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Effects of agricultural biodiversity and seasonal rain on dietary adequacy and household food security in rural areas of Kenya
© M'Kaibi et al.; licensee BioMed Central. 2015
Received: 23 October 2014
Accepted: 20 April 2015
Published: 25 April 2015
Kenya has a high prevalence of underweight and stunting in children. It is believed that both agricultural biodiversity and seasonal rainfall influences household food security and dietary intake. In the present study we aimed to study the effects of agricultural biodiversity and seasonal rains on dietary adequacy and household food security of preschool Kenyan children, and to identify significant relationships between these variables.
Two cross-sectional studies were undertaken in resource-poor households in rural Kenya approximately 6 months apart. Interviews were done with mothers/caregivers to collect data from randomly selected households (N = 525). A repeated 24-hour recall was used to calculate dietary intake in each phase while household food security was measured using the Household Food Insecurity Access Scale (HFIAS). A nutrient adequacy ratio (NAR) was calculated for each nutrient as the percent of the nutrient meeting the recommended nutrient intake (RNI) for that nutrient. A mean adequacy ratio (MAR) was calculated as the mean of the NARs. Agricultural biodiversity was calculated for each household by counting the number of different crops and animals eaten either from domestic sources or from the wild.
Dietary intake was low with the majority of households not meeting the RNIs for many nutrients. However intake of energy (p < 0.001), protein (p < 0.01), iron (p < 0.01), zinc (p < 0.05), calcium (p < 0.05), and folate (p < 0.01) improved significantly from the dry to the rainy season. Household food security also increased significantly (p < 0.001) from the dry (13.1 SD 6.91) to the rainy season (10.9 SD 7.42). Agricultural biodiversity was low with a total of 26 items; 23 domesticated and 3 from the natural habitat. Agricultural biodiversity was positively and significantly related to all NARs (Spearman, p < 0.05) and MAR (Spearman, p < 0.001) indicating a significant positive relationship between agricultural biodiversity of the household with dietary adequacy of the child’s diet.
Important significant relationships were found in this study: between agricultural biodiversity and dietary adequacy; between agricultural biodiversity and household food security and between dietary adequacy and household food security. Furthermore, the effect of seasonality on household food security and nutrient intake was illustrated.
Kenya is classified by the Food and Agricultural Organization (FAO) as a low-income-food deficit country . It is among the one third of African countries whose food availability shows an average daily caloric availability below the recommended level of 2100 Kilocalories . A recent economic review indicated that 51% of the population lack access to adequate food . This inaccessibility to food is closely linked to poverty which stands at 46% . The country has been facing serious food insecurity due to reduced cereal production, livestock diseases, rising food prices and poor rainfall. The food shortage situation was declared a national disaster at the beginning of January 2009 and May 2011 indicating that about 10 million persons were highly food insecure [5,6]. The most recent Democratic and Health Survey findings on child nutritional status showed that 16.1% of children aged below 5 years were underweight and 35.3% were stunted , indicative of poor household food security in a large proportion of the population.
Agricultural biodiversity helps to promote development and improves household food security . There has, however, been a decrease in agricultural biodiversity in many developing countries, which has led to a reduction in the variety of animals reared for food and plants grown by households or picked in the wild . This has led to a simplification and decrease in diversity of diets of a large number of people to a limited number of energy food sources that may not confer specific micronutrients, essential amino acids and essential fatty acids . There is limited evidence of studies in sub-Saharan Africa linking agricultural biodiversity with household food security and nutritional status. In order to improve nutritional status it is therefore crucial to study the role of biodiversity as a factor which impacts on household food security .
In households with poor food security, low quality, monotonous diets are the norm. These diets generally constitute a large proportion of starchy foods which include cereals and tubers and are low in vegetables, fruits and animal protein [12,13]. The diets tend to be low in a number of micronutrients, and the micronutrients they contain are often not bio-available, thus resulting in deficiencies . The risk of such deficiencies is high, particularly in children under the age of five years.
Undernutrition, including micronutrient deficiencies in early childhood may lead to a number of cognitive and physical deficits and may cause similar deficits in future generations as malnourished girls, particularly those with stunted growth, who become mothers, are at increased risk of giving birth to low birth weight infants . The effects of undernutrition on human performance, health and survival have been the subject of extensive research for several decades . Studies show that undernutrition affects physical growth, morbidity, mortality, cognitive development, reproduction, and physical work capacity . Evidence from research carried out in developed countries show that dietary diversity is strongly associated with nutrient adequacy. A number of researchers from developing countries have also shown this association [16-21].
A study in Kenya by Ekesa et al. , showed a strong relationship between agricultural biodiversity and dietary diversity. The findings showed that almost 50% of changes in dietary intake of preschool children were due to changes in agricultural biodiversity. This implies that improving biodiversity can improve dietary diversity, which in turn can lead to an improvement in nutritional status . In the present study we aimed to study the effects of agricultural biodiversity on dietary adequacy and household food security of preschool Kenyan children 24–59 months old, and to identify significant relationships between these variables.
Based on an effect size of 0.4 with 90% power and a significance level of 5%, a sample of 500 respondents (250 in each area) was required. The latter was based on the current national statistics for stunting (35%) in under-five children. The areas studied were resource-poor households in two rural districts of Meru in Eastern Province, Kenya namely: Akithii and Uringu. Uringu has a better rainfall and geographic resources compared to Akithii however in other respects the districts are similar being about 25 km apart. The households were randomly sampled by means of table of random numbers. A slight oversampling was done resulting in a total of 261 participants from Uringu division and 264 from Akithii division (N = 525). Two cross-sectional studies were undertaken, approximately 6 months apart.
The first phase of the study was conducted during the dry season and the second phase after the rainy season. The dry season took place when the food stores were low. October-November is a period when residents are most hungry since it is before the rains came. The rainy season took place when the food stores were normally good in this area since it was after the harvest of the short rainy period. The repeated surveys were not at the same households but households were randomly selected during both phases of the study. Interviews were conducted by trained nutrition graduates from Kenyatta University with mothers/caregivers of children aged 24–59 months.
Socio-economic and demographic questionnaire
The socio-demographic part of the questionnaire elicited information on the socio-economic status of the household; particularly questions on household assets. The latter have an influence on the economic status of the household which could in turn influence household food security.
Dietary intake and adequacy
Dietary intake of each child was measured using a repeated 24-hour recall  with the mother/care giver of the index child in the household. Several days lapsed between the repeated interviews. Two 24-hour recalls were conducted in the dry season and two in the rainy season. The mother was asked to report all the food and drinks consumed by the subject during the previous 24 hours, starting with the first meal of the day and ending with the foods eaten last before bed time. In order to assist her with recall she was taken through the child’s activities of the day. In order to determine food portion sizes the interviewer used life-size photographs of food portions . Standard size household utensils such as spoons, cups and mugs were also used to assist in clarifying the amounts of foods and liquids consumed. After the interviews the dietary data was coded and analyzed using food composition tables .
In order to determine the nutrient adequacy of the diet the nutrient adequacy ratio (NAR %) was calculated for each of 12 nutrients and energy, namely: vitamins A, B6, B12, C, B1, B2, niacin, folate; minerals- calcium, iron, and zinc and protein and energy. NAR% was calculated as being the % of the nutrient consumed, divided by the recommended nutrient intake (RNI) using the FAO/WHO recommended nutrient, energy and protein intakes [26-28]. The FAO/WHO RNIs were used because they are regarded as being more suitable for developing countries mainly due to the fact that they take into consideration the bioavailability of iron and zinc. The RNI = EAR + 2SDEAR . For iron and zinc the category of moderate bioavailability was used in this study. Each child was analyzed within their own age nutrient category when doing the dietary data analysis. This meant that cut-off points for the individual age groups were used. Once the NARs were calculated the mean adequacy ratio (MAR) of the diet was determined by the sum of each NAR divided by the number of nutrients. For both NAR and MAR 100% is the ideal since it means that the intake is the same as the requirement.
Penafiel et al. , described the assessment of local biodiversity as listing the local edible plants and animals included in the diet of the population. The Food and Agriculture Organization (FAO) , proposed developing an inventory of food biodiversity available from key informants and interviews or focus group discussions.
In the present study the researchers constructed a questionnaire using guidelines from FAO ; for developing indicators for monitoring agricultural biodiversity and also from a previous study undertaken in Kenya . This questionnaire was pretested to improve its validity. In-depth interviews were held with key informants (village elders) and 4 focus group discussions with 8–12 participants were held with those deemed to have knowledge of local foods, to corroborate data obtained by questionnaire.
Agricultural biodiversity was measured by determining the variety of food plants grown, animals reared for food and food items obtained from natural habitats in the past year. A list of all food items grown, all animals reared and hunted, and other food items obtained from natural habitats through gathering or trapping was determined for each household by means of a short questionnaire which asked the participant to list all the food items utilized over the past year (dry and rainy seasons). Food items purchased from markets or towns were not included in the agricultural biodiversity score.
A score of biodiversity was calculated for each household according to which indigenous and cultivated food items were used at any time by the household over a period comprising the past year. The maximum found was 26. Each household’s biodiversity score was then correlated with the individual nutrient adequacy ratios from the repeated 24 hour recalls of the child participant in that household.
The Household Food Insecure Access Scale (HFIAS)
Food security was assessed by means of the HFIAS developed by Coates et al. . The HFIAS is internationally used and is regarded as being a valid instrument for this purpose. This assessment tool is based on the principle that the experience of food insecurity causes predictable reactions and responses that can be captured and quantified through a survey and summarized in a scale. The nine-item scale uses a four-week recall period and was constructed to capture three larger dimensions of household food insecurity: anxiety and uncertainty about household food access: insufficient quality and insufficient food intake and its physical consequences or hunger .
The information generated by the HFIAS was used to assess the prevalence of household food insecurity and to detect changes in the household food security situation of the population during the two seasons, namely the dry season and rainy season (after harvest season). Since the study period included both seasons, HFIAS generic questions were adapted and translated to ensure that questions were understood in their cultural context. The first phase of the study took place when the food stores were low. October-November is a period when respondents are most hungry since it is before the rains come. The second phase of the study, took place when the food stores were normally good in this area since it was after the harvest of the short rainy period.
The HFIAS was used to determine the prevalence of household food insecurity. The HFIAS is a continuous measure of the degree of food insecurity in the household in the past four weeks (30 days). First, a HFIAS score variable was calculated for each household by summing the codes of each frequency-of-occurrence question. The maximum score for a household is 27. The higher the score, the more food insecurity (lower access) the household experienced. The lower the score, the less food insecurity a household experienced . In order to report household food insecurity prevalence (HFIAP) , the HFIAP indicator was used to categorize households into four levels of household food insecurity: i) food secure (0–1) ii) mildly food insecure, (2–9) iii) moderately food insecure (10–14) and iv) severely food insecure (15+).
The study was approved by the Committee for Human Research, Faculty of Medicine and Health Sciences, Stellenbosch University (ethics reference No. N11/02/037). Each participant was required to sign a consent form after the purpose of the study had been explained to them. Thumb prints were used for participants who could not write. The researcher also obtained permission to conduct the research from the National Commission of Science, Technology and Innovations of Kenya.
The entry of the raw data was done using Microsoft Access 2003 and exported to MS Excel 2003. Data cleaning was done before the data was transported to the data analysis packages. STATISTICA version 9 (StatSoft Inc. (2009) STATISTICA (data analysis software system) (www.statsoft.com), Statistical Package for Social Sciences (SPSS Version 11.5) were used to analyze the data. Food finder 3, , was used to analyze the dietary data that was collected using the 24-hour recall. This is a software product developed by the Medial Research Council of South Africa . Kenyan foods were added to the database from previous studies.
Assets owned by families in the two study areas
Akithii N = 261
Uringu N = 264
Total for both divisions
Χ = 1.829; p = 0.176
Χ = 0.421; p = 0.517
Χ = 5.487; p = 0.019*
Χ = 2.047; p = 0.153
Χ = 0.017; p = 0.896
Χ = 0.100; p = 0.751
Χ = 9.202; p = 0.002**
Χ = 1.204; p = 0.272
Χ = 5.940; p = 0.015*
Χ = 119.689; Χ = p < 0.001***
Macronutrient intakes of 24–59 month old children derived from repeated 24-hour recalls in the dry and rainy seasons of the two areas studied
Added sugar (g)
Total protein (g)
Animal protein (g)
Vegetable protein (g)
Total fat (g)
Poly-unsaturated fat (g)
Saturated fat (g)
Micronutrient intakes of 24–59 month old children derived from repeated 24-hour recalls in the dry and rainy seasons of the two areas studied
Vitamin A (ug)
Vitamin C (mg)
Vitamin 6 (mg)
Vitamin B12 (ug)
Nutrient adequacy ratios of nutrients and mean adequacy ratio of the nutrients of 24–59 month old children derived from repeated 24-hour recalls in the dry and rainy seasons
Percent of children consuming foods from different food groups in the dry and rainy seasons
Cereals, roots and tubers
Vitamin A rich fruits & veg
Other fruits & vegetables
Sugars, syrup and sweets
Legumes & nuts
Meat, poultry, fish
Fats & oils
The household food security mean scores in the two areas studied during the dry and rainy seasons
Total number of different food items (agricultural biodiversity) in the two areas over the past year as reported by participants* and focus groups
Types of food items
Goats, pigs, chicken, rabbit, sheep, ducks, cows
Cereals, pulses and roots
Maize, beans, sorghum, pigeon peas, cowpeas, millet, arrow roots
Ground nuts, macadamia nuts
Paw paws, avocadoes, bananas, oranges, mangoes
Kales and tomatoes
Amaranth sp Amaranthus blitum (terere)
Correlations between agricultural biodiversity score and nutrient adequacy ratios
Spearman rank order correlations
Spearman - R
Biodiversity score & NAR Energy
Biodiversity score & NAR Protein
Biodiversity score & NAR Iron
Biodiversity score & NAR Zinc
Biodiversity score & NAR Vit B12
Biodiversity score & NAR Vitamin B6
p < 0.001***
Biodiversity score & NAR Vitamin C
p < 0.001***
Biodiversity score & NAR Folate
Biodiversity score & NAR Riboflavin
p < 0.001***
Biodiversity score & MAR
p < 0.001***
In summary, results for dietary adequacy showed that children had poor intakes of energy, protein, fiber and numerous micronutrients. The low energy intake helps to explain the high degree of chronic malnutrition found in these children with stunting at 31.9-34.7% in Akithii and 26.23-28.2% in Uringu . It is interesting to note that the children in Uringu were generally better off than those in Akithii in terms of dietary adequacy, food security and agricultural biodiversity. However, one of the most important outcomes of the study were the significant improvements in dietary adequacy and in household food security during the rainy season. In both areas there were significant increases in energy, carbohydrate, protein, saturated fat, sugar and fibre. Many micronutrients, including calcium, zinc, iron and folate also increased significantly in both areas in the rainy season. Vitamin A was the only micronutrient not to do so and this was likely due to the finding that the main vitamin A source (spinach and kale) was consumed in the dry season. Increases in the percentage children consuming certain food groups also showed an upward trend in non-vitamin A rich fruit and vegetables, sugar, legumes, and dairy products, in the rainy season.
Additionally, household food security as measured by the HFIAS also improved significantly during the rainy season, further emphasizing the importance of seasonal effects on households. These findings are similar to those of a study conducted in Mozambique that found that change in seasonality affected household food security as measured by the HFIAS . Researchers who undertake dietary surveys in countries like Kenya need to be aware of the importance of including data from different seasons.
Kenya has been described as a country rich in agricultural biodiversity with an estimated 35,000 known species of animals, plants and micro-organisms . The country's agricultural biodiversity is, however, under serious threat due to among others increasing deforestation, climate change, pollution and soil degradation . The level of agricultural biodiversity (n = 26) and the mean scores (6.6 and 7.2, respectively) in the Eastern part of Kenya, the area of study, was found to be low and far less than the number described in an earlier study conducted in western Kenya which found 41 different species of food cultivated, animals reared and those foods from the natural habitat . Our methodology was similar to the one used in this earlier study. However despite the lower figure, the present study showed a significant positive relationship between agricultural biodiversity and nutrient adequacy ratios (NARs) implying that as one increased so did the other.
A study by Frison  indicated that, in Kenya, rice, maize and wheat contribute about 60% of calories and proteins from plants. The magnitude of agricultural effort applied to the three principal crops has led to a decline in the production and consumption of more diverse grains. This concurs with the findings of the present study which revealed that the production of cereals such as indigenous millet and finger millet has declined and the number of foods which can be obtained from the natural habitat have been significantly reduced. This further corresponds with a study by John,  which indicated that cultivation of traditional foods like: millet, sorghum, cassava, sweet potatoes, traditional vegetables and indigenous wild fruits are now associated with being poor. This association results in changes in agricultural practices, which lead to disruption of dietary patterns and loss of dietary diversity. The 10 most common food items noted in this study did not include any indigenous foods mentioned above and comprised largely of maize, rice, potatoes and wheat as staple foods.
The relationship between agricultural biodiversity and dietary adequacy (in terms of NARs) was explored in order to quantify the relationship between dietary adequacy and agricultural biodiversity. Highly significant positive correlations were found between agricultural biodiversity and NARs of calcium, iron, zinc, vitamin A, B6, C, folate, riboflavin, protein and energy, indicating the very strong relationship between dietary adequacy and biodiversity. These findings are in agreement with those of other studies which showed a strong relationship between these variables [37,38]. The significance of this finding is emphasized by realizing the importance of maintaining or improving biodiversity in populations which are dependent on the land for food [38-40].
Recognition of the value of maintaining and using agricultural biodiversity is not new [38-40]. A significant relationship was found to exist between agricultural biodiversity and food security in this study. As the agricultural biodiversity score increased, the HFIAS score decreased showing that an increase in agricultural biodiversity improved household food security (access). There is limited evidence in SSA of studies linking agricultural biodiversity with household food security and nutritional status. This study showed a significant relationship between agricultural biodiversity and household food security concurring with the recommendation by Frison  that it is crucial to study the role of biodiversity as a factor which impacts on household food security. Kenya plans to reduce food insecurity by 30% by 2015 . Maintaining and improving agricultural biodiversity should therefore form part of the interventions to enable the achievement of this target, especially in rural areas.
To assess whether household food security was influenced by the change in seasonality, a comparison was done between the dry season and the rainy seasons. There were significant differences between results of the two seasons; with the dry season showing relatively higher levels of food insecurity compared to the rainy season.
Certain limitations of the study need to be noted. Firstly, the two areas studied were not as similar regarding their agricultural and physical resources despite the fact that they were fairly close in physical proximity. Secondly, when evaluating agricultural biodiversity we only examined food items which were cultivated or obtained from the wild. We did not determine the extent to which foods were purchased from stores and markets.
The dietary intakes of macronutrients and micronutrients were low in this study with most of the preschool children not meeting the recommended nutrient intakes. The following important significant relationships were found in this study: between agricultural biodiversity and dietary adequacy; between agricultural biodiversity and household food security and between dietary adequacy and household food security. Furthermore, the effect of seasonality on household food security and dietary intake of the children was illustrated.
The authors wish to thank the participants as well as the nutrition graduates who conducted the field work. The South African National Research Foundation and the National Commission of Science and Technology Kenya are gratefully acknowledged for funding this study.
- Food and Nutrition Technical Assistance (FANTA). Potential uses of food aid to support HIV/AIDS mitigation activities in Sub-Saharan Africa. Washington: Academy of Educational Development; 2000.Google Scholar
- Food and Agriculture Organization (FAO). Food security committee report. Rome: Food and Agriculture Organization of the United Nations; 2006.Google Scholar
- Central Bureau of Statistics. Ministry of Planning and National Development of Kenya. Economic Survey. Nairobi: Government Press; 2007.Google Scholar
- Central Bureau of Statistics, Ministry of Planning and National Development of Kenya. Economic Survey. Nairobi: Government Press; 2008.Google Scholar
- Government of Kenya (GOK). Kenya food security outlook update: (http://www.fews.net); Accessed 04/05/2009.
- Government of Kenya (GOK). Kenya food security outlook update: (http://www.fews.net). Accessed 06/07/2011.
- Demographic and Health (DHS Program). Quick Stats: Kenya. http://dhsprogram.com/Where-We-Work/Country-Main.cfm?ctry_id=20&c=Kenya&Country=Kenya&cn=&r=1; (Accessed 9 October 2014).
- Cromwell E, Cooper D, Mulvany P. Agricultural biodiversity and livelihoods. Institute of Environment and Development: Issues and entry points for development agencies. London; 2001.Google Scholar
- Pillay D. The conservation of genetic resources within indigenous (under- utilized) vegetable plant species in South Africa: Swedish Agricultural University (SLU) and Swedish Biodiversity Centre. (CBM); 2003.Google Scholar
- John T. Dietary diversity, global change and human health. Montreal, Canada: Proceedings of the Symposium Managing Biodiversity in Agricultural Ecosystems; 2001.Google Scholar
- Frison E, Smith IF, Johns T, Cherfas J, Eyzaguirre P. Using biodiversity for food, dietary diversity, better nutrition and health. S Afr J Clin Nutr. 2005;18:112–4.View ArticleGoogle Scholar
- Arimond M, Torheim D, Wiesmann M, Joseph M, Carriquiry A. Dietary diversity as a measure of women’s diet quality in resource-poor areas: Results from rural Bangladesh site. Washington, DC: Food and Nutrition Technical Assistance (FANTA)and Project/Academy for Educational Development (AED); 2008.Google Scholar
- Ruel MT. Is dietary diversity an indicator of food security or dietary quality? A review of measurement issues and research needs. Food Nutr Bull. 2002;24:231–2.View ArticleGoogle Scholar
- Victora CG, Adair L, Fall C, Pedro C, Hallal PC, Martorell R, et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371:340–57.View ArticlePubMedPubMed CentralGoogle Scholar
- Pelletier DL, Frongillo Jr EA. Changes in child survival are strongly associated with changes in malnutrition in developing countries. Washington DC: FANTA. Academy Educational Development; 2002.Google Scholar
- Ogle MM, Hung PH, Tuyet HT. Significance of wild vegetables in micronutrient intakes of women in Vietnam: An analysis of food variety. Asia Pacific J Clin Nutr. 2001;10:21–30.View ArticleGoogle Scholar
- Torheim LE, Barikmo I, Parr CL, Hatloy A, Ouattara F, Oshaug A. Validation of food variety as an indicator of diet quality assessed with a food frequency questionnaire for Western Mali. Euro J Clin Nutr. 2003;57:1283–91.View ArticleGoogle Scholar
- Steyn NP, Nel JH, Nantel G, Kennedy G, Labadarios D. Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy? Public Health Nutr. 2006;9(5):644–50.View ArticlePubMedGoogle Scholar
- Kennedy GL, Pedro MR, Seghieri C, Nantel G, Brouwer I. Dietary diversity score is a useful indicator of micronutrient intake in non-breast-feeding Filipino children. J Nutr. 2007;137:472–7.PubMedGoogle Scholar
- Daniels MC, Adair LS, Popkin BM, Truong YK. Dietary diversity scores can be improved through the use of portion requirements: an analysis in young Filipino children. Eur J Clin Nutr. 2009;63:199–208.View ArticlePubMedGoogle Scholar
- Moursi MM, Arimond M, Dewey KG, Serge T, Ruel MT, Delpeuch F. Dietary diversity is a good predictor of the micronutrient density of the diet of 6 to 23 month-old children in Madagascar. J Nutr. 2008;138:2448–53.View ArticlePubMedGoogle Scholar
- Ekesa BN, Walingo MK, Onyango MO. Role of Agricultural Biodiversity on Dietary Intake and Nutritional Status of Preschool children in Matungu Division, Western Kenya. Afr J Food Sci. 2008;2:026–32.Google Scholar
- Steyn NP, Labadarios D. Dietary intake:24 hour recall method. In: Labadarios D, editor. The National Food Consumption Survey. Pretoria: Department of Health; 2000.Google Scholar
- Steyn NP, Senekal M. A guide for the use of the dietary assessment and education kit (DAEK). Cape Town: MRC; 2005.Google Scholar
- South African Medical Research Council. Food Composition Tables (Food finder software). Cape Town: Nutrition Interventions Unit, South African Medial Research Council; 2001.Google Scholar
- FAO/WHO. Human vitamin and mineral requirements. Report of a Joint FAO/WHO Expert Consultation. Rome: FAO; 2002.Google Scholar
- FAO. Human energy requirements: a manual for planners and nutritionists. Oxford: Oxford University Press; 1990.Google Scholar
- WHO. Energy and protein requirements. Report of a joint expert consultation. Geneva: WHO; 1985.Google Scholar
- Penafiel D, Lachat C, Espinel R, Van Damme P, Kolsteren P. A systematic review on the contributions of edible plant and animal biodiversity to human diets. Ecohealth. 2011;8(3):1–19.View ArticleGoogle Scholar
- Food and Agricultural Organization (FAO). Expert consultation on nutrition indicators for biodiversity 1. Food composition. Rome: FAO; 2008.Google Scholar
- Coates J, Swindale A, Bilinsky P. Household Food Insecurity Access Scale (HFIAS) for Measurement of Household Food Access: Indicator Guide (v3). Washington, DC: Food and Nutrition Technical Assistance II Project (FANTA-II); 2007.Google Scholar
- M’Kaibi FK, Steyn NP, Ochola SA, Du Plessis L. The role of agricultural biodiversity, dietary diversity, and household food security in households with and without children with stunted growth in rural Kenya. Stellenbosch University, Faculty of Medicine and Health sciences: PhD Thesis; 2014.Google Scholar
- Food and Agriculture Organization (FAO). Report on use of the Household Food Insecurity Access Scale and Household Dietary Diversity Score in two survey rounds in Manica and Sofala Provinces, Mozambique, 2006–2007: FAO food security project GCP/MOZ/079/BEL. Available online: www.foodsec.org/tr/nut/moz_diet.pdf.
- Government of Kenya (GOK). Agriculture. Natural resource aspects of sustainable development in Kenya. Nairobi: Government Printers; 2001.Google Scholar
- Food and Agriculture Organization (FAO). Rural women and food security. Current situation and perspectives. Rome: FAO; 2008.Google Scholar
- Frison E. Dietary Diversity. A Challenge linking human health with plant genetic resources. IPGRI Nutrition Strategy: 2004Google Scholar
- Burchi F, Fanzo J, Frison E. The role of food and nutrition system approaches in tackling hidden hunger. Int J Environ Res Public Health. 2011;8:358–73. doi:10.3390/ijerph8020358.View ArticlePubMedPubMed CentralGoogle Scholar
- International B. Improving nutrition with agricultural biodiversity: A manual on implementing food systems field projects to assess and improve dietary diversity, and nutrition and health outcomes. Rome: Biodiversity International; 2011.Google Scholar
- Brush SB. In situ conservation of landraces in centers of crop diversity. Crop Sci. 1995;35:346–54.View ArticleGoogle Scholar
- Altieri MA, Merrick LC. In situ conservation of crop genetic resources through maintenance of traditional farming systems. Econ Bot. 1987;41:86–96.View ArticleGoogle Scholar
- Jackson L, Hodgkin T. Utilizing and conserving agro-biodiversity in agricultural landscapes. J Nutr. 2006;136:656–63.Google Scholar
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