The impact of a Solar Market Garden programme on dietary diversity, women's nutritional status and micronutrient levels in Kalalé district of northern Benin

Public Health Nutr. 2019 Oct;22(14):2670-2681. doi: 10.1017/S1368980019001599. Epub 2019 Jul 8.

Abstract

Objective: To examine the impacts of a Solar Market Garden 1-year solar-powered drip irrigation (SMG) programme in Kalalé district of northern Benin on mothers' nutritional status and micronutrient levels.

Design: Using a quasi-experimental design, sixteen villages were assigned to four groups: (i) SMG women's groups (WG); (ii) comparison WG; (iii) SMG non-WG (NWG); and (iv) comparison NWG. Difference-in-differences (DID) estimates were used to assess impacts on mothers' food consumption, diversity, BMI, prevalence of underweight (BMI < 18·5 kg/m2) and anaemia, and deficiencies of iron (ID) and vitamin A (VAD).

Setting: Kalalé district, northern Benin.

Participants: Non-pregnant mothers aged 15-49 years (n 1737).

Results: The SMG programme significantly increased mothers' intake of vegetables (DID = 25·31 percentage points (pp); P < 0·01), dietary diversity (DID = 0·74; P < 0·01) and marginally increased their intake of flesh foods (DID = 10·14 pp; P < 0·1). Mean BMI was significantly increased among SMG WG compared with the other three groups (DID = 0·44 kg/m2; P < 0·05). The SMG programme also significantly decreased the prevalence of anaemia (DID = 12·86 pp; P < 0·01) but no impacts were found for the prevalence of underweight, ID and VAD.

Conclusions: Improving mothers' dietary intake and anaemia prevalence supports the need to integrate gender-based agriculture to improve nutritional status. However, it may take more than a year, and additional nutrition and health programmes, to impact the prevalence of maternal underweight, ID and VAD.

Keywords: Africa; Anaemia; Iron status; Solar-powered irrigation; Vitamin A status; Women’s dietary diversity; Women’s underweight.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Agricultural Irrigation / methods*
  • Anemia, Iron-Deficiency / epidemiology*
  • Benin / epidemiology
  • Diet / methods*
  • Female
  • Gardening
  • Humans
  • Iron / blood
  • Micronutrients / blood
  • Middle Aged
  • Mothers
  • Nutritional Status
  • Solar Energy*
  • Surveys and Questionnaires
  • Thinness / epidemiology*
  • Vegetables
  • Vitamin A / blood
  • Vitamin A Deficiency / epidemiology*
  • Young Adult

Substances

  • Micronutrients
  • Vitamin A
  • Iron