Food Security and Nutritional Status of Children Residing in Sugarcane Growing Communities of East-Central Uganda: A Cross-sectional Study

Francis Lwanga^1, , Rhoda K. Wanyenze^{1, 2}, Joseph KB Matovu^{1, 3} and Christopher Garimoi Orach³

¹Makerere University School of Public Health-Centers for Disease Control (MakSPH-CDC) Fellowship Program, Kampala Uganda

²Makerere University School of Public Health, Department of Disease Control and Environmental Health, Kampala Uganda

³Makerere University School of Public Health, Department of Community Health and Behavioral Sciences, Kampala Uganda

Cite this paper

Francis Lwanga, Rhoda K. Wanyenze, Joseph KB Matovu and Christopher Garimoi Orach. Food Security and Nutritional Status of Children Residing in Sugarcane Growing Communities of East-Central Uganda: A Cross-sectional Study. Journal of Food Security. 2015; 3(2):34-39. doi: 10.12691/JFS-3-2-1

Abstract

Undernourishment is a major public health issue in several developing countries including Uganda. Sugarcane farming practiced in several districts of the East-central Uganda is reported to be threatening food and nutrition security. We assessed household food and nutrition security in order to inform nutrition policy and program design for communities engaged in cash crop production. We conducted a cross-sectional study in Jinja district east-central Uganda. All households with children aged below five years in Nabitambala parish Busede sub-county were investigated. A total of 646 children from 382 households were studied. Food security data were collected using the Household Food Insecurity Access Scale. Nutritional status of the children was assessed using Height-for-Age, Weight-for-Age and Weight-for-Height to measure stunting, underweight and wasting respectively. Standard deviation (SD) scores (Z-scores) were applied to determine nutritional status. Statistical analysis was done using STATA statistical software package. The prevalence of stunting, underweight and wasting was 33.3%, 27.4% and 18% respectively. Of the 382 households studied 12% were food secure while 14.7%, 23.6% and 49.7% had mild, moderate and severe food insecurity respectively. Of the 95 households with wasted underweight and stunted children, the majority (85.3%, 88.3% and 91%), were food insecure respectively. The percentage of households with children who were malnourished significantly increased with increase in the number of children in the households. There is high prevalence of malnutrition and household food insecurity in the sugarcane growing communities of east-central Uganda. Short and long term measures are required to mitigate food insecurity and malnutrition in these settings especially in households with many children.

Keywords

food security, malnutrition, stunting, underweight, wasting, children, sugarcane growing, Uganda

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	FAO, IFAD and WFP. The State of Food Insecurity in the World. The multiple dimensions of food security. Rome 2013, FAO.
[2]	Hackett M, Melgar-Quiñonez H, Álvarez MC. Household food insecurity associated with stunting and underweight among preschool children in Antioquia, Colombia. Rev Panam Salud Publica. 2009; 25(6):506-10.
[3]	Ajao KO, Ojofeitimi EO, Adebayo AA, Fatusi AO, Afolabi OT. Influence of family size, household food security status, and child care practices on the nutritional status of under-five children in Ile-Ife, Nigeria. Afr J Reprod Health. 2010 Dec; 14 (4 Spec no.):117-26.
[4]	Nyaruhucha CN, Msuya JM, Mamiro PS, Kerengi AJ. Nutritional status and feeding practices of under-five children in Simanjiro District, Tanzania. Tanzan Health Res Bull 2006 Sep; 8(3):162-7.
[5]	UNICEF. The state of the world’s children in numbers. Revealing disparities, advancing children’s rights 2014.
[6]	Uganda Bureau of Statistics (UBOS) and ICF International Inc. 2012. Uganda Demographic and Health Survey 2011. Kampala, Uganda: UBOS and Calverton, Maryland: ICF International Inc.
[7]	The Save the Children Fund. A life free from hunger. Tackling child malnutrition 2012. [http://www.savethechildren.org.uk/sites/default/files/images/A_Life_Free_From_Hunger.pdf ].
[8]	Uganda Bureau of Statistics (UBOS) and Macro International Inc. Uganda Demographic and Health Survey 2006. Calverton, Maryland, USA: UBOS and Macro International Inc. 2007.
[9]	Godfrey Wafula Netondo, Fuchaka Waswa, Lucy Maina, Tabitha Naisiko, Nelly Masayi and Josephine K. Ngaira. Agro biodiversity endangered by sugarcane farming in Mumias and Nzoia Sugar belts of Western Kenya. Afr. J. Environ. Sci. Technol. Vol. 4(7), pp. 437-445, 2010.
[10]	Food and Agriculture Organization of the United Nations. From subsistence farming to sugar-cane monoculture: Impacts on agrobiodiversity, local knowledge and food Security. A case study of two irrigation and agricultural development projects in Swaziland. Rome 2008. [ftp://ftp.fao.org/docrep/fao/010/aj042e/aj042e00.pdf].
[11]	The Daily Monitor. ‘Sugarcane farming threatens food security in Busoga’ 2014. [http://www.monitor.co.ug/Business/Commodities/Sugarcane-farming-threatens-food-security-in-Busoga-/-/688610/1941614/-/13hnt9gz/-/index.html].
[12]	The New Vision. ‘sugarcane-growing causing food insecurity-study’ 2014. [http://www.newvision.co.ug/news/651324-sugarcane-growing-causing-food-insecurity-study.html].
[13]	Food and Agriculture Organization of the United Nations. ‘An Introduction to the Basic Concepts of Food Security. EC - FAO Food Security Programme’ 2008. [http://www.fao.org/docrep/013/al936e/al936e00.pdf ].
[14]	UNICEF. Strategy for improved nutrition of children and women in developing countries. New York, N.Y. 10017. 1990 [http://www.ceecis.org/iodine/01_global/01_pl/01_01_other_1992_unicef.pdf].
[15]	Uganda Bureau of Statistics and the World Food Programme. A comprehensive food security and vulnerability analysis (CFSVA). [http://documents.wfp.org/stellent/groups/public/documents/ena/wfp257002.pdf].
[16]	Rosalind, S.G. Nutritional Assessment, a Laboratory Manual; Oxford University Press: New York, NY, USA, 1993.
[17]	Food and Nutrition Technical assistance and USAID. ‘Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access’: Indicator Guide Ver. 3 2007. [http://www.fao.org/fileadmin/user_upload/eufao-fsi4dm/doc-training/hfias.pdf].
[18]	World Health Organization (WHO), Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Indexfor-Age: Methods and Development. 2006. Geneva, Switzerland.
[19]	World Health Organization. Global Database on Child Growth and Malnutrition World Health Organization Geneva, Switzerland, 1997.
[20]	National Population Commission (NPC) [Nigeria] and ICF Macro. 2013. Nigeria Demographicand Health Survey Abuja, Nigeria: A Preliminary Report. National Population Commission and ICF Macro.
[21]	Central Statistical Agency [Ethiopia] and ICF International. 2012. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International.
[22]	Understanding nutrition data and the causes of malnutrition in Kenya; A report by Famine Early Warning Systems Network (FEWS NET): [http://www.tulane.edu/~internut/erin/FEWS%20NET%20Kenya%20Nutrition%20Special%20Report%20FINAL%20 %282%29.pdf].
[23]	Akoto Osei, Pooja Pandey, David Spiro, Jennifer Nielson, Ram Shrestha, Zaman Talukder, Victoria Quinn, and Nancy Haselow. Household food insecurity and nutritional status of children aged 6 to 23 months in Kailali District of Nepal. Food and Nutrition Bulletin, vol. 31, no. 4. 2010.
[24]	Helen Keller International. Homestead food production model Contributes to improved household food Security, nutrition and female empowerment– experience from scaling-up programs in Asia (Bangladesh, Cambodia, Nepal and Philippines). Nutrition Bulletin, Vol. 8 Issue 1. March 2010.
[25]	Bahawaluddin Jamro, ArbabAli Junejo, Shankar Lal, Ghulam Rasool Bouk, Saifullah Jamro. Risk factors for severe acute malnutrition in children under the age of five year in Sukkur. Pak J Med Res Vol.51, No.4, 2012.
[26]	Zuberi, T., and Thomas, K.J.A. 2012 ‘Demographic Change, the IMPACT Model, and Food Security in Sub-Saharan Africa’, Working paper, United Nations Development Program, Regional Bureau for Africa.
[27]	Zuberi, T., and Thomas, K.J.A. 2011 ‘Demographic projections, the environment, and food security in sub-Saharan Africa’, Working paper, United Nations Development Program, Regional Bureau for Africa.
[28]	John Cleland, Stan Bernstein, Alex Ezeh, Anibal Faundes, Anna Glasier, Jolene Innis. Family planning: the unfinished agenda. The Lancet Sexual and Reproductive Health Series, October 2006.
[29]	Sternin M, Sternin J, Marsh D. Rapid. Sustained childhood malnutrition alleviation through a ‘positive deviance’ approach in rural Vietnam: preliminary findings. In: Keeley E, Burkhalter BR, Wollinka O, Bashir N, eds. The hearth nutrition model: applications in Haiti, Vietnam, and Bangladesh. Report of a Technical Meeting at World Relief Corporation, Wheaton, IL, June 19-21, 1996. Arlington: BASICS, 1997.
[30]	Marian Zeitlin, Hossein Ghassemi, and Mohamed Mansour. Positive Deviance in Child Nutrition-with emphasis on Psychosocial and behavioral aspects and implications for development; The United Nations University, 1990.