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      Unlocking gender dynamics in food and nutrition security in Ghana: assessing dietary diversity, food security, and crop diversification among cocoa household heads in the Juaboso-Bia cocoa landscape

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          Abstract

          Background

          Malnutrition is a worldwide problem that impacts every country, affecting one in three individuals, including Ghana. According to estimates from the Food and Agriculture Organization (FAO), 690 million people were undernourished globally in 2019. Malnutrition is no exception in rural cocoa communities in Ghana. The expansion of cocoa is causing food insecurity and low dietary diversity in most cocoa-growing areas. There is little information on the food security status and dietary diversity among male-headed and female-headed cocoa households in the Juaboso-Bia cocoa landscape. Thus, this study sought to explore the dietary diversity distribution, food security status, sources of staple food, food unavailability periods, food production status, themes contributing to low dietary diversity and food insecurity, and perception of the impact of cocoa expansion on crop diversification among male-headed and female-headed cocoa households in the study area.

          Methods

          Both quantitative and qualitative research methods were employed to address the research questions. The study collected 200 semi-structured questionnaire data and 14 in-depth interview data from cocoa household heads in the Juaboso-Bia landscape. The survey data was cleaned and analysis, such as household dietary diversity status, food security status, and binary logistic regression were performed in the Statistical Package for Social Scientists (SPSS). The in-depth interviews were analyzed using thematic analysis.

          Results

          Through this study, it was revealed that 62.8% of the male-headed cocoa households had medium to high dietary diversity compared to their female counterparts 39.3%. About 47.9% of the male-headed households were food secure than the female-headed households (29.1%). Moreover, the months that both male and female-headed households recalled facing severe food unavailability were July and June. In addition, climate change/variability, unavailable lands, poverty, large household size, and gender stereotypes were themes promoting low dietary diversity and food insecurity among male and female-headed households. Furthermore, sex, total household income, and cropland conversion to cocoa were the variables influencing household heads’ perception of the impact of cocoa expansion on crop diversification.

          Conclusions

          The study showed that the male-headed cocoa households had high dietary diversity and were food secure than the female-headed cocoa households, lending credence to the conceptual framework applied in this study. There is a significant relationship between household head gender and food security status. Therefore, this study recommends the following interventions to improve dietary diversity and food security among male and female-headed cocoa households: raise awareness about the need for diverse diets and provide practical information on how to incorporate a greater variety of food groups into their daily meals; and promote gender equity and inclusivity in food security interventions. Future research could investigate how gender mainstreaming policies in agriculture have helped empower and improve the food security of female-headed households in Ghana.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12889-024-18204-7.

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          Most cited references32

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          Farm production, market access and dietary diversity in Malawi

          Objective The association between farm production diversity and dietary diversity in rural smallholder households was recently analysed. Most existing studies build on household-level dietary diversity indicators calculated from 7d food consumption recalls. Herein, this association is revisited with individual-level 24 h recall data. The robustness of the results is tested by comparing household- and individual-level estimates. The role of other factors that may influence dietary diversity, such as market access and agricultural technology, is also analysed. Design A survey of smallholder farm households was carried out in Malawi in 2014. Dietary diversity scores are calculated from 24 h recall data. Production diversity scores are calculated from farm production data covering a period of 12 months. Individual- and household-level regression models are developed and estimated. Setting Data were collected in sixteen districts of central and southern Malawi. Subjects Smallholder farm households (n 408), young children (n 519) and mothers (n 408). Results Farm production diversity is positively associated with dietary diversity. However, the estimated effects are small. Access to markets for buying food and selling farm produce and use of chemical fertilizers are shown to be more important for dietary diversity than diverse farm production. Results with household- and individual-level dietary data are very similar. Conclusions Further increasing production diversity may not be the most effective strategy to improve diets in smallholder farm households. Improving access to markets, productivity-enhancing inputs and technologies seems to be more promising.
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            Determinants of dietary diversity and the potential role of men in improving household nutrition in Tanzania

            Good nutrition is a prerequisite for a healthy and active life, especially for agriculture-dependent households. However, diets in most households in Tanzania lack diversity because the intake of meat, poultry, fish, and vegetables and fruits is low. This study estimates factors influencing dietary diversity of the household, children under five years, and women using primary survey data. It qualitatively assesses male dietary patterns and men’s potential role in improving the nutritional status of the entire household. The findings show that the most consumed foods within the household are cereals, vegetables, oils and fats, spices, condiments and beverages. Children (d = 0.4; p<0.05) and women (d = 0.5; p<0.01) in female-headed households have low dietary diversity compared to those in male-headed households. Women and children access less diverse diets since 46% and 26%, achieved minimum dietary diversity respectively. Production of vegetables (coef. 0.34; p<0.05) play an important role in improving the dietary diversity of women. Gender (coef. 0.05; p<0.10) and education of the household head (coef. 0.02; p<0.01), food preparation and nutrition training (coef. 0.10; p<0.05) are important factors influencing dietary diversity of the members of a household. Results suggest that there is a need to support community-based programs to provide information on food and the importance of vegetables, their preparation, consumption and utilization to address food and nutrition challenges. Men can contribute towards improving household nutrition security by reducing consumption of food away from the home, especially during periods of food shortages. We recommend the use of complementary quantitative research to determine the patterns and dynamics of men’s dietary diversity and compare it with that of other household members.
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              Dietary diversity and child malnutrition in Ghana

              The health of children in Ghana has improved in recent years. However, the current prevalence rates of malnutrition remain above internationally acceptable levels. This study, therefore, revisits the determinants of child health by using Ghana’s Multiple Indicator Cluster Survey to investigate the effect of infant feeding practices on child health. We used the World Health Organization’s Infant and Young Children Feeding guidelines to measure dietary quality. The econometric analyses show that dietary diversity may cause improvement in children’s health in Ghana. This suggests that educational campaigns on proper infant feeding and complementary dieting could be an effective means of improving the health of children in Ghana.
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                Author and article information

                Contributors
                michaelbatame8@gmail.com
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                8 April 2024
                8 April 2024
                2024
                : 24
                : 985
                Affiliations
                [1 ]GRID grid.213876.9, ISNI 0000 0004 1936 738X, Warnell School of Forestry and Natural Resources, , University of Georgia, ; Athens, GA 30602 USA
                [2 ]Department of Natural Resources Management, Faculty of Geoinformation Science and Earth Observation, ITC, University of Twente, ( https://ror.org/006hf6230) Enschede, The Netherlands
                Author information
                https://orcid.org/0009-0008-8165-5354
                Article
                18204
                10.1186/s12889-024-18204-7
                11003139
                38589821
                ce0efd65-b1ed-43ef-93b3-f367ab7d9c7c
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 7 July 2023
                : 24 February 2024
                Categories
                Research
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                © BioMed Central Ltd., part of Springer Nature 2024

                Public health
                nutrition,food security,mixed research methods,dietary diversity score,crop diversification,rural cocoa household

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