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6 Conclusions and discussion

6.1. The growth of the children has levelled off in the ages between 8 and 18 months

Results
Under the age of 6 months the proportion of moderate malnutrition with children is little, but after the age of 8 months most children are in the zone of moderate or severe malnutrition.

If you look at the weight diagrams for children born in the same month (appendix 6), you find that children born in January, February or March have the most severe weight development. April seems to be a good month to be born, the other months seems to have equal status. The fact that April-born children have a good weight development might depend of the fact that the appropriate time for additional food in the diet coincidences with the harvest time, which guarantees a good access of food of all sorts. But for the children born in January and February the need for additional food rises during the time of the cultivation, when the supply of food is scarce, and there is little time to prepare food. Of course there are also other influencing factors when it comes to the development of children's weight.

In conclusion one can state that the development of children's weight in Chikal deviates from the normal curve in the way that the weight almost levels in the ages of 8 to 18 months. Before the age of 6 months, the weights are almost normal. After the age of 18 months, when the children are old enough to serve themselves, the weight starts to increase again, but it is still proportionately lower than the normal curve.

6.2. Food in Chikal

Results
In appendix 3 there is a compilation of food plants in Chikal.

6.2.1. The most important plants

The supreme plant in Chikal for the diet is millet (appendix 3:E2), which is the main ingredient of the diet. The time of cultivation for millet is to sow in June-July and harvest after two or three months, in November at the latest. The range of use consists of two main dishes: fura (appendix 2:M3) which is a gruel considered as the national dish of Niger, and tuwo (app. 2:M1) which is a paste. Tuwo is eaten together with a sauce, miya (app. 2:M2), which normally is based on the leaves of the baobab (app. 3:A1) or rather often also on ladies' fingers, which is a fruit (app. 3:B1). Also other leaves can be used in miya (app. 3:A5, A6, A7).

The two dishes fura and tuwo/miya cover a great part of the diet, but a common dish is also the leafy dish sagai (app. 2:M5) often made of pea leaves (app. 3:B10) and sometimes of sour-sour (app. 3:A7) but it can also be made from some other leaves (app. 3:A3, A4, A12, A13). The seeds of sour-sour are used to make daudawa (for cooking see app. 3:A7) which is an important ingredient in nearly all cooking.

Then cowpeas (app. 3:B10) is used in some dishes, but the peas themselves are primarily for resale. But the leaves are used as food both for humans and for animals.

6.2.2. Plants that are cultivated in dry season

Some plants have been introduced recently in the area in connection with dry season cultivation with the assistance of watering. Cabbage (app. 3:A2), lettuce (app. 3:A8), squash (appendix 3:B7), tomato (app. 3:B8), aubergine (app. 3:B9), carrots (app. 3:D2) and potatoes (app. 3:D5) are included in this group. Of course some of the other plants are also cultivated as dry season cultivation now when there is a possibility to do so. Among the plants are: sour-sour (app. 3:A7) and Spanish pepper (app. 3:B4)

6.2.3. Fruit trees

Most of the fruit trees have no names in French or in Swedish, and their English names have recently been ascertained. The only fruit in the list of appendix 3 that is well known is the date. It does not grow in Chikal, but it is still included, as it can be bought on the market.

6.2.4. Roots

It is the sweet variety of cassava (app. 3:D4) that is eaten. The bitter one is not used as a food but as shelter around the sweet cassava to discourage possible "tasters" at the borders of the fields. The cassava is cooked but can also be eaten raw.

Two roots (app. 3:D6, D7) whose Latin names are unknown are included in the list. They are available only in the rainy season and could thus not be found during the time of the investigation.

6.2.5. Is resin an addition to the diet?

At the end of appendix 3 there is a special group of acacia (F1) the resin of which is eaten regularly. Future investigations will have to show if this is to be considered as an important addition to the diet.

6.3. Comments to the food investigation

Results
The fact that a third of the meals were based on fura can be considered as acceptable from nutritional point of view, if it were not for the distorted apportionment. In 17 cases two of the meals of the day were based on fura, in one case all three. It is evident that fura may play a too dominating role in certain families, especially in the poor families but also in those who are well off.

6.3.1.Improved stoves

Another advantage with the improved clay stoves is the fact that you can touch them on the outside without burning yourself. Burns with children are common, received when they try to creep or to walk to their mother at the open fire. Metal stoves protect from the fire itself, but they are very hot on the outside.

The inquiry about stoves was not very comprehensive, so it might happen that more households than those mentioned use the old technique with three stones. It is quite evident that at least 25% of the households are still using this energy wasting method, a figure that is far too high. The encouraging statement that "all have improved stoves" was not quite true. Well half of them had improved stoves, and many of these (a third) were broken.

6.3.2.Diet and nutrition

To meet the energy need with only fura would mean drinking nearly 4 litres a day for a grown-up person. Guyton reports the approximate daily loss of water at warm weather to be about 3.3 litres, which can be doubled at hard work. This makes that it is most certainly not an impossible task to consume 4 litres within a day. One thing that makes it complicated is the fact that the gruel is rather granulous and thus thicker in the bottom of the bowl. And when the sediment is reached, more water is added to get a normal consistency for the gruel. Most certainly this is the explanation why the amount of dry substance in the analysed samples of fura varied so much (20, 16 and 14%). The most liquid gruel contained only two thirds the nutrient content.

6.3.2.1. Supply of food substances

The basic foodstuffs, millet and sorghum, have like other cereals a low content of vitamins A and C. But the content of iron in millet is high. If the energy need is covered only by millet this means that the need of protein is about covered and that the intakes of iron, calcium and thiamine are more than enough. The intakes of riboflavin and niacin will be somewhat low, while the intakes of vitamins A and C will be insufficient.

Vitamin A ought to come from the green leaves used, for instance the leaves of the baobab tree. The ladies' fingers, which is the alternative to baobab, has a comparably low content of vitamin A. Sour-sour contains, according to information given, quite a lot of vitamin A, but it disappears when the leaves are dried in the sun. More research is needed about the contents of vitamin A in the food. Above this the only new crop of the dry season which contains vitamin A to any larger extent is the carrot. It remains to see if this root will become a common plant, but it looks as if it has been well accepted by the population.

As to vitamin C, there are many important sources among leaves, vegetables and roots. The only question is how much vitamins are left after cooking.

6.3.2.2. Comments

It is difficult to make any judgement of the nutritional situation, as needed data are lacking both as regards to nutritional content and to amounts of consumption. It is quite evident that more research is needed in order to make a map of which fruits etc. are important and of their nutritional content. The importance of fura for the diet and its potential as additional food for sucklings should also be studied closer.

6.4. Questions and comments about PTV

Results
The "package" of technique means the use of fertilisers. This might mean that in spite of the fact that production increases, the amount available for consumption might decrease, if the amount that has to be sold in order to be able to buy fertilisers is greater than the increase of production. So, before the "package" of technique is made available for public use, a check must be made to see if it is economic.

Otherwise the risk might be that you find a solution which needs a continuous support from abroad, like for example the supply of fertilisers etc. free of charge. And if it is found to be economic to use fertilisers etc., the question might arise whether there is an infrastructure to provide for a continuous supply of these products. The day the project leaves the area this will still have to work.

An important question is if one has taken the use of leaves into consideration, when it comes to cowpeas and other improved articles. Harawa is an important ingredient in the food. The improved varieties give more peas, but what do the leaves look like, and how big is the production of leaves?

Is the supply of water enough for gardening? How much water can be taken from the wells without diminishing the water level in the wells? If everyone in Chikal would start to cultivate vegetables in the dry season, will the water be sufficient? And if not, who is to decide about the rights to cultivate?

At present the project is supplying the seeds for the gardening, but if the farmer is left alone how will he get hold of it? How and where can you find seeds that is working well in the area? Are the European varieties the best ones?

The sales of the products: is the demand in the area great enough, or are the facilities of transportation enough to send away the products for sale elsewhere?

In spite of the fact that the first reports emphasised the importance of basic knowledge at such a project, only summary investigations of nutritional status were made, when the project started and these have not been followed up. The dispensary with its weight cards gives an excellent opportunity to follow the development of the children in the area, but then it is important that the children come regularly to PMI during a long time, not only when they are ill or until they are big enough to walk by themselves.

Neither has any proper investigation been done about the composition of the food in the area. I hope this report will be a possible starting point to increase the knowledge of the genuine Nigerien diet.

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