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Nutrition Education Influences Vitamin A-Related Knowledge, Attitudes, and Practices of Child Caregivers Towards the Production of Orange-Fleshed Sweet Potato in Uganda

Received: 26 February 2015     Accepted: 9 March 2015     Published: 15 March 2015
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Abstract

This study had two major objectives: to assess the effect of nutrition education carried out among urban and peri-urban farming communities in Kampala, Uganda on (a) production of Orange-Fleshed Sweet Potato (OFSP), and (b) vitamin A related knowledge, attitudes and practices of child caregivers. A Cross-sectional sample of households that were involved in farming of orange fleshed sweet potato (OFSP) and had 2–6 year old children (n=457) were purposively selected from four divisions of Kampala Capital City Authority (Kawempe, Rubaga, Makindye, and Nakawa) to participate in a controlled, cohort intervention. Respondents in Kawempe division had received training in production of OFSP and nutrition education; Rubaga division only had training in production of OFSP; Nakawa division only had nutrition education while Makindye division did not have any training and served as the control. A coded questionnaire was used to collect caregiver’s perceptions of nutrition and production attributes of OFSP compared with other potato varieties as well as Vitamin A related knowledge, attitudes and practices. Chi-square tests were used to test for relationships amongst divisions for variables of interest. A p value of < 5% was used to judge statistically significant differences. Results showed that all respondents judged OFSP varieties to be better than other potato varieties with respect to: early maturity, yield, multiple utilization, nutritional value, and taste (p<0.05). Respondents who had received nutrition education had better knowledge than other respondents related to vitamin A, OFSP as a source of vitamin A and attitudes towards health and child health practices (p<0.05). About 60% of the respondents that received nutrition education correctly identified at least two sources of vitamin A compared to about 40% for respondents without nutrition education. Results from a seven (7) day recall showed significantly higher consumption of foods that are rich in Vitamin A by respondents from divisions that received nutrition education (p<0.05). Similarly, significantly more respondents who had nutrition education had positive attitudes toward Vitamin A utilization.

Published in Journal of Food and Nutrition Sciences (Volume 3, Issue 2)
DOI 10.11648/j.jfns.20150302.13
Page(s) 38-47
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Nutrition Education, Orange-Fleshed Sweet Potato, Caregivers

References
[1] Aguayo VM, Baker SK. Vitamin A deficiency and child survival in sub-Saharan Africa: a reappraisal of challenges and opportunities. Food Nutr Bull. 2005; 26(4):348-355.
[2] Fawzi WW, Chalmers TC, Herrera G, Mosteller F. Vitamin A Supplementation and Child Mortality. A Meta-analysis. JAMA. 1993; 69:898-903.
[3] WHO Monitoring the situation of children and women-statistics by area-child nutrition statistics by area -vitamin A deficiency: The challenge. World Health Organization, Geneva: Switzerland. 2009. www.childinfo.org.
[4] West KP Jr. Extent of vitamin A deficiency among preschool children and women of reproductive age. J Nutr. 2002; 132(9 Suppl):2857S–2866S.
[5] Uganda Bureau of Statistics (UBOS) and Macro International Inc. 2012. Vitamin A addendum to Uganda Demographic and Health Survey 2011.
[6] Harvey, Phil, Zo Rambeloson, Omar Dary. The 2008 Uganda Food Consumption Survey: Determining the Dietary Patterns of Ugandan Women and Children. A2Z: The USAID Micronutrient and Child Blindness Project, AED, Washington D.C. 2010. www.spring-nutrition.org/.../508-uganda_food.
[7] Amagloh FK, Hardacre A, Mutukumira AN, Weber JL, Brough L, Coad J. A household-level sweet potato-based infant food to complement vitamin A supplementation initiatives. Matern Child Nutr. 2012; 8(4):512-521.
[8] Low JW, Arimond M, Osman N, Cunguara B, Zano F, Tschirley D. Food-based approach introducing orange-fleshed sweet potatoes increased vitamin A intake and serum retinol concentrations in young children in rural Mozambique. J Nutr. 2007; 137:1320–1327.
[9] van Jaarsveld PJ, Faber M, Tanumihardjo SA, Nestel P, Lombard CJ, Benadé AJ. Beta-carotene-rich orange-fleshed sweet potato improves the vitamin A status of primary school children assessed with the modified-relative-dose-response test. Am J Clin Nutr. 2005; 81(5):1080-1087.
[10] Hagenimana V, Oyunga MA, Low J, Njoroge SM, Gichuki ST, Kabira J. The Effects of Women Farmers’ Adoption of Orange-Fleshed Sweet Potatoes: Raising Vitamin A Intake in Kenya. Research Report Series 3. International Center for Research on Women (ICRW). 1999. www.icrw.org/.../The-Effects-of-Women-Farmers-Adoption-of-Orange-.
[11] Palwala M, Sharma S, Udipi SA, Ghugre PS, Kothari G, Sawardekar P. Nutritional quality of diets fed to young children in urban slums can be improved by intensive nutrition education. Food Nutr Bull. 2009; 30(4):317-326.
[12] Lartey A. Maternal and child nutrition in Sub-Saharan Africa: challenges and interventions. Proc Nutr Soc. 2008; 67(1):105-108.
[13] Hackett KM, Mukta US, Jalal CS, Sellen DW. Knowledge, attitudes and perceptions on infant and young child nutrition and feeding among adolescent girls and young mothers in rural Bangladesh. Matern Child Nutr. 2012. doi: 10.1111/mcn.12007.
[14] Kidala D, Greiner T, Gebre-Medhin M. Five-year follow-up of a food-based vitamin A intervention in Tanzania. Public Health Nutr. 2000; 3(4):425-431.
[15] Guldan GS, Fan HC, Ma X, Ni ZZ, Xiang X, Tang MZ. Culturally appropriate nutrition education improves infant feeding and growth in rural Sichuan, China. J Nutr. 2000; 130(5):1204-1211.
[16] Chakravarty I. Food-based strategies to control vitamin A deficiency. Food and Nutr Bull. 2000; 21(2):135–143.
[17] Hotz C, Gibson RS. Participatory nutrition education and adoption of new feedingpractices are associated with improved adequacy of complementary diets among rural Malawian children: a pilot study. Eur J ClinNutr. 2005; 59(2):226-237.
[18] Mwanga ROM, Ssemakula G. Orange-fleshed Sweet potatoes for food, health and wealth in Uganda. International Journal of Agricultural Sustainability. 2011; 9:42-49.
[19] Mwanga ROM, Odongo B, Niringiye C. Release of Two Orange-fleshed Sweetpotato Cultivars, ‘SPK004’(‘Kakamega) and ‘Ejumula’, in Uganda. Hort Science. 2007; 42(7):1728-1729.
[20] Uganda Bureau of Statistics (UBOS) and Macro International Inc. 2007. Vitamin Addendum to Uganda Demographic and Health Survey 2006.
[21] Kirkwood RB. 1988. Essential Medical Statistics. 2nd ed. Blackwell Scientific Publications. Oxford, London Edinburgh. 197p.
[22] Ruel MT, Levin CE. Assessing the potential for food-based strategies to reduce vitamin A and iron deficiencies: a review of recent evidence. Food Consumption and Nutrition Division, discussion paper no. 92. International Food Policy Research Institute Washington, DC. 2000.
[23] World Vision/CIDA. Improving nutrition of women and children: the MICAH program. A micronutrient and health program for Africa, Final Program Report: 2006. World Vision and Canada - the Canadian International Development Agency (CIDA). www.wvi.org/sites/default/files/MICAH-Final-Program-Report-2006.pdf.
[24] Kilaru A, Griffiths PL, Ganapathy S, Ghosh S. Community-based nutrition education for improving infant growth in rural Karnataka. Indian Pediatr. 2005; 42(5):425-432.
[25] Khan Z A, Rafique G, Qureshi H, Badruddin S H. A nutrition education intervention to combat undernutrition: experience from a developing country. Nutr. 2013; 2013:210287.
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    Josephine Nabugoomu, Agnes Namutebi, Archileo N. Kaaya, George Nasinyama. (2015). Nutrition Education Influences Vitamin A-Related Knowledge, Attitudes, and Practices of Child Caregivers Towards the Production of Orange-Fleshed Sweet Potato in Uganda. Journal of Food and Nutrition Sciences, 3(2), 38-47. https://doi.org/10.11648/j.jfns.20150302.13

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    ACS Style

    Josephine Nabugoomu; Agnes Namutebi; Archileo N. Kaaya; George Nasinyama. Nutrition Education Influences Vitamin A-Related Knowledge, Attitudes, and Practices of Child Caregivers Towards the Production of Orange-Fleshed Sweet Potato in Uganda. J. Food Nutr. Sci. 2015, 3(2), 38-47. doi: 10.11648/j.jfns.20150302.13

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    AMA Style

    Josephine Nabugoomu, Agnes Namutebi, Archileo N. Kaaya, George Nasinyama. Nutrition Education Influences Vitamin A-Related Knowledge, Attitudes, and Practices of Child Caregivers Towards the Production of Orange-Fleshed Sweet Potato in Uganda. J Food Nutr Sci. 2015;3(2):38-47. doi: 10.11648/j.jfns.20150302.13

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  • @article{10.11648/j.jfns.20150302.13,
      author = {Josephine Nabugoomu and Agnes Namutebi and Archileo N. Kaaya and George Nasinyama},
      title = {Nutrition Education Influences Vitamin A-Related Knowledge, Attitudes, and Practices of Child Caregivers Towards the Production of Orange-Fleshed Sweet Potato in Uganda},
      journal = {Journal of Food and Nutrition Sciences},
      volume = {3},
      number = {2},
      pages = {38-47},
      doi = {10.11648/j.jfns.20150302.13},
      url = {https://doi.org/10.11648/j.jfns.20150302.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20150302.13},
      abstract = {This study had two major objectives: to assess the effect of nutrition education carried out among urban and peri-urban farming communities in Kampala, Uganda on (a) production of Orange-Fleshed Sweet Potato (OFSP), and (b) vitamin A related knowledge, attitudes and practices of child caregivers. A Cross-sectional sample of households that were involved in farming of orange fleshed sweet potato (OFSP) and had 2–6 year old children (n=457) were purposively selected from four divisions of Kampala Capital City Authority (Kawempe, Rubaga, Makindye, and Nakawa) to participate in a controlled, cohort intervention. Respondents in Kawempe division had received training in production of OFSP and nutrition education; Rubaga division only had training in production of OFSP; Nakawa division only had nutrition education while Makindye division did not have any training and served as the control. A coded questionnaire was used to collect caregiver’s perceptions of nutrition and production attributes of OFSP compared with other potato varieties as well as Vitamin A related knowledge, attitudes and practices. Chi-square tests were used to test for relationships amongst divisions for variables of interest. A p value of < 5% was used to judge statistically significant differences. Results showed that all respondents judged OFSP varieties to be better than other potato varieties with respect to: early maturity, yield, multiple utilization, nutritional value, and taste (p<0.05). Respondents who had received nutrition education had better knowledge than other respondents related to vitamin A, OFSP as a source of vitamin A and attitudes towards health and child health practices (p<0.05). About 60% of the respondents that received nutrition education correctly identified at least two sources of vitamin A compared to about 40% for respondents without nutrition education. Results from a seven (7) day recall showed significantly higher consumption of foods that are rich in Vitamin A by respondents from divisions that received nutrition education (p<0.05). Similarly, significantly more respondents who had nutrition education had positive attitudes toward Vitamin A utilization.},
     year = {2015}
    }
    

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    AU  - Josephine Nabugoomu
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    T2  - Journal of Food and Nutrition Sciences
    JF  - Journal of Food and Nutrition Sciences
    JO  - Journal of Food and Nutrition Sciences
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    PB  - Science Publishing Group
    SN  - 2330-7293
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    AB  - This study had two major objectives: to assess the effect of nutrition education carried out among urban and peri-urban farming communities in Kampala, Uganda on (a) production of Orange-Fleshed Sweet Potato (OFSP), and (b) vitamin A related knowledge, attitudes and practices of child caregivers. A Cross-sectional sample of households that were involved in farming of orange fleshed sweet potato (OFSP) and had 2–6 year old children (n=457) were purposively selected from four divisions of Kampala Capital City Authority (Kawempe, Rubaga, Makindye, and Nakawa) to participate in a controlled, cohort intervention. Respondents in Kawempe division had received training in production of OFSP and nutrition education; Rubaga division only had training in production of OFSP; Nakawa division only had nutrition education while Makindye division did not have any training and served as the control. A coded questionnaire was used to collect caregiver’s perceptions of nutrition and production attributes of OFSP compared with other potato varieties as well as Vitamin A related knowledge, attitudes and practices. Chi-square tests were used to test for relationships amongst divisions for variables of interest. A p value of < 5% was used to judge statistically significant differences. Results showed that all respondents judged OFSP varieties to be better than other potato varieties with respect to: early maturity, yield, multiple utilization, nutritional value, and taste (p<0.05). Respondents who had received nutrition education had better knowledge than other respondents related to vitamin A, OFSP as a source of vitamin A and attitudes towards health and child health practices (p<0.05). About 60% of the respondents that received nutrition education correctly identified at least two sources of vitamin A compared to about 40% for respondents without nutrition education. Results from a seven (7) day recall showed significantly higher consumption of foods that are rich in Vitamin A by respondents from divisions that received nutrition education (p<0.05). Similarly, significantly more respondents who had nutrition education had positive attitudes toward Vitamin A utilization.
    VL  - 3
    IS  - 2
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Author Information
  • Department of Food Technology and Nutrition, Makerere University, Kampala, Uganda

  • Department of Food Technology and Nutrition, Makerere University, Kampala, Uganda

  • Department of Food Technology and Nutrition, Makerere University, Kampala, Uganda

  • Department of Biosecurity, Ecosystems and Veterinary Public Health, Makerere University, Kampala, Uganda

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