Updated on 01.12.2014
Proposed Questions for Interviews with young mothers aged 15-25 years.
- Interviewer will ask the mother age, marital status, level of education and number of children below 5 years living with her at home. This is to obtain some demographic information about the interviewee.
- Do you know the advantages of eating vegetables? Where did you get this information from? Please mention some advantages you know?
- What food do you prepare for yourself and your child on a normal day? How many meals do you feed the child a day? How many times do you eat a day?
- How often do you feed your child and yourself on vegetables and fruits? Where do you get them from?
- Are there any challenges you face in feeding your child with fruits and vegetables?
- We are would like to teach women to grow their own vegetables in a soil bag, would you be willing to participate in such a project? (Interviewer will briefly describe the soil-bag garden project) What do you expect to benefit from such a venture?
M2M 1: Anemic and pregnant… there are some cases. But not many. You know every pregnant woman is given iron and folic acid supplements and this helps them.
M2M2: Underweight and pregnant… I have not yet seen a case. Anemic mothers, if you compare the cases we see to the Ministry of Health Target, they are many. I see about seven cases a month.
M2M 3: You can’t say those iron supplements help them. Most women come for the first ANC late! Like at the end of the second trimester because she feels healthy. So the cases we see here may not represent the full problem.
M2M 1: I see some cases of underweight and anemic children. They are mostly between 6 months and three years. The ones between 0 to 6 months are rarely underweight because we tell the mothers to only breast feed them… they are not even supposed to give them water.
M2M 2: It’s when they start weaning the babies that we see problems coming in.
M2M 3: Some children become underweight because they fall sick. Especially the with HIV.
M2M 2: We put new mothers that cannot feed themselves on food support, because they have need to eat well to get breast milk. So you see for mothers who cannot breast feed, we give them powdered milk and the baby is ok. The ones that can breast feed cannot be put on food support, and when they begin weaning they get malnourished.
M2M 3: But I hope you know that all cases we put on food support are HIV clients. Not all new mothers who cannot afford food are eligible for food support.
M2M 1: Yes, we tell them when they come for ANC, on home visits and clinic days. You see that chart (she points at a large chart on the wall) we tell them that to stay healthy you should eat a balanced diet which has foods like that.
M2M 2: Its part of the ANC education. For weaning a child, we tell them to mash pawpaw or potatoes and mix with some milk for the baby, passion fruit juice freshly made and not bought from the supermarket, water melon, some eggplant and mashed pumpkin… we tell them a lot of things.
M2M 3: One of the duties of a mother to mother educator is to educate about eating properly.
M2M 2: The children also get sick and do not eat well, so they become underweight and anemic. Some leave the babies with housemaids when they go to work. And you know a maid cannot care for your child the way a mother will do it. They may not give the baby food on time.
M2M 3: By the way some women just do not care about feeding the baby well. You can tell a person everything but it’s up to them to put it into practice. We see this mostly in the young girls whose boyfriends left them to care for an unwanted child by themselves. Those girls do not care. But their biggest problem is they are poor.
Do you think teaching them how to grow vegetables in soil bags will help these ladies?
M2M 1: If it gives them a source of income, then it will help. Also it will reduce the cases of anemic children and women. Medicine cannot replace food. So even if we treat them here, and they still do not eat healthy, the problem is not solved. It will help them.
M2M2: Yes it will help. But the problem will be getting them to put in the effort. Town people are biased the minute you mention farming. Maybe you show them someone who has done it in town. Otherwise these ladies are stubborn.
M2M3: You try it out and see. Have you done interviews with some mothers about your project? (Interviewer answered “Not yet”) Now you go and ask them if they are willing. The idea is good though. It will give them no excuse to get some of these diet related illnesses.
Updated On 24.11.2014
With the collaboration of Send A Cow, Uganda http://www.sendacow.org/uganda, an agricultural NGO that is teaching the children at Kampiringisa Rehabilitation center a variety of gardening skills, we set up an exposure visit on Friday 21st October, 2014, to interview the children on how to set up a good soil bag garden and get insight on the yield and challenges one would expect from it. Because of the nature of the facility we are not allowed to use pictures of the children on public media but we took pictures of their soil-bag gardens.
One needs two nylon sacks or polythene bags. One bag is not strong enough to hold the weight of the soil. Then mix soil with manure in a 2:1 ratio i.e. two basins of soil with one of manure. Pour one basin of the mix in the sack. Place an open cylindrical tin in the middle of the sack and pack it with stones. Then with the tin still in the sack, pour more soil mix in the sack, around the tin. Repeat this process until the sack is full. Punch holes around the sack making sure they are not too close together. Prop the bag against the wall or tie it to support stands to keep it upright. Your sack is now ready to plant vegetables.
The stones in the sack ensure that water is circulated evenly throughout the soil. The holes in the sides are outlets where one can grow more of the vegetables.
The children explained that they always get a good harvest from the bags. Last season they sold the excess cabbage, carrots and egg plants from the bags because they could not eat it all. They cautioned that one must adhere to the 2:1 ratio of soil and manure because the vegetables might grow too big before they are ready.
Alice, a 17 years old girl, explained that a soil bag garden is better than a ground garden because it requires little effort for starting and maintenance yet yields a lot. She says she has grown a wide range of vegetables on her sack like cabbage, egg plants, carrots, pumpkin leaves, sukumawiki, tomatoes and Irish potatoes. She has saved enough to support herself when she leaves the rehabilitation center.
The children explained that there seem to be no challenges with the gardens in the rural areas. The bag is off the ground and so pests rarely attack the plants and since they are fast growing vegetables, they do not get diseases before harvest. They anticipated that since our project will be in slums, we might need to protect the bags from destructive children, home animals like goats and chicken.
About Kampirimgisa Rehabilitation Center
Kampiringisa National Rehabilitation Centre is Uganda’s only juvenile detention centre (prison for children). It is located in the Mpigi District on the outskirts of the capital city, Kampala. The center run by the Ugandan Ministry of Gender, Labour and Social Development is mandated to detain young males and females in conflict with the law from the ages of 12 to 18, however it also houses many children under 12 street children who have not been convicted of any crime but merely rounded up and dumped from the streets of Kampala. Some parents bring their “stubborn” children to the center for a short time. The children we interviewed were helpful. They explained the process in great detail and answered all questions asked, breaking off to make jokes and tell personal experiences.
According to FANTA-2 (Food And Nutrition technical Assistance II project) 2010, most common forms of malnutrition in Uganda were chronic malnutrition and micronutrient deficiencies, in particular, deficiencies in iron (prevalence of 73% among under-fives and 49% among women of reproductive age) and vitamin A (20% among under-fives) Chronic malnutrition is persistent lack of access to necessary vitamins and minerals in early childhood, leading to health problems later in life even if the patient later receives adequate nutrition. The consequences of Vitamin A deficiency include growth failure, depressed immunity, blindness, aneamia and depressed cognitive function.
This is unfortunate given that Uganda is a land of plenty; anything grows once planted due to the good climate and fertile soil. Green vegetables like pumpkin leaves, ‘doodo’ and sukumawiki are seen as weeds yet they grow everywhere even in the urban areas. These are foods rich in iron and Vitamin A.
In urban areas, especially slums, there is no land to grow one’s own food. The cost of living in the urban setting in Uganda is very high and many young people are unemployed. Many young mothers face the dilemma of ensuring that their child has at least one meal a day. They therefore opt for cheap fried snacks like cassava, pancakes, chapattis, doughnuts and buns. These foods lack the nutritional content to boost immunity and the mother and child regularly fall sick, incurring heavy medical expenses. The long-term economic impact of this is estimated at USD 310 million annually due to lost productivity and health services to the sick.
Soil- bag gardens, also known as vertical gardens, provide an easy and economical way to grow nutritious vegetables on the veranda or small backyard of slum homes. Most initiatives with soil-bag gardens have been done in Kenya slums, and since they have been successful in ensuring food security for many child-headed households there, we would like to use this approach in Uganda.
Soil-bag gardens require so little ground area and labour that a pregnant woman living in a slum can do it. By the end of her term, she will not only have fed well during the pregnancy but also have nutritious food for the baby when she starts weaning it.
There’s a variety of food that can be grown and these include: pumpkin, Irish potatoes, sukumawiki, cabbage, carrots, tomatoes and onions. All these are foods that are rich in Vitamin A and iron. In fact, these could become a source of income for the mothers when well-maintained to get a good harvest.