Considerations for the design of nutrition-sensitive production programmes in rural South Africa.

BACKGROUND: Very little has been researched about the efficacy, effectiveness, feasibility, sustainability and impact of food-based approaches on the diets and nutritional status of populations at risk of hunger and food insecurity. This study contributes knowledge about the impact of food-based approaches on the diets of populations at risk of hunger and food insecurity in four of the poorest rural communities in South Africa. The study investigated the consumption and production patterns of rural households (278 in summer and 280 in winter) in four sites in the poorest municipalities in South Africa. METHODS: A multistage stratified random sampling technique was applied to identify the communities and sample households for the quantitative survey and qualitative assessments. Qualitative and quantitative data were collected between 2013 and 2015 through focus group discussions (FGDs), key informant interviews and the two-round panel survey to cover both the summer and winter seasons at each site. RESULTS: Home gardening led to a significant positive increase in the consumption of white roots and tubers, dark green leafy vegetables, orange-coloured fruit and other fruit in the 24 h prior to the survey. Participation in a community garden led to significant increases in the consumption of dark green leafy vegetables and other vegetables. School gardening did not demonstrate any statistical relationships with the consumption of foods from the crop-related food groups. Crop production improved dietary diversity. Selling produce and irrigation showed a stronger improvement in dietary diversity. Seasonality affected the availability of fresh fruit and vegetables for home consumption in winter. CONCLUSIONS: Producing beyond that solely for home consumption has greater benefits for dietary diversity and a consumption-smoothing effect during the post-harvest period. Politicians and the scientific community should recognise the role that household and small-scale crop production plays in supporting household consumption and the provision of essential micronutrients despite constraints and disincentives. Production and education programmes should focus on strengthening existing good consumption patterns and promoting the consumption of foods that can improve dietary diversity.

Prevalence and factors associated with aflatoxin contamination of peanuts from Western Kenya.

Aflatoxin contamination of peanuts poses a risk to human health and has been identified as a major constraint to trade in eastern Africa. A survey was carried out to obtain baseline data on levels of aflatoxin in peanuts from major production regions in western Kenya. A total of 384 and 385 samples from Busia and Homabay districts, respectively, were obtained and analyzed for aflatoxin content with an indirect competitive ELISA protocol. Levels of aflatoxin ranged from 0 to 2688 and 7525 microg/kg in samples from Busia and Homa Bay, respectively. Of 769 samples, 87.01% contained <4 microg/kg of aflatoxin, 5.45% were in the range > or =4 and 20 microg/kg, while 7.54% exceeded the Kenya's regulatory limit of 20 microg/kg. There was a highly significant (chi(2)=14.17; P<0.0002) association between district of origin and sample aflatoxin levels. This observation was supported by a significant (chi(2)=11.98; P=0.0005) association between levels of aflatoxin and agro ecological zones. Only 3.26% of the samples from the dryer LM3 zone had >20 microg/kg compared with 10.28% of the samples from the wetter and humid LM1 zone. There was also a highly significant (chi(2)=9.73; P=0.0018) association between cultivar improvement status and aflatoxin levels. Logistic regression analysis revealed that the odds for peanuts from Busia being contaminated were 2.6 times greater than those for peanuts from Homabay. Planting improved cultivars would lower the odds of contamination to a half (odds ratio=0.552) those for local landraces. These results are discussed in relation to the risk of human exposure to aflatoxins and the need for proper sampling procedures for regulatory purposes.