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影响坦桑尼亚鲁菲吉家庭蔬菜生产干预措施可持续性的因素:一项横断面混合方法研究。

Factors influencing the sustainability of homestead vegetable production intervention in Rufiji, Tanzania: A cross-sectional mixed methods study.

作者信息

Mlalama Killian N, Matemu Athanasia, Kosia Efraim, Canavan Chelsey R, Bellows Alexandra L, Blakstad Mia, Noor Ramadhani A, Kinabo Joyce, Fawzi Wafaie W, Masanja Honorati, Mosha Dominic

机构信息

Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania.

Ifakara Health Institute, Dar es Salaam, Tanzania.

出版信息

PLOS Glob Public Health. 2022 Sep 20;2(9):e0000531. doi: 10.1371/journal.pgph.0000531. eCollection 2022.

Abstract

There is growing evidence that home vegetable gardening interventions improve food security and nutrition outcomes at the family level. Sustainability of many of these community interventions remain a challenge. This study assessed factors influencing the sustainability of homestead vegetable production intervention in Rufiji district, Tanzania, one year after the cessation of external support. This was a community based cross-sectional study using both quantitative and qualitative data collection methods. A total of 247 randomly selected women from households who participated in the homestead vegetable intervention were interviewed using a structured questionnaire. The study held four focus group discussions with women from households that participated in the intervention, and four In-Depth interviews with two extension workers, one community health worker, and one agriculture district officer. Multiple logistic regression for quantitative data and thematic analysis for qualitative data was conducted. About 20.24% (50/247) of households sustained homestead vegetable production for one year after the intervention phased out. Shortage of seeds (adjusted odds ratio = 0.65: CI = 0.46-0.93, p-value 0.018) and either manure or fertilizers (adjusted odds ratio = 1.62: CI = 1.04-2.46, p-value 0.031) were significant factors influencing the sustainability of homesteads vegetable production. In the Focus Group discussions (FGDs) and In-Depth Interview (IDIs), all participating women and extension workers reported high cost of water, destruction from free-grazing animals, agriculture pests and diseases, poor soil fertility, shortage of seeds, and lack of capital affected homestead vegetable production sustainability. Existing individual, community, and system challenges influence the sustainability of external-funded agriculture and nutrition interventions. The study findings underscore the importance of community authorities, scientists, and policymakers in having a well-thought sustainability plan in all promising external-funded interventions.

摘要

越来越多的证据表明,家庭蔬菜种植干预措施可改善家庭层面的粮食安全和营养状况。然而,许多此类社区干预措施的可持续性仍是一项挑战。本研究评估了在外部支持停止一年后,影响坦桑尼亚鲁菲吉区家庭蔬菜生产干预措施可持续性的因素。这是一项基于社区的横断面研究,采用了定量和定性数据收集方法。使用结构化问卷对总共247名来自参与家庭蔬菜干预的家庭中随机选择的妇女进行了访谈。该研究与参与干预的家庭中的妇女进行了四次焦点小组讨论,并对两名推广人员、一名社区卫生工作者和一名农业区官员进行了四次深入访谈。对定量数据进行了多元逻辑回归分析,对定性数据进行了主题分析。在干预措施逐步取消后,约20.24%(50/247)的家庭持续进行了一年的家庭蔬菜生产。种子短缺(调整后的优势比=0.65:置信区间=0.46 - 0.93,p值0.018)以及肥料或化肥短缺(调整后的优势比=1.62:置信区间=1.04 - 2.46,p值0.031)是影响家庭蔬菜生产可持续性的重要因素。在焦点小组讨论(FGDs)和深入访谈(IDIs)中,所有参与的妇女和推广人员都报告称,水成本高、自由放牧动物造成的破坏、农业病虫害、土壤肥力差、种子短缺以及缺乏资金影响了家庭蔬菜生产的可持续性。现有的个人、社区和系统挑战影响着外部资助的农业和营养干预措施的可持续性。研究结果强调了社区当局、科学家和政策制定者在所有有前景的外部资助干预措施中制定深思熟虑的可持续性计划的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6649/10022147/cdeec417e79d/pgph.0000531.g001.jpg

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