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Food security is one of the most severe challenges facing the majority of African countries. The objective of this study was to explore household food dietary diversity and food security in a rural area in the Eastern Cape Province, South Africa. A total of 296 household heads were randomly sampled to participate in the study. The Household Dietary Diversity Score (HDDS) and Household Food Consumption Score (HFCS) were used to identify the consumption patterns of the households and their food security status. Meanwhile, a binary model was used to identify the variables that had an impact on household food security. Findings from the Household Dietary Diversity Score (HDDS) revealed that 61 percent of the households had lower dietary diversity and were consuming at least three food groups, which mainly include pulses, milk, and cereals. The results from the Household Food Consumption Score (HFCS), however, showed that the majority of the households had adequate levels of food consumption. The binary model revealed that age, household income, access to credit, and gender are statistically significant in influencing household food security status in the study area. It can be concluded that household dietary diversity is not guaranteed by food security, as proven by the regression model. Therefore, the government should consider the impact of low income on food security and it should intensify efforts directed at helping rural households to reduce incidences of food insecurity.

In 2018, Nigeria began the implementation of a cash transfer programme (CCT) for poor and vulnerable people. We evaluated the impact of cash transfer on household livelihood outcomes in Nigeria. Using multistage cluster sampling methodology, beneficiaries and non-beneficiaries within the same locality were randomly selected to participate in a survey to assess the impact of cash transfer on food security and food diversity. When gender, marital status, educational status, and age were controlled, beneficiaries were about three times more likely than non-beneficiaries to report experiencing little or no hunger. Children 0–59 months of beneficiaries were twice likely to have at least three meals a day compared to children of non-beneficiaries. Difference in differences regression analysis showed that on the average, beneficiaries of the cash transfer significantly consumed more diverse food than non-beneficiaries. Beneficiaries of the CCT experienced fewer episodes of severe hunger, have more meal frequency, and higher household dietary diversity than non-beneficiaries. This shows that the CCT programme is effective and can directly mitigate adverse effects of malnutrition with its long-term negative impact on children and thus must be expanded to more vulnerable people across all states in Nigeria.

COVID-19, a Public Health Emergency of International Concern, has imposed enormous challenges on the health system, economy, and food supply and has substantially modified people’s lifestyles. This study aimed to (1) explore the dietary diversity during the lockdown time in China and (2) examine factors associated with dietary diversity including socio-economic characteristics, sources for food and food purchases, and specific dietary behaviors responding to COVID-19 and isolation. A cross-sectional questionnaire-based survey was conducted online in March 2020. Multi-stage sampling was used to recruit participants living in Hubei Province and other parts of China. Dietary diversity was assessed using the Household Dietary Diversity Score (HDDS) and clustering analysis was used to categorize people with different propensities of methods for purchasing or obtaining foods. Logistic regression was used to model the associations among HDDS, participants’ characteristics, approaches to purchase or obtain food, and behaviors adopted to cope with COVID-19. Results: A total of 1938 participants were included in the analysis. The overall mean HDDS was 9.7 ± 2.1, and the median (25th, 75th) was 10 (8, 12). There were relatively low consumptions of fish, legumes, and miscellaneous foods (e.g., processed food like snacks and beverages). After adjusting for age, family income, and geographic regions, people living in places where laboratory confirmed COVID-19 cases were above 500 (ORadjusted = 0.79, 95%CI 0.65, 0.96), or living in Hubei Province (ORadjusted = 0.60, 95%CI 0.39, 0.93) had a lower HDDS. During isolation time, the most common sources for food and food purchases were in-house storage and in person grocery shopping. More than half of the participants (55.9%) purchased food at least once via online ordering and delivery services. There was no significant difference in HDDS among people with distinct dependences on different ways to obtain or purchase food (i.e., dependence on in-person grocery shopping, dependence on both in-house storage and in-person grocery shopping, or dependence on online food purchasing). We also identified a total of 37.7% participants who consumed certain foods or nutritional supplements to cope with COVID-19, which included vitamin C, probiotics, other dietary supplements, alcohol, and vinegar. People who reported these specific dietary behaviors had a significantly higher HDDS (ORadjusted = 1.23, 95%CI 1.02, 1.45) than those who did not do so. This study revealed an overall good dietary diversity among the studied Chinese residents during the COVID-19 pandemic. However, we observed a lower dietary diversity among people living in areas with a high number of confirmed COVID-19 cases. Online ordering and delivery services were popular and could serve as a feasible method to obtain and purchase food, contributing to ensure diversified diets during the time of lockdown. Certain dietary behaviors associated with COVID-19 were also identified and had significant impacts on HDDS.

The study aimed to assess household and child dietary diversity in Southern Somalia by identifying determinants of adequate dietary diversity in three internally displaced person (IDP) camps in Baidoa, Dayniile and Dharkanley. A total of 1655 female main caregivers with 2370 children (6–59 months old) were included. Data on household dietary diversity score and child dietary diversity score indicators were collected from all households. The questionnaire was read face‐to‐face to the female main caregivers. Multivariate logistic regression analysis was performed to identify factors associated with adequate dietary diversity, which was defined as the consumption of at least four food groups within 24 h before the survey. The proportion of households achieving adequate HDDS was high in all locations 95.8%, 96.9% and 89.0% in Baidoa, Dharkanley and Dayniile, respectively, and the total adequate household dietary diversity score (AHDDS) was 95.6%. The proportion of adequate child dietary diversity score (ACDDS) was achieved in 63.5%, 8.5% and 38.3%. The main factors associated with AHDDS were larger household size, greater wealth, attendance of antenatal care (ANC) and joint decision‐making between husband and wife, while factors associated with ACDDS included ANC attendance, age, the consumption of ready‐to‐use therapeutic food and deworming tablets. These findings can guide future programmes and policies aimed at improving maternal and child nutrition in IDP camps in Somalia. By tackling these diverse factors, a promising pathway emerges to enhance the nutritional welfare of both households and children in IDP camps. The study examined dietary diversity in three Somali internally displaced person (IDP) camps, involving 1655 women and 2370 children. It was found that most households had diverse diets, but children's diets were less varied. Factors like household size, maternal health care and parental decision‐making improved dietary variety, highlighting ways to enhance nutrition in IDP settings. Key messages We found a discrepancy between household and child dietary diversity scores in internally displaced person camps in Southern Somalia, while household scores were high, child scores were low. Bridging this gap is crucial for translating varied diets into improved child nutrition outcomes. Larger household size, wealth and joint decision‐making between male and female adults in the household impact dietary diversity. Developing targeted nutrition education can promote better nutrition. Given the benefits of antenatal care for both maternal and child dietary diversity, maternal nutrition education during antenatal visits should cover breastfeeding and complementary feeding choices, thus enhancing child nutrition. Timely complementary feeding, ready‐to‐use therapeutic food use and deworming treatments are also linked to improved dietary diversity. With these insights, policymakers can create comprehensive interventions for early feeding, maternal health and child nutrition.

Promoting Farmer Managed Natural Regeneration (FMNR) aims to increase the productive capacities of farmer households. Under FMNR, farmers select and manage natural regeneration on farmlands and keep them under production. While FMNR contributes to the wealth of farming communities, its contribution to household food security has rarely been researched. We, therefore, used a mixed-methods approach to address the research gap by measuring FMNR’s contribution to food security among farmer households in the Talensi district of Ghana. We adopted the Household Dietary Diversity Score (HDDS) and Food Consumption Score (FCS) to estimate food security status among 243 FMNR farmer households and 243 non-FMNR farmer households. Also, we performed a Chi-square test of independence to compare the frequency of each food group (present vs not present) between FMNR adopters and non-FMNR adopters to establish the relationship between adopting FMNR and consuming the FCS and HDDS food groups. Our results reveal that FMNR farmer households are more food secure than non-FMNR farmer households. The HHDS of the FMNR farmer households was 9.6, which is higher than the target value of 9.1. Conversely, the HHDS of the non-FMNR farmer households was 4.3, which is lower than the target value of 9.1. Up to 86% and 37% of the FMNR farmer households and non-FMNR farmer households fell within acceptable FCS; 15% and 17% of FMNR farmer households and non-FMNR farmer households fell within borderline FCS. While none of the FMNR farmer households fell within poor FCS, 46% of non-FMNR farmer households fell within poor FCS. Adopting FMNR is significantly related to consuming all food groups promoted and benefiting from FMNR practices. The paper recommends enabling farmers in semi-arid environments to practice and invest in FMNR for long-term returns to food security.

This study uses a marginal treatment effects approach and farm household rice survey data from Northern Ghana to examine the heterogeneous effects of agricultural technologies on household welfare. Results indicate significant heterogeneity in the gains from the adoption of improved rice technologies among farmers. We found significant evidence of a pattern of positive selection on unobserved gains from the adoption of agricultural technologies on rice yield and household dietary diversity scores (HDDS). Moreover, the policy-relevant treatment effects suggest that reducing the distance to sources of agricultural technologies increases rice yield and HDDS through technology adoption.

Background This study assessed the relationship between HFCS and knowledge, attitudes, and practices of vitamin A, iron, and iodine among nutritionally vulnerable households within Ethiopia’s industrial area. Methods A community-based, cross-sectional study was conducted using structured interviews and food frequency questions. The association between KAP variables and HFCS was assessed by ordered logit regression, controlling demographic and socio-economic factors. The study took place in three of the most densely populated and industrially active districts of Akaki-Kaliti Sub-City, Addis Ababa, Ethiopia. Results In all, 504 nutritionally vulnerable households containing at least one under-five child, pregnant, or lactating woman were interviewed, of which the majority were male-headed and married. Only 23.5% of households had an acceptable HFCS, mainly cereal- and tuber-based diets with very low fruit and vegetable consumption. Mean household wealth index was low at 0.33, with one-quarter of household heads and mothers being unemployed. Overall KAP scores were not significantly related to HFCS, but certain micronutrient practices were strongly positively related to vitamin A and iron intakes. Vitamin A knowledge and attitude also showed a significant positive association with higher HFCS, while iodine-related attitude was negatively associated. Higher education level and household wealth were positively associated with acceptable HFCS. Older maternal age was inversely associated, while household size showed mixed effects, being negative in the overall model and positively associated with acceptable HFCS in the nutrient-specific models for iron and vitamin A. Households having a pregnant woman and those from highly urbanized districts had higher odds of having acceptable HFCS. Although there was a widespread use of iodized salt, knowledge on the three micronutrients remained poor, with only 2.2% of the households showing good knowledge in all categories. Conclusion Dietary quality among households was generally low and closely associated with socioeconomic status and specific micronutrient practices. Improving education and household economic capacity could enhance nutritional outcomes, particularly among larger households and older mothers. Nutrition programs should prioritize promoting micronutrient-related behaviors and addressing socioeconomic and spatial disparities across urban districts.

Regardless of the steady increase in the economic growth of South Africa, poverty levels and food insecurity have not declined as one would have anticipated. Urban and peri-urban agriculture (UPA) presents an opportunity as a livelihood strategy to alleviate poverty and ensure household food security within the urban and peri-urban spheres. However, less research has been done in this area to discover the contribution of UPA on households’ food security. This paper assesses the food security status of households that practised any form of UPA activities (later on referred to the rest of this paper as UPA practising households) and those that did not (later on referred to the rest of this paper as non-UPA practising households) within the Tongaat peri-urban area of eThekwini Municipality. The specific objectives of the paper are to estimate the household food security status of the UPA practising households vis-à-vis the non-UPA practising households and to elicit the reasons associated with the practice of UPA activities. Two hundred and eight (208) households (that is 109 and 99 UPA and non-UPA practising households respectively) were selected using a stratified random sampling procedure. The Household Dietary Diversity Score (HDDS) and Household Food Insecurity Access Score (HFIAS) measures were employed to estimate a household’s food security status. A probit regression analysis was used to elicit the reasons associated with the practice of UPA activities by households. A non-parametric independent samples test (Mann-Whitney U) was used to compare whether there were significant differences between the two groups. A Pearson Chi-Square test reveals that the employment status, access to arable land, land tenure (ownership rights or arable land) and household monthly income variables were statistically significantly associated with the food security status (in terms of HDDS) of households. The results from the HDDS tool, show that a greater proportion (54%) of the UPA practising households consumed >6 food groups (deemed to be food secure in terms of dietary access) as compared to their counterparts, the non-UPA practising households (40%) in the same food group. However, the Mann-Whitney U test (U = 5292, p = 0.808) show that there was no significant difference from this data in terms of the dietary diversity (HDDS) of the two groups. The HFIAS measure reveal that a greater proportion (about 72%) of the UPA practising households indicated that they never or rarely worried about food shortages (deemed to be food secure in terms of food access) as compared to their counterparts—the non-UPA practising households (about 61%) that never or rarely worried about food shortages. The Mann-Whitney U test (U = 4118.5, p = 0.001) show that there was a significant difference in terms of food access (HFIAS) of the two groups. Overall, the results show that although UPA practising households seemed to be better off in terms of food access as compared to the non-UPA households, the results are inconclusive or show no evidence that a significant difference existed concerning dietary diversity of the two groups. The probit regression analysis shows that the variable arable land size (p = 0.000) has a positive correlation with the practice of any UPA activity. In order for UPA to enhance the household food security status (particularly in terms of dietary diversity) within the peri-urban spheres, an integrated approach (with agricultural land support from government and city planners) together with the diversification of high-value UPA activities by households is paramount.

The purpose of this manuscript is to describe household dietary diversity (HDDS) in Lusaka, Zambia between households with and without a child with a disability living in the same communities. Cross-sectional data were collected in three low-income compounds in September 2021. Participants included households with a child with a disability enrolled in Kusamala+, a community-based program, (n = 444) and a convenience sample of adults living in the same area without a child with a disability (n = 1027). The HDDS tool asked about food groups consumed in the past 24 h by people in the household. The responses were summed (yes = 1, no = 0), range 0–12. Individual dietary diversity scores (IDDSs) were calculated for children (0–8 items). Analysis included descriptive statistics and linear regression. Mean HDDS for the households with a child with a disability was 4.8 (SD 2.1) vs. 6.1 (SD = 2.2) among households without a child with a disability (p < 0.001). The individual score for children (IDDS) for households with children with disabilities was 2.6 (SD = 1.4) vs. 3.7 (SD = 1.6) for households without a child with a disability. Households with a child with a disability had a significantly lower HDDS and IDDS in unadjusted and adjusted models (p < 0.001). National policy must assure the most vulnerable populations, and often hidden, receive focused financial and food support.

Dietary diversity is the key to improved health and nutrition. Farm production diversity has the potential of enhancing dietary diversity but this interrelationship varies and is ambiguous in many societies. To examine the effect of farm production diversity on household dietary diversity using nationally representative panel data of Bangladesh we have used Bangladesh Integrated Household Survey (BIHS) data collected by International Food Policy Research Institute (IFPRI) in 2011/12, 2015 and 2018/19. Total sample size is 11,720. For assessing dietary diversity we have used different indicators namely household dietary diversity score (HDDS) and food variety score (FVS). We have also used multiple methods for measuring farm production diversity including production diversity score, crop diversity score and Simpson diversification index. Poisson regression model has been used. Results revealed a strong positive association among farm production diversity, income and dietary diversity though the extent of the association is small. The variables such as market orientation, access to market, age and education are also found to influence on household dietary diversity. Our results propose that for increasing dietary diversity efforts should be taken to increase farm production diversity combined with diverse income and market access.