Doctor of Philosophy / Department of Human Nutrition / David A. Dzewaltowski / The prevalence of obesity within the U.S. has risen dramatically in the past thirty years. Recent changes in food and physical activity environments may contribute to increased obesity prevalence, suggesting that disparities in these environments may be linked to the increased risk of obesity observed in low-income, and racial/ethnic minority women. This dissertation characterizes the local food environment experienced by low-income women who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Kansas, evaluates whether characteristics of the local food environment contribute to obesity risk, and examines how these relationships vary across the urban-rural continuum. Chapter One reviews the relevant literature examining the association between obesity and local food environments, and identifies three testable hypotheses that serve as the framework for later chapters. Chapter Two characterizes the local food environment and examines geographic, racial, ethnic, and socioeconomic disparities in the availability of small grocery stores and supermarkets. Chapter Three examines the association between store availability and obesity risk at an individual level among participants in the WIC Program, while Chapter Four utilizes multi-level modeling to examine the relationships between tract deprivation, tract store availability and body mass index (BMI). Significant geographic disparities were observed in the availability of small grocery and supermarkets. Racial and ethnic disparities observed within tracts were not observed when examining store availability in a 1-mile radius around the residence of WIC mothers. The majority of women participating in the WIC program resided within a 1-mile radius of a small grocery store, and micropolitan and metropolitan WIC mothers had a multiplicity of food stores available within a 3-mile radius of residence. Food store availability was associated with increased obesity risk only in micropolitan areas. The availability of food stores did not mediate the association between tract deprivation and BMI, which varied across the urban-rural continuum. Overall, these results suggest that the relationship between local food environments and eating behaviors is complex, that limited store availability does not contribute to increased obesity risk in vulnerable populations, and that the association between local food environments and obesity risk varies across the urban-rural continuum.

The aim of the study was to investigate the diet diversity, food access and coping strategies applied by single mothers with young children in the Northern Okavango region of Botswana. A qualitative and quantitative survey was chosen as the research design for this study. The study site was Gumare village in rural Ngamiland and the sample included only single female headed households. The questionnaires used were contextualized to reflect the culture, food patterns and specific foods commonly consumed in Botswana. Three questionnaires were used: 1. A socio- demographic questionnaire to document household size, age, marital status, income and water sources and the indigenous and wild foods that were gathered 2. The international standardized Household Dietary Diversity Score (HDDS) questionnaire to identify the variety of foods from fourteen food groups consumed by households over the previous 24 hours 3. The international standardized Coping Strategies Index (CSI) to determine the coping strategy behaviours of members of the household when faced with food shortages The socio demographic results of the study showed that female headed households had an average 7.4 members. They were seriously affected by poverty, as 58% of the households had registered under the Botswana Social Welfare programme as destitute. Therefore qualifies to be assisted through provision of food baskets and cash vouchers. The overall results obtained from the household dietary diversity questionnaire showed a diet diversity score of 2.0. This is an extremely low diet diversity value, which indicate a high level of vulnerability to food insecurity and inadequate food access. The foods which were mainly consumed by households were from the cereal food group, reflecting the global situation among the poor who rely on starch- based diets. The intake from dairy products (10%), meats (28%) and Vitamin A rich vegetables (16%) was limited. Given the limited food variety resulting in severe restriction to food access, coping strategies to address food shortages were employed. These included; relying on less preferred and less expensive food (100%), gathering wild food, hunting or harvesting immature crops (68%), limiting portion sizes (96%), reducing the number of meals eaten in the day (76%), depending on government food baskets (58%) and reducing overall food intake when the government food basket was not adequate (50%). It can be concluded that, given the restricted food access and a severely limited diversity in consumed food, extended government welfare assistance is crucial. The findings of this study could be used to guide the Botswana government when formulating new approaches and interventions to address food access and ultimately food security in households in this poverty- stricken area. / Agriculture, Animal Health & Human Ecology / M.A. (Human Ecology)

Equitable access to healthy food is a multifaceted issue faced by many underserved populations. Intimate understanding of individual communities’ food practices allows for the creation of community-based interventions that elaborate upon specific needs and desires. Through collaborative research and action, this study aims to become better informed of the current eating habits of community members participating in The Happy Kitchen program at Wesley Rankin Community Center in West Dallas, how those habits have changed over time, and the factors that contribute to access and utilization of a healthy diet. This research seeks to develop a dialectical relationship between the participants and GROW North Texas to design relevant cooking classes and interventions in West Dallas; thereby increasing access to and consumption of nutritious food.

There is increasing interest in linking food system policies and land use planning practices to healthier diets and healthier communities. Little is known about the process of regional food system policy making or the impact of planning and policy decisions in shaping community food environments, including healthy retail opportunities. The Region of Waterloo’s (ROW) Regional Official Plan (ROP) was adopted in 2009 and includes a progressive commitment to support the regional food system through actions to facilitate access to healthy, local food. The policies point to the multiple health, environmental, and local economic benefits of a strong and diverse regional food system and include efforts to: protect the Region’s agricultural land; permit a full range of agriculture- and farm-related uses on agricultural land (to support farmer viability); provide a mix of uses, including food destinations, within close proximity to each other; permit temporary farmers’ markets; and support community and rooftop gardens. The purpose of this research was to examine Waterloo Region’s policy and planning environment as a case study for ‘what works’ with respect to potential points of intersection for improving public health goals and addressing other community priorities. This was achieved by obtaining multi-sectoral perspectives on the ROP’s regional food policies, current food system planning practices at the local level, and access to food. The objectives of this research were: (1) to examine the process of food system policy making in Waterloo Region through multi-sectoral perspectives and to identify the key contextual factors, facilitators and barriers at the individual-, organizational- and system-levels; (2) to identify current planning policies and practices that affect the location, promotion and establishment of healthy retail outlets; (3) to describe the role and motivation of new and existing regional food system participants, including the Region’s Public Health (PH) and Planning (RP) Departments and other key food system stakeholders, in contributing to food system change; and (4) to develop a conceptual framework to illustrate the process of food system policy making and features of food system change at the regional level. In-depth, semi-structured interviews (n=47) were conducted with regional decision makers (n=15); regional and local staff experts in public health and planning (n = 16); and regional food system stakeholders (n=16). Food system stakeholders included local food producers, retailers and distributors, and representatives from other levels of government and community interest groups. Participants were recruited primarily through expert and snowball sampling and a Project Advisory Committee (PAC) was established with academic experts and representatives from PH and RP to help guide early stages of recruitment and research. Two interview guides were used and adapted from earlier tobacco policy work in the Region. All interviews were audio-recorded and transcribed verbatim and constructivist grounded theory methods were used to code and identify emerging themes from the data. Key overarching themes and sub-themes related to food system policy making and food system change included: “strategic positioning” and its underlying sub-themes of “aligned agendas”; “issue framing” and “visioning” which emerged as important ways to influence and affect policy and environmental change. The significance of “local and historical context”, “partnerships”, “multi-sectoral participation” and “knowledge transfer” also contributed to an improved understanding of food system change in Waterloo Region. “Legitimacy” was noted to be a concern in the absence of an appropriate mandate to address food system issues however by engaging in “partnerships”, one’s ability to participate ‘legitimately’ in food system change improved. An important finding was that “food access” had different meanings to participants and may reflect the various lenses through which local food system concerns are viewed. A number of key facilitators of food system policy making were identified and included: food system champions; politically astute leaders; a common issue frame; a collaborative partnership between PH and RP; external partnerships with the community; and food- and agriculture policy networks. Several key barriers to food system policy making included: new areas of practice for PH and RP staff; limited capacity to act without committed partners; inter-jurisdictional relations and tensions with municipal planners; and dominant ‘cheap food’ values. Local-level barriers affecting healthy retail access related to gaps in regional food system coordination and legislative planning support and pointed to an important disconnect between the Region’s vision for the regional food system and the current planning realities at the municipal level. Early signs of policy and environmental change to improve access to healthy food can be seen as evidence of PH’s commitment, groundwork and capacity building efforts over the past decade and their strategic alignment with other regional priorities and partners. These findings can be used to support ongoing community planning considerations in Waterloo Region and to inform similar food policy and planning initiatives in other jurisdictions. A G.E.N.E.R.A.T.E. Change Model was developed as an 8-Step guide for multi-sectoral collaboration and policy and environmental change at the regional level. Steps include: (1) ‘grounding the work’ (groundwork); (2) engaging multi-sectoral stakeholders; (3) negotiating positions and partnerships (establishing legitimacy); (4) exchanging knowledge (ideas and policy options); (5) recognizing points of intersection for policy and environmental change options; (6) aligning agendas, establishing a common issue frame, and setting a vision for change; (7) transferring expert knowledge to decision makers; and (8) evaluating policy and environmental change. At a time when there is mounting interest and consideration of possible food policy strategies at federal, provincial and regional-levels in Canada, findings from this research serve as an important example of how multiple cross-sectoral benefits can be achieved through coordinated and collaborative action.

There is increasing interest in linking food system policies and land use planning practices to healthier diets and healthier communities. Little is known about the process of regional food system policy making or the impact of planning and policy decisions in shaping community food environments, including healthy retail opportunities. The Region of Waterloo’s (ROW) Regional Official Plan (ROP) was adopted in 2009 and includes a progressive commitment to support the regional food system through actions to facilitate access to healthy, local food. The policies point to the multiple health, environmental, and local economic benefits of a strong and diverse regional food system and include efforts to: protect the Region’s agricultural land; permit a full range of agriculture- and farm-related uses on agricultural land (to support farmer viability); provide a mix of uses, including food destinations, within close proximity to each other; permit temporary farmers’ markets; and support community and rooftop gardens. The purpose of this research was to examine Waterloo Region’s policy and planning environment as a case study for ‘what works’ with respect to potential points of intersection for improving public health goals and addressing other community priorities. This was achieved by obtaining multi-sectoral perspectives on the ROP’s regional food policies, current food system planning practices at the local level, and access to food. The objectives of this research were: (1) to examine the process of food system policy making in Waterloo Region through multi-sectoral perspectives and to identify the key contextual factors, facilitators and barriers at the individual-, organizational- and system-levels; (2) to identify current planning policies and practices that affect the location, promotion and establishment of healthy retail outlets; (3) to describe the role and motivation of new and existing regional food system participants, including the Region’s Public Health (PH) and Planning (RP) Departments and other key food system stakeholders, in contributing to food system change; and (4) to develop a conceptual framework to illustrate the process of food system policy making and features of food system change at the regional level. In-depth, semi-structured interviews (n=47) were conducted with regional decision makers (n=15); regional and local staff experts in public health and planning (n = 16); and regional food system stakeholders (n=16). Food system stakeholders included local food producers, retailers and distributors, and representatives from other levels of government and community interest groups. Participants were recruited primarily through expert and snowball sampling and a Project Advisory Committee (PAC) was established with academic experts and representatives from PH and RP to help guide early stages of recruitment and research. Two interview guides were used and adapted from earlier tobacco policy work in the Region. All interviews were audio-recorded and transcribed verbatim and constructivist grounded theory methods were used to code and identify emerging themes from the data. Key overarching themes and sub-themes related to food system policy making and food system change included: “strategic positioning” and its underlying sub-themes of “aligned agendas”; “issue framing” and “visioning” which emerged as important ways to influence and affect policy and environmental change. The significance of “local and historical context”, “partnerships”, “multi-sectoral participation” and “knowledge transfer” also contributed to an improved understanding of food system change in Waterloo Region. “Legitimacy” was noted to be a concern in the absence of an appropriate mandate to address food system issues however by engaging in “partnerships”, one’s ability to participate ‘legitimately’ in food system change improved. An important finding was that “food access” had different meanings to participants and may reflect the various lenses through which local food system concerns are viewed. A number of key facilitators of food system policy making were identified and included: food system champions; politically astute leaders; a common issue frame; a collaborative partnership between PH and RP; external partnerships with the community; and food- and agriculture policy networks. Several key barriers to food system policy making included: new areas of practice for PH and RP staff; limited capacity to act without committed partners; inter-jurisdictional relations and tensions with municipal planners; and dominant ‘cheap food’ values. Local-level barriers affecting healthy retail access related to gaps in regional food system coordination and legislative planning support and pointed to an important disconnect between the Region’s vision for the regional food system and the current planning realities at the municipal level. Early signs of policy and environmental change to improve access to healthy food can be seen as evidence of PH’s commitment, groundwork and capacity building efforts over the past decade and their strategic alignment with other regional priorities and partners. These findings can be used to support ongoing community planning considerations in Waterloo Region and to inform similar food policy and planning initiatives in other jurisdictions. A G.E.N.E.R.A.T.E. Change Model was developed as an 8-Step guide for multi-sectoral collaboration and policy and environmental change at the regional level. Steps include: (1) ‘grounding the work’ (groundwork); (2) engaging multi-sectoral stakeholders; (3) negotiating positions and partnerships (establishing legitimacy); (4) exchanging knowledge (ideas and policy options); (5) recognizing points of intersection for policy and environmental change options; (6) aligning agendas, establishing a common issue frame, and setting a vision for change; (7) transferring expert knowledge to decision makers; and (8) evaluating policy and environmental change. At a time when there is mounting interest and consideration of possible food policy strategies at federal, provincial and regional-levels in Canada, findings from this research serve as an important example of how multiple cross-sectoral benefits can be achieved through coordinated and collaborative action.

The aim of the study was to investigate the diet diversity, food access and coping strategies applied by single mothers with young children in the Northern Okavango region of Botswana. A qualitative and quantitative survey was chosen as the research design for this study. The study site was Gumare village in rural Ngamiland and the sample included only single female headed households. The questionnaires used were contextualized to reflect the culture, food patterns and specific foods commonly consumed in Botswana. Three questionnaires were used: 1. A socio- demographic questionnaire to document household size, age, marital status, income and water sources and the indigenous and wild foods that were gathered 2. The international standardized Household Dietary Diversity Score (HDDS) questionnaire to identify the variety of foods from fourteen food groups consumed by households over the previous 24 hours 3. The international standardized Coping Strategies Index (CSI) to determine the coping strategy behaviours of members of the household when faced with food shortages The socio demographic results of the study showed that female headed households had an average 7.4 members. They were seriously affected by poverty, as 58% of the households had registered under the Botswana Social Welfare programme as destitute. Therefore qualifies to be assisted through provision of food baskets and cash vouchers. The overall results obtained from the household dietary diversity questionnaire showed a diet diversity score of 2.0. This is an extremely low diet diversity value, which indicate a high level of vulnerability to food insecurity and inadequate food access. The foods which were mainly consumed by households were from the cereal food group, reflecting the global situation among the poor who rely on starch- based diets. The intake from dairy products (10%), meats (28%) and Vitamin A rich vegetables (16%) was limited. Given the limited food variety resulting in severe restriction to food access, coping strategies to address food shortages were employed. These included; relying on less preferred and less expensive food (100%), gathering wild food, hunting or harvesting immature crops (68%), limiting portion sizes (96%), reducing the number of meals eaten in the day (76%), depending on government food baskets (58%) and reducing overall food intake when the government food basket was not adequate (50%). It can be concluded that, given the restricted food access and a severely limited diversity in consumed food, extended government welfare assistance is crucial. The findings of this study could be used to guide the Botswana government when formulating new approaches and interventions to address food access and ultimately food security in households in this poverty- stricken area. / Agriculture, Animal Health and Human Ecology / M.A. (Human Ecology)

Introdução - As comunidades negras rurais vivem desigualdades sociais de saúde e enfrentam problemas de Segurança Alimentar e Nutricional (SAN). Este estudo coloca em perspectiva a alimentação das famílias de uma área quilombola em Aquiraz: CE explorando a dimensão alimentar do conceito de SAN sob os aspectos das práticas de consumo, produção, acesso e disponibilidade alimentares. Objetivos - Caracterizar saberes e práticas alimentares relacionados à segurança alimentar nutricional, identificar a alimentação e sua disponibilidade dentro de sistemas produtivos; descrever o perfil antropométrico dos indivíduos e verificar os determinantes socioambientais que constroem essa alimentação; descrever o comércio local; identificar os alimentos disponíveis, as formas de abastecimento e as relações existentes entre comerciantes e quilombolas. Metodologia - Estudo descritivo quanti-qualitativo realizado em distintas etapas, utilizando multimétodos e as técnicas: grupo focal, observação, fotografias, entrevistas e antropometria. Os alimentos de consumo foram identificados através de um questionário alimentar. Resultados - O padrão alimentar das famílias revelou uma boa variedade de alimentos e mostrou singularidades quanto à forma e obtenção de alimentos, classificação e utilização destes. Foi confirmada e reforçada a importância da macaxeira como alimento básico local, apesar das mudanças ocorridas nos sistemas alimentares de subsistência. Quanto ao estado nutricional, houve um predomínio da eutrofia e prevalência de excesso ponderal. Os comércios são estruturas familiares e tem uma grande variabilidade alimentar. A renda de aposentadorias, benefícios sociais e trabalhos rurais movimentam o comércio. As relações são de confiança e dependência. Os alimentos mais vendidos são arroz, feijão, açúcar, macarrão e farinha. Considerações finais - Os padrões alimentares e práticas persistem, mas apresentam elementos de transição da agricultura para o comércio. Alguns alimentos/comida são centrais para a identidade coletiva: macaxeira, farinha e feijão. O comércio garante variabilidade de alimentos e para o acesso cria mecanismos de facilitação de compra e venda. Na direção de SAN identificou-se a necessidade de políticas voltadas para o desenvolvimento local que promovam a segurança alimentar e nutricional através do incentivo à agricultura familiar, diminuindo a dependência de programas sociais / Introduction - The black rural communities in Brazil experience a life of social inequality and face serious food insecurity, nutritional and health problems. Taking into consideration this fact, this study seeks to put into perspective the feeding practices of a quilombola, a community in Aquiraz, a city in the state of Ceará. It explores the Nutrition and Food Security (SAN) concept by examining practices of consumption, production, access and availability. Objectives The aim of the present research can be outlined as follows: to characterize knowledge and food practices, to determine the availability of food within productive systems, to describe the anthropometric profile of families, to investigate the socio-environmental determinants of feeding practices, to describe factors such as the local market, types of food and trader/ customer relationship. Methodology - A quantitative and qualitative descriptive study was carried out in different stages, based on focusgroups, observation, photographs, interviews and anthropometry together with a food questionnaire. Results - The household dietary pattern of the local community was found to have a wide variety of food. Moreover, the study highlighted peculiarities with regard to type of food, its production, classification and use. Several changes were noted in the subsistence-food systems, but the importance of cassava as a local basic food was confirmed. With regard to the nutritional state of the people, there is a prevalence of eutrophia, and high level of underweight and obesity in adults. The local businesses are family-based and trade is driven by the money from pensions, social benefits and the wages of rural workers. The relationship between the traders and customers is based on mutual trust and dependence. There are different kinds of supply systems and storage facilities. The most widely sold foodstuffs are rice, beans, sugar, pasta and flour. Final Considerations The traditional eating patterns and practices of the community persist, but there are signs of a transition from agriculture to trade. Some foods are an essential feature of the collective local identity- manioc, cassava flour and beans. The traders ensure there is a range of food and create mechanisms that encourage the purchase and sale of their products. With regard to SAN there is a need for local development policies to promote food security and nutrition by reducing the families dependency on social programs

abstract: Disparities in access to healthy food are a key public health concern in the United States (U.S.) Food access is considered as a critical element of food insecurity. Food insecurity can often be prevalent in a region due to lack of healthy food outlets as well as inequitable access to healthy food outlets. A large body of literature pertaining to access to healthy food has reported that conventional food outlets such as supermarkets and large grocery stores may not be equitably distributed across different neighborhoods in a region. There has been limited research on local food access patterns. Despite the few studies focused on access to individual types of local food outlets, such as farmers markets, little is known about whether such access varies among different types of local food outlets and how such access patterns compare with the uneven access to conventional food outlets. This study uses Maricopa County, one of the largest counties in Arizona, as a case study to examine the spatial patterns of access to conventional food markets (i.e. supermarkets or large grocery stores) and four different types of local food outlets, including farmers market, community garden, community supported agriculture (CSA) and mobile food markets. By analyzing the association between healthy food access and neighborhood characteristics, the study suggests that the local food system has a great potential in providing healthy food access to low-income and minority populations of the County than conventional food outlets. The study provides important insights into the way different types of local food outlets offer their availability in space and whether they are more equitable in serving underserved neighborhoods. The findings from this study can assist both government agencies and city planner formulate strategies to improve access to healthy food in disadvantaged neighborhoods. / Dissertation/Thesis / Masters Thesis Urban and Environmental Planning 2020

Introdução - As comunidades negras rurais vivem desigualdades sociais de saúde e enfrentam problemas de Segurança Alimentar e Nutricional (SAN). Este estudo coloca em perspectiva a alimentação das famílias de uma área quilombola em Aquiraz: CE explorando a dimensão alimentar do conceito de SAN sob os aspectos das práticas de consumo, produção, acesso e disponibilidade alimentares. Objetivos - Caracterizar saberes e práticas alimentares relacionados à segurança alimentar nutricional, identificar a alimentação e sua disponibilidade dentro de sistemas produtivos; descrever o perfil antropométrico dos indivíduos e verificar os determinantes socioambientais que constroem essa alimentação; descrever o comércio local; identificar os alimentos disponíveis, as formas de abastecimento e as relações existentes entre comerciantes e quilombolas. Metodologia - Estudo descritivo quanti-qualitativo realizado em distintas etapas, utilizando multimétodos e as técnicas: grupo focal, observação, fotografias, entrevistas e antropometria. Os alimentos de consumo foram identificados através de um questionário alimentar. Resultados - O padrão alimentar das famílias revelou uma boa variedade de alimentos e mostrou singularidades quanto à forma e obtenção de alimentos, classificação e utilização destes. Foi confirmada e reforçada a importância da macaxeira como alimento básico local, apesar das mudanças ocorridas nos sistemas alimentares de subsistência. Quanto ao estado nutricional, houve um predomínio da eutrofia e prevalência de excesso ponderal. Os comércios são estruturas familiares e tem uma grande variabilidade alimentar. A renda de aposentadorias, benefícios sociais e trabalhos rurais movimentam o comércio. As relações são de confiança e dependência. Os alimentos mais vendidos são arroz, feijão, açúcar, macarrão e farinha. Considerações finais - Os padrões alimentares e práticas persistem, mas apresentam elementos de transição da agricultura para o comércio. Alguns alimentos/comida são centrais para a identidade coletiva: macaxeira, farinha e feijão. O comércio garante variabilidade de alimentos e para o acesso cria mecanismos de facilitação de compra e venda. Na direção de SAN identificou-se a necessidade de políticas voltadas para o desenvolvimento local que promovam a segurança alimentar e nutricional através do incentivo à agricultura familiar, diminuindo a dependência de programas sociais / Introduction - The black rural communities in Brazil experience a life of social inequality and face serious food insecurity, nutritional and health problems. Taking into consideration this fact, this study seeks to put into perspective the feeding practices of a quilombola, a community in Aquiraz, a city in the state of Ceará. It explores the Nutrition and Food Security (SAN) concept by examining practices of consumption, production, access and availability. Objectives The aim of the present research can be outlined as follows: to characterize knowledge and food practices, to determine the availability of food within productive systems, to describe the anthropometric profile of families, to investigate the socio-environmental determinants of feeding practices, to describe factors such as the local market, types of food and trader/ customer relationship. Methodology - A quantitative and qualitative descriptive study was carried out in different stages, based on focusgroups, observation, photographs, interviews and anthropometry together with a food questionnaire. Results - The household dietary pattern of the local community was found to have a wide variety of food. Moreover, the study highlighted peculiarities with regard to type of food, its production, classification and use. Several changes were noted in the subsistence-food systems, but the importance of cassava as a local basic food was confirmed. With regard to the nutritional state of the people, there is a prevalence of eutrophia, and high level of underweight and obesity in adults. The local businesses are family-based and trade is driven by the money from pensions, social benefits and the wages of rural workers. The relationship between the traders and customers is based on mutual trust and dependence. There are different kinds of supply systems and storage facilities. The most widely sold foodstuffs are rice, beans, sugar, pasta and flour. Final Considerations The traditional eating patterns and practices of the community persist, but there are signs of a transition from agriculture to trade. Some foods are an essential feature of the collective local identity- manioc, cassava flour and beans. The traders ensure there is a range of food and create mechanisms that encourage the purchase and sale of their products. With regard to SAN there is a need for local development policies to promote food security and nutrition by reducing the families dependency on social programs

Household food security has been described with a three-factor definition: 1) the availability of food, 2) the access thereto, and lastly 3) the food utilization patterns and practices. In previous research, both the availability and access to food were studied in a farming community in the Free State Province to understand how these factors contribute to household food security. However food utilization was not investigated at the time. Food consumption patterns of households deserve attention, particularly in relation to food gardens and nutrition, including the cultivation cycle, dietary norms and practices, and methods of food preparation and preservation. By studying utilization patterns of foods, the context of food insecurity and the resultant malnutrition can be better understood. The purpose of this study was to investigate whether the food utilization strategies of a known food crop (spinach) can be used to establish efficient utilization of a new, unfamiliar crop (orange-fleshed sweet potato) in a farm worker community. Three focus group interviews were conducted with a total of 21 participants to determine current food utilization patterns of spinach and orange-fleshed sweet potato (OFSP). The women were asked to describe how they currently utilize these crops in the same focus iv group discussion (although the focus was on the known crop (spinach)) to understand what actions they take during the process of utilization, from access to disposal. They were asked to describe which tools and methods they apply, and who participates in all these various activities. Subsequently, the respondents were asked to perform all these steps while being observed to record current practices. Data from the focus group interviews and the observations were transcribed and categorized under themes. It was found that in addition to a lack of dietary diversity and subsequent malnutrition found discovered in another study of this community, that they are also not optimally utilizing their food. This is as a direct result of lack of access to a variety of food due to monetary constraints, lack of nearby shops, a lack of cultivation and production education about crops that can be home-produced, and a lack of knowledge about nutrition and the importance of a varied diet. A food-based approach to improve the lack of knowledge of home-produced crops and nutrition was, consequently, the focus of this utilization strategy. This information was used to design a food-based strategy to improve the utilization of an unfamiliar crop (OFSP), in areas where the food crop was not being utilized optimally. Although the strategy was developed based on observations and lessons from one specific community, the principal findings were used to develop a strategy that is generic to the implementation of an unfamiliar food crop, and can then be refined for a specific community before implementation. A complete training manual was developed to complement the food-based strategy. The researcher then tested the strategy with agricultural extension officers who are active in communities where food insecurity and malnutrition exist during a training programme hosted by the Agricultural Research Council - Roodeplaat. The agricultural extension officers provided input on the strategy and identified areas for improvement. These recommendations were adapted in a manual to ensure that the developed strategy could be broadly implemented in other communities. The overall conclusion of the study is that it is necessary to investigate and understand all elements of the food utilization system to truly understand the reasons for observed behaviour, habits and practices. Planning and developing a nutrition education programme requires systematic analysis of nutrition and health-related problems in a given community. It is evident that each step of the utilization cycle is equally critical and should enjoy comparable attention to facilitate delivery of nutrient-rich foodstuffs to the end user. / Dissertation (MConsumer Science)--University of Pretoria, 2012. / gm2014 / Consumer Science / unrestricted