Research in Agriculture and Nutrition, Zambia


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Improved nutrition in Zambia – the role of agricultural research

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  • adults with HIV have 10–30% higher energy requirements than those of a healthy adult without HIV and, children with symptomatic HIV require 50–100% more energy than normalimpaired absorption of nutrients and other factors that reduce intake such as oral thrush, lack of appetite,
  • desired precision of 0.05 (95% confidence interval)
  • Research in Agriculture and Nutrition, Zambia

    1. 1. International Institute of Tropical AgricultureRESEARCH IN AGRICULTURE AND NUTRITION, ZAMBIASeminar: Agricultural Research for Improved Nutrition in Zambia20 March, 2012Lusaka, ZambiaIsabel Madzorera
    2. 2. IITA in Zambia Office – Regional HubPrograms MIRACLE – Making agriculture innovations work for small holder farmers affected by HIV/AIDS in Southern Africa SIMLEZA - Sustainable Intensification of Maize- Legume systems for the Eastern Province of Zambia (SIMLEZA) project, funded by USAID “Feed the Future”
    3. 3. MIRACLE project 3 year project (2011-2013) Zambia, Malawi, Mozambique and Swaziland Implemented in 3 districts in Zambia – Kazungula, Mansa and MumbwaPURPOSE To improve health and nutrition status, food security and income of people living with HIV and AIDS (PLWHA) through the production, consumption and marketing of nutritionally-enhanced crop and livestock products and to lobby for supportive agricultural and health policies, as well as to strengthen the capacity of key stakeholders engaged in agricultural activities
    4. 4. Research in the MIRACLEproject Food Consumption and Nutrition SurveyWhy Food Consumption and Nutrition Survey- importance of food security and good nutrition for people living with HIV- poor nutritional status hasten progression to AIDS-related illnesses and undermine response to antiretroviral drugs- Establish project baseline for intervention design ---development of dietary strategies to enhance intake and diet quality
    5. 5. FCS: Specific objectives.• Estimate with reasonable precision the mean usual food consumption and nutrient intakes of women of childbearing age (15-49 years) and children aged 6 months to 14 years in HIV/AIDS affected households in target communities.• Determine proportion of individuals within the group at risk of inadequate caloric, protein, and micronutrient intakes (vitamin A, iron, and zinc).• Determine the nutritional status of women of childbearing age (15-49 years) and children aged 6 to 59 months in HIV/AIDS affected households in the selected agricultural camps.• Assess the relationship among observed nutritional status, food consumed, and nutrient intakes.
    6. 6. Study areas :Study areas:• Kazungula – Musokotwane, Mukuni agriculture camps• Mansa – Mabumba and Kale agriculture camps• Mumbwa – Nampundwe and Martin Luther agriculture campsSample size: 422 households affected by HIV and AIDSStudy subjects: Women of child bearing age Children aged 6 months to 14 years within the sampled householdsAssessment period: Feb and Mar 2012
    7. 7. Sample size Sampled Based on AgriculturalProvince District Block Households estimated camp (n) prevalence Luapula Mansa Mansa East Mabumba 67 of dietary energy Mansa East Kale 48 intake below Central Mumbwa Shibuyunji Martin Luther 39 minimum levels in Shibuyunji Nampundwe 148 Zambia ofSouthern Kazungula Mukuni Mukuni 60 51% ( Living Conditions IV Musokotwane Musukotwane 69 survey, 2006) Totals 422
    8. 8. Methodology 24 hour dietary recall Multipass methodology Mothers training sessions before data collection 2 recall interviews per household (women and children) Quantification of food consumed (salted replicas/direct weight, play dough, volume, length, picture charts) repeat interviews for 25% of the sampled households on non-consecutive days (to validate) nutrition anthropometry (weight and height for women and children)
    9. 9. Preliminary indicationsFood consumption by HIV and AIDSaffected households in the lean season Dietary diversity is poor Diets are largely plant based and low in animal products - diet quality, anti nutritive factors
    10. 10. Policy ImplicationsPolicy dialogue dietary diversity Enhancing intake Food preparation and processing of crops