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dc.contributor.authorOjwang, Sylvester O
dc.contributor.authorOtieno, David J
dc.contributor.authorOkello, Julius J
dc.contributor.authorMuoki, Penina
dc.contributor.authorNyikal, Rose A
dc.date.accessioned2021-09-03T12:02:03Z
dc.date.available2021-09-03T12:02:03Z
dc.date.issued2021-07
dc.identifier.citationOjwang SO, Otieno DJ, Okello JJ, Muoki P, Nyikal RA. Do Nutrition Education Approaches With Preschoolers and Their Caregivers Influence Retention of Biofortified Orange-Fleshed Sweetpotato on Farms?: Evidence From Homa Bay County, Kenya. Food Nutr Bull. 2021 Jul 6:3795721211025445. doi: 10.1177/03795721211025445. Epub ahead of print. PMID: 34225479.en_US
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/34225479/
dc.identifier.urihttp://erepository.uonbi.ac.ke/handle/11295/155425
dc.description.abstractBackground: Biofortified staples have been promoted widely in sub-Saharan Africa to combat micronutrient deficiencies. Contemporary projects are increasingly using elementary schools to target households with these foods. Objective: This study assessed the effects of integrated nutrition education approaches, targeting preschoolers and their caregivers, on retention of orange-fleshed sweetpotato (OFSP) on farms in the second season after lapse of free vine dissemination initiatives. Methods: Rural farming households, with preschoolers and no prior engagement with OFSP, were targeted. A multistage sample of 431 preschooler-caregiver pairs was recruited for a cluster-randomized controlled trial. After issuing routine OFSP promotion activities, 15 village-level clusters of the pairs were randomized into 1 control group (3 villages) and 3 treatment arms (4 villages each) for the interventions. Baseline and follow-up household-level survey data were collected from the caregivers. The interventions included: (1) OFSP-branded exercise books, posters, and a poem to preschoolers only; (2) OFSP-oriented mobile phone-mediated text messages to caregivers only; and (3) both 1 and 2 provided to individual households concurrently. Interventions 1 and 2 were single-channeled, while 3 was multichanneled. We estimated the intention-to-treat (ITT) and treatment-on-the-treated (TOT) effects using a binary logit model and a special regressor method, respectively. Results: Only the multichanneled nutrition education approach had significant effects (ITT = 0.167, P = .001; TOT = .243, P = .007) on the caregivers' likelihood to retain OFSP on their farms. Conclusions: The finding implies that multichanneled agriculture-nutrition education interventions through Early Childhood Development institutions can be effective in ensuring sustainable adoption of OFSP.en_US
dc.language.isoenen_US
dc.publisherUniversity of Nairobien_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectKenya; biofortified sweetpotato; nutrition education; technology retention; vitamin A deficiency.en_US
dc.titleDo Nutrition Education Approaches With Preschoolers and Their Caregivers Influence Retention of Biofortified Orange-Fleshed Sweetpotato on Farms?: Evidence From Homa Bay County, Kenyaen_US
dc.typeArticleen_US


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