A recent study conducted in Kyankwanzi district, central Uganda, sheds light on the relationship between farm production diversity and women's dietary intake. Focused on lactating mothers with infants aged 0 to 23 months, this research aims to understand how subsistence farming impacts maternal nutrition. By analyzing data collected during the crop harvesting season from December 2019 to March 2020, researchers sought to determine the prevalence of minimum dietary diversity for women (MDD-W) and its association with minimum farm group production diversity (MFGPD). Key findings revealed that achieving MFGPD significantly enhances the likelihood of attaining MDD-W among these vulnerable populations.
The research was carried out in a rural setting where over 90% of household food consumption relies on subsistence farming. The study targeted lactating mothers within the reproductive age group (15–49 years), emphasizing those who breastfed their children. Participants were excluded if they resided in households without farms, had mental health issues, or were unwilling to participate. To ensure robust results, a pilot study was conducted in a neighboring district, Kiboga, recruiting 123 lactating mothers. This pilot informed sample size calculations and trained enumerators specializing in human nutrition to collect dietary diversity data effectively.
Data analysis involved complex statistical methods, including bivariate and multivariable Poisson regression models, to examine the relationship between dietary diversity scores and farm production diversity scores. A binary outcome for MDD-W was analyzed through logistic regression, revealing significant associations between MDD-W and various independent variables such as socioeconomic status, education level, and off-farm income. Notably, McNemar’s test highlighted differences in the prevalence of MFGPD and MDD-W among households.
Findings indicated that lactating mothers residing in households achieving MFGPD were more likely to meet MDD-W requirements compared to those in households lacking sufficient farm diversity. For instance, the proportion of mothers achieving MDD-W increased from 11% in non-MFGPD groups to 19% in MFGPD groups. These results underscore the importance of promoting diverse agricultural practices to improve maternal nutrition outcomes in rural settings.
In conclusion, this study highlights the critical link between farm production diversity and women's dietary quality in rural Uganda. Encouraging subsistence farmers to cultivate a variety of food groups can enhance nutritional intake among lactating mothers and their infants. Policymakers and stakeholders should prioritize interventions aimed at increasing agricultural diversity while addressing socio-economic barriers affecting dietary choices. Such efforts could lead to improved maternal and child health outcomes across similar communities globally.