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Seasonality of malnutrition: Community knowledge on patterns and causes of undernutrition in children and women in Laisamis, Marsabit County, Kenya

Livestock for Health (L4H)










​FAO, UNICEF and Washington State University. 2020. Seasonality of malnutrition: Community knowledge on patterns and causes of undernutrition in children and women in Laisamis, Marsabit County, Kenya. Rome




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    Contributing to the prevention of acute malnutrition among children in pastoral households through nutrition-sensitive livestock programming in Marsabit County
    2023
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    The Food and Agriculture Organization of the United Nations in collaboration with the United Nations Children's Fund, Washington State University and other stakeholders undertook a research-oriented project referred to as ‘Livestock for Health’ (L4H), implemented between August 2018 and September 2022 in Marsabit County, an arid land located in northern Kenya. The objective of the project was to determine the effect of the provision of livestock feed with or without nutritional counselling on reducing the risk of seasonal spikes in acute malnutrition among children under five years of age and pregnant and lactating women in dry seasons in Laisamis Subcounty in Marsabit County. This good practice factsheet provides an overview of the project, including its methodological approach, implementation stages, impact and key learning.
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    Book (stand-alone)
    Livestock programming for nutritional improvements in children under five years of age and pregnant and lactating mothers
    Baseline report
    2022
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    The Livestock for Health (L4H) project is a collaborative effort between the Food and Agriculture Organization of the United Nations (FAO), United Nations Children’s Fund (UNICEF), the Marsabit County Government, the National Government of Kenya, the National Drought Management Authority (NDMA) and Washington State University (WSU). The project was made possible through the support provided by the Office of Technical and Program Quality, Bureau for Humanitarian Assistance, United States Agency for International Development (USAID), to determine the cost-effectiveness of livestock feeding interventions and nutritional counselling in reducing the risk of malnutrition among children and women in pastoral communities during the critical dry periods. The project was designed as a cluster randomized control trial with two intervention arms and one control group. Households in Intervention Arm 1 receive livestock feeds sufficient to maintain two tropical livestock units (TLUs) for 90 days during critical dry periods or drought and 7–14 days into the rain season. Households in Intervention Arm 2 receive similar livestock feeds and regular nutritional counselling carried out by trained community healthcare workers. Households in Arm 3 are the control group and do not receive any of the two interventions during the study period. The results from this baseline survey will be essential for comparing with other data which will be collected during the routine household data collection visits (six week follow-up and quarterly household visits) for monitoring trends in household milk yield, milk consumption (amount and frequency) and nutritional status across the intervention and control arms of the study over the study period. At baseline, both the intervention and control arms were comparable in household demographics, socio-economic characteristics, household livestock ownership, milk production and consumption, and maternal and child nutritional status and health. Additionally, the high prevalence of malnutrition in this study population and the data on health and intervention costs which will be collected in this study will allow for a cost-effectiveness analysis to determine if livestock feeding interventions and nutritional counselling are cost-effective in reducing the risk of malnutrition among children and women in pastoral communities during the critical dry periods.
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    Book (stand-alone)
    Twin peaks: the seasonality of acute malnutrition, conflict and environmental factors - Chad, South Sudan and the Sudan
    sep/19
    2019
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    To better understand the resilience and vulnerability of the populations in Chad, the Sudan and South Sudan, the Feinstein International Center, Friedman School of Nutrition Science and Policy at Tufts University has drawn on available secondary data on nutrition, environmental factors (rainfall, temperature and vegetation), conflict and emergency events, together with primary qualitative findings from eastern Chad and western Sudan, prioritizing community perspectives. The report findings underscore the importance of environmental variability and the persistence of climate, conflict and other shocks in relation to livelihood resilience and transformation over time. The findings also challenge long-standing assumptions about the seasonality of malnutrition and present new findings on livelihoods in countries struggling with or seeking to recover from climate, conflict and other disasters. Many humanitarian programmes have been in continuous operation in eastern Chad, Darfur and Bahr el Ghazal for over two decades. From a community perspective, the past 50 years have been a series of multiple and overlapping hazardous events, many persisting for years, exacerbating their impact and eroding resilience. At the same time, the region is characterized by environmental variability, including rainfall variability (spatially as well as seasonally, and over years) and ecological diversity. Farming and pastoralist livelihood systems characteristic of the region have co-evolved in response to this environmental variability and have adapted to manage delayed rains and drier spells. However, the long history and protracted nature of many shocks, combined with wider trends, have contributed to pivotal changes and to transformations of these livelihoods, although the dryland farming and pastoralist systems remain central to local livelihoods and the economy. The role of seasonality is further reflected in the observed patterns of different types of conflict. Our data reveal that the region has continued to suffer from high rates of acute malnutrition over the past 25 years, with seasonal peaks regularly exceeding the emergency threshold of 15 percent. Furthermore, contrary to the assumption that in a unimodal rainfall system the peak of acute malnutrition occurs at the end of the lean season, when food insecurity is at its peak, our data show that there are two peaks of acute malnutrition. The first and larger peak occurs at the end of the dry season. It is followed by a slight improvement in acute malnutrition and then a secondary but smaller peak after the lean season. Drawing on the qualitative community perspectives, our analysis points to the seasonality of livelihood systems linked with environmental variability as the crucial determinants of the twin peaks, through its effects on food security, care and health. The analysis also provides insights into the seasonality of different types of conflict, part of which is also related to seasonality of livelihood activities. The findings from this study have direct implications for household recovery, resilience and nutrition, and raise specific considerations for data collection, future research, programming and policy.

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