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Increasing vitamin A intake through promotion of orange sweet potatoes in Western Kenya
Objective: Low retinol levels in preschool-aged children are found in Western Kenya, where white sweet potato (SP) is an important secondary staple. Survey results from 15 communities in Ndhiwa division using the Helen Keller International (HKI) food frequency method indicated that vitamin A (VA) intake was low - mean score of 4.0, well below the 6.0 cut-off for VA deficiency of public health importance.
Methods: Vines of 4 orange SP varieties were introduced to 20 women's groups in Ndhiwa and nearby Rongo. Half the women's groups were randomly allocated to receive 3 interventions to promote orange SP - nutrition education, food processing, and participatory methods to identify and overcome barriers to use.
Results: In Ndhiwa, the HKI score of the intervention groups increased from 4.8 in April 1996 to 6.4 one year later, despite drought, while the control groups decreased from 4.6 to 2.4, a net increase of 3.8 units. In Rongo, initial scores were higher and the intervention groups decreased slightly (8.9 to 8.4), while the control groups dropped substantially (8.0 to 4.3), a net increase of 3.3 units. All changes are statistically significant.
Conclusion: These results suggest that large increases in the consumption of VA-rich foods are possible with promotion, especially where it is initially low.











































