RESUMO
Links between land tenure and food and nutritional insecurity are receiving increased attention. Nevertheless, urban and periurban dwellers face challenges in accessing land to produce food for subsistence and sale. An ethnographic study and food and nutrition insecurity survey were conducted between October 2013 and November 2014 in Tamale, Northern Region of Ghana, to explore the dynamic and recursive links between land access, food access and the ability to maintain resources to meet long-term needs. Results showed that infrastructural development and agriculture compete for land. The shortage of land for agricultural purposes was pronounced in urban areas (20%) than in periurban areas (1.3%) and rural areas (0%). Food insecure households were more likely to name a lack of land than anything else as the primary reason for their inability to grow crops (Fisher's exact probability = 0.040). Urban and periurban dwellers cope with the constraints posed in the communal tenure system by using strategies such as urban-periurban-rural migrant farming and buffer zone cultivation. The role of women in providing nutritious soups is especially important, and they use various mechanisms to circumvent their lack of access to land and provide food for the household. Political, economic and cultural elements thus interact to constitute the link between land and food.
RESUMO
BACKGROUND: Malnutrition is still prevalent worldwide, and its severity, which differs between regions and countries, has led to international organisations proposing its inclusion in the global development framework that will succeed the Millennium Development Goals (post-2015 framework). In Sub-Saharan Africa, malnutrition is particularly severe, among women and children under 5 years. The prevalence of malnutrition has been reported worldwide, differing from region to region and country to country. Nevertheless, little is known about how malnutrition differs between multiple locations along an urban-rural continuum. OBJECTIVE: A survey was carried out in and around Ouagadougou, Burkina Faso, between August and September 2014 to map household nutrition insecurity along the urban-rural continuum, using a transect approach to guide the data collection. DESIGN: Transects of 70 km long and 2 km wide directed radially from the city centre outwards were laid, and data were collected from randomly selected households along these transects. Women's dietary diversity scores (WDDSs) were calculated from a sample of 179 women of reproductive age (15-49 years) from randomly selected households. Additionally, anthropometric data (height/length and weight) of 133 children under 5 years of age were collected along the same transects for the computation of anthropometric indices. RESULTS: We found that relative proportions of the nutrition indices such as stunting, wasting and underweight varied across the urban-rural continuum. Rural households (15%) had the highest relative proportion of WDDS compared with urban households (11%) and periurban households (8%). There was a significant association between children under 5 years' nutritional status (wasting, stunting and underweight) and spatial location (p=0.023). The level of agricultural activities is a possible indicator of wasting in children aged 6-59 months (p=0.032). CONCLUSION: Childhood undernutrition certainly has a spatial dimension that is highly influenced by the degree of urbanity, which should be taken into consideration in policy formulation and implementation.
