Browsing by Author "Mdlokovana, Mzoxolo Emmanuel"

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    A qualitative exploration of perceptions of women aged 21 – 55 years from Bhisho townships in the Eastern Cape, on the intake of a diverse nutrient-dense diet
    (Stellenbosch : Stellenbosch University, 2023-12) Mdlokovana, Mzoxolo Emmanuel; Daniels, Lynette Daniels; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Global Health. Human Nutrition.
    ENGLISH SUMMARY: Micronutrient malnutrition continues to persist in South Africa, even though the South African government has implemented various strategies, including the promotion of dietary diversity. Previous research has also found that people who live in low-income neighbourhoods have the lowest dietary diversity scores (DDS) compared to other demographics in South Africa. Women normally play a pivotal role in the gathering and preparation of food for their families; they therefore have a significant influence on the dietary diversity of all members of their households. There is a paucity in the qualitative research domain in South Africa in the area of dietary diversity, particularly perceptions of women concerning dietary diversity. Therefore, the aim of the study was to explore the perceptions of women 21 – 55 years regarding dietary diversity in the townships of Bhisho in the Eastern Cape. A qualitative research study was conducted using focus group discussions (FGDs). The FGD guide was developed by the researcher, guided by the objectives of the study. Purposive sampling was used to recruit the participants, by word of mouth with assistance from identified influential women in the community. The FGDs were audio recorded and the recordings were transcribed by a professional transcriber. Thematic analysis was used to analyse the data. Four FGDs (N=18) were conducted. The participants demonstrated a general understanding of dietary diversity as they associated the concept with eating a balanced diet that consists of a variety of foods which are high in nutrients. The participants also have an awareness of the benefits of consuming a variety of foods high in nutrients. These benefits include optimal immunity, provision of energy for daily activities, as well as growth and development in children. The participants perceived lack of sufficient income due to factors such as unemployment, as the main barrier to achieving a diverse diet. Cultural influences, lack of gardening resources and environmental factors such as drought and poor soil quality, were perceived to be barriers to dietary diversity. Growing their own food in the form of home gardens was perceived as the main enabling factor for dietary diversity. Empowerment of community members with knowledge of healthy eating, encouragement of youth to study and participate in agriculture, and government assistance in matters such as job creation and community empowerment initiatives, were additional perceived enabling factors for dietary diversity. Participant perceptions around dietary diversity indicate an awareness of the challenge of low dietary diversity in poorer communities as well as a willingness to address the challenge. Community members of Bhisho need assistance and encouragement in improving their intake of a varied, nutrient-rich diet and subsequently optimising their nutrition outcomes. Dietary diversity and healthy living in general could be promoted in the community through nutrition education and skills development, home gardening resources, access to arable land for commercial agriculture initiatives, and women's forums for nutrition and healthy lifestyles. To make these initiatives sustainable, there should be a focus on fostering community self-reliance.