Lorna M Butler

Constraints on the Use of Animal Source Foods for Young Children in Ghana: A Participatory Rapid Appraisal Approach

Micronutrient deficiencies limit child health and development. Although animal source foods (ASF) provide highly bioavailable micronutrients, Ghanaian preschoolers consume little. Participatory rapid appraisal methods identified constraints to the availability, accessibility, and utilization of ASF. Stakeholders working with or living in six communities in three agro-ecological zones reported constraints including low income, lack of access to technology and markets, inequitable household food allocation, inadequate knowledge, and beliefs. The least expensive ASF was fish, which was easy to preserve and consumed by all communities. Since ASF was primarily purchased, interventions that increase income may be most successful in improving Ghanaian childrens diets.

Principles and processes for enhancing sustainable rural livelihoods: Collaborative learning in Uganda

Livelihood diversification is essential to food security and improved incomes for human development in African rural communities. Ugandas agrarian economy suffers from limited diversification, environmental degradation, low incomes, and multifaceted negative impacts of AIDS. Efforts to stimulate and support innovation in agricultural production technology, forms of social organization, and poor markets are essential elements in promotion of sustainable rural livelihoods. Iowa State Universitys Center for Sustainable Rural Livelihoods and its partner organizations are applying a multi-dimensional approach to engage Uganda farmers and rural leaders in community-based learning and capability strengthening. We describe the role played by livelihood diversification and explore the promotion of sustainable livelihoods through scholarship with praxis. Sustainable livelihoods concepts are examined as a means to better understand contemporary African rural development. We identify principles and processes critical to achieving sustainable livelihoods. Their application is highlighted based on our early collaborative experience, including a discussion of the complexities associated with entering into balanced partnerships required for a successful community-based program. We explore the value of social science perspectives and processes for strengthening rural development in developing countries.

An Integrated Microcredit, Entrepreneurial Training, and Nutrition Education Intervention Is Associated with Better Growth Among Preschool-Aged Children in Rural Ghana

BACKGROUND Poor diet quality is a determinant of the high prevalence rates of malnutrition in Ghana. There is little evidence on the effectiveness of a multisector intervention to improve childrens diets and nutritional status. OBJECTIVE The project tested whether participation in an entrepreneurial and nutrition education intervention with microcredit was associated with the nutritional status of children 2-5 y of age. METHODS A quasi-experimental 16-mo intervention was conducted with microcredit loans and weekly sessions of nutrition and entrepreneurship education for 179 women with children 2-5 y of age [intervention group (IG)]. Nonparticipating women and their children from the same villages (nonparticipant, n = 142) and from similar neighboring villages (comparison, n = 287) were enrolled. Repeated measures linear regression models were used first to examine childrens weight-for-age (WAZ), height-for-age (HAZ), and body mass index-for-age (BAZ) z scores at baseline and at 4 follow-up time points ∼4 mo apart. Time, intervention status, time-by-intervention interaction terms, region of residence, household wealth rank, household head occupation, number of children <5 y of age, and child sex and age were included. RESULTS There was a significant interaction between the IG and time for BAZ (P = 0.02) with significant Bonferroni-corrected pairwise comparisons between the IG and comparison group (CG) at 8 mo (difference of 0.36 ± 0.09 z score, P < 0.0001). The WAZ group difference was significant between 4 and 16 mo (P = 0.01 for interaction) and peaked at 8-12 mo (differences of ∼0.28 z). The HAZ of children in the IG was significantly higher than that in the CG, reaching a 0.19 z difference at 16 mo (P < 0.05). When the fixed effects models were fitted in sensitivity analyses, some group anthropometric differences were of lower magnitude but remained significant. CONCLUSION An integrated package of microcredit and education may improve nutritional outcomes of children living in poor, rural communities.