Unravelling taboos and cultural beliefs associated with hidden hunger among pregnant and breast-feeding women in Buyende district Eastern Uganda.

BACKGROUND: Food taboos and cultural beliefs among pregnant and breast-feeding women influence their food consumption patterns and hence the health of women and unborn children. Cognizant of their neglect in programs aimed to ameliorate hidden hunger among pregnant and breast-feeding women in Buyende and other resource-poor communities in sub-Saharan Africa, we opted for a study to unravel them to inform program design. METHODS: We documented food taboos and beliefs amongst pregnant and breast-feeding women from six sub-counties of Buyende district in Eastern Uganda. A mixed-methods approach was used, which was comprised of questionnaire interviews with 462 women, eight focus group discussions with 6-10 participants in each and a total of 15 key informant interviews. RESULTS: The present study revealed that 129 (27.9%) of the respondents practice food taboos and adhere to cultural beliefs related to their dietary habits during pregnancy and breast-feeding that are fuelling the prevalence of hidden hunger. The most tabooed foods during pregnancy were sugarcane (17.8%), fishes which included lung fish, catfish and the Lake Victoria sardine (Rastrineobola argentea) (15.2%), oranges (6.6%), pineapples (5.9%), eggs (3.3%), chicken (3.3%) and cassava, mangoes and Cleome gynandra (each at 3%). Most foods were avoided for reasons associated with pregnancy and labour complications and undesirable effects on the baby. Most women learnt of the taboos and beliefs from the elders, their own mother, grandparents or mother-in-law, but there was also knowledge transmission in social groups within the community. CONCLUSIONS: The taboos and cultural beliefs in the study area render pregnant and breast-feeding women prone to micronutrient deficiency since they are denied consumption of a diversity of nutritious foods. There is a need to educate such women about consumption of nutrient-rich foods like fish, eggs, fruits and vegetables in order to improve their health, that of the unborn and children being breast fed. Additionally, culturally appropriate nutrition education may be a good strategy to eliminate inappropriate food taboos and beliefs with negative impact on the health of pregnant and breast-feeding women.

Wild edible plants used by communities in and around selected forest reserves of Teso-Karamoja region, Uganda.

BACKGROUND: The consumption of wild plants is an ancient tradition which serves multiple purposes. Cognizant that Teso-Karamoja region is frequently affected by food scarcity and is not adequately surveyed for its flora, this study sought to establish an inventory and use of wild edible plants by the communities living in and around the forest reserves. METHODS: Data was collected using semi-structured questionnaires administered to 240 respondents living in and around eight forest reserves between November 2017 and May 2018. One focus group discussion (8-12 members) per forest reserve and field excursions to collect the plant voucher specimens were also conducted. The data was analyzed using descriptive statistics, relative frequency of citation (RFC), and the factor of informants' consensus (FIC). RESULTS: A total of 100 plant species in 47 families were reported as edible. Carissa spinarum, Strychnos innocua, Balanites aegyptiaca, Tamarindus indica, and Ximenia americana presented the highest RFC, while the families Rubiaceae, Fabaceae, Anacardiaceae, Amaranthaceae, and Moraceae had more than five species each. Grasses (Poaceae) comprised only 1% of the edible species and trees 35%, while shrubs were the most important source of wild food (RFC = 0.47). The fruits contributed 63% while leaves (29%), seeds (9%), tubers (5%), and gum (1%). The fruits were considered as the most important use category (RFC = 0.78). Respondent homogeneity was none for gum but very high for seeds (FIC - 0.93). Only 36% of species are cooked, while 64% are eaten in raw. Harvesting is done rudimentarily by digging (5%), collecting from the ground (fruits that fall down) (13%), and plucking from mother plants (82%). Only 9% of the species were collected throughout the year, 27% in the dry season, and 64% in the rainy season. The consumption of these plants is attributed to food scarcity, spicing staple food, nutri-medicinal value, cultural practice, and delicacy. CONCLUSION: A high diversity of wild edible plant species exists in the forest reserves of Teso-Karamoja region. The shrubs and fruits are the most locally important life forms and use category, respectively. These edible plant species are important throughout the year because their consumption serves multiple purposes.

Wild edible plant species utilized by a subsistence farming community in Obalanga sub-county, Amuria district, Uganda.

BACKGROUND: Farming communities have continuous interactions with their environment. Subsistence farmers are particularly vulnerable to the vagaries of weather. These are pre-requisites for increased wild edible plant consumption. This study mainly focused on indigenous knowledge regarding identity and use of wild edible plant species by the subsistence farmers of Obalanga. METHODS: A multistage sampling technique was used to identify Agonga parish. Systematic random sampling was used to locate 64 respondents stratified among children, adult females and males. After obtaining informed consent and assent, data was collected through semi-structured interviews using a checklist of open ended questions, focus group discussions and guided field visits. The free listing technique was employed to obtain data on plant identity and usage. RESULTS: Fifty one (51) species in forty three (43) genera spread in thirty two (32) families were identified. Age and gender had significant effects on respondents' wild edible plant species knowledge. The majority of edible wild plant species were herbs (47.1%) while grasses (3.9%) were the least. Fruits (51.0%) were the major parts consumed while tubers and roots constituted only 2.0% each. Eating uncooked as snacks (43.1%) was the favoured mode of consumption compared to roasting (2.0%). Preservation was mainly by solar drying. Wild edible plants traded within and without Obalanga community constituted only 15.7%. Almost all the edible plant species (94.1%) do not have any specific bye-laws for their conservation. Only Mangifera indica, Tamarindus indica and Vittaleria paradoxa representing 5.9% of the species are protected by bye-laws. CONCLUSION: Disproportionate distribution of edible wild plant indigenous knowledge was noted in Obalanga with the lowest among the children. The marketed plant species in Obalanga can offer an opportunity for household livelihood diversification through value addition and trade under the umbrella of organic products. This will increase household incomes thereby contributing towards MDG 1 on eradicating extreme poverty and hunger. It is thus vital to document indigenous knowledge so that it is not lost as plant species disappear due to environmental degradation.