Food insecurity among people with severe mental disorder in a rural Ethiopian setting: a comparative, population-based study.

AIM: In low-income African countries, ensuring food security for all segments of the population is a high priority. Mental illness is associated consistently with poverty, but there is little evidence regarding the association with food insecurity. The aim of this study was to compare the levels of food insecurity in people with severe mental disorders (SMD) with the general population in a rural African setting with a high burden of food insecurity. METHOD: Households of 292 community-ascertained people with a specialist-confirmed diagnosis of SMD (including schizophrenia and bipolar disorder) were compared with 284 households without a person with SMD in a rural district in south Ethiopia. At the time of the study, no mental health services were available within the district. Food insecurity was measured using a validated version of the Household Food Insecurity Access Scale. Disability was measured using the World Health Organisation Disability Assessment Schedule 2.0. RESULT: Severe household food insecurity was reported by 32.5% of people with SMD and 15.9% of respondents from comparison households: adjusted odds ratio 2.82 (95% confidence interval 1.62 to 4.91). Higher annual income was associated independently with lower odds of severe food insecurity. When total disability scores were added into the model, the association between SMD and food insecurity became non-significant, indicating a possible mediating role of disability. CONCLUSION: Efforts to alleviate food insecurity need to target people with SMD as a vulnerable group. Addressing the disabling effects of SMD would also be expected to reduce food insecurity. Access to mental health care integrated into primary care is being expanded in this district as part of the Programme for Improving Mental health carE (PRIME). The impact of treatment on disability and food insecurity will be evaluated.

Resource allocation and bionomics of indigenous and exotic Cotesia (Hymenoptera: Braconidae) species reared on Sesamia calamistis.

The braconid larval parasitoids Cotesia chilonis (Matsumura), C. flavipes Cameron and a strain of Cotesia sesamiae (Cameron) from coastal Kenya, reared at the International Centre of Insect Ecology and Physiology, were introduced at the International Institute of Tropical Agriculture in the Republic of Benin for suitability testing on West African stemborers prior to release. C. chilonis was originally collected in Japan while C. flavipes was imported into Kenya from Pakistan. The host species used was the noctuid Sesamia calamistis (Hampson), the most important noctuid maize pest in the region. All three Cotesia species attacked and successfully developed in 2nd to 6th larval instar of S. calamistis but parasitoid-induced mortality was highest on second instars. On most instars, C. sesamiae and C. flavipes produced larger broods than C. chilonis. Larvae parasitized by C. sesamiae developed to the 6th instar and attained an average larval weight of 353 mg, while larvae parasitized by C. chilonis only molted to the 4th instar and attained a maximum weight of 107 mg. The lower developmental threshold estimated from the non-linear regression of temperature on developmental rate was 15.9, 15.9 and 14.9 degrees C for C. chilonis, C. sesamiae and C. flavipes, respectively, while the maximum temperature was 34.2, 35.2 and 33.8 degrees C, respectively. A maximum of four ovipositions were observed per female during a life span ranging from 1.3 days for C. chilonis and C. flavipes to 1.6 days for C. sesamiae. The largest adult progeny, intrinsic rate of increase and net reproductive rates were recorded at 28 degrees C for all species. However, across temperatures, C. flavipes yielded the highest number of offspring, followed by C. sesamiae and C. chilonis. The sex ratios did not vary significantly with species and temperature. Thus, the reproductive potentials of C. sesamiae and C. flavipes were greater than that of C. chilonis.