Abstract
In 2010, a landslide in Bududa, Eastern Uganda, killed about 350 people and nearly 1000 affected households were resettled in Kiryandongo, Western Uganda. A cross-sectional survey assessed household food insecurity and diet diversity among 1078 affected and controls. In Bududa, the affected had a lower adjusted mean score of food insecurity than controls - 9·2 (se 0·4) v. 12·3 (se 0·4) (P<0·01)--but higher diet diversity score (DDS) - 7·1 (se 0·1) v. 5·9 (se 0·1) (P<0·01). On controlling for disaster and covariates, recipients of relief food had higher food insecurity - 12·0 (se 0·6) v. 10·4 (se 0·3) (P=0·02)--whereas farmers had higher DDS - 6·6 (se 0·2) v. 5·6 (se 0·3) (P<0·01). Household size increased the likelihood of food insecurity (OR 1·15; 95% CI 1·00, 1·32; P<0·05) but reduced DDS (OR 0·93; 95% CI 0·87, <1·00; P=0·04). Low DDS was more likely in disaster affected (OR 4·22; 95% CI 2·65, 6·72; P<0·01) and farmers (OR 2·52; 95% CI 1·37, 4·64; P<0·01). In Kiryandongo, affected households had higher food insecurity - 12·3 (se 0·8) v. 2·6 (se 0·8) (P<0·01)--but lower DDS - 5·8 (se 0·3) v. 7·0 (se 0·3) (P=0·02). The latter reduced with increased age (OR 0·99; 95% CI 0·97, 1·00; P<0·05), lowest education (OR 0·54; 95% CI 0·31, 0·93; P=0·03), farmers (OR 0·59; 95 % CI 0·35, 0·98; P=0·04) and asset ownership (OR 0·56; 95% CI 0·39, 0·81; P<0·01). Addressing social protection could mitigate food insecurity.
Highlights
Uganda is cited among the countries on track to attain the Millennium Development Goal number one on halving the proportion of people who suffer from hunger and extreme poverty between 1990 and 2015(6)
In spite of the large number of people affected by natural disasters in Uganda every year, little is known about the potential impact this may have on their nutritional situation in the aftermath of such disasters
Our aim was to assess factors associated with household food insecurity and diet diversity in the aftermath of the major landslide disaster that struck the Bududa district in Eastern Uganda in 2010
Summary
Uganda is cited among the countries on track to attain the Millennium Development Goal number one on halving the proportion of people who suffer from hunger and extreme poverty between 1990 and 2015(6). Natural disasters can further escalate the problem of under-nutrition, which has already shown an increase from an estimated five million in 1990–1992 to eleven million in 2011–2013(10), most likely in tandem with an annual population growth rate of over 3 % in most districts of the country[11]. Our aim was to assess factors associated with household food insecurity and diet diversity in the aftermath of the major landslide disaster that struck the Bududa district in Eastern Uganda in 2010. We present relevant information about the impact of natural catastrophes – in this case a major landslide in one of Uganda’s districts – on food insecurity and diet diversity of a vulnerable population. Given that some of the landslide victims were resettled over 300 km away in the Kiryandongo district in Western Uganda, where geographical, socio-cultural and climate features seemed different from those of the Bududa district, we surveyed and treated these two districts independently
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