Our project investigates the changing food and nutrition environment in the context of rapid urbanization in Ghana. The overall aim is to explore food consumption patterns and practices and the factors associated with them in two Ghanaian cities (Accra and Ho). The project is divided into two interrelated work packages.
Work Package 1: Mapping social and physical drivers of EDNP food and beverage consumption
Objective: To identify how social and physical environments drive EDNP food and beverage consumption.
Study population: Women and adolescent girls, living in deprived neighborhoods, at 4 stages of the reproductive life course: i. Early adolescence (13-14y) not pregnant or lactating; ii. Pregnancy (15-49y); iii. Breastfeeding (15-49y); and iv. Women/older adolescents (15-49y) not pregnant or lactating. These groups are the most vulnerable to all forms of malnutrition and it enables us to investigate how drivers of EDNP food choices differ from adolescence through to pregnancy and motherhood. We selected adolescents starting at age 13yr as pregnancies are infrequent earlier, and because of the challenges of investigating dietary intake of younger adolescents we had in South Africa (Zingoni et al. 2009). Improving their nutritional status has potential positive implications for the targeted women/girls and offspring, offering the potential for inter-generational gains in nutrition. By focusing on the environments that drive EDNP food and beverage consumption, emerging interventions tackling these contextual factors will also benefit the wider family’s diet, e.g. husbands, grandmothers and children.
Work package 2: Prioritizing and scaling up interventions to reduce consumption of EDNP foods and beverages
Objective: To identify, prioritize and encourage scaling up of context-relevant gender interventions to reduce consumption of EDNP foods and beverages throughout the reproductive life course.
Study population: Mapping existing interventions will target government ministries and policy documents. The CRM will target community key informants; Food-EPI and the webinar will target national level stakeholders, including the agri-food sector and government. A combination of male and female representation will be sought at both local and national level.