Citation of this paper |
This study was
conducted to evaluate the contribution of a dairy goat development project in
improving nutritional status of project participants in two districts of
Eastern Ethiopia, and to find out better ways of doing so with on-going and
to-be formulated livestock development projects. The over-all study included
conducting surveys to examine impacts of the dairy goat development
project, nutrition education based intervention, and post-intervention impact
assessment. This paper presents some of the findings of the base line survey
conducted on 831 households and that of the formative survey undertaken on 228
project participant and non-participant households. In addition to dietary
frequency and anthropometric measurements to assess nutritional and health
status of farming families, the surveys covered demographic aspects and
livestock holding patterns.
Results of the base
line survey showed widely varying livestock holding patterns and the generally
low nutritional status of people in the two districts. The formative survey that
compared project participant and non-participant households revealed that
despite project intervention mothers were largely unaware of the causes of and
remedies for nutritional deficiency diseases, and health and nutritional status
of women and children did not vary with participation in the project. It is
therefore suggested that if increased milk production and farm income from
livestock development projects such as dairy goat farming are to be translated
to improved nutritional and health status of women and children, livestock
extension messages will have to be complemented with nutrition and health
education.
The Dairy Goat Development Project (DGDP) of FARM Africa, an
international NGO based in the UK, began its operation in Eastern Ethiopia in
the late 1980s with the aim of improving the socio-economic and nutritional
status of women and children in the heavily populated highland areas of
Ethiopia. It recognised the importance of animal products to human nutrition
and the role of goat production in improving food availability and farm income
thereby in enhancing household food security of the rural poor. To achieve its
objective, DGDP was engaged in identifying women's groups, offering them
training in better husbandry of dairy goats, and then providing them with first
local and then crossbred dairy goats using revolving credit schemes. Right
before completing its first phase, an assessment of the socio-economic impact
of the DGDP was conducted. It was concluded that the DGDP was successful in
increasing milk production and household income of participant households
(Bekele and Kassa 1995). But whether this increased income and on-farm milk
availability was translated to improvement in nutritional status of women and
children remained unknown. As a result this study was proposed and implemented
through the collaboration of Alemaya University and FARM Africa, with the
assistance of the International Centre for Research on Women, Washington, DC,
through a grant obtained from USAID.
The objective of the study was to determine whether DGDP has improved the
nutritional status of project participant farming families in Eastern Ethiopia
where the project had been operational for over five years. The experience
gained also shed light on ways of improving the
effectiveness of livestock development projects in enhancing household and
individual food security in the heavily populated highland areas of Ethiopia.
This paper presents the findings of the first phase of the study, i.e. the results of two surveys and the
lessons drawn. Parts of the outcomes of the study focusing on the impacts of
nutrition education based intervention in increasing awareness of communities
about nutritional deficiency diseases have been discussed in Ayalew
et al (1999). The processes and findings
of the overall study and the lessons to be learnt for designing and
implementing livestock development projects for the poor are subjects of a
forthcoming paper.
The study was conducted in two districts located in the Harar Highlands
of Eastern Ethiopia . The
Harar Highlands are among the most densely populated (CSA 1999) and food
deficit (Kuma and Mekonnen 1995) highland areas of the country. Over 90% of the
population, projected to be 2.4 million in mid 2003 (ZOPED 2001), lives in rural
areas, and their livelihood depends mainly on agriculture. The average
rural population density stands at 530 persons per square km of cultivated land
(ZOPED 2001). Significant variation in population distribution are, however,
observed even within the same district, depending largely on altitude and
proximity to markets (Poschen 1987).
Owing to population expansion, the majority of farmers in the Harar
Highlands own smallholdings of less than one hectare (Adinew 1991). Poor soil
fertility, drought, crop pests, and feed shortages are farming limitations (AUA
1986; Wibaux 1986) of increasing importance (Mulatu and Kassa 2001). Government
policies on land tenure, marketing of chat (Catha
edulis) to neighbouring countries, and
cross-border livestock trade constitute additional uncertainties. In the face
of these limitations and uncertainties, farmers in the Harar Highlands have
continued to make adjustments in their livelihood strategies. As a result, the
agricultural system has evolved, largely without government support, from
grain-based subsistence farming to a chat -livestock-based, market-oriented mixed farming system (Wibaux 1986;
Poschen 1987; Mulatu and Kassa 2001). Typical of any mixed farming system,
livestock are an integral part of the farm, providing milk, meat, draft power,
and manure; serving as sources of cash income; and playing vital roles in the
social and cultural spheres. As Sansoucy et al (1995) aptly put it, in such
food insecure areas, the role
Data were collected using semi-structured key informant interviews,
focus group discussions, and base line and formative formal surveys based on
structured and pre-tested questionnaires. The practicality of options on the
ground, particularly logistical and sociological aspects, dictated that no
biochemical assessments would be included. Rather anthropometric measurements
to evaluate nutritional status (WHO 1995), dietary assessment to examine
marginal deficiencies using 24 hour recall (Gibson 1990), and the Helen Keller
International (HKI) food frequency for vitamin A intake (HKI 1993) were used as
outcome measures for assessing project impacts.
As Peasants' Associations (PAs) are the only administrative subdivisions
within a given district, a two-staged stratified random sampling technique was
used to select households, the sampling units of the study. Thus 36 PAs in Gursum and 14
in Kombolcha, 4 PAs (3 in Gursum and 1 in Kombolcha) were selected. The base
line survey was administered on 803 households randomly selected from these 4
PAs. Then, the formative survey that aimed at comparing project participant and
non-participant households covered a total of 228 households. From the list of project participant and
non-participant households residing in the 4 FAs, 59 recipients
of crossbred goat (those who have received both local and crossbred goats from the project) were
randomly selected and formed Group One. Similarly, 103 recipients of local goats constituted Group Two, while Group Three was composed of 72 control households
who owned no livestock of any type and were randomly selected from the list. In the
first two groups, only those recipients who received goats at least 18
months before the study in 1997 were included. The data collection instrument
included household demography; dietary assessment that focussed on children
under five years of age, anthropometry on reference mother and child, questions
on nutrition and agriculture to the mother, 24-hour dietary recall for the
whole family, HKI for the reference child, and clinical examination of mothers
and pre-school children for signs of deficiencies of vitamin A and of anaemia.
Anaemia was assessed through the presence of paleness in the lips, tongue and
eye. History of Night-blindness was recorded through interviews. The
nutritional status study involved 1,338 children under five years of age.
The data, coded and entered into different data files using the EPI INFO
Version 6 software, were analysed using DEMETER Version 2.05 for the 24-hour
dietary recall survey, and ANTHRO software for the values of anthropometric
measurements (Both
EPI INFO and ANTHRO software are now available at http://www.cdc.gov/). The mean
frequencies of consumption of vitamin A-rich foods were estimated as per HKI
(1993). For anthropometric measurements, the standard deviation scores
(Z-scores) were calculated, and the -2.0 standard deviation score was used as a
cut-off point for determining under-nutrition. Body Mass Index (BMI), defined as a measure of body mass
relative to height, was calculated as weight in kilograms divided by height in
meter squared (Wt/ht2). For both sexes, the Z-score values of
weight-for-age (WAZ) that are used as indicators of under weight,
height-for-age (HAZ) commonly employed to evaluate stunting, and
weight-for-height (WHZ) which are used as signs of wasting, were also
calculated so as to make comparisons across groups.
Nearly one third (28%) of the households did not own cattle and 85% of
the cattle rearing households owned a maximum of two. About 34% of the
households did not own goats, and 88% of the goat rearing households owned a
maximum of two. Women had extremely limited access to and control over property
and earned income to an extent that, in some cases, money to pay for treatment
of sick goats had to come from the husbands. Although women were the ones who
received goats on credit from the DGDP and were largely involved in their
management, it was mainly the husbands that made decisions on the sale of goats
and the use of the revenues generated from the sale. Decisions regarding daily
milk sale and the use of revenue generated therefrom were, however, left for
women even if the husband reserves the right to stop it. Decisions on the
species, class, and number of animals to rear, to buy, and to sell are made by
the husbands. Similarly, it is the household head that makes decisions
concerning major food related expenditures to be made, except for the daily
consumables.
In 83% of the households, sorghum was the primary staple diet, while combinations of sorghum with maize and sorghum with sweet potato were staples in 13% and 4% of the households, respectively. The mean frequency of consumption of the staple diet per week was 6.6 days. The consumption of foods of animal origin, vegetables and fruits, and those of both pre-formed vitamin A and the precursors was extremely low (Table 1).
Table 1. Mean frequency of consumption of various food items of animal and plant origins. |
|||||
Food items |
Frequency (number of days/week) |
||||
Both districts |
PA1 |
PA2 |
PA3 |
PA4 |
|
Staple diets |
6.6 |
6.8 |
6.5 |
6.8 |
6.4 |
Spices (red pepper) |
2.9 |
1.8 |
4.1 |
4.3 |
3.0 |
Dark green leafy vegetables |
0.4 |
0.9 |
0.8 |
0.1 |
0.1 |
Milk |
4.1 |
3.4 |
5.0 |
4.7 |
4.5 |
Carrots |
0.1 |
0.3 |
0.0 |
0.1 |
0.0 |
Ripe mango |
0.1 |
0.0 |
0.1 |
0.2 |
0.2 |
Dark yellow or orange pumpkin |
1.3 |
0.5 |
1.9 |
1.6 |
1.9 |
Swiss chard |
0.0 |
0.0 |
0.0 |
0.1 |
0.0 |
Ripe papaya |
0.4 |
0.0 |
1.1 |
1.1 |
0.4 |
Spaghetti/macaroni |
4.0 |
4.4 |
5.4 |
2.9 |
3.3 |
Eggs with yolk |
0.5 |
0.1 |
1.2 |
0.7 |
0.6 |
Small fish (liver intact) |
0.1 |
0.1 |
0.3 |
0.2 |
0.0 |
Groundnut |
3.0 |
2.6 |
3.3 |
3.6 |
3.2 |
Yellow or orange sweet potato |
2.8 |
1.5 |
3.7 |
1.9 |
3.8 |
Chicken or other fowl |
0.1 |
0.1 |
0.3 |
0.0 |
0.1 |
Amaranth leaves |
0.3 |
0.8 |
0.0 |
0.0 |
0.0 |
Any kind of liver |
0.0 |
0.0 |
0.0 |
0.0 |
0.0 |
Sweet potato leaves |
0.3 |
0.7 |
0.0 |
0.0 |
0.0 |
Meat (mutton, beef) |
0.2 |
0.2 |
0.2 |
0.3 |
0.1 |
Butter |
0.1 |
0.0 |
0.4 |
0.2 |
0.2 |
Fenugreek |
3.0 |
4.4 |
2.9 |
2.2 |
1.8 |
Cod liver oil |
0.0 |
0.0 |
0.1 |
0.0 |
0.0 |
Foods cooked in oil |
1.1 |
0.9 |
2.1 |
1.6 |
0.9 |
Linseed |
1.9 |
2.6 |
2.7 |
1.1 |
0.9 |
Weaning foods fortified with Vitamin A |
0.1 |
0.0 |
0.1 |
0.1 |
0.1 |
Avocado |
0.0 |
0.0 |
0.0 |
0.0 |
0.0 |
The mean frequency (in
days/week) of the consumption of vitamin A-rich foods was found to be 0.7 for
foods of animal sources whereas the weighted total amounted to 1.6, much less
than the threshold values recommended by HKI (1993), which are £ 4 for foods of
animal origin and £ 6 for foods from
plant sources.
The incidence rate of anaemia in mothers during pregnancy was 22.7%,
higher than the national level of 17% (CSA 1992; MOH 1995). History of night
blindness showed that 14.9% of the mothers had this sign of vitamin A
deficiency during their last pregnancy, indicating extremely high incidence.
Mothers reported that their index children, who are below the age of five
years, had night blindness in 5.0% of the cases. This is higher by five fold
when compared to the WHO cut-off point of 1%. It calls for corrective measures,
both short term interventions such as supplementation of vitamin A capsules,
and long term food-based measures through increased production and utilisation
of livestock and plant products.
Results of anthropometric measurements showed that for both boys and
girls, the incidence of wasting, which is commonly used as indicator of both chronic and acute
malnutrition, and measured using WHZ (weight-for-height), was high. All the
three parameters, namely WAZ, HAZ and WHZ were relatively lower in infants
below the age of 6 months than in the older age groups, which was probably due
to breast feeding during this period
(Table 2).
Table 2. Under-weight,
stunted, and wasted under-five year old
children by age group |
|||||||
|
Z-score < - 2.00 standard deviations from the
median |
||||||
WAZ |
HAZ |
WHZ |
Total assessed |
||||
No. |
% |
No. |
% |
No. |
% |
No. |
|
<6 |
17 |
14.4 |
32 |
27.1 |
16 |
13.6 |
118 |
6 - <12 |
86 |
44.6 |
117 |
60.6 |
30 |
15.5 |
193 |
12 - <24 |
130 |
49.4 |
161 |
61.2 |
30 |
11.4 |
263 |
24 - <36 |
120 |
46.0 |
116 |
44.4 |
49 |
18.8 |
261 |
36 - <48 |
77 |
32.6 |
101 |
42.8 |
33 |
14.0 |
236 |
48 - <60 |
54 |
20.2 |
82 |
30.7 |
34 |
12.7 |
267 |
Total |
484 |
36.2 |
609 |
45.5 |
192 |
14.3 |
1,338 |
It is worth noting that the overall rate of wasting in the survey areas (14.3%)
was generally higher than the national rate of 8% (CSA 1992). While HAZ and WHZ
values did not significantly differ between boys and girls (P <0.38 and P
<0.74, respectively), WAZ values were significantly different (P <0.01).
Thus, more girls were under-weight than boys. This might be attributed to the
feeding pattern where the cultural norm is that women and girls eat after
husbands and boys.
The Body Mass Index (BMI) values, assessed on adults over the age of 20
years (WHO 1995), showed that the nutritional status of most adults were
reasonably good. About 60% of both sexes, 57% of males and 62% of females, were
within the normal range, and the rest were having thinness of various degrees.
Though more males were thinner than females, the difference between the two
sexes in BMI values was not statistically significant (P =0.08). The results of
the community level study proved that the overall nutritional status of farming
families was poor, the situation being worse for children, particularly for
girls.
Family size varied significantly with the level of participation (P
<0.001), the control group had the lowest (4.6), local goat recipients were
in the middle (5.8), and crossbred goat recipients had highest number of family
members (6.1). The average family size
for the three groups was 5.5, which is greater than the national average 4.5
(CSA 1999). Project participant households owned significantly more number of
goats than non-recipients (P <0.05). This is in line with what would have
been expected as the project was designed to serve the poorest stratum of the
society. The two participant groups, crossbred and local recipients, did not
however vary significantly in the average number of goats they own, 2.8 and 3.1
respectively. But the number of sheep and chicken owned did not vary
significantly between participant and non-participant families.
The mean frequency of consumption of foods of animal origin rich in
vitamin A for all of the three groups amounted to 2.75 days per week,
indicating a very low level of consumption despite project intervention whose
aim was also enhancing nutritional status of people.
The anthropometric results, body mass index for adults and
nutritional status indicators for children, of participating and
non-participating households are summarised in Tables 3 and 4.
Table 3. Body mass
index values for all groups and for each of the three groups |
|||||||||
BMI |
Description |
All Groups |
Group 1 |
Group 2 |
Group 3 |
||||
No. |
% |
No. |
% |
No. |
% |
No. |
% |
||
< 16.00 |
Severe thinness |
11 |
4.9 |
3 |
6.3 |
7 |
6.7 |
1 |
1.4 |
16.00 – 16.99 |
Moderate thinness |
23 |
10.3 |
3 |
6.3 |
11 |
10.4 |
9 |
12.9 |
17.00 – 18.99 |
Mild thinness |
56 |
25.2 |
12 |
25.0 |
29 |
27.7 |
15 |
21.4 |
18.50 – 24.99 |
Normal |
125 |
56.0 |
28 |
58.2 |
54 |
55.2 |
43 |
61.4 |
25.00 – 29.99 |
Grade 1 over weight |
8 |
3.2 |
2 |
4.2 |
4 |
4.0 |
2 |
2.9 |
30.00 – 39.99 |
Grade 2 over weight |
0 |
0.0 |
0 |
0.0 |
0 |
0.0 |
0 |
0.0 |
> 40.00 |
Grade 3 over weight |
0 |
0.0 |
0 |
0.0 |
0 |
0.0 |
0 |
0.0 |
Total Measured |
223 |
100 |
48 |
100 |
105 |
100 |
70 |
100 |
Table 4. Indicators of nutritional status of all groups and
each of the groups (z-score < -2.0 standard deviation) |
||||||||
Indicator |
All Groups |
Group 1 |
Group 2 |
Group 3 |
||||
No. |
% |
No. |
% |
No. |
% |
No. |
% |
|
Wasting (weight-for
-height) |
29 |
16.7 |
5 |
16.1 |
12 |
16.9 |
12 |
16.9 |
Under weight (weight-
for- age) |
71 |
40.8 |
13 |
41.9 |
22 |
31.0 |
36 |
50.7 |
Stunting (Height- for-
age) |
69 |
39.7 |
12 |
38.7 |
23 |
32.4 |
34 |
47.9 |
The differences across groups in the BMI values were not noticeable in
wasting, while underweight and stunting appeared to more be severe in the
control group than in the first two groups owning local and crossbred goats.
Besides, even though the highest percentages of stunting and underweight were
observed in the control groups, stunting and under weight were more severe in
Group One than in Group Two, indicating that nutritional status did not very
much relate to project participation levels.
It is important to note that nutritional status is also a function of
health status of individuals, a confounding factor not properly addressed by
this study as biochemical studies were excluded. It is also possible that the
three groups may significantly differ in their health status. The other likely
explanation is the milk consumption pattern in the household. Focus group
discussions revealed that the awareness of the community members about
nutritional deficiency diseases and their relations to consumption of livestock
products, and that much of the milk produced was consumed by adults as hoja , traditional tea made often of
coffee pulp and leaves and preferably drunk with milk. Consequently, much of
the milk produced might not have gone to children and breast-feeding mothers.
It might also be because of the larger family size and relatively lesser number of goats provided for each household. It is also likely that the study was undertaken too early to capture improvement accrued by the project using the conventional nutritional assessment methods. Even if the available methodologies to determine nutritional status could not surface out major differences, project participants themselves acknowledged improvements in supply of foods of animal origin as a result of project participation.
To conclude, using the conventional nutritional assessment methods, the
study has shown that increased dairy goat production was not accompanied with
better utilisation of foods of animal origin, especially milk. Thus,
considering the role of livestock products in improving nutritional status of
women and children, it can be argued that the impact of the dairy goat
development project in Eastern Ethiopia could have been much more pronounced if
food utilisation aspects were also addressed. It is therefore suggested that
livestock development projects aiming at enhancing food security be
complemented with health and nutrition education components so that their
impact on the nutritional status, both physical and cognitive development, of people
would be much more positive than without.
The research was supported by the
OMNI (Opportunities for Micronutrient Interventions) grants programme of the
USAID managed by the ICRW (International Centre for Research on Women, Washington,
D.C.). We would like to thank USAID for financing the study, and ICRW for the
technical support extended to us while conducting the study. FARM Africa has
provided the necessary administrative and logistical support while Alemaya
University assisted in co-ordination and technical backstopping. We are also
very much indebted to farming households of Gursum and Kombolcha districts for
their co-operation and hospitality. We owe and share with them the findings of
this study.
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Received 10 June 2003; Accepted 15 June 2003