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      Climate change poses a threat to nutrition and food security in Kilifi County, Kenya

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          Abstract

          Over the last decades, increased emission of greenhouse gases has led to hot weather extremes, heavy precipitation and worsening of agricultural and ecological droughts. Although Africa’s contribution to climate change is minimal, the continent is especially vulnerable to its effects. This report aims to describe the effect of climate change leading to drought in Kilifi County, Kenya, and the communities’ experiences of this effect on food availability. During their community rotation, residents from a university in Nairobi, Kenya, evaluated changes in weather patterns and nutrition indicators in Kilifi County and conducted focus group discussions (FGDs) with community members and health care stakeholders to explore challenges in access to adequate nutrition and possible local solutions. Kilifi County has one of the highest rates of undernutrition in Kenya, with one in five under-5 children being underweight. County data showed that rainfall in the last 4 years has become increasingly unpredictable, resulting in reduced household milk production, one of the indicators of nutrition security. Three major themes emerged from the FGDs: lack of food variety, collapse of drought mitigating projects and increasing poverty levels. Possible solutions to these problems include promoting alternatives to the current diet that are culturally sensitive and adaptable to recent climate changes, ensuring continuity of agricultural and financial support projects and improved local leadership and governance.

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          Adapting agriculture to climate change in Kenya: household strategies and determinants.

          Countries in Sub-Saharan Africa are particularly vulnerable to climate change, given dependence on agricultural production and limited adaptive capacity. Based on farm household and Participatory Rural Appraisal data collected from districts in various agroecological zones in Kenya, this paper examines farmers' perceptions of climate change, ongoing adaptation measures, and factors influencing farmers' decisions to adapt. The results show that households face considerable challenges in adapting to climate change. While many households have made small adjustments to their farming practices in response to climate change (in particular, changing planting decisions), few households are able to make more costly investments, for example in agroforestry or irrigation, although there is a desire to invest in such measures. This emphasizes the need for greater investments in rural and agricultural development to support the ability of households to make strategic, long-term decisions that affect their future well-being.
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            Impacts of Climate Change on Health and Wellbeing in South Africa

            Given its associated burden of disease, climate change in South Africa could be reframed as predominately a health issue, one necessitating an urgent health-sector response. The growing impact of climate change has major implications for South Africa, especially for the numerous vulnerable groups in the country. We systematically reviewed the literature by searching PubMed and Web of Science. Of the 820 papers screened, 34 were identified that assessed the impacts of climate change on health in the country. Most papers covered effects of heat on health or on infectious diseases (20/34; 59%). We found that extreme weather events are the most noticeable effects to date, especially droughts in the Western Cape, but rises in vector-borne diseases are gaining prominence. Climate aberration is also linked in myriad ways with outbreaks of food and waterborne diseases, and possibly with the recent Listeria epidemic. The potential impacts of climate change on mental health may compound the multiple social stressors that already beset the populace. Climate change heightens the pre-existing vulnerabilities of women, fishing communities, rural subsistence farmers and those living in informal settlements. Further gender disparities, eco-migration and social disruptions may undermine the prevention—but also treatment—of HIV. Our findings suggest that focused research and effective use of surveillance data are required to monitor climate change’s impacts; traditional strengths of the country’s health sector. The health sector, hitherto a fringe player, should assume a greater leadership role in promoting policies that protect the public’s health, address inequities and advance the country’s commitments to climate change accords.
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              Smallholder farmers’ perception of climate change and adoption of climate smart agriculture practices in Masaba South Sub-county, Kisii, Kenya

              Many countries experience the negative impacts of climate change especially in the decline of agricultural productivity leading to decreased national and household food security. This study assessed smallholder farmers' perception of climate variability and change and their adaptation strategies in Masaba South Sub-County, Kisii County, Kenya. A multi-stage sampling technique was used to collect data from 196 smallholder farmers. Additionally, focused group discussions and key informant interviews were used. The study revealed that most farmers perceived climate changes. 88.3% of the respondents noted a decrease in rainfall, 79.1% reported poor rainfall distribution, 88.3% perceived a late onset of rainfall while 76.6% perceived an increase in temperature. The farmers' perception mirrored the actual climatic data trends for the area obtained from the meteorological department. The major climate-smart agriculture practices adopted by farmers in the area included; diversification of crops, change of planting time and crop rotation/mixed cropping. The adoption of climate-smart agriculture practices significantly correlated with the household size, monthly income, access to credit and farmers’ perception of climate change. The study recommends the incorporation and prioritization of climate change in the county and government development agenda as a means of enhancing the uptake of climate-smart agricultural practices. Climate-smart agriculture, climate variability and change, Perception, Adaptation
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                Author and article information

                Journal
                Afr J Prim Health Care Fam Med
                Afr J Prim Health Care Fam Med
                PHCFM
                African Journal of Primary Health Care & Family Medicine
                AOSIS
                2071-2928
                2071-2936
                31 October 2022
                2022
                : 14
                : 1
                : 3718
                Affiliations
                [1 ]Department of Family Medicine, Faculty of Health Sciences, The Aga Khan University Hospital, Nairobi, Kenya
                [2 ]Department of Population Health, Faculty of Health Sciences, The Aga Khan University Hospital, Nairobi, Kenya
                Author notes
                Corresponding author: Susan Cheruiyot, dr.susancheruiyot@ 123456gmail.com
                Author information
                https://orcid.org/0000-0002-5510-0709
                https://orcid.org/0000-0002-7475-8012
                https://orcid.org/0000-0001-7483-4372
                https://orcid.org/0000-0002-3487-8773
                https://orcid.org/0000-0003-1121-7929
                https://orcid.org/0000-0003-2145-4805
                https://orcid.org/0000-0002-9034-8945
                Article
                PHCFM-14-3718
                10.4102/phcfm.v14i1.3718
                9634675
                36331200
                13c8cb36-0bf7-4dd7-9a8a-f668a9da711c
                © 2022. The Authors

                Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.

                History
                : 30 June 2022
                : 16 July 2022
                Categories
                Short Report

                climate change,nutrition,food security,communities’ experience,kenya

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