Background: Inappropriate complementary feeding is a major contributor to child malnutrition. Previous studies have described complementary feeding practice using single indicators but a combination of indicators is needed to better explain the role of complementary feeding practices in child growth. To adequately quantify appropriate complementary feeding, we used a composite indicator comprising three of the World Health Organization (WHO) core infant and young child feeding (IYCF) indicators that relate closely to complementary feeding. Methods: A community-based cross sectional cluster survey was carried out in November 2013. The study population comprised mothers/primary caregivers and their children selected using a two-stage cluster sampling procedure. A total of 778 children aged 6-23 months were involved. Results: Of the children aged 6-23 months; 57.3 % met the minimum meal frequency, 35.3 % received minimum dietary diversity (≥4 food groups), 25.2 % had received minimum acceptable diet and only 14.3 % received appropriate complementary feeding. Multivariable logistic regression adjusted for cluster sampling showed that children aged 12-23 months were 26.6 times more likely [AOR 26.57;)] to receive appropriate complementary feeding compared to children aged 6-8 months. Children who were not bottled-fed were 2.5 times more likely to have been appropriately fed [AOR 2.51;)] compared to children who were bottle-fed in the last 24 h prior to study. Conclusions:Findings from this study demonstrate appropriate complementary feeding and caring practices by caregivers remain a challenge for most households in Northern Ghana.

Background. Information regarding how dietary diversity is related to haematological status of the pregnant women in rural areas of Northern Ghana is limited. This study therefore evaluated maternal dietary intake and how it relates to the nutritional status of pregnant women belonging to different socioeconomic conditions in Northern Ghana. Methods. This study was cross-sectional in design involving 400 pregnant women. Midupper arm circumference (MUAC) and anaemia status were used to assess the nutritional status of pregnant women. Results. The mean dietary diversity score (DDS) of the study population from ten food groups was 4.2 ± 1.5 (95% CI: 4.08 to 4.37). Of the 400 women, 46.1% (95% CI: 40.0 to 52.2) met the new minimum dietary diversity for women (MDD-W). The mean haemoglobin concentration among the pregnant women studied was 10.1 g/dl ± 1.40 (95% CI: 9.8 to 10.3). The independent predictors of haemoglobin concentration were maternal educational attainment, gestational age, frequency of antenatal care (ANC) attendance, number of under-five children in the household, size of MUAC, and maternal height. Conclusions. Irrespective of the socioeconomic status, women minimum dietary diversity (MDD-W) was not associated with anaemia among pregnant women resident in the rural areas of Northern Ghana.

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BackgroundPoor nutritional status during childhood and its long-term impact on economic growth and wellbeing is well known. This study assessed the nutritional status of children in selected communities in northern Ghana, to serve as baseline data for the Africa Research in Sustainable Intensification for the Next Generation (Africa RISING) project that sought to improve farm-household nutrition through agriculture.MethodsA cross-sectional study was conducted among children 0–59 months in selected communities in the Northern (Tibali and Cheyohi No. 2), Upper West (Goli and Zanko) and Upper East (Bonia and Sambulgu) regions of northern Ghana. A pre-tested, semi-structured questionnaire was used to obtain information on background characteristics of caregivers and children. Weight and height were measured for children following World Health Organization (WHO) procedures and transformed into z-scores using the WHO Anthro.ResultsAll the caregivers (522) were females; majority (73.4 %) had no formal education, 82.7 % were married and 70.5 % engaged in farming. In all, 533 children were recruited: Northern region (38.6 %), Upper West (33.4 %) and Upper East (28.0 %). Majority (52.5 %) of the children were males. The mean age was 32 ± 19 months. Levels of stunting, underweight and wasting were 27.2, 17.6 and 8.2 % respectively. Stunting, underweight and wasting levels increased within the first two years of life. Overall, 33.8 % of the children in northern Ghana were malnourished; 20.2 % were from the Northern region, 7.0 and 6.8 % were from Upper East and Upper West respectively.ConclusionDifferent forms of malnutrition still exist as a public health problem in various communities in northern Ghana and need to be curtailed using effective agriculture-nutrition sensitive interventions.

Across sub-Saharan Africa, chili peppers are fundamental ingredients of many traditional dishes. However, chili peppers may contain unsafe aflatoxin concentrations produced by Aspergillus section Flavi fungi. Aflatoxin levels were determined in chili peppers from three states in Nigeria. A total of 70 samples were collected from farmers’ stores and local markets. Over 25% of the samples contained unsafe aflatoxin concentrations. The chili peppers were associated with both aflatoxin producers and atoxigenic Aspergillus flavus genotypes. Efficacy of an atoxigenic biocontrol product, Aflasafe, registered in Nigeria for use on maize and groundnut, was tested for chili peppers grown in three states. Chili peppers treated with Aflasafe accumulated significantly less aflatoxins than nontreated chili peppers. The results suggest that Aflasafe is a valuable tool for the production of safe chili peppers. Use of Aflasafe in chili peppers could reduce human exposure to aflatoxins and increase chances to commercialize chili peppers in premium local and international markets. This is the first report of the efficacy of any atoxigenic biocontrol product for controlling aflatoxin in a spice crop.