Globalisation of East African Diets With special focus on Kenya, Tanzania and Uganda Raschke Verena Matrikelnummer:9831084 WS 2004/2005 Seminar: Ernährungsökonomie (Prof. Dr. Onyeji Chibo) 1 Introduction Rapid changes in diets and lifestyles that have occurred with industrialization, urbanization, economic development and market globalization have accelerated over the past decade. This is having a significant impact on health, nutritional status and food habits of populations, particularly in developing countries and in countries in transition. Food and food products have become commodities produced and traded in a market that has expanded from an essentially local base to an increasingly global one. Changes in the world food economy are reflected in shifting dietary patterns. (4) Uganda, Tanzania and Kenya, as developing countries, are in a process of transition between traditional and modern lifestyles. The population of the three countries is dispersed by different ethnic, ecological and economical backgrounds. (2) It is therefore rather difficult to make a general statement on the globalisation of East African diets as a whole. The present paper looks at the impact of the driving forces of diet change and the importance of food habits in Kenya, Tanzania and Uganda. General information The annual population growth rate has been around 3% between the year 1990 and 2000 in all the three countries of East Africa, Uganda, Tanzania and Kenya, respectively. Furthermore, 75% to 80% are the economically active proportions of the total population in all the three countries. Although Uganda has the smallest land area of the three countries with 197.100 sqkm, it has the highest percentage of agricultural land as proportion of total land with 62.3%, followed by Tanzania and Kenya, both with approximately 45%. The differences in the staple food patterns and the differences in agricultural land allocation are presented very clearly in Figure1 below. Looking at the proportion of total land Tanzania has 39.60% of land under pasture; Kenya 37.40% and Uganda 25.9%, respectively (see Table 1). Uganda, Tanzania and Kenya are low-income agricultural economies. Table 1 provides a picture on the population, land and socio-economic data of the three countries. Tanzania’s livestock constitutes 15% to the GDP which is the highest rate compared to the other two countries, Kenya and Uganda, where livestock constitutes 13.8% and 8.1% to GDP, respectively. Furthermore, Tanzania had the highest agricultural GDP with 45.10% as a proportion of total GDP but it showed only ten part GDP per capita annual growth rate between the years 1999-2000. Of the three countries, Kenya showed a decline in GDP per capita annual growth rate of 0.7% between these periods of time with the lowest value of agricultural GDP as proportion of total GDP of 25.60%. (1) 2 Figure 1: Crop zones in Tanzania, Kenya, Uganda (FAO 1997) Main Crop Zones Driving forces of diet and nutrition change Food habits in Kenya, Tanzania, and Uganda have changed in the past few decades without question However, in many cohorts within these countries, baseline empirical data is lacking, especially for children. Knowledge in nutrition has increased enormously in the last decades. Nevertheless, there is evidence of a lower incidence of vitamin deficiency in the past and of less protein-calorie deficiency. The dietary changes that characterize the “nutrition transition” include both qualitative and quantitative changes in the diet. The adverse dietary changes include shifts in the structure of the diet towards a higher energy density diet with a greater role for fat and added sugars in foods, greater saturated fat intake, reduced intake of complex carbohydrates and dietary fibres and reduced intake of fruits and vegetables. These poor countries will also continue to face food shortages and nutrient inadequacies during this transition. (4) Population and land pressure In East Africa, slow economic growth has been accompanied by rising urbanisation and a growth in rural population between the 1980 and 2000 which is shown in Table 2. By 2000, the degree of urbanisation was estimated with 3.3% in Uganda, 11.3% in Tanzania and 10.23% in Kenya, respectively. It is projected that by 2015 the figures could be as high as 8.17% for Uganda, 22.79% for Tanzania and 18.87% for Kenya, respectively. Although Table 2 demonstrates an increase in population 3 during 1990-2000, the annual growth rate showed a smaller acclivity compared to the time period of 1980-1990. Increasing urbanization will have consequences for the dietary patterns and lifestyle of individuals, not all of which are positive. The societies of Kenya, Uganda and Tanzania are in the middle of a societal transition in which “traditional” and “modern” lifestyles co-exist. This transitory period has influenced food habits, as recognized in empirical investigations. Food habits based on traditional practices are changing due to the influence of societal development. (2) The process of diet transformation can be seen as involving two separate stages: (i) Income-induced diet diversification. As the start of the process of faster economic growth, diets diversify but maintain predominantly traditional features; (ii) Diet globalisation. As globalisation begins to exert its influences, we see the adoption of markedly different diets that no longer conform to the traditional local food habits. During income induced diet diversification, economic prosperity enables consumers to afford a more varied and balanced diet. In this stage, the demand for food would still be largely directed towards traditional foods. As growth consolidates and the economy opens up to globalisation, households starts to adopt food consumption patterns that differ from the traditional diet. The new dietary habits reflect global patterns, and could significantly differ from the habits that have developed locally over many generations, as demonstrated in several studies on income induced diet diversification in China and India. For example, in East Africa consumers especially exhibit strong preferences for sodas and juices and other highly processed convenient drinks all of which are readily available in the emerging supermarkets.1 (3) This trend could be one of the reasons why the consumption of sugar and sweeteners increased from the 1990s. A critical implication for globalisation is the severing of the link between diets and the local availability of resources and local habits. In the stage of diet globalisation in particular, consumers have access to varieties of food that were not previously available to them. (3) The process of diet globalisation has been clearly assisted by the global media. Increasing numbers of people have regular access to print and electronic media, thus reducing the impact of public service messages delivered via these channels of communication. Mc Donald’s, Coca Cola and Pepsi have been able to broaden their products to specific films or personalities. These multinational corporations also often sponsor sporting events that have global coverage creating appeal for their products, particularly among younger consumers. The internet, in particular, has broadened the advertising possibilities for these companies. (3) 1 The adoption of a globalised diet should be seen as a dynamic process: once the national diet opens up to the world influence, it will always be subject to ongoing changes. Thus, over a longer time horizon, we may continue to see a sequence/series of discontinuous structural breaks. Future generations may start to consider the energy dense diet as their traditional diet and move away from this to one that is healthier with increased income. (See Popkin 1993) 4 We also have to take into account that as more women enter the labor force, the traditional role of the East African house wife to be in charge of food preparation is eroding. Although women may still have prime responsibility for providing the daily meals, the nature of these meals has changed. Foods requiring reduced preparatory time as compared to traditional dishes are more likely to be consumed by families in which females are responsible for earning a living. It has to be considered that food preferences of older age groups tend to be relatively static over time and there may be increased expenditure on superior foods which tend to be prepared according to long-standing customs and practices. Younger generations are more readily influenced by new foods, particularly when these are introduced through advertising campaigns that target these younger cohorts specifically. This divergence between the dietary habits of the young and old tends to persist for a long period of time, if not indefinitely. Generally, lifetime eating habits formed at a young age are difficult to reverse as one grows older. (3) Furthermore, there is always a fluctuation in prices of food because of seasonal changes and availability. With price increases, there is a greater demand for the cheaper foods and a falling off in nutritional value. Higher prices obtained from cash crops encourage the farmer to plant more of such crops while his family and the surrounding community are forced to eat less nutritious foods. Environmental Emergencies such as seasonal shortages, famines, epidemics, expulsion and resettlement, and wars may result in alterations in dietary customs. Such practices are sometimes permanently adopted. The disparities of different food habits in countries like Kenya, Uganda and Tanzania are huge. For example in Kenya the urban population can still be further classified into at least three categories: the wealthy class who are the minority; the middle class who are mainly professionals, and the poor urban who mostly engage in unskilled and often manual work. The rural community may be divided into three distinct classes: the middle class who are again professionals, farmers on their own land who have a steady income from some business, and the rural poor who engage in manual tasks for their living. Such a distinction in different groups can readily be observed within different communities and regions of these countries. Food habits among these various socioeconomic categories differ markedly, although empirical data are difficult to obtain at present. (2) Furthermore, Kenya, with its multiple ethnic groups, has varying traditional drinks and dishes, prepared in many different ways with the ultimate intention of providing a balanced diet. There are also food taboos that either have or may not have a nutritional effect on the people concerned. For example, among the Mbeere, children were not allowed to eat offal as it was believed that this would interfere their growth. Among traditional Maasai, pregnant woman are advised to avoid fatty foods, and instead drink cow’s blood, sour milk and lots of water. These practices force women to vomit following a heavy meal with intent to keep the baby small at birth and thus ensure a safe delivery. Some of these taboos have a scientific basis while a number cannot be justified. 5 Mutton is preferred to leaner goat meat in Nyanza, while fish, which is a staple food in the Lake Basin and the coast, is still viewed with considerable suspicion in central and eastern Kenya. (2) These illustrations of the manifold of different food practices and benefits also exist in Tanzania and Uganda in different ways. Therefore, sociocultural/economic barriers make it difficult to get information on food habits. Under such conditions studying food habits becomes a lengthy, costly and tedious task and it would be very efficient to have electronically available data and information on food habits. (2) Apart from socio-economic problems, the lifestyles of certain ethnic groups also make it difficult to obtain information on food habits. This is especially true of Nomadic groups such as the Maasai and Pokot. Their food habits are dictated by the type of environment they settle in at any given time. Thus, a true picture with regard to such communities cannot be summarized through a traditional survey method of data collection. (2) Trends in diet diversification in Kenya, Tanzania and Uganda Food patterns and food consumption When we talk about globalisation of East African diets and food habits it is very important to have information on staple food patterns and to know the nutrient intake of each country. For this reason some of the most important food consumption developments will be described in the following section. During the 1970s plantains were most common in Uganda and around Lake Victoria and in the west and the Kilimanjaro regions of Tanzania. Millet was common in the eastern and northern parts of Uganda, in the Nyanza region of Kenya, and in Tanzania from south of Lake Victoria up to the Central-Region. The remaining regions had maize as the staple food the West Nile region in Uganda, Rift Valley, Central Region, and in large sections of the Eastern Region in Kenya and in a belt which stretches from Pare and Usambara mountains in the north, taking in the central parts of Tanzania. Rice areas were along the coast, islands and in some riverine areas like Tana in Kenya and Rufiji in Tanzania. Cassava played an important role in many parts, mostly as a reserve food. Meat and milk were only significant among pastoral people like the Masai, Samburu and Turkana who live on the dry steppes. The general custom is to have two meals a day. Often breakfast is omitted and during planting and harvest time there is only time for one main meal. The women are responsible for both house-work and field-work and the fields are scattered. The main dishes are cereal porridge or stew plantain, a diet which contains rather little fat. Spices are added, and rarely milk. Legumes, green leaves and some other vegetables and, more rarely, fish or meat are supplementary items of the diet. Fruit is not commonly eaten; it is more used as snacks for children. The diet is more or less monotonous, especially among pastoral people. In times of food shortage only the staple foods are available. 6 Such a diet of cereals, lacking in fat, is insufficient for an adult. The monotony of the diet is harmful as it lacks balance and results in malnutrition. The share of food consumption patterns is very different throughout Kenya, Uganda and Tanzania which should be taken into consideration by interpreting the FAOSTAT figures presented in Table 5 to Table 7. Whereas cereals and sugars accounted for 51% and 12% between 1990 and 1994 in Kenya, cereals and roots and tubers had a proportion of 49% and 21% of daily calorie intake in Tanzania as shown in Graph 1 and 2. Interestingly, Uganda listed root and tubers with 30%, vegetable and fruits with 27% and cereals with 21% as proportion of major foods in calorie consumption (see graph 3). Graph 1-3: Major foods in daily calorie intake of Kenya, Tanzania and Uganda (Source. FAO) Diets evolve over time, being influenced by many factors and complex interactions. Income, prices, individual preferences and beliefs, cultural traditions, as well as geographical, environmental, social and economic factors all interact in a complex manner to shape dietary consumption patterns. Data on the national availability of the main food commodities provide a valuable insight into diets and their evolution over time. FAOSTAT figures presented in Table 5 to Table 7 below give some impressions of the food availability in Kenya, Tanzania and Uganda. Food Balance sheets give a complete picture of supply (including production, imports, stock changes and exports) and utilization (including final demand in the form of food use and industrial non-food use, intermediate demand such as animal feed and seed use, and waste) by commodity. Although such average per capita supplies are derived from national data, they may not correspond to actual per capita availability, which is determined by many other factors such as inequality in access to food. Likewise, 7 these data refer to “average food available for consumption”, which, for a number of reasons (for example waste at the household level), is not equal to average food intake or average food consumption. In the following section of this paper, therefore, the terms “food consumption” or “food intake” should be read as “food available for consumption”. (4) The average caloric intake per capita per day in East Africa was approximately 22002300 kcal in the 1960s and approximately 2350 kCal in 2002. Interestingly, Tanzania showed the lowest calorie intake in 2002 (1975 kCal), whereas Kenya displayed the highest calorie intake (2677 kCal), followed by Uganda (2410 kCal). The calorie intake is often below the recommended daily intake (RDI) but in several areas, it is quite sufficient. The variance in day to day consumption is quite narrow when compared with dietary surveys in Europe, perhaps due to the simpler food pattern and lack of variety. The lower calorie intake should as well be considered in relation to the general weight level of the African population; calorie intake is closely related to weight. In general, cereal consumption increased from the 1960s to the 1970s throughout East Africa, reaching its highest values in 1970 in Kenya and Uganda (1261 cal/cap/day and 591 cal/cap/day). Interestingly, cereal consumption decreased from the 1970s to the 1980s, and onward to the 1990s, when it began to increase slightly. Among the cereal products, there was a large increase in wheat consumption, whereas the consumption of millet decreased markedly in all three countries between the 1960s and 2002 (Table 5 to 7). Tanzania In Tanzania, as presented in Table 5, there was an increased consumption of all main food groups during the 1970’s. Consumption of cereals and vegetables increased substantially. The largest proportional increase was in the consumption of wheat, maize, sorghum, sweet potatoes, pulses and vegetable oils. Animal product consumption increased until the 1970s, including substantial increases in milk and fish consumption (Table 5). The consumption of alcoholic beverages demonstrated a large increase, while the use of sugar and sweeteners declined from the 1970s on. The 1980s, by contrast, saw significant changes in the food consumption. There was a marked decrease in the consumption of cereals and vegetable products, whereas the consumption of animal products was modest. Cereal consumption saw a large decline in millet and a modest decline in wheat, maize, sorghum, sweet potatoes and oil crops, whereas the starchy roots, pulses and cassava consumption increased. With respect to animal products, there was an increase during this period of time, particularly for meat and fish and a modest increase in animal fats. Consumption of sugar and sweeteners, and alcoholic beverages decreased to a large extent (Table 5). During the 1990s, cereal consumption increased substantially, especially the consumption of wheat, sorghum and sweet potatoes. Also sweeteners and sugars as well as alcoholic beverages showed an increase during this period of time. Besides that, there was a decline in maize, starchy roots, cassava, pulses and oil crops. 8 Looking at the animal and vegetable products we can recognize a modest decrease in consumption. Among the vegetable products there was only a marked increase in vegetable oils. In the animal products there was a decline across all food with exception to milk which showed an increase in consumption. Kenya Food consumption patterns of Kenya (see Table 6) highlight that the largest proportional increase among the vegetable products was in cereals until the 1970s. Wheat, maize, sugar and sweeteners, vegetable oil and alcoholic beverages were the only vegetable products in which an increase could be noted. During the 1980s, consumption of vegetable products began to decline, whereas cereals showed the highest decrease until the 1990s. There was a modest decrease in the consumption of wheat, maize, millet, sorghum, starchy roots and cassava sugar crops and oils crops with an interestingly high decrease of stimulants and alcoholic beverages into the 1990s. Sweet potatoes, sugar and sweeteners, pulses as well as vegetable oils showed a modest increase, whereas the consumption of fruit changed immensely into the 1990s. From the 1970s until the 1990s there was a large increase in animal products, whereas the highest increase could be noticed in the consumption of meat, milk and eggs in 2002. Next to the animal products, vegetable produce demonstrated a significant change in the food pattern consumption. The cereal consumption increased after the 1990s. The consumption of starchy roots, sugar and sweeteners, vegetable oils, vegetables, stimulants and alcoholic beverages had a modest increase. A large increase could be seen in the wheat consumption. The highest decrease among the vegetable products could be recognized in the maize, pulses and fruits. Overall, the consumption of millet, sorghum and oil crops did not change markedly during that decade as shown in Table 6. When we take a closer look on the food intake and dietary patterns of Kenyan households, we will recognise that their diets are mostly cereal based, with tubers and a variety of vegetables and fruits available. White maize, sorghum and millet are high in phytate and fiber, which inhibit the absorption of micronutrients such as zinc and iron which has to be thought of. Uganda During the 1960s the consumption of vegetable and animal products increased in Uganda (Table 7). Among the vegetable products, the largest proportional increase was in the consumption of sweet potatoes. All the vegetable products showed a modest increase during that decade except of sorghum, starchy roots, cassava and fruits which declined in their consumption. In the 1970s consumption in vegetable products began to fall until the 1980s. Interestingly, the consumption of cereals and wheat declined during that decade, reached the lowest point of consumption in the 1990s and increased again until 2002 whereas the wheat consumption was at the highest point in 2002 from the 1960s on. During the 1980s the maize consumption continued to increase and reached its highest value in 2002. The consumption of millet and sorghum declined in the 1980s and reached the lowest values in 2002. Interestingly, the cassava consumption was 9 very high in the 1990s and declined until 2002. After the decrease in the consumption of sweet potatoes, sugar, sweeteners and vegetable oils in 1970 a modest decreased could be noted until 2002. The increase in sugar crop, pulses and oil crop consumption in the 1980s was followed by an increase in their consumption which started in the 1990s. The consumption of stimulants, including coffee, tea and cocoa beans increased throughout the period of the 1960s to the 1990s. Overall, the consumption of animal products modestly increased from 1963 until 1990, and slightly decreased toward 2002, whereas only the meat and fish consumption had a modest increase during these decades and declined after 1990. The consumption of animal fats reached its highest point in the 1990s after a lower consumption during the 1960s and 1970s and has levelled off on a lower value by 2002. The high milk consumption throughout the 1950s saw a modest increase until the 1980s and started to increase again very slightly in the 1990s. It is important to note that although consumption of animal products increased throughout these decades in all of these countries, annual growth rate of meat, milk and eggs demonstrated a large decline between 1990 and 2000 (see table 4). Only Tanzania showed a slight increase in the milk and egg consumption during that period of time. The reduction of per-capita income due to poor economic performance has brought about a decline in milk and meat consumption in Kenya. Although the annual consumption of meat (total), milk and eggs increased since the 1980’s and will still increase by 2015 the annual growth rate from 1990-2000 displayed a large decrease compared to 1980-1990 (see table 4) because increased food consumption and population growth stand next to each other. Although households may own cattle, goats and poultry, commonly these are not consumed. Adults and nomadic communities consume more meat than no pastoralists. Lakeside and Oceanside communities do not consume adequate amounts of fish. Poor households have a limited capacity to grow and purchase food; therefore they have more nutrient deficiencies. Early weaning to cereal porridge deprives the infant of protein and other nutrients from human milk. Other milk is only consumed in small amounts in sweetened tea. Older children eat adult diets, which are extremely bulky and hard to digest. In general Kenyan children have inadequate intakes of energy, fat and micronutrients and an urgent need to increase the intake of animal source foods. Today, per-capita calorie availability decreases as well and chronic undernutrition, which affects over 10% of children, is today primarily associated with insufficient dietary intake rather than poor health. (1) It is interesting to note that the use of wheat in the diet is changing as well with the highest increase in wheat consumption noted in Kenya which could be explained by the increase in wheat imports. This could mean that there is for example a move away from the traditional eaten ugali, a boiled/steamed mash, prepared from maize flour in Kenya. In some communities in Western Kenya, ugali is prepared from flour of indigenous cereals, millet or sorghum. Furthermore, the high decreases in maize, millet and sorghum consumption in Kenya throughout the 1990s could reflect the change in cereal consumption with a tendency versus wheat. This statement can not be generalized for East Africa because in Tanzania and Uganda an increase in maize consumption could be noted and only Uganda showed the same decline in millet and sorghum consumption as Kenya. 10 Overall, Kenya is the one out of the three countries in East Africa where the food patterns changed most over the years. As the FAO food balance sheets demonstrate, Kenya had the highest increase in sugar, sweeteners, pulses, vegetables, stimulants, animal fats, eggs and milk until 2002 compared to Tanzania and Uganda which reflects that Kenya has a higher consumption of energy dense foods. Kenyan people are moving away from the traditionally consumed food that was much more nutritious than what the majority of the people are consuming now. Another reason for the change in food habits and increases in calorie intake in Kenya could be that the local government has been implementing orthodox macroeconomic policies and structural reforms since 1993, which culminated in the June 2003 Economic Recovery Strategy for Wealth and Employment Creation (ERSWEC). This program seeks to address major macroeconomic vulnerabilities and lays the groundwork for strong economic and employment growth and poverty reduction. In particular, it intends to reduce the domestic debt to a sustainable level, to restructure public spending in favour of poverty reduction outlays and investment, to reorganize the public sector, and to place anticorruption strategies at the top of the policy agenda. (1) Kenya runs a deficit in trade balance. The main agricultural imports include wheat, rice and fertilizers; agricultural exports include tea, coffee, horticultural and fishery products. Kenya is a net, although modest, importer of meat and milk. The government has recently formulated a comprehensive strategy that seeks to set up an overall co-coordinating authority with the aim of increasing exports. (1) About 45% of the total land area is agriculturally productive. The other parts, are mainly used for pastoral farming, are semi-arid to arid, and characterized by low unreliable and poorly distributed rainfall which all has an impact on food security. (1) In the last two decades per-capita livestock production and productivity have been stagnant. The Kenya Rural Development Strategy identifies a number of productions and productivity constrains to be addressed: 1) poor governance in key agriculture institutions; 2) lack of capacity by the private sector to take over functions previously performed by the state, incomplete markets and weak marketing systems; 3) poor or insecure access to land and to farm credit, high cost of farm inputs, and heavy taxation of farmers through local authority taxes, 4) high prevalence of HIV/AIDS affecting agricultural productivity; 5) low level of public funding and inefficient use of public resources resulting in inadequate and inefficient rural infrastructure; 6) inappropriate technology and inadequate funding for research and extension services. (1) This illustration reflects very clearly how many factors can have an impact on nutrition security and that it is impossible to solve the problem by finding and using “one true solution”. All of the facts mentioned above are linked together and have to be seen as a whole when it comes to development strategies. Uganda undertook structural reforms which could be one of the reasons for the increase in calorie intake since the 1960s. This started when the government of Uganda initiated an Economic recovery Programme in 1987 and since 1990 has successfully undertaken structural reforms embracing liberalised markets for agricultural inputs and outputs, trade and investment. In the early 1990s a civil 11 sector reform was implemented, and in 1997 the Local Government Act decentralized substantial political, financial and planning responsibilities from the central to local government units. However, as Table 3 suggests, annual growth rates in pastured and cropped land had a lower increases in the years 1999-2000 as compared to respective growth rates in the 1980s, during which time the total agricultural land had an annual growth rate of 1.1%. The annual growth rate for cropped land was 1.9% from the year 1980-2000 which was the highest value in this period compared to Kenya and Tanzania. (1) Macroeconomic stability is a central objective of the government’s current economic policies. The following targets have been set for medium-term macroeconomic management: (i) achieving real annual GDP growth rates of 7%, (ii) maintaining a competitive market-determined exchange rate, (iii) holding gross international reserves at around 5 months of imports of goods and non-factor services, and (iv) maintaining low inflation (not more than 5% per annum). (1) Ugandan farmers fall into three typologies: subsistence, semi-commercial, and commercial. Subsistence farming is practiced by three-quarters of households, producing predominantly for home-consumption and using traditional technologies. Only coffee and tea are grown in large modern estates. (1) Smallholder farmers own about 90% of all cattle and almost 100% of goats, sheep and poultry. About 40% of rural households keep chickens and other poultry, about 20% own cattle, and almost one third own goats. Since almost 42% of rural dwellers are estimated to be poor, policies favouring the livestock sector could contribute to poverty reduction. (1) Livestock sector has increased over the last two decades, but increases have not kept pace with population growth. Furthermore, output growth has been achieved by increases in livestock numbers, while productivity (carcass wt/yield and offtake rate) has been stagnant for most meat production, with only pigs and poultry sharing minor improvements in offtake rates. (1) Uganda runs a trade deficit of around 10% of GDP, which reflects the composition of the import basket (manufactures, equipment and machinery) as compared to the narrow export basket (for the most part coffee and other cash crops), despite a number of recent efforts to diversify agriculture exports from traditional towards nontraditional crops, such as sesame seeds, maize, beans, horticulture and fish. The European Union is Uganda’s main trading partner. As a result of regional integration, trade with other sub-Saharan African countries has been increasing and today Kenya is the largest single supplier, accounting for nearly one quarter of total merchandise imports. (1) Where to go? Early European travellers reported that the African had a good diet. Livingstone was surprised to see the variety of foods eaten by the Wagogo in Central Tanzania. (5) Several eating habits were observed; plenty of green leaves were eaten with very high vitamin A content. It would therefore be an excellent idea to use dark green leafy vegetables with high contents in vitamin A as a food based approach to 12 improve the nutritional status of malnourished people. Also, millet was much more common with the huge advantage that it can be plant in very dry regions. Furthermore it contains a very high protein and fat content compared to maize and sorghum. (6) But food shortages were already common in former times. Instead of wild leaves more European vegetables are used. Also, traditional breakfast (for example “uji”) is often replaced by tea, more foods are bought and food taboos are disappearing. (7-9). Outside influences have brought about these changes. Arabs and Europeans have introduced new ideas, methods, crops, health services and work opportunities. The ecological balance has been disturbed, death rates, epidemic diseases and population growth increased dramatically. To fight against malnutrition and micro nutrient deficiencies it is very important to adapt a multidisciplinary approach which has a long-term effect. A high level of education is necessary before the selection of foods is related to more nutritious foods. Supplementation can be used as a short term intervention to reach the regions with the highest prevalence of malnutrition and food fortification is a very effective way when larger populations groups want to be accommodated. It is very important to know which foods to fortify because they should be locally accepted. Furthermore they should be regional available, consumed on a regular basis and the bioavailability of the foods should be high as well. Studying food habits and making them available to scientists and the public is a very important future aspect. It can just be repeated that we have to discover what, where, how and why people eat. The nutrition is a key element in solving the major problems in the developing world. We can not help developing countries by making them dependent on industrialized countries through food aid or supplementation over years they have to cope with their problems by themselves. Financial stability, trade reform, civil conflicts, governance, water and sanitation are just a few factors which have to be thought of when solving the problem of hunger. It is important to learn from problems of the past and to elicit if it is in the interest of all. For example a lot of developing countries profited from the green revolution where an increase in yield was aimed but the higher the yield the lower the nutritional value of the foods, a major aspect that has to be thought of. Such schemes however, must run parallel with education before the adaptation to change leads to better health. 13 Tables Table1: Human population, land and socio-economics General Information Tanzania Uganda Annual population growth rate (1990-2000) 3,10% 3,0% Population 80% 78,10% as proportion of economically active population Agricultural land as proportion of total land 62,3% 45,20% Land under pasture as proportion of total land 25,9% 39,60% GDP annual growth rate (1990-2000) GDP per capita annual growth rate (19902000) Agriculture, GDP as proportion of total GDP Livestock, GDP as proportion of total GDP Kenya 2,70% 75,40% 45,40% 37,40% 6,4% 2,80% 1,80% 3,3% 40,3% 8,1% 0,10% 45,10% 15,00% -0,70% 25,60% 13,80% Tanzania Kenya Poverty incidence (2002-3) Uganda Total 37,7% 41,60% 42,00% Urban 12,2% 24,40% 29,30% Rural 41,7% 49,70% 46,40% Source: (FAO) Food and Agriculture Organization of the United Nations: Livestock information, sector analysis and policy branch. 2004. Table 2 Human population trends Population segment Annual growth rate (%) Uganda Total Rural Urban 1980 12,47 11,37 1,10 1990 17,36 15,42 1,97 2000 23,49 20,16 3,33 2015 39,34 31,20 8,17 1980-1990 3,40 3,10 5,90 1990-2000 3,10 2,70 5,60 Tanzania Total Rural Urban 1980 18,84 16,06 2,78 1990 26,04 20,39 5,65 2000 35,12 23,79 11,33 2015 49,34 26,56 22,79 1980-1990 3,30 2,40 7,40 1990-2000 3,00 1,60 7,20 2015 1980-1990 40,00 3,70 21,13 2,70 18,87 8,00 United Nations: Livestock 1990-2000 2,70 1,30 6,10 1990 2000 Kenya 1980 23,57 30,67 Total 16,37 17,91 20,44 Rural 13,74 5,66 10,23 Urban 2,63 Source: (FAO) Food and Agriculture Organization of the information, sector analysis and policy branch. 2004. 14 Table 3: Trends in agricultural land Land type Uganda Agricultural, total Cropped1 Pastures Annual growth rate (%) 1990-2000 1980-1990 0,3 1,1 0,4 1,9 0 0,2 Tanzania Agricultural, total Cropped1 Pastures 0,1 1 0 0,1 1,2 0 0,1 0,5 0 0 0 0 Kenya Agricultural, total Cropped1 Pastures 1 Arable and permanent crops Source: (FAO) Food and Agriculture Organization sector analysis and policy branch. 2004. of the United Nations: Livestock information, Table 4: Trends in annual consumption of meat, milk and eggs (1000 metric tonnes) Uganda Product Meat, total Beef Sheep and goat Pig Poultry Milk, total Eggs, total Tanzania Product Meat, total Beef Sheep and goat Pig Poultry Milk, total Eggs, total Kenya Product Meat, total Beef Sheep and goat Pig Poultry Milk, total Eggs, total Annual growth rate (%) 1980-1990 1990-2000 3,6 2,5 -0,6 1,7 2,9 3,2 21,2 3 3,9 4,1 2,2 1,5 3,7 2,8 1970* 113 1980 145,7 86,1 16,4 8,4 20,3 339,2 7,9 1990 207,5 81,5 21,8 57,6 29,6 420,6 11,4 2000 266,3 96,8 29,9 77,5 44,1 485,9 15 2015 376,9 162,7 39,9 96,8 77,5 852,3 27,1 1970* 139 1980 176,4 128,3 26 4,5 17,7 471,3 33,2 1990 261,4 194,9 31,3 9 26,2 605,3 38,7 2000 304,9 212,7 38,8 12,6 40,7 781,2 53,6 2015 503,3 345,4 54,4 14,8 88,8 1233,6 93,2 1980-1990 4 4,3 1,9 7,2 4 2,5 1,5 1990-2000 1,6 0,9 2,2 3,4 4,5 2,6 3,3 1970* 186 1980 1990 2000 2015 255,9 348 404,1 601,7 181,7 240 278,6 367,4 38,4 56 58,8 84,4 3,4 5,5 10 20 32,4 46,4 56,7 129,9 1043,3 2274,8 2313,6 3320,1 15,2 31,9 45,2 70,3 1980-1990 3,1 2,8 3,8 4,9 3,7 8,1 7,7 1990-2000 1,5 1,5 0,5 6,2 2 0,2 3,5 * Source: FA0STAT, FAO Source: (FAO) Food and Agriculture Organization of the United Nations: Livestock information, sector analysis and policy branch. 2004. 15 Table 5: Food consumption in Tanzania Product (Unit used in cal/cap/day) 1962 1970 1980 Grand Total 1733 1692 2197 Cereals, Excluding Beer 650 539 1071 Wheat 38 44 51 Maize 435 350 711 Millet 50 40 67 Sorghum 63 48 104 Starchy Roots 523 501 461 Cassava 471 450 371 Sweet Potatoes 49 44 73 Sugarcrops 0 0 0 Sugar and Sweetners 74 87 67 Pulses 76 92 116 Treenuts 2 2 2 Oilcrops 34 49 42 Total veg product 1598 1537 2065 Vegetable Oils 51 65 89 Vegetables 33 35 30 Fruits 89 109 90 Stimulants* 0 0 0 Alcoholic Beverages 62 54 93 Total animal product 135 154 132 Meat 48 51 47 Animal Fats 17 18 15 Milk, Excluding Butter 51 55 38 Eggs 3 4 5 22 Fish, Seafood 11 22 *Coffe, Tea, Cocoa Beans Table 6: Food consumption in Kenya Product (Unit used in cal/cap/day) 1962 1970 1980 Grand Total 2168 2222 2188 Cereals, Excluding Beer 93 1261 1245 Wheat 76 79 151 Maize 934 1016 986 Millet 68 60 27 Sorghum 93 88 56 Starchy Roots 213 206 176 Cassava 136 126 108 Sweet Potatoes 41 49 52 Sugarcrops 7 7 12 Sugar and Sweetners 135 156 202 Pulses 190 174 61 Treenuts 0 0 1 Oilcrops 19 17 18 Total veg product 1934 2002 1961 Vegetable Oils 37 40 113 Vegetables 18 16 16 Fruits 76 63 16 Stimulants 1 1 61 Alcoholic Beverages 51 58 52 Total animal product 234 219 226 1990 2066 1008 44 689 29 69 484 432 38 0 42 105 2 32 1922 95 25 73 0 54 143 52 16 38 4 29 2002 1975 1016 91 657 35 90 372 296 65 0 78 91 1 27 1850 124 18 50 0 68 125 50 9 43 3 17 1990 1928 893 120 727 14 21 159 88 55 9 205 69 2 8 1651 155 17 97 1 35 277 2002 2677 1197 1056 5 4 5 178 0 235 1 1 5 1991 211 62 19 23 56 686 16 Meat Animal Fats Milk, Excluding Butter Eggs Fish, Seafood 86 9 123 3 4 81 10 112 3 6 86 12 111 3 6 Table 7: Food consumption in Uganda Product (Unit used in cal/cap/day) 1963 1970 1980 Grand Total 2300 2420 2061 Cereals, Excluding Beer 527 591 463 Wheat 13 26 14 Maize 122 168 173 Millet 286 298 188 Sorghum 98 89 69 Starchy Roots 523 498 541 Cassava 322 187 308 Sweet Potatoes 181 298 215 Sugarcrops 4 4 10 Sugar and Sweetners 118 129 24 Pulses 199 217 186 Treenuts 0 0 0 Oilcrops 182 215 66 Total veg product 2158 2275 1918 Vegetable Oils 45 53 18 Vegetables 14 13 13 Fruits 324 284 423 Stimulants 0 1 0 Alcoholic Beverages 218 266 170 Total animal product 142 145 143 Meat 57 58 59 Animal Fats 11 8 5 Milk, Excluding Butter 49 47 47 Eggs 2 2 2 26 Fish, Seafood 17 25 Source: FAOSTAT, FAO 74 7 170 5 14 239 25 371 27 8 1990 2322 448 7 194 173 57 624 389 218 8 29 233 0 132 448 28 14 471 0 169 164 76 14 42 2 26 2002 2410 514 43 260 120 47 568 307 232 5 85 227 0 170 2260 37 14 484 4 151 149 74 9 46 2 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E.A. Med J 1962; 39:362. 9. Latham MC: Malnutrition in East Africa. J. Trop. Med. Hyg. 1964; 67:90. 10. Laurie W and H. Trant.: A health survey in Kwimba District, Tanganyika. East African Medical Survey. Monograph, East African High Comission. 1954; No. 3. Copyright: Dieses Manuskript ist urheberrechtlich geschützt. Es darf ohne Genehmigung der Autorin weder ganz noch teilweise verwertet werden. Vor allem darf es nicht ohne Angabe der Autorinnen ganz oder teilweise mündlich oder schriftlich zitiert, ohne Angabe der Autorin ganz oder teilweise in Auszügen abgeschrieben, fotokopiert, in elektronische Systeme gespeichert oder in sonstiger Weise vervielfältigt werden. Kopien oder Abschriften ohne Angabe der Autorin stellen nicht genehmigte Vervielfältigung, Wiedergabe und Verwertung außerhalb der Bestimmung des Urheberrechts dar und werden gerichtlich verfolgt. 18