Browsing by Author "Bundala, N."

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Consumption of dark green leafy vegetables predicts vitamin a and iron intake and status among female small-scale farmers in Tanzania
(Nutrients/ MDPI, 2019) Stuetz, W.; Gowele, V.; Kinabo, J.; Bundala, N.; Mbwana, H.; Rybak, C.; Eleraky, L.; Lambert, C.; Biesalski, H. K.
Inadequate consumption of micronutrient-dense foods such as vegetables and meat are an important contributing cause for anemia and deficiencies of iron and vitamin A in rural communities of Tanzania. A cross-sectional study was conducted in 2016 to examine nutritional and micronutrient status and their associations to the diet of female small-scale farmers in the sub-humid Kilosa (n = 333) and the semi-arid Chamwino (n = 333) districts, in the Morogoro and Dodoma region. An overall higher prevalence of overweight (19.7%) and obesity (7.1%) than of underweight (5.9%) was detected. Significantly more women in the two villages of Kilosa (27–40%) than in the two villages of Chamwino district (19–21%) were overweight/obese, but also more frequently had anemia (34–41% vs. 11–17%), iron deficiency (24–32% vs. 15–17%), and low serum retinol (21–24% vs. 8–9%). Overall, only a small proportion of women reached recommended daily micronutrient intakes: 27% for vitamin A, 17% for iron, 7% for zinc, and 12–38% for B-vitamins. The amount of dark green leafy vegetables (DGLV) consumed was the main determinant of vitamin A and iron intake by women in Chamwino and corresponded to higher hemoglobin, serum retinol and iron status than in the villages of the Kilosa district; in agreement, DGLV consumption also predicted iron and vitamin A intake in Kilosa district. DGLV consumed with wholemeal millet was advantageous in terms of women’s vitamin A and iron intake and status over the predominantly maize-rice-based diet lacking vegetables.
Does homestead livestock production and ownership contribute to consumption of animal source foods? A pre-intervention assessment of rural farming communities in Tanzania
(Elsevier, 2020) Bundala, N.; Kinabo, J.; Jumbe, T.; Rybak, C.; Sieber, S.
Livestock production at homestead level is widely reported as an important pathway to achieve optimal consumption of Animal Source Foods (ASF) in a household. However, the empirical evidence is limited. This paper examines the extent of homestead livestock pro- duction and consumption of ASF by rural farming communities in four villages of Dodoma and Morogoro regions, Tanzania. A cross-sectional survey of 663 households was carried out. Interviews and focus group discussions (FGDs) with mothers and caregivers sought to understand livestock production and consumption patterns of ASF. Analysis techniques in- cluded Chi-square test, ANOVA and binary regression. Animal source foods were grouped into four categories; (i) meat and meat products, (ii) eggs, (iii) fish, sardines and sea foods, and (iv) milk and dairy products. The average intake of ASF was low for the entire sample, with only 26% of the population consuming at least one of the four types, even though more than half (52.5%) of the surveyed households reported to keep livestock. Generally, proportion of livestock keepers consuming ASF was slightly higher compared to their coun- terparts. Results from chi-square test indicated that, Dodoma households were more likely to consume meat ( χ2 (1) = 11.1, p = 0.0 0 0) and milk ( χ2 (1) = 10.8, p = 0.0 0 0) than Morogoro households ( χ2 (1) = 0.2, p = 0.627 and χ2 (1) = 0.02, p = 0.887). Notably consumption of fish and sardines prevailed more in Morogoro than Dodoma households. Keeping of livestock was further emerged as a significant predictor for consumption of ASF after controlling for demographic factors ( p < 0.01). Findings from FGDs further re- vealed that; low nutrition knowledge, limited number of livestock, monetary and cultural values attached to livestock were the barriers to consumption of ASF. These observations highlight a mismatch between level of production of livestock, availability and actual con- sumption of ASF in rural households. Optimizing the contribution of livestock keeping on the consumption of ASF requires a combination of effort s. These include; addressing socio- cultural norms and practices towards motives for keeping livestock, promoting good live- stock rearing practices to maintain desired stock needed for consumption and households’
Food intake and dietary diversity of farming households in Morogoro Region, Tanzania
(AJFAND, 2016) Kinabo, J.; Mamiro, P.; Dawkins, N.; Bundala, N.; Mwanri, A.; Majili, Z.; Jumbe, T.; Kulwa, K.; Mamiro, D.; Amuri, N.; Ngowi, M.; Msuya, J.
The Tanzanian economy depends heavily on agriculture and hence human labor provides much of the power needed for farming activities. This study was carried out to determine the diversity and dietary adequacy of farming households in four selected districts of Morogoro region in Tanzania. Adult household members from 140 households participated in the study. A 24-hour dietary recall, dietary diversity score and frequency of food consumption tools were used to assess and quantify nutrient intake and adequacy of consumed diets in farming households. Tanzania food composition tables were used to compute estimates of the energy intake, macro and micronutrients consumed by farming households. Analysis was done using SPSS version 18 and Microsoft excel version 10. Cereal food group was consumed in relatively large quantities compared to other food groups in the surveyed households. The contribution of cereal group to energy intake was 75-82%, protein 8-16% and fat 9-14%. Stiff porridge made of maize flour was the mostly consumed cereal dish followed by rice. The mean intake of energy per day was inadequate; the intake of energy for men was 1402 kcal/day while for female was 1347 kcal/day meeting only 52% and 72%, respectively of the recommended energy intake. Generally, the consumption of protein from the animal sources was significantly low in all districts. Ninety-nine percent of the households rarely consumed eggs; 83% rarely consumed meat and poultry. Consumption of milk and milk products was inadequate as 92% of the households indicated that they rarely consumed these products. The intake of fat was also low by 53% compared to the recommended intake for adults. The intake of iron, zinc, and calcium was 40, 53 and 64%, respectively, which was not sufficient to meet daily requirements. Low intake of nutrients was generally attributed to inadequate food intake due to low feeding frequency, poorly diversified diets and sub- optimal practices in food preparation and cooking. The results from surveyed areas indicated that all districts are rich in terms of bio-diversity and food availability, nevertheless the consumption of these foods in the study communities was inadequate with regards to quantity and quality. This situation compromises nutritional status and pre-disposes farming households to diseases and infections hence affects work output, labor productivity and wealth generation. Educating farmers on the importance of consuming diversified and adequate diets from different food groups will improve their nutrition situation and stimulate more production hence increased agricultural productivity.
Gaps in knowledge and practice on dietary consumption among rural farming households; a call for nutrition education training in Tanzania
(Taylor & Francis, 2019) Bundala, N.; Kinabo, J.; Jumbe, T.; Bonatti, M.; Rybak, C.; Sieber, S.
Dietary-related conditions are preventable only if people have better understanding of factors that underpin their dietary choices. A cross-sectional study was carried out to examine levels and gaps of nutrition knowledge and practices (KPs) of 663 mothers/caregivers in rural households of Tanzania. Results indicated that, only 14% of the population had received nutrition education prior to the survey. The mean KP score was 6.9 (±2.6) out of 20 with only 17% of the study population had KP scores above the mean. The average proportion of those who had correct responses above mean was 27% for knowledge and 22% practices. Low coverage of nutrition education and poor participation of men in nutrition education activities were frequently reported as the barriers for adoption of desirable dietary practices at households. The KP levels are far below the recommended FAO thresholds and entail high levels of nutrition illiteracy which call for immediate intervention.
Nutrient Adequacy of Foods Consumed among Adult Population Residing in Urban Parts of Dar-es-salaam, Tanzania
(INTERNATIONAL JOURNAL OF INNOVATIVE RESEARCH & DEVELOPMENT, 2017) Majili, Z. S.; Pacific, R.; Bundala, N.
may result to poor nutritional status. However, determining the level of nutrient intakes may be used to establish nutritional adequacy of the diet consumed. Therefore, this study aimed at assessing nutrient adequacy of diet consumed by adult’s population in urban area of Dar-es-salaam. A cross sectional study was conducted among 270 adult’s population aged 25 to 64 years. Dietary intake was assessed by using a repeated 24hr dietary recall method and Nutrient adequacy ratio for energy, protein, fat, carbohydrates, fiber, cholesterol, iron, zinc and calcium was calculated. Mean age (years) of the subject was 38 ± 10.5 years. On average energy intake was2295.6 ± 264.6 Kcal. Average intake for protein, fat and carbohydrate were 65.6 ± 11.5g, 79 ± 18.5g and 337.2 ± 46.8g respectively. Mean saturated fat intake was 53.9 ± 14.9g. Other nutrients analyzed were fibre (23.9 ± 5.3g), iron (11.7 ± 2.8mg), zinc (8.2 ± 1.5mg) and calcium (299.8 ± 204.4mg). Mean dietary diversity score was 8where by more than 50% of the subjects consumed at least 8 food groups. Average nutrient adequacy ratio for energy was (0.86), fat (1.27), protein (1.05), carbohydrate (1.1), saturated fat (4.15), fiber (1.07), iron (0.31), zinc (0.89), calcium (0.3)and the mean adequacy ratio (MAR) for energy intake and 8nutrients was 1.22. Food consumed provided adequate nutrients due to composition of different foods groups. However, the nutrient adequacy ratio for calcium was very low compared to saturated fat which had a cut-off of 1, indicating that more fat has been consumed than recommended level. This may result in developing metabolic risk factors that contribute to the increase of non-communicable diseases. Therefore, promotion of diversified diets in a right proportion should be advocated to build a health society.
A tailored nutrition education intervention improves women’s nutrition knowledge and dietary practices in farming households of Tanzania
(Symbiosis Group, 2020-02-17) Bundala, N.; Kinabo, J.; Jumbe, T.; Rybak, C.; Stuetz, W.; Sieber, S.
A study was carried out to assess the effectiveness of a nutrition education intervention among women residing in the villages of Dodoma and Morogoro regions of Tanzania. Prior to the intervention, a baseline survey was conducted in July-August 2016. The survey involved 663 women who completed a pre-test assessment for nutrition knowledge and practice and enrolled in nutrition education intervention. The intervention was carried out for 8 months (September 2017 to April 2018) including a 10 days group training per village with six-month individual training follow-ups in the household. Spouses/ adult men were also invited to participate in the intervention. Training content included; functions of food, food groups, malnutrition, food preparations, food consumption and homestead food production. Women were given a post-test during the endline survey (July-August 2018) to assess the intervention. Nutrition knowledge (NK), Nutrition Practice (NP) as well as a combination of Nutrition Knowledge and Practice (NKP) were computed using a scoring method as per FAO guidelines. The test was scored in a range of 0-10 for NK and NP and 0-20 for NKP. The median scores before and after the intervention were compared using the Wilcoxon signed-rank test. The NKP scores among sub-groups of respondents were computed using Mann–Whitney and Kruskal Wallis tests. Changes in proportions were calculated using a McNemar test. Results indicated a significant increase in the post-intervention median scores (interquartile range) than the pre-intervention median scores (interquartile range) for NK, NP, and NKP; 7(5,7) vs 4(3,5), 5(4,6) vs 3(2,4) and 12(10,13) vs 7(5,9) respectively, p<0.01. Higher scores were found among those who had received nutrition education, those who had frequently been exposed to nutrition education, those whose spouses/men participated in the intervention and those with a formal level of education than their counterparts. A significant increase in the frequencies of consumption of vegetables, fruits and legumes were noted from the baseline to the post-intervention phase in the end-line (87%-98%, 63%-69% and 76%-87%) respectively. The findings suggest the effectiveness of the nutrition education in the promotion of nutrition knowledge and desirable dietary practices in farming households of Tanzania.