Are processed fruits and vegetables able to reduce diet costs and address micronutrient deficiencies? Evidence from rural Tanzania

• Published in: Public health nutrition Vol. 25; no. 9; pp. 2637 - 2650
• Main Authors: Sarfo, Jacob, Pawelzik, Elke, Keding, Gudrun B
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.09.2022
• Subjects: Adequacy; Age; Anemia; Child; Children; Community; Community Nutrition; Data collection; Diet; Female; Food; Fruit; Fruits; Households; Humans; Impact analysis; Infant; Infants; Linear programming; Malnutrition; Micronutrients; Nutrition research; Research Paper; Rural areas; Seasons; Surveys; Tanzania; Vegetables; Tanzania; Africa; Children and women; Micronutrients; Fruits and vegetables; Processed foods; Diet costs; Africa
• ISSN: 1368-9800; 1475-2727
• DOI: 10.1017/S1368980022000982

To assess the impact of integrating processed fruits and vegetables (FV) into diets in terms of diet cost reduction and ensuring nutritional adequacy year-round. Market surveys were conducted to record foods. Focus group discussions (FGD) and 24-h dietary assessments - from children and women - were carried out to determine culturally accepted dietary habits. Six processed FV were considered for addition to diets. Using the Cost of Diet linear programming tool, standards diets were first modelled, and subsequently, the processed FV were included to analyse their impact. Rural Tanzania: Mtwara and Morogoro. Market survey: 50 traders; FGD: 40 women; 24-h recalls: 36 infants aged 6-23 months, 52 children aged 6-13 years and 292 women. The standard diet costs between TZS 232 and 2368 (USD 0·3-3) daily for infants. For children aged 6-13 years, it costs between TZS 1711 and 7199 (USD 2·2-9·1) daily and the cost for the women was between TZS 2793 and 10 449 (USD 3·5-13·2). Addition of the processed FV reduced diet costs by up to 61 %, 48 % and 49 % for children aged 12-23 months, children aged 6-13 years and women, respectively. However, for infants aged 6-11 months, costs rose by up to 127 %. The processed FV addressed all micronutrient gaps in the diets except for infants aged 6-11 months, where some micronutrient intakes were unfulfilled. Processed FV could provide a feasible option to ensure availability of nutritious but cheap diets year-round. Hence, interventions to process FV into nutritious and affordable products should extensively be pursued.