Effect of Covid-19 pandemic on Food security and Maternal Nutrition Status of Selected peri-urban and urban communities in Mbale, Uganda

Muhammad Lubowa; Isse Ahmed  Qali

doi:10.70851/v83hw171

Authors

Lubowa Muhammad Department of Food Science and Nutrition, Faculty of Agribusiness and Natural Resource Sciences, Islamic University in Uganda, Mbale, Uganda Author https://orcid.org/0000-0002-1093-2579 (unauthenticated)
Qali Isse Ahmed Department of Environmental Science, Faculty if Science, Islamic University in Uganda, Mbale Main Campus, Uganda Author

DOI:

https://doi.org/10.70851/v83hw171

Keywords:

Food security, Maternal nutrition, COVID-19 pandemic, Dietary diversity, Peri-urban communities

Abstract

The COVID-19 pandemic has profoundly impacted global food security and maternal nutrition, with vulnerable populations in low- and middle-income countries being particularly affected. This study investigates the effects of the pandemic on food availability, dietary diversity, and maternal nutritional status in peri-urban and urban communities of Mbale, Uganda. A cross-sectional survey design was employed, combining quantitative data, analyzed using SPSS, and qualitative data through thematic analysis from 177 households and health workers. Results indicate a significant deterioration in food security during the pandemic, characterized by a 20% reduction in meal frequency, a 14% increase in food sharing, and a 22.3% rise in households with inadequate dietary diversity. Despite these challenges, 90% of pregnant women maintained normal BMI, though some instances of malnutrition were observed. The findings underscore the urgent need for targeted interventions to safeguard food security and maternal health during future crises globally. These insights are crucial for policymakers in designing pandemic-responsive food and health systems.

Author Biography

Lubowa Muhammad, Department of Food Science and Nutrition, Faculty of Agribusiness and Natural Resource Sciences, Islamic University in Uganda, Mbale, Uganda

Lecturer, Department of Food Science and Nutrition, Faculty of Agribusiness and Natural Resource Sciences, Islamic University in Uganda, Mbale, Uganda

References

Arimond, M., & Ruel, M. T. (2004). Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys. The Journal of nutrition, 134(10), 2579–2585. https://doi.org/10.1093/jn/134.10.2579.

Ayanlade, A., & Radeny, M. (2020). COVID-19 and food security in sub-Saharan Africa: Implications of lockdown during agricultural planting seasons. npj Science of Food, 4(1), 13. https://doi.org/10.1038/s41538-020-00073-0

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., ... & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X

Bailey, R. L., West, K. P., & Black, R. E. (2015). The epidemiology of global micronutrient deficiencies. Annals of Nutrition and Metabolism, 66(Suppl. 2), 22–33. https://doi.org/10.1159/000371618

Bukenya, J. O., Ndagurwa, P., & Shaffer, J. (2019). Household food security among the elderly in rural and urban areas of Uganda: A logistic regression analysis. Journal of Aging & Social Policy, 31(5), 452-473.

Coleman-Jensen, A., Rabbitt, M. P., Gregory, C. A., & Singh, A. (2020). Household food security in the United States in 2019. United States Department of Agriculture, Economic Research Service.

Coates, J., Swindale, A., & Bilinsky, P. (2007). Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide (v. 3). Washington, D.C.: Food and Nutrition Technical Assistance Project, Academy for Educational Development.

Cochran, W. G. (1977). Sampling Techniques (3rd ed.). New York: John Wiley & Sons.

Cogill, B. (2003). Anthropometric Indicators Measurement Guide. Food and Nutrition Technical Assistance Project, Academy for Educational Development.

Crush, J., & Si, Z. (2020). COVID-19 containment and food security in African cities. Nature Food, 1(7), 319–320. https://doi.org/10.1038/s43016-020-0097-5

Devereux, S., Béné, C., & Hoddinott, J. (2020). Conceptualising COVID-19’s impacts on household food security. Food Security, 12(4), 769–772. https://doi.org/10.1007/s12571-020-01085-0

FAO. (2021). The State of Food Security and Nutrition in the World 2021. Food and Agriculture Organization of the United Nations.

FAO, IFAD, UNICEF, WFP, & WHO. (2019). The State of Food Security and Nutrition in the World 2019: Safeguarding against economic slowdowns and downturns. Rome, FAO. https://doi.org/10.4060/ca5162en

FAO, IFAD, UNICEF and WHO. (2024). The State of Food Security and Nutrition in the World 2024 – Financing to end hunger, food insecurity and malnutrition in all its forms. Rome. https://doi.org/10.4060/cd1254en

FANTA. (2018). Food and Nutrition Technical Assistance (FANTA) Project: Food security and nutrition assessment. Retrieved from https://www.fantaproject.org

Gundersen, C., & Ziliak, J. P. (2015). Food insecurity and health outcomes. Health Affairs, 34(11), 1830-1839. https://doi.org/10.1377/hlthaff.2015.0645

Hosmer, D. W., & Lemeshow, S. (2000). Applied Logistic Regression (2nd ed.). New York: John Wiley & Sons.

Kennedy, G., Ballard, T., & Dop, M. C. (2011). Guidelines for Measuring Household and Individual Dietary Diversity. Rome: Nutrition and Consumer Protection Division, Food and Agriculture Organization of the United Nations.

Kansiime, M. K., Tambo, J. A., Mugambi, I., Bundi, M., Kara, A., & Owuor, C. (2021). COVID-19 implications on household income and food security in Kenya and Uganda: Findings from a rapid assessment. World Development, 137, 105199. https://doi.org/10.1016/j.worlddev.2020.105199

Laborde, D., Martin, W., & Vos, R. (2020). Poverty and food insecurity could grow dramatically as COVID-19 spreads. International Food Policy Research Institute (IFPRI). Retrieved from https://www.ifpri.org/blog/poverty-and-food-insecurity-could-grow-dramatically-covid-19-spreads

Laborde, D., Martin, W., Swinnen, J., & Vos, R. (2020). COVID-19 risks to global food security. Science, 369(6503), 500-502.

Makombe, G. (2024). The food security concept: Definition, conceptual frameworks, measurement, and operationalization. Africa Development, 48(4). https://doi.org/10.57054/ad.v48i4.5574

Mahler, D. G., Lakner, C., Aguilar, R. A. C., & Wu, H. (2020). The impact of COVID-19 on global poverty: Why sub-Saharan Africa might be the region hardest hit. World Bank Blogs. Retrieved from https://blogs.worldbank.org/opendata/impact-covid-19-coronavirus-global-poverty-why-sub-saharan-africa-might-be-region-hardest

Mir, M. A., Dar, M. A., Qadir, A., Qadrie, Z., & Ashraf, H. (2022). Insight into maternal health and nutrition throughout pregnancy. Journal Healthcare Treatment Development, 2(02), 30–40. https://doi.org/10.55529/jhtd.22.30.40

Mozes, K. B., Elgina, S. I., Mozes, V. G., Rudaeva, E. V., Shibelgut, N. M., Chaplygina, O. S., & Pomytkina, T. E. (2023). Nutritional support during pregnancy. Obstetrics, Gynecology and Reproduction, 17(6), 769-782. https://doi.org/10.17749/2313-7347/ob.gyn.rep.2023.472

Seligman, H. K., & Schillinger, D. (2010). Hunger and socioeconomic disparities in chronic disease. New England Journal of Medicine, 363(1), 6-9. https://doi.org/10.1056/NEJMp1000072

Tarasuk, V., Mitchell, A., & Dachner, N. (2016). Household food insecurity in Canada, 2013. Canadian Journal of Public Health, 107(3), e1-e6.

UNICEF Uganda. (2019). Maternal and Child Nutrition. UNICEF Uganda. Retrieved from https://www.unicef.org/uganda/reports/maternal-and-child-nutrition

Uganda Bureau of Statistics. (2020). Uganda National Household Survey 2019/2020. Uganda Bureau of Statistics. Retrieved from https://www.ubos.org/wp-content/uploads/publications/09_2021UNHS_REPORT_2019-20.pdf

World Food Programme. (2020). WFP Global Response to COVID-19. World Food Programme. Retrieved from https://www.wfp.org/publications/wfp-global-response-covid-19-june-2020

World Health Organization. (2008). Training Course on Child Growth Assessment. World Health Organization.

World Health Organization. (2020). COVID-19 and Food Safety: Guidance for Food Businesses. World Health Organization. Retrieved from https://www.who.int/publications/i/item/covid-19-and-food-safety-guidance-for-food-businesses

Uyanga, V. A., Bello, S. F., Bosco, N. J., Jimoh, S. O., Mbadianya, I. J., Kanu, U. C., Okoye, C. O., Afriyie, E., Mak-Mensah, E., Agyenim-Boateng, K. G., Ogunyemi, S. O., Nkoh, J. N., Olasupo, I. O., Karikari, B., & Ahiakpa, J. K. (2024). Status of agriculture and food security in post-COVID-19 Africa: Impacts and lessons learned. Food and Humanity, 2, 100206. https://doi.org/10.1016/j.foohum.2023.100206