- Title
- Household food insecurity along an agro-ecological gradient influences children’s nutritional status in South Africa
- Creator
- Chakona, Gamuchirai
- Creator
- Shackleton, Charlie M
- Subject
- To be catalogued
- Date Issued
- 2018
- Date
- 2018
- Type
- text
- Type
- article
- Identifier
- http://hdl.handle.net/10962/179836
- Identifier
- vital:43193
- Identifier
- xlink:href="https://doi.org/10.3389/fnut.2017.00072"
- Description
- The burden of food insecurity and malnutrition is a severe problem experienced by many poor households and children under the age of five are at high risk. The objective of the study was to examine household food insecurity, dietary diversity, and child nutritional status in relation to local context which influences access to and ability to grow food in South Africa and explore the links and associations between these and household socio-economic status. Using a 48-h dietary recall method, we interviewed 554 women from randomly selected households along a rural–urban continuum in three towns situated along an agro-ecological gradient. The Household Dietary Diversity Scores (HDDS) and the Household Food Insecurity Access Scale (HFIAS) tools were used to measure household dietary diversity and food insecurity, respectively. Anthropometric measurements with 216 children (2–5 years) from the sampled households were conducted using height-for-age and mid-upper arm circumference (MUAC) as indicators of stunting and wasting, respectively. The key findings were that mean HDDS declined with decreasing agro-ecological potential from the wettest site (8.44 ± 1.72) to the other two drier sites (7.83 ± 1.59 and 7.76 ± 1.63). The mean HFIAS followed the opposite trend. Stunted growth was the dominant form of malnutrition detected in 35% of children and 18% of children were wasted. Child wasting was greatest at the site with lowest agro-ecological potential. Children from households with low HDDS had large MUAC which showed an inverse association among HDDS and obesity. Areas with agro-ecological potential had lower prevalence of food insecurity and wasting in children. Agro-ecological potential has significant influence on children’s nutritional status, which is also related to household food security and socio-economic status. Dependence on food purchasing and any limitations in households’ income, access to land and food, can result in different forms of malnutrition in children. Responses to address malnutrition in South Africa need to be prioritized and move beyond relying on food security and nutritional-specific interventions, but rather on nutrition-specific and sensitive programs and approaches; and building an enabling environment. Land availability, agriculture (including climate-smart agriculture especially in drier areas), and wild foods usage should be promoted.
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (13 pages)
- Format
- Publisher
- Frontiers
- Language
- English
- Relation
- Frontiers in Nutrition
- Relation
- Chakona, G. and Shackleton, C.M., 2018. Household food insecurity along an agro-ecological gradient influences children’s nutritional status in South Africa. Frontiers in nutrition, 4, p.72
- Relation
- Frontiers in Nutrition volume 4 p. 72 2018 2296-861X
- Rights
- Publisher
- Rights
- Use of this resource is governed by the terms and conditions of the Frontiers Terms and Conditions Statement (https://www.frontiersin.org/legal/terms-and-conditions)
- Rights
- Open Access
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Collections
SDG 12. Responsible Consumption and Production
RU DST/NRF SARChI for Interdisciplinary Science in Land and Natural Resource Use for Sustainable Livelihoods
Chakona, Gamucharai (Dr)
RU Department of Environmental Science
Shackleton, Charles Michael (Distinguished Prof)
SDG 11. Sustainable Cities and Communities
SDG 01. No Poverty
SDG 15. Life On Land
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