1. Nutritional Epidemiology Group School of Food Science and Nutrition The relationship between landscape diversity, food security and dietary diversity in Sub-Saharan Africa. Cristina Cleghorn Supervisors: Dr. Darren Dahly (Epidemiology, Faculty of Medicine and Health) Dr. Susannah Sallu (Sustainability Research Institute) Prof. Janet Cade (School of Food Science and Nutrition)

2. Nutritional Epidemiology Group School of Food Science and Nutrition Context There is a distinct lack of scientific research that connects environmental considerations in the production of food to actual food consumption. The path from the planting of crops to consumption of foods is a complex one with many factors influencing the chances of adequate food production in a particular area leading to adequate health in that area. Certain populations, such as those in Sub-Saharan Africa, are more at risk of malnutrition than those in more developed countries. As climate change increases vulnerabilities of food production this becomes an even more important relationship to explore. 2

3. Nutritional Epidemiology Group School of Food Science and Nutrition Eco-health project A randomised controlled trial to assess the effectiveness of community-based “Eco-Nutrition” interventions in Malawi and Tanzania. The project uses a participatory approach and involves communities selecting and implementing interventions to improve food security, adequate care and environmental quality. 3 Interventions will be tested for effectiveness, altered and then implemented in the control communities. The project aims to develop and test Eco-Nutrition guidelines that can then be rolled-out in Sub-Saharan Africa

4. Nutritional Epidemiology Group School of Food Science and Nutrition Aim and Objectives Aim: To investigate the relationship between landscape diversity, food security and dietary diversity in the sample communities in Malawi and Tanzania. Objectives: To review and then design or select appropriate measurement tools to accurately measure landscape diversity, food security and dietary diversity. To determine to what extent landscape diversity impacts on food security and dietary diversity in the sample communities. To determine to what extent landscape diversity, food security, and dietary diversity impacts nutrition in children under five years of age in the sample communities. 4

5. Nutritional Epidemiology Group School of Food Science and Nutrition Methods Landscape diversity: Aerial photographs of the study areas Soil and vegetation maps of the study areas Ground truthing to confirm the above findings Food security: Household questionnaire based on the entitlement approach Dietary diversity: Individual level questionnaire based on the number of different food types consumed over the past 24 hours Nutrition: Mid Upper Arm Circumference, height and weight measurements 5

6. Nutritional Epidemiology Group School of Food Science and Nutrition GIS Analysis 6

7. Nutritional Epidemiology Group School of Food Science and Nutrition Questions?