Increasing Household Diet Diversity and Food Security in Rural Rwanda Using Small-Scale Nutrition-Sensitive Agriculture: A Community-Engaged Proof-of-Concept Study
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作者:
Sly, Brittney C. C.
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Colorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USAColorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USA
Sly, Brittney C. C.
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Weir, Tiffany L. L.
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Colorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USAColorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USA
Weir, Tiffany L. L.
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Cunningham-Sabo, Leslie
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Leisz, Stephen J. J.
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机构:
Colorado State Univ, Dept Anthropol & Geog, Ft Collins, CO 80521 USAColorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USA
Leisz, Stephen J. J.
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Stull, Valerie J. J.
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Univ Wisconsin Madison, Ctr Sustainabil & Global Environm, Madison, WI 53706 USAColorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USA
Stull, Valerie J. J.
[3
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Melby, Christopher L. L.
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Colorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USAColorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USA
Melby, Christopher L. L.
[1
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机构:
[1] Colorado State Univ, Dept Food Sci & Human Nutr, Ft Collins, CO 80523 USA
[2] Colorado State Univ, Dept Anthropol & Geog, Ft Collins, CO 80521 USA
[3] Univ Wisconsin Madison, Ctr Sustainabil & Global Environm, Madison, WI 53706 USA
Malnutrition and food insecurity remain high in rural Rwanda, where residents consume a low-diversity diet provided through subsistence farming. Agricultural interventions using kitchen gardens may improve diet diversity in some populations. However, little is known about their efficacy when developed using community-based participatory research in combination with nutrition education focused on the empowerment of women. The objective of this study was to develop and implement a kitchen garden and nutrition education intervention using a community-engaged model and examine its impact on household diet diversity and food security. Using a mixed methods community-level design, we assessed a 16-week intervention implemented in Cyanika, Rwanda. Stratified purposeful sampling was used to select women participants representing 42 households. Household diet diversity scores (HHDS) and hunger scores were calculated at the baseline, post-intervention and one-year follow-up. HDDS increased after intervention from a pre-intervention intake of 2.59 [1.3] food groups/day, to 4.85 [1.6] at four months post-intervention and at one year post-intervention, reaching 5.55 [1.3]. There were no significant changes in household hunger scores. Our results indicate that collaborative community-engaged nutrition-sensitive agricultural interventions can increase household diet diversity; however, future work should explore whether this type of intervention strategy can lead to sustained changes and impact nutritional adequacy in this population.