Factors influencing stunting among children in rural Tanzania: an agro-climatic zone perspective

This paper analyzed stunting in children in Tanzania and its linkages to agro-climatic conditions and related factors, unraveling the complex interactions of determinants of under-nutrition in two contrasting regions of Tanzania. We used logistic regression models to establish relationships between stunting and multiple variables belonging to different domains. The prevalence of stunting and severe stunting in children was 41% and 21% respectively, while 11% of women had a Body Mass Index of below 18.5. Results also indicate that 17% of children and 16% of women were anaemic. Regression analysis showed that major determinants of child stunting in the semi-arid Dodoma region are cultivated land size, gender and age of the child, duration of breastfeeding, household size, use of iodized salt and the distance to a water source. In sub-humid Morogoro, cultivated land size, a child’s age, duration of breastfeeding, literacy status of the mother and Body Mass Index of the mother predict stunting. We discuss how these factors influence the nutrition status of children in each agro-climatic region. The pooled model provided strong evidence to link agro-climatic zone characteristics to stunting among children. It is recommended that nutrition interventions should be specific to agro-climatic environments. Implementing agro-climatic sensitive interventional actions may help to reduce undernutrition and food insecurity in specific areas.     

Nutritional impacts of an increasing fuelwood shortage in rural households in developing countries

Developing countries face the problem of an increasing fuelwood shortage. For rural households, fuelwood is the main source of energy. As energy is essential to make food suitable for human consumption by means of cooking, the present fuelwood crisis could jeopardize the nutritional situation of rural households. This article reviews and analyses available data and information on the relationship between the availability of fuelwood and the nutritional situation of rural households. Based on analysis of emperical studies, three main strategies evolved by rural households, especially by the women within these households, to cope with a shortage of fuelwood can be distinguished: (i) increase in time and energy spent on fuelwood collection, (ii) substitution of fuelwood by alternative fuels and (iii) economizing on the consumption of fuelwood and alternative fuels. These coping-strategies affect food supply, food preservation, preparation and distribution, income generating activities and food consumption, all of which result in a decrease in quality and quantity of food consumed and in a deterioration of physical condition, especially women and their young children. Available data on fuelwood availability and nutrition are rather diffuse and incomplete. The presence of several confounding variables in the studies analysed make it difficult to establish the nutritional impact of a growing shortage of fuelwood. Nevertheless, it is concluded that a shortage of fuelwood plays at least an important role in changes in nutritional situation of rural households. If current trends continue, this role will become more important and evident. The impact of a growing fuelwood shortage should be a point of concern for rural development.     

Exploring the impact of the 2008 global food crisis on food security among vulnerable households in rural South Africa

Recurring food crises endanger the livelihoods of millions of households in developing countries around the globe. Owing to the importance of this issue, we explored recent changes in food security between the years 2004 and 2010 in a rural district in Northeastern South Africa. Our study window spans the time of the 2008 global food crisis and allows the investigation of its impacts on rural South African populations. Grounded in the sustainable livelihood framework, we examined differences in food security trajectories among vulnerable sub populations. A unique panel data set of 8,147 households, provided by the Agincourt Health and Demographic Surveillance System (Agincourt HDSS), allowed us to employ a longitudinal multilevel modeling approach to estimate adjusted growth curves for the differential changes in food security across time. We observed an overall improvement in food security that leveled off after 2008, most likely resulting from the global food crisis. In addition, we discovered significant differences in food security trajectories for various sub populations. For example, female-headed households and those living in areas with better access to natural resources differentially improved their food security situation, compared to male-headed households and those households with lower levels of natural resource access. However, former Mozambican refugees witnessed a decline in food security. Therefore, poverty alleviation programs for the Agincourt region should work to improve the food security of vulnerable households, such as former Mozambican refugees.     

Vulnerability of smallholder rural households to food insecurity in Eastern Ethiopia

Although several empirical methodologies as to how best assess vulnerability to food insecurity have been proposed in the literature, none of these has evolved into a unanimously accepted approach. This article contributes to this literature by adapting the Vulnerability as Expected Poverty approach from poverty analysis methodology with the aim of scrutinizing factors determining household level vulnerability to food insecurity based on cross-section data collected from 277 randomly selected households in eastern Ethiopia. Vulnerability to food insecurity was strongly associated with several factors which included family size, size of cultivated landholding, soil fertility status of plots, access to irrigation, number of extension visits, use of fertilizer and improved seed. The probability that any given household??s food consumption expenditure would fall below a specified cut-off level has also been computed and vulnerable households identified. The total number of vulnerable households (111) was found to be greater than those who are currently food insecure (103). This implies that design and implementation of food security policies and strategies need to focus not only on those who are observed to be currently food insecure, but also on setting up social protection mechanisms to help prevent households from falling more deeply into food insecurity in the future.     

Determinants of smoking behaviour among adolescents in Semarang, Indonesia.

OBJECTIVES: To determine the smoking prevalence and to examine the determinants of smoking behaviour among male adolescents in Semarang, Indonesia. DESIGN: A random sample of schools in Semarang (population 1.5 million) was obtained using a stratified sampling procedure (strata based on type of school and district). A total of 149 schools were selected (response rate 72%). Within the schools 186 classes were selected, targeting the 11, 13, 15, and 17 year olds. An anonymous, self administered questionnaire was filled in by all students present at the day of the survey (total sample size 6276). OUTCOME MEASURES: Smoking prevalence, exposure to family and peer smoking, and other variables that may be related to smoking. Logistic regression was used to examine the determinants of smoking behaviour. Only male students were included in the analysis. RESULTS: Smoking increased dramatically between the ages of 11 and 17, from 8.2% to 38.7%. The variance explained by the regression model increased from 19.8% for 11 year olds to 53% for 17 year olds. The smoking behaviour of best friends was the most powerful determinant of smoking, and this was consistent across the age groups. Best friends' attitudes towards smoking and older brothers' smoking behaviour were also important determinants of smoking. CONCLUSIONS: Smoking prevalence among male adolescents in Semarang, Indonesia is high. Effective smoking prevention programmes should take into account the dominant influence of peers in the onset and maintenance of smoking behaviour. In general, school related items had a less important role in predicting smoking behaviour than expected.     

Microbiological hazard identification and exposure assessment of food prepared and served in rural households of Lungwena, Malawi

The presence of food-borne pathogens, Escherichia coli 0157:H7, Staphylococcus aureus, Salmonella species, Campylobacter jejuni and non-pathogenic E. coli, in 132 home cooked food samples consisting of maize flour porridge (MFP), (n=41), fish (n=37), vegetables (n=28), beans (n=13) and "Others" (n=13), collected from 6 villages in Lungwena, Malawi was investigated. It was found that 35% of the food samples were contaminated with one or more pathogens; with 48%, 8%, 61% and 23% of the food samples being found to harbour E. coli, pathogenic E. coli 0157: H7, S aureus and Salmonella species, respectively. C. jejuni was not detected in any food sample. Using a 95% level of significance, pathogen concentration among food categories demonstrated a statistical difference (p=0.001). Distribution of pathogens among villages was also found to be significant (p=0.03). MFP was the most contaminated food. Practices that promote the spread of the pathogens in the rural household kitchens were investigated. Food was thought to be contaminated as a result of poor food handling, preparation and storage practices.     

Iron content in common Cambodian fish species: Perspectives for dietary iron intake in poor,rural households

Iron deficiency is the most widespread nutritional disorder in Cambodia. Sixteen Cambodian fish species were screened for iron, zinc and calcium contents. Esomus longimanus has a higher iron content (451 mg Fe/kg dry matter, SD = 155, n = 4) than other species. Iron pools were measured as inorganic iron (I-Fe) by the ferrozine method, haem-bound iron (H-Fe) by the acetone method and total iron (T-Fe) by atomic absorption spectrometry. I-Fe + H-Fe accounted for <50% of T-Fe in E. longimanus, indicating a pool of complex bound, probably high-molecular weight non-haem iron (Hm-Fe). In a field study, thirty rural women were interviewed about traditional use of E. longimanus; their cleaning and cooking practices were observed and the amounts of fish consumed were recorded and meal samples were collected for iron analysis. Calculations based on the iron content and a high bioavailability of Hm-Fe showed that a traditional fish meal, sour soup, covered 45% of the daily iron requirement for women.     

Determinants of anemia among pregnant women in Mali

BACKGROUND: Anemia in pregnancy remains a major problem in nearly all developing and many industrialized countries. In Mali, the subpopulation prevalence and etiology of anemia during pregnancy are largely unknown. OBJECTIVE: To examine the prevalence and likely etiologies of anemia in pregnancy in a poor urban population in Bamako, Mali. METHODS: Pregnant women (n = 190) were selected randomly. Hemoglobin, serum iron, and total iron-binding capacity were measured; blood smears were examined for Plasmodium falciparum malaria; and single stool and urine samples were examined for Schistosoma haematobium and hookworm. Gynecologic examinations were performed and interviews conducted to qualitatively assess food consumption and other socioeconomic characteristics. Associations among mild, moderate, and severe anemia; iron and parasite status; erythrocyte sedimentation rates; and the presence of abnormal vaginal discharge were evaluated. Differences in hemoglobin and serum iron concentrations, total iron-binding capacity, and anemia were compared according to trimester of pregnancy and between infected and noninfected women. The relative and attributable risks of anemia were calculated, and adjusted odds ratios for anemia and low serum iron were estimated by multivariate logistic regression. RESULTS: Of the 131 women for whom complete data were available, 47% had hemoglobin concentrations below 110 g/L; 13% had serum iron concentrations below 12 micromol/L; none had transferrin saturation values below 16%; 11%, 23%, and 8% harbored P. falciparum, S. haematobium, and hookworm, respectively; and 82% had an abnormal vaginal discharge. Food restrictions were reported by 45% of the women. Abnormal vaginal discharge correlated significantly with anemia (Pearson chi2 = 62.4; p < .01). Univariate and multivariate analyses found that infections were strongly associated with and predictive of anemia. CONCLUSIONS: Our data suggest that infections and food accessibility contribute to the high rates of anemia during pregnancy in Mali.     

Citrus pulp as an ingredient in ostrich diet: effects on meat quality

The purpose of this trial was to study the effects of citrus pulp inclusion in ostrich diets on meat quality, evaluated on iliofibularis and gastrocnemius muscles. M. iliofibularis had a lower ultimate pH (P<0.05) and was lighter in colour (P<0.05) than M. gastrocnemius. The latter had higher moisture (P<0.05) and lower crude protein contents (P<0.05) as compared to M. iliofibularis. M. gastrocnemius had a lower proportion of C14:0 (P<0.05), C16:0 (P<0.05) and C16:1 (P<0.05) and a higher percentage of C18:0 (P<0.05), C20:2ω6 (P<0.05), C20:4ω6 (P<0.05) and C20:5ω3 (P<0.05) than M. iliofibularis. Citrus pulp diet increased (P<0.05) meat ultimate pH and reduced cooking losses (P<0.05) as compared to the control diet. Meat from animals given citrus pulp had lower crude fat (P<0.05) and ash percentages (P<0.05) in comparison to that from the control group. The proportions of intramuscular saturated and monounsaturated fatty acids were lower (P<0.05) in the citrus pulp group as compared to the control one. Meat from the citrus pulp treatment group had a higher (P<0.05) percentage of polyunsaturated fatty acids than meat from the control treatment. In particular, meat from ostriches given citrus pulp diet exhibited higher C18:2ω6 (P<0.05) and C20:4ω6 (P<0.05) contents that accounted for a higher ω6/ω3 ratio (P<0.05) as compared to the control group. Overall, the use of a citrus pulp-included diet in ostrich feeding did not adversely affect meat quality and, therefore, citrus pulp seems to be a possible ingredient to reduce feeding costs.     

Determinants of sperm quality and fertility in domestic species

Fertilization success cannot be attributed solely to the absolute number of vital, motile, morphologically normal spermatozoa inseminated into the female but more especially to their functional competence. A range of in vitro tests has therefore been developed to monitor crucial aspects of sperm function: their ability to adapt to changing osmotic conditions, to bind to the oviductal epithelium, and to undergo capacitation in an appropriate and timely manner. The tests employ flow cytometry in conjunction with fluorescent techniques, electronic cell counting, and computer-assisted image area analysis. The highly quantitative analysis provided by electronic sizing and flow cytometry enables assessment of representative cell numbers in a very short time with high reproducibility. More importantly, it allows the detection of physiological heterogeneity within an ejaculate in terms of the development of cell subpopulations and enables the kinetic analysis of changes in living cell suspensions. The tests offer a promising strategy for evaluating fertility in domestic animals. The capability for volume regulation ensures that sperm recover from the tonic shocks experienced at ejaculation and during cryopreservation. Assessment of capacitation in vitro provides valuable information on both the sperm's ability to respond to fertilizing conditions and the sequence and rates of ongoing capacitation/destabilization processes. The monitoring of response to capacitating conditions in kinetic terms allows the sensitive and adequate detection of sperm populations expressing fertilization attributes and their ability to respond to external stimuli in a timely manner. However, subfertility is likely to be associated with a suboptimal response (i.e. too high or too low) rather than a minimal response.     

Livelihood effects of crop diversification: a panel data analysis of rural farm households in Zambia

We examined factors driving farm households to diversify their crop production, using panel data from two waves of nationally representative surveys of rural farm households in Zambia. The Simpson Index of Diversification was used as the dependent variable in a determinants model, first testing for fixed effects and then estimating a QMLE model to test for robustness of the results. Factors that promoted agricultural diversification included agricultural extension, asset endowment, smallholder access to land, access to markets, and investments in irrigation and water harvesting. However, the two key government policy programs of the Food Reserve Agency (FRA) and Farmer Input Support Program (FISP) (which focuses on maize) negatively affected crop diversification. We also examined the impact of crop diversification on livelihoods measured by household income, Months of Household Adequate Food Provisions (MAHFP), Household Dietary Diversity Score (HDDS) and Food Consumption Score (FCS). Crop diversification had a positive and significant impact on farm income (but not household income) and MAHFP. The impact on HDDS and FCS, though positive and significant, was much weaker. We conclude that diversifying crop production in Zambia is necessary for raising rural farm income and food availability but less so for improving access to a diverse range of foods as measured by the HDDS and FCS.     

Determinants of technical efficiency among dairy farms in Wisconsin

The US dairy sector is facing structural changes including a geographical shift in dairy production and a tendency toward the implementation of more intensive production systems. These changes might significantly affect farm efficiency, profitability, and the long-term economic sustainability of the dairy sector, especially in more traditional dairy production areas. Consequently, the goal of this study was to examine the effect of practices commonly used by dairy farmers and the effect of intensification on the performance of the farms. We used a sample of 273 Wisconsin dairy farms to estimate a stochastic production frontier simultaneously with a technical inefficiency model. The empirical analysis showed that at a commercial level the administration of bovine somatotropin hormone to lactating cows increased milk production. In addition, we found that production exhibits constant returns to scale and that farm efficiency is positively related to farm intensification, the level of contribution of family labor in the farm activities, the use of a total mixed ration feeding system, and milking frequency.     

Impact assessment of push-pull pest management on incomes,productivity and poverty among smallholder households in Eastern Uganda

The paper evaluates the impact of adoption of push-pull technology (PPT) on household welfare in terms of productivity, incomes and poverty status measured through per-capita food consumption in eastern Uganda. Push-pull is a habitat management strategy for the integrated management of stemborers, striga weeds and poor soil fertility involving the use of a natural repellent (push) and an attractant (pull). This biological technology simultaneously reduces the impact of three major production constraints to cereal-livestock farming in Africa ? pests, weeds and poor soil. Cross sectional survey data were collected from 560 households in four districts in the region (Busia, Tororo, Bugiri and Pallisa), in November and December 2014. Generalized propensity scoring (GPS) was used to determine the intensity of adoption of the technology (i.e., land area allocated to PPT) and also to estimate the dose-response function (DRF) relating intensity of adoption and household welfare. Results revealed that with increased intensity of reported adoption of PPT, the probability of being poor declined through increased maize yield per unit area, incomes, and per capita food consumption. However, its impact varied with the intensity of adoption. With an increase in the area allocated to PPT from 0.025 to 1 acre, average maize yield per unit area increased from 27 kg to 1400 kg, average household income increased from 135 US$ (Uganda Shilling (USh) 370,000) to 273 US$ (USh 750,000) and per capita food consumption increased from 15 US$ (USh 40,000) to 27 US$ (USh 75,000). The average probability of a household being poor (below a rural poverty line of US$ 12.71) declined from 48% to 28%. These findings imply that increased investment in the dissemination and expansion of PPT is essential for poverty reduction among smallholder farmers in Uganda.     

Assessing reliability,change after intervention,and performance of a water insecurity scale in rural Ethiopia

There is growing interest in the phenomenon of water insecurity, yet a relative paucity of tools to assess the occurrence and severity of water insecurity at the household level. We sought to assess the validity and reliability of a household water insecurity scale in a rural Ethiopian context. Secondary data on water insecurity from up to 1934 rural Ethiopian households that had participated in a water and sanitation intervention was analysed. Exploratory factor analysis and Cronbach’s alpha were used to assess dimensionality of the water insecurity responses and parametric and non-parametric tests used to test for differences in household water insecurity scores across household types and objective measures of household water access. Factor analysis revealed one dominant factor and the Cronbach’s alpha of the water insecurity scale was 0.94. Households with access to improved water sources, that lived close to water collection points, that did not farm, and that felt they had “enough” water all scored as significantly more water secure on the household water insecurity scale (P < 0.05). The household water insecurity scale also predicted the occurrence of diarrhea among children in the household (aOR 1.2, 95 % CI 1.08, 1.33) whereas no other measure of water access did. Finally, household water insecurity scores improved by 55 % after a water and sanitation intervention.Our results suggest the possibility of an effective water insecurity tool, which might be deployed to assess the epidemiology of water insecurity including its causes and consequences. Future research should aim to validate the tool against behavioral observations and to link shifts in water insecurity to changes in health and wellbeing.     

Determinants of salivary cotinine levels among current smokers in Mexico.

The present study describes salivary cotinine levels and their relationship to cigarettes smoked per day in Mexican smokers. Using a sampling strategy based on the number of cigarettes per day, we recruited 1,222 smokers from Mexico City and the state of Morelos in Mexico during 1999. Smoking behaviors and other factors known to affect nicotine intake and cotinine level were identified in an interview using a standardized questionnaire. Salivary cotinine was measured by capillary gas chromatography with nitrogen-phosphorus detection. We used generalized additive models to describe the relationship between salivary cotinine levels and variables of interest. The mean age of the population was 39.7 years (SD=15.6 years), with a mean cotinine level of 194.7 ng/ml (SD=134.8; range=10.1-767). Participants smoked a mean of 15.5 cigarettes per day (SD=11.3). Salivary cotinine and cigarettes smoked per day were positively related, although the association was not linear, flattening above 20 cigarettes per day. After adjusting for cigarettes per day, we found that significant predictors of cotinine levels included age, body mass index, cigarette producer, and smoking behavior variables. These results may have implications for dosing with nicotine medications to aid smoking cessation in Mexican smokers and suggest that whether the cigarette is labeled light or regular has no relationship to nicotine dose from smoking cigarettes.     

Water flows in the Spanish economy: agri-food sectors, trade and households diets in an input-output framework

Seeking to advance our knowledge of water flows and footprints and the factors underlying them, we apply, on the basis of an extended 2004 Social Accounting Matrix for Spain, an open Leontief model in which households and foreign trade are the exogenous accounts. The model shows the water embodied in products bought by consumers (which we identify with the Water Footprint) and in trade (identified with virtual water trade). Activities with relevant water inflows and outflows such as the agrarian sector, textiles, and the agri-food industry are examined in detail using breakdowns of the relevant accounts. The data reflect only physical consumption, differentiating between green and blue water. The results reveal that Spain is a net importer of water. Flows are then related to key trading partners to show the large quantities involved. The focus on embodied (or virtual) water by activity is helpful to distinguish indirect from direct consumption as embodied water can be more than 300 times direct consumption in some food industry activities. Finally, a sensitivity analysis applied to changes in diets shows the possibility of reducing water uses by modifying households' behavior to encourage healthier eating.