report Addis Ababa: Pact Ethiiopia.

31. CSA (2012) Ethiopia Demographic and Health Survey 2011 Report. Addis Ababa: Central Statistical Agency

32. CSA (2017) Ethiopia Demographic and Health Survey 2016 Report. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: SA and ICF.

33. Swindale A, Bilinsky P (2005) Household Dietary Diversity Score (HDDS) for Measurement of Household Food Access: Indicator Guide. Washington DC: Food and Nutrition Technical Assistance Project, Academy for Educational Development.

34. Kennedy G, Ballard T, Dop M (2013) Guidelines for Measuring Household and Individual Dietary Diversity. Rome: Nutrition and Consumer Protection Division, Food and Agriculture Organization of the United Nations.

35. Ohls JC, Ponza M, Moreno L, Zambrowski A, Cohen R (1999) Food stamp participants’ access to food retailers. USDA Final Report MPR: 64.

36. Leuven E, Sianesi B (2015) PSMATCH2: Stata module to perform full Mahalanobis and propensity score matching, common support graphing, and covariate imbalance testing. Statistical Software Components.

37. Krolner R, Rasmussen M, Brug J, Klepp K, M W, et al. (2011) Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies. Int J Behav Nutr Phys 8.

38. Chadha M, Oluoch M (2003) Home-based vegetable gardens and other strategies to overcome micronutrient malnutrition in developing countries. Food Nutrition and Agriculture: 17–23.

39. Galhena DH, Freed R, Maredia KM (2013) Home gardens: a promising approach to enhance household food security and wellbeing. Agriculture & Food Security 2: 8.

40. Talukder A, de Pee S, Taher A, Hall A, Moench-Pfanner R, et al. (2001) Improving food and nutrition security through homestead gardening in rural, urban and peri-urban areas in Bangladesh. Leusden: Resource Centre in Urban Agriculture & Forestery, UA-Magazine: 45–46.

41. Leregger F, Nalubwama C, Kehli N MICRO GARDENING AS A CONTRIBUTION TO FOOD SECURITY AND NUTRITION IN AFRICA. VIENA: Institute for Environment-Peace-Development

42. Ruel M, Levin C (2000) Assessing the potential for food-based strategies to reduce vitamin A and iron deficiencies. a review of recent evidence. Washington, DC: International Food Policy Research Institute.

43. Robinson T (2008) Applying the socio-ecological model to improving fruit and vegetable intake among low-income African Americans. Journal of community health 33: 395–406. doi: 10.1007/s10900-008-9109-5 18594953

44. Morris J, Neustadter A, Zidenberg-Cherr S (2001) First-grade gardeners more likely to taste vegetables. Calif Agr 55: 43;46.

45. Morris J, Koumjian K, Briggs M, Zidenberg-Cherr S (2002) Nutrition to grow on: a garden-enhanced nutrition education curriculum for upper-elementary schoolchildren. J Nutr Educ Behav 34: 175;176. doi: 10.1016/s1499-4046(06)60088-2 12047843

46. Krolner R, Rasmussen M, Brug J, Knut-Inge K, Wind M, et al. (2011) Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies. Int J Behav Nutr Phys 8: 112.

47. Lowe CF, Horne PJ, Tapper K, Bowdery M, Egerton C (2004) Effects of a peer modelling and rewards-based intervention to increase fruit and vegetable consumption in children. European Journal of Clinical Nutrition: 510;522.

48. Justin N, Spencer M, Sam B, John W (2009) Global Variability in Fruit and Vegetable Consumption. American Journal of Preventive Medicine 36: 402;409. doi: 10.1016/j.amepre.2009.01.029 19362694

49. Guenther P, Dodd K, J R, Krebs-Smith S (2006).Most Americans eat much less than recommended amounts of fruits and vegetables. J Am Diet Assoc 106: 1371–1379. doi: 10.1016/j.jada.2006.06.002 16963342

50. Berti PR, Krasevec J, FitzGerald S (2004) A review of the effectiveness of agriculture interventions in improving nutrition outcomes. Public health nutrition 7: 599–609. doi: 10.1079/PHN2003595 15251050


Článek vyšel v časopise

PLOS One


2019 Číslo 12