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Urban and peri-urban agriculture and its implication on food and nutrition insecurity in northern Ghana: a socio-spatial analysis along the urban–rural continuum

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Food and nutrition insecurity remains a challenge in sub-Saharan Africa. Several studies have examined food and nutrition insecurity in urban or rural areas but have not captured the whole continuum. Between November and December 2013, 240 households were surveyed along the urban–rural continuum in Northern Ghana. The study objective was to understand the socio-spatial dynamics of household food and nutrition insecurity and to investigate the role played by urban, peri-urban and rural agriculture. The study found that there was more involvement in agriculture in rural areas compared to peri-urban areas and urban areas. Households from urban areas were more food insecure (HFIAS > 11) compared to their counterparts in peri-urban and the rural areas. Stunting increased by 3.4 times (p = 0.048) among households located in the peri-urban area. Wasting was reduced by 0.16 times among household that produced staple food or vegetables (p = 0.011). Overweight was reduced by 0.04 times among households that produced livestock (p = 0.031). The results reveal a socio-spatial dimension of food and nutrition insecurity that is related to agricultural activities.

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Contribution of urban and periurban agriculture to household food and nutrition security along the urban–rural continuum in Ouagadougou, Burkina Faso
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There is growing evidence of urban poverty in and around cities in sub-Saharan Africa in the form of food and nutrition insecurity. Although many studies have been done across sub-Saharan Africa on urban agriculture, food and nutrition insecurity, little is known about the association of urban agriculture to household food and nutrition insecurity along the urban–rural continuum, especially in West African cities. Therefore, a survey was carried out between August and September 2014 in and around Ouagadougou (Burkina Faso), using a transect approach to guide the data collection. The purpose of this study was to understand the dynamics of urban, periurban and rural agriculture and its association with household food and nutrition insecurity. A total of 240 households participated in the survey. From these households, data were collected on 179 women of reproductive age (15–49 yr) and 133 children under the age of 5 yr to compute Women's Dietary Diversity Scores (WDDS) and other anthropometric indices. The results of this study provide a general picture of crop production which is inclined to subsistence and income generation. Households in rural and periurban areas were more engaged in crop and livestock production compared with their urban area counterparts. Households in periurban areas had the highest relative proportion (54%) of food insecurity (household food insecurity access scale (HFIAS) > 11), compared with urban areas (39%) and rural areas (45%). At the same time the periurban households had the highest relative proportion of stunting and wasting prevalence compared with urban and rural households. Households in the rural areas had the highest dietary diversity (WDDS ≥ 6), compared with periurban and urban households. Households keeping livestock significantly experienced less wasting (weight-for-height index (WHZ)) (coef = −0.15;P= 0.008) by a factor of 0.15, and overweight (body mass index (BMI)-for-age (BAZ)) (coef = −0.12;P= 0.015) by a factor of 0.12 compared with households not doing livestock keeping. Households involved in crop production significantly experienced more food insecurity, HFIAS (coef. = 2.55;P= 0.042) by a factor of 2.55 compared with households without crop production. The complexity of periurban areas coupled with the scourge of food and nutrition insecurity will require more periurban agriculture and food policy consideration.

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  • 10.1186/s40066-016-0052-x
Food coping strategies in northern Ghana. A socio-spatial analysis along the urban–rural continuum
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The incidence and depth of food and nutritional insecurity has been estimated and its determinants in a food-surplus area, viz. the state of Punjab, have been studied. The consumption expenditure has been found to be directly associated with the levels of income/assets in both rural and urban areas. The study has revealed that the food and nutritional insecurity prevails even in the food-surplus areas, with low-income households being more vulnerable to it. The access to food determined by the level of income and family-size has been found as the most important factor influencing food and nutritional security in food-surplus areas. Increase in production alone does not ensure food and nutritional security. The study has suggested that income and employment opportunities for more vulnerable sections of the society will have to be augmented to alleviate their food insecurity and malnutrition.

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Healthcare screening identifies factors that impact patient health and well-being. Hunger as a Vital Sign (HVS) is widely applied as a screening tool to assess food security. However, there are no common practice screening questions to identify patients who are nutrition insecure or acquire free food from community-based organizations. This study used self-reported survey data from a non-Medicaid insured adult population approximately one year after the start of the COVID-19 pandemic (2021). The survey examined the extent to which the HVS measure might have under-estimated population-level food insecurity and/or nutrition insecurity, as well as under-identified food and nutrition insecurity among patients being screened for social risks in the healthcare setting. Data from a 2021 English-only mailed/online survey were analyzed for 2791 Kaiser Permanente Northern California (KPNC) non-Medicaid insured members ages 35-85 years. Sociodemographics, financial strain, food insecurity, acquiring free food from community-based organizations, and nutrition insecurity were assessed. Data from respondents' electronic health records were abstracted to identify adults with diet-related chronic health conditions. Data were weighted to the age × sex × racial/ethnic composition of the 2019 KPNC adult membership. Differences between groups were evaluated for statistical significance using adjusted prevalence ratios (aPRs) derived from modified log Poisson regression models. Overall, 8.5% of participants reported moderate or high food insecurity, 7.7% had acquired free food from community-based organizations, and 13% had nutrition insecurity. Black and Latino adults were significantly more likely than White adults to have food insecurity (17.4% and 13.1% vs 5.6%, aPRs = 2.97 and 2.19), acquired free food from community-based organizations (15.1% and 15.3% vs 4.1%, aPRs = 3.74 and 3.93), nutrition insecurity (22.1% and 23.9% vs 7.9%, aPRs = 2.65 and 2.64), and food and nutrition insecurity (32.4% and 32.5% vs 12.3%, aPRs = 2.54 and 2.44). Almost 20% of adults who had been diagnosed with diabetes, prediabetes, ischemic CAD, or heart failure were food insecure and 14% were nutrition insecure. Expanding food-related healthcare screening to identify and assess food insecurity, nutrition insecurity, and use of community-based emergency food resources together is essential for supporting referrals that will help patients achieve optimal health.

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Development interventions in sub-Saharan Africa often frame food and nutrition insecurity primarily as a production problem, emphasizing technical solutions such as the adoption of high-yielding seeds and the intensive use of chemical fertilizers and agrochemicals. This narrow perspective overlooks the complex, multiscalar factors that contribute to food insecurity and undernutrition in the region. Drawing on surveys and participatory engagement conducted in six communities in northern Ghana, this study explores these complexities among smallholder food producers. Findings reveal that factors such as seasonal variations in food production, limited access to storage facilities and markets, and farmers’ consumption preferences significantly influence food and nutrition security. Based on these insights, we argue that development strategies must move beyond simplistic, production-focused solutions and address the broader set of interconnected factors that shape food and nutrition security in northern Ghana. This research contributes to the growing body of scholarship on food systems by demonstrating how diverse factors across scales drive food insecurity and undernutrition in sub-Saharan Africa. The study also offers important implications for policy interventions aimed at improving food and nutrition security in the region.

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The Impact of Employment Status and Children in Households on Food Security Among Syrian Refugees Residing in Florida.
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This study aims to measure food security and the levels of food insecurity among Syrian refugee households. It also aimed to determine the association between food security status and types of households including the number of employed members of the households and children in households. Semi-structured interview questionnaires were administered to 80 households of Syrian refugees residing in Florida. Participants were Syrian refugees who have resettled in Florida since 2011 and were interviewed in one-on-one 45-minute sessions. Included cities were Miami, West Palm Beach, Orlando, and Tampa. The main outcomes were food security, levels of food insecurity, the number of employed individuals in households, and the structure of households with and without children. The mean food security score was 4.7± 2.6 among participating households when a score of 3-7indicates food insecurity without hunger. There were significant differences (p = 0.02) between the levels of food insecurity in rural and urban areas. Households in rural areas experienced higher levels of food insecurity compared to households in urban areas. We found a significant relationship (p = 0.04) between food security and the number of employed individuals in households in rural areas. The logistic regression model comparing food security status in rural and urban areas showed that households in rural areas had 80.2 % less odds of being food secure than those in urban areas with the adjustment of the variable of number of employed individuals(odds ratio = 0.198; 95% CI: 0.055-0.712; p = 0.01). Another logistic regression model showed that Miami was four times and West Palm Beach was 11.8 times more likely to be food secure than Tampa when the number of employees was adjusted. Among allthe households, there were significant differences (p = 0.01) in the levels of food insecurity between households with and without children. When the typeof residence was introduced into the corresponding model, households in rural areas were 79.3% less likely to be food secure than households in urban areas(odds ratio: 0.207; CI: 0.06-0.70; p = 0.01). Another logistic regression showed that West Palm Beach had a significant positive effect (p = 0.005) on food security. Households in this city had 9.95 greater odds of being food secure than households in Tampa. The effect in Miami was marginally positive (p = 0.07) in this model. Households in Miami might have had 3.8 greater probabilities of being food secure than the households in Tampa when the variable of households with and without children was adjusted. Food insecurity was frequent among n = 64 (80.0%) of Syrian refugee households residing in Florida. Households with at least two employed individuals were more likely to experience food security than households with only one member employed. The number of employees in households may have a greater impact on food security in urban areas than in rural areas. Food insecurity was more frequent in households with children than in households without children. Adults in food-insecure households with children might have experienced greater levels of food insecurity compared to their food-insecure children.

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