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. 2022 Dec 16;17(12):e0279358. doi: 10.1371/journal.pone.0279358

Farm production diversity, household dietary diversity, and nutrition: Evidence from Uganda’s national panel survey

Haruna Sekabira 1,*, Zainab Nansubuga 2, Stanley Peter Ddungu 2, Lydia Nazziwa 2
Editor: Francesco Caracciolo3
PMCID: PMC9757588  PMID: 36525440

Abstract

Improved food security and nutrition remain a notable global challenge. Yet, food security and nutrition are areas of strategic importance regarding the United Nations’ Sustainable Development Goals. The increasingly weakening global food production systems pose a threat to sustainable improved food security and nutrition. Consequently, a significant population remains chronically hungry and severely malnourished. As a remedy, farm production diversity (FPD) remains a viable pathway through which household nutrition can be improved. However, evidence is mixed, or unavailable on how FPD is associated with key nutrition indicators like household dietary diversity, energy, iron, zinc, and vitamin A (micronutrients). We use the Uganda National Panel Survey (UNPS) data for rural households to analyze differential associations of sub-components of FPD on dietary diversity, energy, and micronutrient intake. Panel data models reveal that indeed crop species count, and animal species count (sub-components of FPD) are differently associated with household dietary diversity score (HDDS), energy, and vitamin A sourced from markets. Moreover, when volumes of these nutrition outcomes were disaggregated by source (own farm vs. markets), the animal species count was only positively significantly associated with nutrition outcomes sourced from consumption of produce from own farm. Associations were insignificant for nutrition indicators sourced from markets except vitamin A. The crop species count, however, consistently showed a strong positive and significant association with energy, and all studied micronutrients sourced from own farm produce consumption, as well as those sourced from markets except Vitamin A, which was negative but insignificant. Therefore, inclusive, pro-poor, and pro-nutrition rural policy initiatives in the context of rural Uganda and similar ones, could more widely improve household nutrition through prioritizing crop species diversification on own farms because crops fetch wider nutrition gains.

Introduction

Hunger and malnutrition remain a strong challenge in much of the developing world, despite food and nutrition security being a strategic aspect of central importance as regards the United Nations’ Sustainable Development Goals [1]. The efforts of the United Nations (UN) have consistently focused on a holistic food systems approach to effectively operationalize these SDGs [13]. Under this approach, the full array of food systems actors that add value to food from production, collection, processing, delivery, consumption, and waste management are considered [15]. This broader set of activities principally aims at achieving sustainable food systems that must bring food security and nutrition to all actors [37] The envisioned sustainable food system must principally be sustainable economically, socially, and environmentally) [47]. To achieve these goals, therefore, production, distribution, processing, consumption, and other processes must be optimally prioritized [4, 5, 7]. Optimal prioritization can be achieved by optimally prioritizing activities at the different sub-systems of the food system, for instance, the farming system, and others [4, 6]. Subsequently, the needed structural changes in a food system that might ensure a food system’s sustainability can be initiated from optimal changes in another sub-system like farming systems’ choices of crops or animal species grown and consumed [1, 47]. Hence, guidance regarding a particular food system is essential to guide public policy and private investments on optimal choices across [4, 5, 7]. Generally, the UN aims to achieve a sustainable food system via the United Nations’ Sustainable Development Goals (SDGs) for instance 1) ending hunger, 2) achieving food security and 3) improving nutrition for all by 2030 [1]. The UN adds that to achieve these goals, food systems must be: 1) more productive, 2) more inclusive, 3) resilient environmentally, and 4) capable of delivering healthy and nutritious foods to all [13]. However, since food systems are context-specific (depending on global location, culture, environment, preferences, etc.), country-specific (local) guidance is indispensable to achieving sustainable food systems [47]. Because of lack of such local guidance, and other inefficiencies nearly a billion people globally are chronically hungry (lack access to calories), and nearly 2 billion are exposed to micronutrient malnutrition, a matter that is largely attributed to inaccessibility to available food [1, 2, 6, 7]. However, access to food is largely determined by the availability of food and having sufficient financial resources to purchase food [8, 9]. Regrettably, access to financial resources is not guaranteed to most of the global population, hence cementing chronic poverty, hunger, and malnutrition [9, 10]. Moreover, some of the common infrastructure from which households can access food–the markets–may be rendered ineffective in availing food to the majority of the world’s poorest, especially the rural poor in countries where the market infrastructure is even inadequately available [11, 12]. Therefore, farm production diversity–a key component of farming systems, remains a viable alternative to avail food to millions of the world’s poorest, especially the rural majority excluded from the market infrastructure by remoteness [2, 8, 1315].

Unfortunately, there are knowledge gaps in understanding comprehensively the nexus interconnections and linkages around associations between farm production diversity (FPD) and key nutrition outcomes [8, 16]. Such improper understanding of this nexus hinders proper policy formulation to optimally guide context-specific farming systems, thus hindering the scaling of appropriate and optimal innovations and investments against food insecurity and malnutrition, more so among vulnerable rural smallholder farmers [16]. Subsequently, such a lack of guidance and the failure to have appropriate optimal activities, render the general food systems non-inclusive [812]. Moreover, in most instances, evidence on how best smallholder households can access diverse diets is mixed. Some evidence points to market access being more important than diversifying farm production [1720]. However, in the context of the least-developed countries like Uganda [21, 22], where market infrastructure is poor and rural smallholder households are trapped in poverty and remoteness, such evidence may be inapplicable. Certain evidence has documented FPD to be more important for diversity in household diets and nutrition gains [8, 11, 12, 15, 1719, 2329]. Hence, empirical evidence linking FPD, and nutrition outcomes is often mixed, disjointed, and incomprehensive [16, 30, 31]. For instance, none of the studies above explored the differential impacts of FPD sub-components (animal and crop species count) on daily energy, iron, zinc, vitamin A intake, or other micronutrients. Closer efforts have been done by Muthini et al. [26], however, these covered only as far as dietary diversity without further consideration of the specific micronutrients. We contribute to this body of literature by answering the following research questions:

  1. Are sub-components (crop and animal species counts) of FPD differentially associated with household dietary diversity score (HDDS), daily energy, iron, zinc, and vitamin A?

  2. Which of the two FPD sub-components is associated with better nutrition gains?

Our contributions provide country-specific guidance–on potential optimal farming options in the rural Ugandan context and similar ones to reshape food production and consumption patterns [4, 5, 7]. Over the past two decades, Uganda witnessed improvements in the production of staple food crops, even though cereals like rice and wheat have also been increasingly imported but with low reliance on their consumption as staples [3235]. The regular Ugandan diet is majorly made up of starchy roots and tubers (cassava, sweet potatoes), plantains (mostly cooking bananas), and cereals (maize, millet, sorghum). Pulses, nuts, and leafy green vegetables are usual accompaniments [3234]. Sometimes, depending on household financial needs, food crops like bananas, sweet potatoes, pulses, and cereals can be sold for cash, alongside regular cash crops like coffee [3235]. However, in urban areas, a nutrition transition is evolving towards imported and processed foods like rice and fast foods largely composed of meat products like chicken [32, 33, 35]. Nevertheless, the general diet especially for the poor and rural households remains needy, especially regarding foods that are rich and sufficient in micronutrients [3235]. Therefore, food and nutrition insecurity remain persistent, due to poverty, low agricultural production, civil unrest, and climate change [32, 33]. Fortunately, in much of civil-secure rural Uganda (southern, eastern, central, western, and near northern region) the dietary energy supply from available foods, meets household energy needs, but the share of key macronutrients like lipids and proteins and micronutrients like iron, zinc, and vitamin A that are crucial for human development is grossly at the lower side of thresholds recommended by the United Nations [3236]. For instance, globally, 2 billion persons are exposed to micronutrient malnutrition, because of low intake of vitamins and essential minerals like vitamin A, iron, and zinc [37]. These nutritional insufficiencies (micronutrient malnutrition) are caused by both the low quantities of food consumed (calories) and poor dietary diversity and quality, leading to diminished mental (learning), and physiological human growth and development, vulnerability to diseases, early deaths, and eroded economic productivity [17, 37]. About 45% (3.1 million) of deaths in children under 5 years annually are connected to micronutrient malnutrition, and in some cases lead to severe stunting and wasting [24, 37]. In 2020, 22% (149.2 million) of children below 5 years were stunted, and about 7% (45.4 million) suffered from wasting [37]. In Uganda, a third of children below five years are stunted, more so in rural areas (30%) than urban ones (24%) [38].

The human body requires calories to live, and if deprived of energy the body dies because vital organs like the heart will collapse [37, 38]. Energy is absorbed from foods consumed, and energy requirements are variant based on one’s sex, age, size, and activeness [37]. In 2018 FAO, ranked Uganda 168th among 171 countries based on the volume of daily energy intake per capita, with 1,981 kilocalories, which is quite less than the African average of 2,331 (least globally) [39]. Regarding iron, globally, about 50% of anemia stands attributed to iron deficiency, ranking 9th amongst the top 26 risk components of the world’s disease burdens, accounting for nearly a million deaths annually [37, 40]. The least developed world, Africa and Asia share 71% of this mortality burden, and about 50 billion USD is lost annually globally in GDP due to iron-deficiency anemia (IDA) [40]. Iron is necessary for the formation of hemoglobin (stores and transports oxygen) [40]. Therefore, iron is so essential for life, and its deficiency severely affects children and lactating women [37, 40]. Children without sufficient iron in their life’s initial thousand days experience reduced; understanding capacity, social adaptability, and language grasping skills, while foetuses would have higher probabilities of premature births, low weight, and suffocation at birth [37, 40]. For pregnant women, IDA presents higher risks of infections, and bleeding–accounting for 20% of global maternal deaths [3740]. In Uganda, the prevalence of anemia amongst children stands at 53% [41]. Regarding zinc, about 31% of the global population suffers from zinc deficiency with rates of prevalence reaching 73% in some least developed countries, contributing to an immense burden of disease, accounting for about 58% of child deaths in Africa [37, 42]. Zinc is essential for proper human growth, reproduction, and building strong immunity against diseases, and a key anti-inflammatory mineral that is central in nearly 300 enzymes [37, 42]. The prevalence of zinc deficiency in Uganda is around 66% [28], yet zinc, iron, vitamin A, and energy have been found essential in school children’s learning [43, 44]. Lastly, Vitamin A deficiency (VAD) is one of the most prevalent deficiencies globally, mostly affecting children (30% of children below 5 years) and accounting for nearly 2% of all children’s deaths annually [37, 45]. VAD causes avoidable blindness in children, and VA ingestion by children via breast milk is dependent on the mother’s VA status, hence VAD usually manifests early in children’s lives especially in communities consuming diets that are short in vitamin A [46]. In Uganda, 28% of infant children are exposed to VAD [45], and in some regions, VAD has been found as high as 85% [28].

Therefore, understanding how food systems can substantially provide energy and these essential micronutrients is noble to attain sustainable human and economic development. With this study, we contribute to closing the knowledge gap on how farm production diversity can be tilted to ensure sufficient supplies of energy and key micronutrients, to rural Uganda where 39% of the employed population is engaged in subsistence agriculture (eat what they farm of crops and animals) [32, 35]. Regarding animal species, according to the Uganda Bureau of Statistics [35], Uganda’s smallholder farmers are also engaged in livestock farming, bringing livestock numbers to about 16 million goats, 14 million cattle, 5 million sheep, 48 million poultry, and 4 million pigs. In fact, Uganda is a net exporter of live livestock especially cattle, eggs, and dairy products, most of which are produced in rural Uganda [35]. Hence, it was informative that farm production diversity is studied with disaggregated data.

The rest of the paper is organized as follows: next, we present the conceptual framework and then elaborate on the materials and methods used. We then present and discuss results while highlighting policy implications, and finally draw conclusions.

Conceptual framework

Generally, we hypothesized that FPD bears a positive influence on food security and thus nutrition outcomes, and we diagrammatically illustrate this in Fig 1. Conceptually, following Sekabira & Nalunga [12], policies (agriculture, nutrition, or investment) influence the diversity of crops and animals species produced by farmers, thus influencing which crops or livestock species are prioritized for either direct consumption within households (own farm produce consumption pathway) or for sale to earn income and then buy food items from markets (market consumption pathway), that in the end dictate nutrition outcomes. Based on the conceptualization in Fig 1, and the empirical methodology highlighted above but elaborated later in this paper, we hypothesize that crop species count and animal species count, which are the key sub-components of FPD, associate differently with HDDS, energy, and micronutrients, and that crop species count attract stronger nutrition gains for rural households especially via the own farm consumption pathway.

Fig 1. Conceptual frame for farm production diversity (FPD) and nutrition nexus, adapted from Sekabira & Nalunga [12].

Fig 1

Materials and methods

Data

Data structure

Generally, the data used for this study is motivated by the 50x2030 Smart Agriculture Data Initiative of the International Fund for Agricultural Development (IFAD). Specifically, we use the rural component of the Uganda National Panel Survey (UNPS) data collected by the Uganda Bureau of Statistics (UBOS), with technical support from the Living Standards Measurement Study–Integrated Surveys on Agriculture (LSMS–ISA) section of the World Bank. The sample size of the UNPS is about 3,200 households, that were previously selected and interviewed during the 2005/2006 Uganda National Household Survey (UNHS). Furthermore, the UNPS sample contains a randomly selected segment of split-off households that came into existence after the 2005/2006 UNHS. Moreover, the UNPS is both regionally and nationally representative. Each UNPS household is interviewed two times every year in an interval of six months to enhance respondent recall abilities. Data are collected and entered concurrently using computer-assisted interview applications (CAPI), installed on mobile personal computers that are operated by trained graduate enumerators. Subsequently, when data are fully cleaned and documented, they are made available to the public in a period of twelve months [47]. The UNPS has seven waves including 2009/10, 2010/11, 2011/12, 2013/14, 2015/16, 2018/19, and 2019/20. This data is collected once every year, even though the exercise is planned to be completed in two calendar years given other data management needs. We only use the latest 3 waves because these were possible to merge and analyze together given a common structure of households’ identification. We had also separately worked with earlier waves on studying similar nutrition outcomes. Essentially, we built on analyses of Sekabira & Nalunga [12] and Sekabira et al. [28] who used 2009/10, 2010/2011, and 2011/2012 waves. Data are sourced from across Uganda covering the different farming systems under which different crops and livestock species are produced. Most commonly are the intensive banana and coffee farming systems around the lake shores in southern Uganda, the annual cropping and cattle farming systems in northern Uganda, the banana-coffee-cattle farming systems in western Uganda, and the pastoral/ annual crops farming systems in the northeast [32, 35, 48]. Details of these farming systems and geographic areas of rural Uganda where data was collected are illustrated in Fig 2, sourced from Global Yield Gap Atlas [48].

Fig 2. Major farming systems of Uganda, as sourced from Global Yield Gap Atlas [48].

Fig 2

Measurement of key variables

Farm production diversity (FPD) was measured using the biodiversity index, which is a simple count of all crops and livestock produced on farm, as previously used by [11, 12, 15, 17, 49]. Therefore, before generating the biodiversity index for FPD, we generated its sub-components, the species count based on crops, and the animal species count based on livestock. Commercial but edible crops and animal species have also been considered in the calculation of FPD–since the markets consumption pathway which is instigated by market sales based on different crop and animal species grown by households is considered in this study. Moreover, some crops and animal species are used for both food and cash making purposes, depending on prevalent household needs. Examples of some of the crops used in calculation of the FDP include, rice, maize, millet, sorghum, beans, cowpeas, chickpeas, groundnuts, soya beans, sunflower, Simsim, cabbage, tomatoes, carrots, onions, pumpkins, amaranth, eggplants, cucumber, green pepper, sugarcane, potatoes, sweet potatoes, cassava, yams, oranges, pawpaw, pineapples, bananas, mangoes, avocado, passion fruit, watermelon, coffee, and ginger. Some of the animal species considered included cattle, goats, sheep, pigs, chicken, and rabbits. Dietary diversity was measured using the aggregated food index which measures the sum of food groups (12 in total) consumed in the household, including cereals, white roots and tubers, vegetables, fruits, meat and its products, eggs, fish, legumes nuts and seeds, dairy and its products, oils and fats, sweets and sugars, and spices condiments and beverages. The index has been elaborated by Swindale & Bilinsky [50], and recently widely used to study dietary diversity [12, 17, 26, 51]. Energy, iron, zinc, and vitamin A (micronutrients) available per adult per household have been measured by computing quantities of food items consumed by households in kilograms and then computing edible proportions for each food item available. From the edible quantities, we computed quantities of energy in kilocalories and respective micronutrients, following Uganda food consumption tables documented by Hotz et al. [52]. For comparability of nutrition outcomes across households with different demographic compositions, we standardized household size into adult equivalents (AE) following (FAO,WHO & UNU [53], using an adult male as the person category with the highest nutritional requirements to survive. Therefore using this threshold, other persons’ nutritional requirements based on their sex (female or male) and age, are computed, and then standardized to their adult male equivalent. Edible quantities of energy and micronutrients were then divided by respective adult equivalents to produce comparable nutrition indicators available per adult across households. Following FAO,WHO & UNU [53], we also computed deficiencies for these micronutrients using as critical levels; 2400 kilocalories, 18 milligrams, 15 milligrams, and 625 retinal activity equivalent micrograms, for energy, iron, zinc, and vitamin A respectively.

Data description

From Table 1, the sample was on average aged 48 years, with a household size of 6 persons and was barely educated (1 year of formal education). This being a purely rural sample, low education levels may not be a surprise. The value of annual household assets averaged at seven (7) million UGX (2,000 USD). However, land size averaged at 0.7 acres. Concerning discrete variables, most of the sample (76%) had experienced shocks (weather issues like drought, famine, storms etc., health issues like death of the head, chronical illnesses etc.). Furthermore, most of the sample (63%) used mobile phones, and heavily relied on agriculture (59%) as their main income source. On the other hand, males (66%) dominated household headship. Concerning production diversity, on average, households farmed nearly 5 species of both crops and livestock of which majority (69%) were crop species. However, as seen in Fig 3, the average count of crop species farmed across the years, slightly declined between 2015 and 2019, while that for animals slightly increased over the same period. On the other hand, household dietary diversity score (HDDS) slightly increased from 2015 to 2019, and this variation is illustrated in Fig 4.

Table 1. Sample descriptive statistics (means or percentages) (N = 6,992).
Variables 2015 (N = 2,381) 2018 (N = 2,348) 2019 (N = 2,263) All sample (N = 6,992)
Male head (dummy) 0.655 0.662 0.669 0.662
Age of head (years) 47.91 (16.14) 47.69 (15.90) 47.78 (15.94) 47.80 (15.99)
Household size (persons) 5.746 (3.240) 5.662 (3.118) 5.785 (3.189) 5.730 (3.183)
Education of head (years) 1.440 (3.387) 1.333 (3.396) 1.309 (3.263) 1.362 (3.351)
Mobile phone use (dummy) 0.631 0.628 0.627 0.629
Total assets (million UGX) 6.35 (2.09) 6.93 (2.79) 6.64 (2.73) 6.64 (2.53)
Experienced shocks (dummy) 0.733 0.778 0.783 0.764
Land Size (Acres by GPS) 0.686 (3.609) 0.682 (1.858) 0.624 (1.742) 0.664 (2.565)
Farming (main income source) 0.585 0.585 0.595 0.589
FPD (bio index) 4.911 (3.319) 4.790 (3.282) 4.931 (3.282) 4.877 (3.295)
Crops FPD (bio index) 3.483 (2.761) 3.345 (2.748) 3.431 (2.777) 3.420 (2.762)
Animals’ FPD (bio index) 1.429 (1.307) 1.445 (1.338) 1.499 (1.340) 1.457 (1.328)
HDDS (food groups) 9.972 (2.594) 10.09 (2.558) 10.18 (2.371) 10.08 (2.513)
Energy (kilocalories/AE) 3,286 (2,838) 2,048 (1,643) 1,925 (2,139) 2,430 (2,347)
Iron (milligrams/AE) 25.75 (23.55) 17.65 (13.37) 17.60 (18.76) 20.39 (19.43)
Zinc (milligrams/AE) 17.36 (16.70) 11.20 (9.260) 11.42 (10.33) 13.37 (12.90)
Vitamin A (rae_micrograms/AE) 850.3 (1,217) 549.6 (789.0) 712.2 (3,504) 704.6 (2,168)
From markets
Energy (kilocalories/AE) 2,154 (2,291) 1,293 (1,396) 1,209 (1,280) 1,559 (1,776)
Iron (milligrams/AE) 14.42 (17.97) 9.760 (10.41) 10.22 (10.69) 11.50 (13.70)
Zinc (milligrams/AE) 11.53 (13.75) 7.203 (7.863) 7.747 (7.976) 8.851 (10.46)
Vitamin A (rae_micrograms/AE) 378.7 (920.5) 223.7 (507.8) 272.7 (705.9) 292.4 (735.2)
From own production
Energy (kilocalories/AE) 1,132 (1,369) 755.1 (879.8) 716.2 (1,741) 870.9 (1,384)
Iron (milligrams/AE) 11.33 (13.88) 7.887 (9.030) 7.382 (15.83) 8.895 (13.31)
Zinc (milligrams/AE) 5.834 (7.503) 3.994 (4.931) 3.676 (6.555) 4.518 (6.492)
Vitamin A (rae_micrograms/AE) 471.6 (827.4) 325.9 (592.4) 439.4 (3,440) 412.3 (2,045)
Deficiencies
Energy 0.457 0.664 0.699 0.605
Iron 0.451 0.602 0.622 0.557
Zinc 0.567 0.751 0.722 0.679
Vitamin A 0.572 0.727 0.696 0.664

FPD is farm production diversity, HDDS is household dietary diversity score, UGX is Uganda shillings (1USD = 3,557 UGX over considered years), in parentheses are standard deviations. Values without standard deviations are percentages, GPS is global positioning system, AE is adult equivalent, rae_mg is retinal activity equivalents micrograms

Fig 3. Farm production diversity (FPD) as generated from different sources (crops or livestock).

Fig 3

Fig 4. Variation of household dietary diversity score (HDDS) across the panel waves.

Fig 4

Furthermore, average consumption of energy and all considered micronutrients (2,430 kilocalories, 20 milligrams, 13 milligrams, and 701 rae-micrograms respectively) was slightly above FAO recommended thresholds per adult, except for zinc. Energy, iron, and zinc were mostly (64%, 56%, and 66% respectively) sourced from markets, whereas vitamin A was mostly (59%) sourced from own farm produce. From Fig 3, FPD was dominated by crop species perhaps because our sample is totally rural and dominantly composed of smallholder farmers who mostly grow on crops [7, 12, 21, 20, 32]. Overall, the 9 most grown crops species were beans (16.3%), cassava (16.1%), maize (14.9%), cooking bananas (matooke) (13.9%), coffee (8.5%), sweet potatoes (7.8%), groundnuts (3.6%), sorghum (2.7%) finger millet (2.4%), whereas the 5 most farmed animal species were cattle (30.2%), goats (29.5%), chicken (23.3%), pig (8%), and sheep (5.3%). See S1 Table for more details on the composition of the FPD index. We also note that there was slightly more food produced in 2015 than in 2018 or 2019, a fact that is also collaborated by the official data, for instance indicating cereal (maize, rice, sorghum, and millet) production at 4.1 metric tonnes in 2018, and 4.3 in 2019, but 4.5 in 2015 [5456]. This is also collaborated by FOASTAT data presented in the supplementary data file, the S2 File. We do not expect these differences by time to affect our analysis since we used panel data models to control for time or year specific effects.

Empirical model for data analysis

We implemented the specification of the panel regression model in Eqs (1) and (2), to study the nature of association between FPD, the two FPD sub-components and various nutrition outcomes or indicators respectively.

HNOit=α0+β1FPDit+θXit+γTt+εit (1)

Where β1 in this case is the effects of FPD on the nutrition outcome that we estimated.

HNOit=α0+β1Animal_SpeciesCountit+β2Crop_SpeciesCountit+θXit+γTt+εit (2)

Where HNOit is household nutrition outcome of interest (dietary diversity, energy, zinc, iron, or vitamin A available per adult) of household i in year t. α0 is the constant. β1 and β2 are respectively the effects of the animal, and crop species components of FPD that we aim to establish. θ is a vector of coefficients for observed household, and contextual characteristics, while γ is a time fixed effects parameter. εit is the normally distributed error term, and Xit is the vector of observed household characteristics (education, gender, and age of head, household size, assets, use of mobile phones, major source of income, and exposure to shocks, and farm (land size). These characteristics could alongside the considered FPD or FPD components, influence household nutrition outcomes. t is the year identifier variable capturing yearly fixed effects. We use Eq (2) to empirically study the associations elaborated above for which we do not claim causality.

Although in Eq (1) we controlled for FPD itself, in Eq (2), we controlled for the two sub-components of FPD to examine magnitudes of their coefficients to see which FPD sub-component is associated with better nutrition gains for households. We estimated both Eqs (1) and (2) with random effects (RE) to control for heterogeneity within observed time variant and time invariant household characteristics, and fixed effects (FE) to control for unobserved heterogeneity [57, 58]. Moreover, because the UNPS data is collected randomly, and are a panel, this also helped to reduce potential biases. But, because farmers self-select which crops and livestock species to farm based on own characteristics, and supposedly time-invariant covariates like gender of household heads become variant when headship changes for example due to death or divorce, this may yield systemic bias in results generated by the FE estimator [57]. Moreover, even the RE estimator’s strong assumption that FPD cannot correlate with unobserved factors that may influence HDDS, energy, or micronutrients intake is also violated by self-selection [57, 58]. Therefore, to control for potential violations of these assumptions, we use the Mundlak (MK) estimator, a pseudo-fixed effects estimator, that also controls biases caused by time-invariant unobserved heterogeneity, as would do a FE estimator, [59]. Essentially, the MK estimator helps bridge the FE and RE estimations by controlling for means of variables, such that the FE assumption (there is a correlation between specific effects of studied individuals and the independent variables), and the RE assumption (there is no correlation between unobserved heterogeneity of studied individuals and the independent variables) are not violated–which if violated would yield biased estimates [57, 59]. Therefore, we interpret the MK estimator results. Nevertheless, in the first regression results involving HDDS, we present results from both FE and MK estimators for comparisons, and to minimize space we leave out RE results but include the Hausman test value for all FE specifications that consistently showed that the FE model was better suited to the data than the RE specification. However, we only present the MK estimator results concerning energy and micronutrients, to avoid bulkiness. To correctly interpret the MK model, we generate elasticities following Bellemare & Wichman [60], after inverse hypergolic sine (IHS) transformations of the FPD indices. The IHS transformations are preferred for the explanatory variables of interest because they allow retention of preferred properties of the log transformations while retaining the negative and zero-valued observations in the data instead of merely dropping such observations [61].

Therefore, the stated empirical model was appropriately used to find answers to our research questions, using the panel survey data from Uganda covering a representative sample of nearly 3,000 households consisting of the of 2009/10, 2010/2011, and 2011/2012 waves of the Uganda National Panel Survey (UNPS). The data was collected by the Uganda Bureau of Statistics annually and is freely available from the World Bank’s Living Standards Measurement Study–Integrated Surveys on Agriculture (LSMS-ISA) section. Because the data is a panel, we used panel data models specifying fixed effects and random effects to analyze the data. These panel data models enable variation in parameters of the model across studied households, which improves efficiency, hence in the quality of estimated results generated from combining households across the different data waves [57, 58]. However, because both the fixed effects and random effects estimators have assumptions that could easily be violated, we finally estimate the Mundlak which sufficiently connects the fixed and random effects estimations [59]. The Mundlak concept is premised on assumptions of the FE and RE estimators [57, 59]. Answers to the above questions have enhanced the understanding of the linkages between FPD and nutrition. Such an interlinked understanding is indispensably important in designing appropriate food systems interventions [16, 2931]. Since we were focused on studying farm production diversity, we only analyzed rural households of the UNPS. Our results (that crop species count is strongly associated with better nutrition outcomes via the two main consumption pathways–own farm production, and markets) have also generated evidence to inform pro-nutrition and food security policies in Uganda, and those of a similar context, on how inclusiveness in nutrition gains especially among poor rural smallholder farmers can be achieved. More specifically, for instance, our results have among others informed the nutrition following policy initiatives: 1) The Uganda Nutrition Action Plan II (UNAP II) that spans between 2020–2025, and aims to leave behind none among Ugandans in scaling up nutrition outcomes. 2) The Uganda Food and Nutrition Policy (UFNP). 3) The Uganda National Agriculture Policy (UNAP). 4) Uganda’s Multisectoral Food Security and Nutrition Project (UMFSNP) funded by the World Bank aiming mostly to eradicating malnutrition in children and rural dwellers.

Results and discussions

From Table 2, model 1 we see that the combined (animal and livestock species count) FPD index is significantly and positively associated with HDDS. However, the Hausman test value is significant and for the reasons explained earlier we interpret model 3 the MK specification, which shows that diversification is negatively associated with HDDS. However, this blanket interpretation could be misleading since FPD contains 2 major subcomponents that may influence HDDS differently given the rural context of our sample. We thus re-run the FE and MK estimators each with the two main sub-components of the FPD index to further investigate if each of the two FPD sub-components will differentially be associated with HDDS. On disaggregating the FPD index (crop and livestock) in models 4 and 5 (without controls), and models 6 and 7 (with controls), the two sub-components are associated significantly with HDDS differently. Moreover, in all these models the animal species count shows a positive and significant association (models 4 and 6), while the crop species count shows a negative and significant association. The negative association with crop species could be linked to dominance of crop-farming by most rural households which is also less capital intensive but nearly sufficiently done and usually provides the key needed primary energy sources for households to survive, that more diversification of the same may yield diminishing returns. For quantitative empirical elaborations, we interpret the elasticities in Table 3 for MK estimators particularly model 7.

Table 2. Association of farm production diversity (FPD) on dietary diversity score (HDDS).

Models RE (1) FE (2) MK (3) FE (4) MK (5) FE (6) MK (7)
Variables HDDS HDDS HDDS HDDS HDDS HDDS HDDS
IHS of FPD (bio index) 0.183*** -0.210*** -0.206***
(0.032) (0.062) (0.056)
IHS of Animal FPD (bio index) 0.484*** 0.483*** 0.485*** 0.259***
(0.078) (0.071) (0.079) (0.043)
IHS of Crop FPD (bio index) -0.561*** -0.557*** -0.643*** -0.070**
(0.064) (0.059) (0.066) (0.034)
Male head (dummy) 0.030 -0.004
(0.262) (0.226)
Mobile phone use (dummy) 0.002 -0.007
(0.107) (0.093)
Age of head (years) -0.021* -0.007
(0.013) (0.011)
Household size (adult equivalents) 0.013 -0.005
(0.039) (0.032)
Education of head (years) -0.039 -0.054**
(0.027) (0.022)
Total assets (million UGX) -0.038 -0.125***
(0.036) (0.027)
Experienced shocks (dummy) 0.104 0.075
(0.102) (0.088)
Land Size (Acres by GPS) -0.009 -0.025
(0.025) (0.022)
Farming is the main income source (dummy) -0.003 -0.083
(0.111) (0.096)
Year is 2018 0.138** -0.085 0.127* -0.084 0.127* -0.085 0.102
(0.070) (0.082) (0.070) (0.081) (0.069) (0.084) (0.070)
Year is 2019 0.196*** -0.107 0.186*** -0.113 0.180** -0.092 0.077
(0.071) (0.083) (0.071) (0.082) (0.070) (0.083) (0.070)
Means of covariates YES YES YES
Constant 7.028*** 7.986*** 6.672*** 8.007*** 6.751*** 9.220*** 5.218***
(0.081) (0.136) (0.091) (0.123) (0.082) (0.639) (0.219)
Observations 6,992 6,992 6,992 6,992 6,992 6,828 6,828
No. of households 2,838 2,838 2,838 2,838 2,838 2,804 2,804
F value 4.46*** 23.22*** 8.72***
Hausman test value 105.61*** 155.98*** 158.75***
Wald Chi2 value 41.28*** 112.39*** 217.64*** 329.68***

Standard errors in parentheses

*** p<0.01

** p<0.05

* p<0.1

UGX is Uganda shillings (1USD = 3,557 USD); GPS is Global positioning system; RE is Random effects, FE is Fixed effects, MK is Mundlak, IHS is Inverse hyperbolic sine. Full table with means of variables is presented in S2 Table.

Table 3. Elasticities for the associations of farm production diversity (FPD) on dietary diversity score (HDDS).

Nutrition indicator Household dietary diversity score (HDDS)
Models MK (3) MK (5) MK (7)
IHS of FPD (bio index) -0.025***
(0.006)
IHS of animals’ FPD (bio index) 0.045*** 0.024***
(0.007) (0.004)
IHS of crops FPD (bio index) -0.063*** -0.008**
(0.007) (0.004)
Other model attributes
Other covariates are included NO NO YES
Means of covariates YES YES YES
Observations 6,992 6,992 6,828
No. of households 2,838 2,838 2,804
Wald Chi2 value 112.39*** 217.64*** 329.68***

Standard errors in parentheses

*** p<0.01

** p<0.05

* p<0.1

IHS is Inverse hyperbolic sine

From model 7, Table 3, each additional animal species grown on farm is associated with increases of 2.4 percentage points in food groups consumed on farm, implying and increment of 0.3 food groups. On the other hand, the association of HDDS with crop species count is negative but with decreases of only 0.8 percentage points on food groups consumed, an implication of 0.1 food groups. Thus, the two sub-components of FPD are differently associated with HDDS. Since our rural sample largely and abundantly grew staple food crops (see S1 Table for details) that are largely cereals or roots and tubers thus contributing mainly to household energy and general micronutrients needs [26, 3336], it is surprising that a crops species count was significantly and negatively associated with HDDS. However, since largely grown crops species were yielding common dietary quality, for instance the dominant cereals and starchy crops, it may also imply that increments in their species, only yielded diminishing retards on a dietary quality (diversity of diets) indicator, HDDS [17, 18, 62]. On the other hand, animal species count showing a positive and significant association with HDDS is not surprizing. Muthini et al. [26], found that producing animals enabled households’ access to a diversity of nutrition benefits in energy, proteins, fats, and micronutrients. However, since HDDS is an aggregated indicator of dietary quality [18, 19, 62], we re-run model 7 with specific nutrition outcomes to establish the exact nature of association between FPD sub-components and certain micronutrients. As expected, these unearthed positive and significant associations of both the animal species count and the crop species count with various micronutrients and energy especially those sourced from own-farm produce, that was difficult to detect under a qualitative indicator, HDDS. We present only the elasticities of these results later in respective Tables 47, and details are presented in respective S1S6 Tables.

Table 4. Elasticities of associations of farm production diversity (FPD) and daily energy intake per adult equivalent (AE).

Nutrition indicator Daily energy intake (kilocalories/AE)
Models MK (1) MK (2) MK (3) MK (4)
Variables Total Total Own farm-sourced Markets source
IHS of FPD (bio index) 0.034***
(0.004)
IHS of animals’ FPD (bio index) -0.003 0.031*** -0.003
(0.004) (0.009) (0.006)
IHS of crops FPD (bio index) 0.039*** 0.165*** 0.024***
(0.004) (0.009) (0.006)
Other model attributes
Other covariates YES YES YES YES
Means of covariates YES YES YES YES
Observations 6,828 6,828 6,828 6,828
No. of households 2,804 2,804 2,804 2,804
Wald Chi2 value 986.33*** 1024.91*** 1409.65*** 883.99***

Standard errors in parentheses

*** p<0.01

** p<0.05

* p<0.1

MK is Mundlak, IHS is Inverse hyperbolic sine. Full model table is in S3 Table.

Table 7. Elasticities of associations of farm production diversity (FPD) and daily vitamin-A intake per adult equivalent (AE).

Nutrition indicator Daily vitamin-A intake (rae_micrograms/AE)
Models MK (1) MK (2) MK (3) MK (4)
Variables Total Total Own farm-sourced Markets source
IHS of FPD (bio index) 0.029***
(0.006)
IHS of animals’ FPD (bio index) 0.021*** 0.051*** 0.038***
(0.006) (0.017) (0.012)
IHS of crops FPD (bio index) 0.019*** 0.260*** -0.011
(0.006) (0.017) (0.011)
Other model attributes
Other covariates YES YES YES YES
Means of covariates YES YES YES YES
Observations 6,828 6,828 6,828 6,828
No. of households 2,804 2,804 2,804 2,804
Wald Chi2 value 240.75*** 247.29*** 1062.00*** 212.63***

Standard errors in parentheses

*** p<0.01

** p<0.05

* p<0.1

MK is Mundlak; IHS is Inverse hyperbolic sine. rae_mg is retinal activity equivalents micrograms. Full table is in S6 Table.

However, Table 2, model 7 results do also highlight other factors that are significantly associated with HDDS. For instance, our rural sample was barely educated with an average of one (1) year of formal education. Moreover, each additional year of education for such a grossly uneducated sample was negatively associated with reductions in food groups consumed. In fact, all our sample was rural (100%) which is characteristic of strong traditions that are heavily aligned towards consumption of staples and limited education [63, 64]. Therefore, it may not be surprising that associated effects of education towards HDDS were negative–contrary to our expectations. However, education in substantially more years (higher education of dominantly rural samples), has been found to positively associate with nutrition outcomes [28, 51]. On the other hand, further surprisingly, assets also showed a significant negative association with HDDS. Usually, most assets among smallholder households including productive assets (communication and transport equipment like mobile phones, motorcycles, or bicycles etc.) and non-productive ones are controlled by males who may work largely in non-farm activities [51, 65, 66]. However, considerable household financial resources, that would be used to purchase food or invest in food production–are diverted daily to service costs related to the use of these assets for instance, buying airtime and fuel, repairs etc. Hence, the variable costs burden presented to the household by availability of these assets may render assets to be negatively associated to HDDS. Moreover, even when such assets are liquidated by households, generated incomes are turned to strategic household investments like housing, off-farm business investments, and medication, but not food consumption [51]. Nevertheless, some evidence has found assets to contribute importantly to household welfare [66].

Regarding micronutrients and energy, results are presented in separate tables for each nutrition indicator. From Tables 47 model (1), as was expected, FPD in general is positively and significantly associated with total daily energy, iron, zinc, and vitamin A intake per adult equivalent at 1% level. Each additional species of crops and livestock grown on farm increases energy, iron, zinc, and vitamin A available to the household by 3.4 (83 kilocalories per AE), 4.9 (0.99 milligrams/AE), 6.0 (0.8 milligrams/AE), and 2.9 (20.4 rae_micrograms/AE) respectively.4.9 However, in model (2) of each of Tables 47, disaggregation of FPD into subcomponents (animal and crop species), shows differential associations with micronutrients and energy, some of which is insignificant. Nevertheless, the insignificance of the associations between micronutrients and some FPD subcomponents could be due to aggregation of micronutrients irrespective of the source (own farm and markets), yet we consider only rural households that mostly rely on one source (own farm produce) for their nutrition needs. Therefore, in models (3) and (4) of Tables 47, we analyze FPD subcomponents and their associations with energy and micronutrients by source.

More specifically, from Table 4, when FPD was disaggregated into the two subcomponents in model (2) while energy was still aggregated, the association with energy is negative with the animal species count but insignificant but positive and significant with crops species count (3.9 percentage points). However, in models 3 and 4 when total energy is disaggregated by source–own farm and markets source, the animal species count then shows a strong significant and positive association with energy sourced from own farm produce consumption. Specifically, each additional animal species kept on farm is associated with increases in daily energy intake per adult equivalent of 3.1 (27 kilocalories/AE) percentage point. The association of the animal species count with energy sourced from markets is not significant.

Similarly, from Table 4, models (3) and (4) the association of the crops’ species count with energy sourced from both own farm produce and markets consumption was strongly significant and positive, with each additional crops’ species being associated with an additional 16.5and 2.4 percentage points via each source respectively. Associations with energy sourced from own farm produce yielded starker increments.

From Table 5, disaggregating FPD while iron was aggregated in model 2, the animal species count shows negative but insignificant associations with iron intake. However, the crop species count shows a significant and positive association with increments of 5.3 percentage points in food groups consumed for every additional crop species. When iron is disaggregated by source, again, both the animal and crops species count show a significant and positive association with daily iron intake sourced from own farm. Each additional animal species is associated with an additional 10.9 percentage points, while that of crops is associated with an additional 75.2 percentage points on the daily iron intake sourced from own farm. Associations with iron sourced from markets were insignificant although positive with animal species count, but significant and positive with crop species count, where each additional species was associated with increases 2.5 percentage points in iron intake sourced from markets.

Table 5. Elasticities of associations of farm production diversity (FPD) and daily iron intake per adult equivalent (AE).

Nutrition indicator Daily iron intake (milligrams/AE)
Models MK (1) MK (2) MK (3) MK (4)
Variables Total Total Own farm-sourced Markets source
IHS of FPD (bio index) 0.049***
(0.007)
IHS of animals’ FPD (bio index) -0.0004 0.109** 0.004
(0.007) (0.043) (0.013)
IHS of crops FPD (bio index) 0.053*** 0.752*** 0.025**
(0.007) (0.042) (0.012)
Other model attributes
Other covariates YES YES YES YES
Means of covariates YES YES YES YES
Observations 6,828 6,828 6,828 6,828
No. of households 2,804 2,804 2,804 2,804
Wald Chi2 value 581.57*** 602.69*** 1298.19*** 284.01***

Standard errors in parentheses

*** p<0.01

** p<0.05

* p<0.1

MK is Mundlak, IHS is Inverse hyperbolic sine. Full table is in S4 Table.

From Table 6, when FPD was disaggregated while zinc was still aggregated, again, the animal species count was insignificantly associated with zinc, although positively. On the other hand, the crop species count is significant and positively associated with daily zinc intake with each additional crop species being associated with increments of 6.5 percentage points in zinc intake. However, when zinc is disaggregated by source, both the animal and crops species count show a strongly significant and positive association with zinc sourced from own farm. Each additional species to animals and crops grown is associated respectively with an additional 75.3 and 81.2 percentage points on daily zinc intake sourced from own farms. The large size of these incremental margins could be explained by the high (highest of all studied nutrition indicators) levels of zinc deficiency in the sample, as well as Ugandan population at large [28, 33, 35]. Associations of animal species count with zinc sourced from markets were insignificant but positive. However, such association was positive and significant for the crop species count, where each additional crop species was associated with increments of 5 percentage points in daily zinc intake.

Table 6. Elasticities of associations of farm production diversity (FPD) and daily zinc intake per adult equivalent (AE).

Nutrition indicator Daily zinc intake (milligrams/AE)
Models MK (1) MK (2) MK (3) MK (4)
Variables Total Total Own farm-sourced Markets source
IHS of FPD (bio index) 0.060***
(0.009)
IHS of animals’ FPD (bio index) 0.002 0.753*** 0.005
(0.009) (0.222) (0.015)
IHS of crops FPD (bio index) 0.065*** 0.812*** 0.050***
(0.009) (0.216) (0.015)
Other model attributes
Other covariates YES YES YES YES
Means of covariates YES YES YES YES
Observations 6,828 6,828 6,828 6,828
No. of households 2,804 2,804 2,804 2,804
Wald Chi2 value 529.53*** 548.02*** 1353.46*** 396.52***

Standard errors in parentheses

*** p<0.01

** p<0.05

* p<0.1

MK is Mundlak; IHS is Inverse hyperbolic sine. Full table is in S5 Table.

Taking a slightly different pattern, from Table 7, when FPD was disaggregated while vitamin A was still aggregated, both the animal and crop species count yields a positive and strongly significant association with daily vitamin A intake. Each additional animal and crop species grown yields respectively an associated additional 2.1 and 1.9 percentage points of total daily vitamin A intake per adult. Furthermore, if total daily vitamin intake is disaggregated by source, like with other micronutrients and energy, both animal and crops species count independently yield a positive and strongly significant association with vitamin A sourced from own farm foods consumption. Each additional species for animals and crops grown is associated respectively with an additional 5.1 and 26 percentage points to daily vitamin intake sourced from own farm. Unlike with earlier nutrition indicators studied here, the associated effect of the animal species count with vitamin A sourced from markets is positive and strongly significant. Each additional animal species on the farm, is associated with 3.8 percentage points increments in daily vitamin A intake sourced from markets. The association with crops species count was negative but insignificant, unlike other micronutrients.

Generally, from Tables 47, aggregated FPD showed significant and positive associations with total daily energy, iron, zinc, and vitamin A intake. When FPD was disaggregated in the two components–the animal species count, showed insignificant associations with total energy and totals of other micronutrients except vitamin A. At this level, all associations between the crop species count and the aggregated totals of energy and all micronutrients were all positive and strongly significant. However, when total energy and totals of micronutrients were also disaggregated by source (own farm or markets), and individually analyzed alongside disaggregated FPD, both the animal and the crops species count, consistently exhibited a positive and strongly significant association with household daily energy and micronutrients intake sourced from own farm consumption. In all cases, incremental percentage points yielded by each additional crop species were larger than those yielded by each additional animal species grown on farm. Moreover, FPD in general has been previously found to be positively associated with nutrition outcomes [8, 15, 17, 2429, 62]. In disaggregated terms, small animals kept on farm like goats, sheep, and rabbits and poultry species like chicken and ducks that formed most of the animal species count can easily be consumed for food within households anytime of the year without their availability being dependent on farming seasons. Moreover, larger animals like cattle and even small animals can regularly provide products like milk, and eggs that are good sources of energy and micronutrients. Therefore, regular consumption of animals and their products, makes it possible for households to enhance their available energy and micronutrients. Our findings agree with Muthini et al. [26] who found the animal species count to be important to household dietary diversity. Gaillard et al. [8] also found that women consumed more dairy products if these were produced on farm. However, although the association is as expected negative for energy, and positive for iron and zinc, the animal species count is not significantly associated with daily energy, iron, and zinc intake sourced from markets. Surprisingly, the association was positive and strongly significant with vitamin A sourced from markets.

On the other hand, the crop species count showed a consistent, strongly significant, and positive association with daily energy and micronutrients intake regardless of the source–except for vitamin A sourced from markets. The association was strongly significant with energy and all micronutrients sourced from own farm consumption. In fact, the associations of FPD components (animal and crop species count) and nutrition indicators, were strongest via those components of nutrition indicators that had been sourced from own farm consumption. Considering the two FPD components, the crop species count showed the strongest associations with nutrition indicators within a particular source (except for vitamin A sourced from markets) and across sources (own farm vs. markets). For example, each additional crop species count yielded 16.5 incremental percentage points of daily energy intake via own farm sources compared to 2.4 via markets. The strong positive association of the crop species count with energy and micronutrients sourced from own farm produce is not surprising since most smallholder farmers are engaged in subsistence agriculture, and our sample was totally rural. Hence one would expect that since our sample mostly consume what they grow, then a crop species count should bear a strong positive association with nutrition outcomes, as has been established previously [11, 12, 15, 1719, 24, 26, 28]. Moreover, the crop species count has also showed positive and strongly significant associations with energy, iron, and zinc intake sourced from markets, despite this being a dominantly rural sample with poor market infrastructure Such consistent, positive and significant associations, may further confirm the importance of the markets consumption pathway which is only possible to farmers after gaining income from selling their produce, in this case crops as has been asserted in literature [12, 1719, 24, 28]. In good seasons, farmers sell their surplus crops or sell cash crops in all seasons to accumulate income that is used in purchasing foods from markets [3336]. Moreover, some strategically valuable crops like coffee, and vegetables are farmed within households but sold to earn money and smooth other consumption and non-consumption needs [25, 36, 67, 68]. Yet, households usually never regularly consume such valuable crops like vegetables within households but spare them for sale, and usually consider it a luxury to consume these crops [33, 34, 36]. Such may also explain why associations of the crop species and vitamin A derived from market sources was negative and insignificant. Our findings partly concur with two important meta-analysis reviews around farm production diversity and food consumption–that indeed there are strong (significant) associations between farm production diversity and certain nutrition outcomes as Jones [29] established, which are mostly realized via the diversification of crops species contributing towards own farm sources of energy and micronutrients intake. However, the association is also positive and significant, but the proportional magnitudes of these associations are small, as found Sibhatu and Qaim [18], especially through the animal species count component of the FPD via the own farm and market sources, and the crop species count component contributing to energy and micronutrients intake via the market sources.

Policy implications

We cautiously point out to policy that investments (scientific, technical, physical, and financial) in farmers’ own farm production of both livestock and crop species in rural Uganda, do positively influence nutrition outcomes of households. Therefore, wherever such investment opportunities are available–whether from national, regional, or international governments, then these must be harnessed and carefully scaled-out. However, for the contextual structure of rural Uganda (remote with poor roads and poor market infrastructure), investments in production of crops species at farm household level yield better nutritional outcomes than investments in livestock species–especially via the own farm produce consumption pathway. Therefore, for the government of Uganda, and those partners who are flexible with what they support, the emphasis could be put on diversification in production of crop species. However, our analysis did not consider what crop or animal species were more feasible than others regarding the studied nutrition outcomes, hence we are cautious not to make specific crops or animal species’ recommendations. Moreover, this can be an interesting area of research to be exploited in the future. Nevertheless, on-going food security and nutrition initiatives can be effectively guided by this research on the general areas of prioritization for instance, prioritizing investments in crops species diversification. Strategic examples of these policy initiatives among others include: 1) The Uganda Nutrition Action Plan II (UNAP II) that spans between 2020–2025, and aims to leave behind none among Ugandans in scaling up nutrition outcomes. 2) The Uganda Food and Nutrition Policy (UFNP). 3) The Uganda National Agriculture Policy (UNAP). 4) and the Uganda’s Multisectoral Food Security and Nutrition Project (UMFSNP).

Study limitations

From literature some of which was cited in this paper; indeed, the population consumes fewer protein foods as would be expected of rural populations, and we agree that studying protein consumption patterns would be noble. Unfortunately, we did not study proteins for this study. This is because, we build on the work of Sekabira et al. [28], where in the original data, did not compute for proteins. However, we make a stark recommendation to expand consideration of these strategic macro and micronutrients in empirical studies on nutrition. Even though such wider coverage of many macro and micronutrients may be difficult in one paper, but done individually for each macro or micronutrient would suffice, to avoid getting lost into so much detail.

Conclusions

Using nationally representative rural households’ panel data from Uganda, we establish that indeed, FPD in general is positively and significantly associated with HDDS. However, the two sub-components of FPD (animal species count and crops species count) are differentially associated with HDDS. For instance, the animal species count is significantly and positively associated with HDDS, while the crop species count showed a negative association. Differential and insignificant associations could stem from the high categorization (aggregation) embedded in HDDS. On analyzing nutrition indicators (energy, iron, zinc, and vitamin A) embedded in HDDS, singly, and disaggregating these by source (own farm vs. markets), the crops species count is significantly and positively associated with all studied micronutrients and energy irrespective of their source–except for vitamin A sourced from markets where the association is negative but insignificant. On the other hand, the animal species count is also significantly and positively associated with energy and all micronutrients sourced from consumption of own farm produce, and vitamin A sourced from markets. However, such association is insignificant but positive for zinc and iron sourced from markets, while it is negative for energy. The wider significance of the crops’ species count clearly highlights the strategic importance of crops towards better smallholder households’ nutrition–especially in a rural sample like ours, where remoteness and poor market infrastructure are persistently prevalent. Crops can easily be consumed directly or sold to markets for income to buy other food items. Generally, concerning individual micronutrients and energy intake, the crop species count shows a stronger association via the own farm produce consumption pathway. Therefore, in a smallholder farmer context, diversification in crop species could be more important than animal species diversification towards availing more energy, and micronutrients per adult. Hence, comparative efforts (household or policy level) targeted towards crop species diversification in farm production could still yield better household nutrition outcomes. However, notice should be taken that our sample is fully rural, and traditionally dominantly reliant on crops than animals to satisfy their food needs and general livelihoods. Hence, our results may not be binding in a context of countries that are predominantly dependent on animals (pastoralists) hence, must be interpreted cautiously in dominantly pastoral and urban contexts.

Supporting information

S1 Table. Animal and crops species used in the calculation of the FPD bio index.

(DOCX)

S2 Table. Association of farm production diversity (FPD) on Household dietary diversity score (HDDS).

(DOCX)

S3 Table. Association of farm production diversity (FPD) and daily energy intake per adult equivalent (AE).

(DOCX)

S4 Table. Association of farm production diversity (FPD) and daily iron intake per adult equivalent (AE).

(DOCX)

S5 Table. Association of farm production diversity (FPD) and daily zinc intake per adult equivalent (AE).

(DOCX)

S6 Table. Association of farm production diversity (FPD) and daily vitamin-A intake per adult equivalent (AE).

(DOCX)

S1 File. Data used for the generation of these model results.

(DTA)

S2 File. Data from FAOSTAT used to further show that food production in 2015 was generally more than that in 2018 or 2019.

(CSV)

Acknowledgments

We are grateful to the World Bank for making this data available, and UBOS for collecting the data. We also gratefully acknowledge Heath Henderson, and our anonymous reviewers for their immensely constructive comments.

Data Availability

The data is freely publicly available at the World Bank website on the following link: https://www.worldbank.org/en/programs/lsms/initiatives/lsms-ISA#8. We also provide the specific data for this particular paper in supporting information S1 File.

Funding Statement

HS 2104060035 International Fund for Agricultural Development https://www.ifad.org/en/ The funders had no role in study design, data collection, and analysis, decision to publish, or preparation of the manuscript.

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Decision Letter 0

Festo Massawe

12 Apr 2022

PONE-D-22-06649Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel SurveyPLOS ONE

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Reviewer #1: Review of: Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel Survey (Manuscript Number: PONE-D-22-06649)

This paper examines associations between the diversity of crop and livestock products produced by households living in Uganda and measures of the diversity of their food consumption. Although there are already many papers published on this topic, this is a welcome addition to the literature as it includes new evidence from a country that previously had received relatively little attention. That said, the paper would benefit from revisions along a number of lines.

(1) The discussion section needs to be more clear as to how the results presented in this paper fit into the literature. Specifically, I would strongly encourage the authors to place their paper within the debate found in a comparison of the review papers by Jones, A.D., 2017. (Critical review of the emerging research evidence on agricultural biodiversity, diet diversity, and nutritional status in low- and middle-income countries. Nutrition. Reviews. 75, 769–782) and Sibhatu, K. T., & Qaim, M. 2018. (Review: Meta-analysis of the association between production diversity, diets and nutrition in smallholder farm households. Food Policy, 77, 1–18.) Both papers provide empirical reviews on the links between production diversity and diversity of food consumption but reach different conclusions. Jones sees a “strong” link between production and consumption diversity; by contrast, Sibhatu and Qaim argue that “The average marginal effect of production diversity on dietary diversity is positive but small”.

My sense is that the paper’s findings are more consistent with the view put forward by Sibhatu and Qaim. Put differently, the authors do not give sufficient attention to the magnitudes of the associations that they observe in their data, both in terms of contextualizing their findings and also in their description of the policy implications. If indeed the magnitudes are small, then it is not obvious that so much attention should be paid to encouraging production diversification.

(2) It is not entirely clear if the sample includes both urban and rural households. This is not stated in the description of the survey, though a urban dummy variable appears in the reported regression results. My strong suggestion would be to focus solely on rural households. Urban households generally grown little food of their own and my guess is that those who do tend to be less well-off (which may explain the odd results the authors sometimes get on the crop diversity variable).

(3) Regional dummy variables appear in the regression results; it is not clear why they are being reported when the estimator is a household fixed effect specification (which should difference out time invariant characteristics such as location).

(4) The description of the survey suggests that data are collected twice per year. It is not clear how this is accounted for in the model specification.

(5) Does the measure of crop diversity include non-edible crops such as coffee and cotton? Given the focus of this paper, crop diversity should only include edible crops.

(6) Focusing on Table 2, how much does HDDS vary over time for any given household. Particularly with a fixed effect specification, I wonder if one of the reasons why the parameter estimates are so small is because for many households, there is no change in HDDS over time. A similar concern applies to the index variables for FPD, crops and animals.

(7) A strength of the paper is that it pays attention to the potentially confounding role of time invariant effects, specifically through the use of random effects, fixed effects and the Mundlak pseudo-fixed effects estimators. But strikingly, all three produce very similar parameter estimates. Given this, and given that the test statistics consistently report rejecting random effects in favor of a fixed effects specification, I suggest dropping the random effects results from the paper and retaining the results from the other two estimation methods. For Table 2, this change will create some space that can be used to present additional results. I suggest that the authors show the following:

Column 1: FE model with FPD bio index, no other controls

Column 2: MK model with FPD bio index, no other controls

Column 3: FE model with animal bio index & crop bio index, no other controls

Column 4: MK model with animal bio index & crop bio index, no other controls

Column 5: FE model with animal bio index & crop bio index, full set of controls

Column 6: MK model with animal bio index & crop bio index, full set of controls

This set of specifications will allow your readers to see that the results are not sensitive to either the use of FE or MK, or to the inclusion/exclusion of other control variables

(8) I suggest that the authors break Table 3 into four parts (one for each micro-nutrient). For each micro-nutrient, I suggest that they present four results:

Column 1: MK model. Total intake (=Own farm + market) with FPD bio index, full set of controls

Column 2: MK model. Total intake (=Own farm + market) with animal bio index & crop bio index, full set of controls

Column 3: MK model. Own farm intake with animal bio index & crop bio index, full set of controls

Column 4: MK model. Market intake with animal bio index & crop bio index, full set of controls

This reporting would be more informative than what currently exists in the paper. It would allow you to see the total effect of production diversity on micro-nutrient consumption (column 1); how much of this effect comes from animals and how much from crops (column 2); and whether own production is crowding out market intake (by comparing results from columns 3 and 4)

Reviewer #2: This is a relevant manuscript that highlights the importance of producing diverse food products. My comments for consideration are below:

• More information is needed in the introduction section describing the common food production and consumption patterns in Uganda. What various types of crops and livestock are usually produced? This is important because HDD score depends on food groups. Also, what proportion of farmers eat their own farm produce and what proportion do not. In other words, what proportion of own production is consumed? What types of farm products are usually sold for cash and not consumed by farmers?

• A few specific examples of crops considered in the counts would be useful since nutrient content and expected nutritional contributions may differ among crops. Such information will be helpful in the discussions on page 17.

• The authors found a strong positive association of the crop species count with energy and micronutrients sourced from own farm produce and attributed this to farmers mostly consuming what they grow. So, my question is: what is the problem in Uganda? If farmers are producing and eating what they grow, then what is the gap? Why are they hungry or suffering from malnutrition?

• In the last sentence on Page 18, what do you mean by essential foods? You listed cereals or their products, oils and fats etc. Why do you refer to these foods as essential? Also, you need to distinguish between raw produce and processed products. Aren't the farmers producing cereals and foods rich in fats and oils e.g. groundnuts? Clarify this essential food category.

• You concluded that diversification in crop species could be more important than animal species diversification towards availing more energy, and micronutrients per adult. Were you expecting significant differences in nutritional contrition of different livestock species? What different species were counted? Perhaps, livestock and fisheries could have some differences in nutritional value and contributions to HDDS. If there is data on fish production and consumption, then it will be interesting and relevant to consider it in the analysis.

• Other comments: the manuscript needs to be better structured with introduction, methods and data analysis sections clearly separated. Last paragraph on page 4 – 5 could be moved to methods section. Information under your current methods section could be put under data analysis.

Reviewer #3: The manuscript addresses an area of great importance to the success of policies, especially in resource-scarce settings. The manuscript is well-organised and easy to follow. I have read the manuscript and have made the following observations which I think the authors need to address before publication can be considered:

1. The manuscript requires significant proofreading, especially checking of punctuation.

2. Section I: Introduction

a) Please justify why the study only investigated the impact of FPD on daily energy, iron, zinc, and vitamin A, but not any other nutrients. Particularly, how do these relate to the nutritional issues in Uganda?

3. Section C: Data Description

a) It would be helpful for reader to give an overview of farm characteristics of the sample, e.g., location on map, names and types of crops cultivated, cropping system etc.

b) Referring to Table 1, the amount of energy and most micronutrients consumed from both market and own farm sources are far higher in year 2015 than in 2018 and 2019. Is there any explanation to this anomaly? Could this anomaly affect the statistical rigour?

4. Methods, Results and Discussions

a) It appears that the volume of crop yield and its potential confounding effect on HDDS and nutritional outcome have not been considered or discussed sufficiently in the manuscript.

b) “Each crop species added to those farmed with in a household was associated with 5.9 and 18.8 kilocalories (0.6 and 0.9 percentage points) added to energy sourced from own farm produce consumption or markets respectively. With regards to iron, each additional crop species was associated with 0.4 and 0.1 milligrams (4.2 and 0.7 percentage points) added to daily iron intake sourced from own farm produce or markets consumption respectively. With regards to zinc, each additional crop species grown on the farm was associated with 0.3 and 0.1 milligrams (6.2 and 0.9 percentage points) added to daily zinc intake sourced from own farm produce, and markets consumption respectively. Lastly, each additional crop species grown on farm was associated with 1.1 and 0.6 rae_micrograms (0.3 and 0.2 percentage points) added to daily vitamin A intake sourced from own farm produce, and markets consumption respectively.”

What is the significance of the percentages of gains quoted above in the diets of the sample population? Are these considered meaningful impact on nutritional status? Also, will increment in crop diversity continue to produce nutritional gains at a linear rate or will the effect level off? At what point will the effect level off?

c) “There are however other factors that are consistently and significantly associated with energy, and micronutrients intake, for instance gender effects, household size, and year variables, which we don’t discuss here to prioritize our focus on FPD sub-components, which are our main covariates.”

Wouldn’t understanding these other factors that are also consistently and significantly associated with energy, and micronutrients intake and the relationships of these factors with FPD help in devising more effective policy?

5. Section VI: Policy Implications

a) This section is not sufficiently discussed. It is suggested that the government should devote more attention to crop species, but it does not recommend any specific measures. The authors should focus on how to translate their research into practice at varying levels of scale, considering all other confounders and trade-offs.

b) For various apparent reasons, the policymakers might be more inclined to invest in promotion of cash crops as a means to achieve rural development and poverty alleviation. Cash crops also encourages mono-cropping that reduces FPD. How can this dilemma be addressed? How can policy makers be convinced?

**********

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Reviewer #1: No

Reviewer #2: No

Reviewer #3: No

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PLoS One. 2022 Dec 16;17(12):e0279358. doi: 10.1371/journal.pone.0279358.r002

Author response to Decision Letter 0


27 May 2022

Editors:

The title page and the general manuscript have been reshaped based on the templates from PLOS ONE. Funding information has also been clearly indicated in the cover letter.

Reviewer #1: Review of: Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel Survey (Manuscript Number: PONE-D-22-06649). This paper examines associations between the diversity of crop and livestock products produced by households living in Uganda and measures of the diversity of their food consumption. Although there are already many papers published on this topic, this is a welcome addition to the literature as it includes new evidence from a country that previously had received relatively little attention. That said, the paper would benefit from revisions along a number of lines.

(1) The discussion section needs to be more clear as to how the results presented in this paper fit into the literature. Specifically, I would strongly encourage the authors to place their paper within the debate found in a comparison of the review papers by Jones, A.D., 2017. (Critical review of the emerging research evidence on agricultural biodiversity, diet diversity, and nutritional status in low- and middle-income countries. Nutrition. Reviews. 75, 769–782) and Sibhatu, K. T., & Qaim, M. 2018. (Review: Meta-analysis of the association between production diversity, diets and nutrition in smallholder farm households. Food Policy, 77, 1–18.) Both papers provide empirical reviews on the links between production diversity and diversity of food consumption but reach different conclusions. Jones sees a “strong” link between production and consumption diversity; by contrast, Sibhatu and Qaim argue that “The average marginal effect of production diversity on dietary diversity is positive but small”. This comparison is clearly now done but placing our paper well in-between these two papers – that indeed we find strong (significant) associations between farm production diversity and nutrition outcomes, but the proportional magnitudes of these increments are small – and mostly realized from the diversity in crops species.

My sense is that the paper’s findings are more consistent with the view put forward by Sibhatu and Qaim. Put differently, the authors do not give sufficient attention to the magnitudes of the associations that they observe in their data, both in terms of contextualizing their findings and also in their description of the policy implications. If indeed the magnitudes are small, then it is not obvious that so much attention should be paid to encouraging production diversification. Sometimes, small magnitudes can be substantial proportionally and where we achieve these, especially with crop species for instance with iron 3.4% and zinc 6% proportional increments – indeed it becomes plausible to encourage diversification in such sources.

(2) It is not entirely clear if the sample includes both urban and rural households. This is not stated in the description of the survey, though a urban dummy variable appears in the reported regression results. We now clearly state that the sample is rural and we leave out all urban households. My strong suggestion would be to focus solely on rural households. This guidance is effected. Urban households generally grown little food of their own and my guess is that those who do tend to be less well-off (which may explain the odd results the authors sometimes get on the crop diversity variable).

(3) Regional dummy variables appear in the regression results; it is not clear why they are being reported when the estimator is a household fixed effect specification (which should difference out time invariant characteristics such as location). Regional dummies are removed and FE re-estimated.

(4) The description of the survey suggests that data are collected twice per year. It is not clear how this is accounted for in the model specification. We clearly state that data is collected once a year even though the naming of the waves, coincided with the planning years of UBOS, an entity which collects the data

(5) Does the measure of crop diversity include non-edible crops such as coffee and cotton? Given the focus of this paper, crop diversity should only include edible crops. Because we have a market component/consumption pathway, aided by sales of both edible and non-edible crops, we included only coffee – which is also sometimes roasted and eaten in households. Essentially, we include only edible crops.

(6) Focusing on Table 2, how much does HDDS vary over time for any given household. Particularly with a fixed effect specification, I wonder if one of the reasons why the parameter estimates are so small is because for many households, there is no change in HDDS over time. A similar concern applies to the index variables for FPD, crops and animals. We add a figure to show the variation of HDDS – and further yearly values depicting variations are elaborated in Table 1. It is also made clear that data was collected once every year.

(7) A strength of the paper is that it pays attention to the potentially confounding role of time invariant effects, specifically through the use of random effects, fixed effects and the Mundlak pseudo-fixed effects estimators. But strikingly, all three produce very similar parameter estimates. Given this, and given that the test statistics consistently report rejecting random effects in favor of a fixed effects specification, I suggest dropping the random effects results from the paper and retaining the results from the other two estimation methods. This is perfectly considered and has reduced the columns in Table 2, to a sizeable 6. For Table 2, this change will create some space that can be used to present additional results. I suggest that the authors show the following:

Column 1: FE model with FPD bio index, no other controls

Column 2: MK model with FPD bio index, no other controls

Column 3: FE model with animal bio index & crop bio index, no other controls

Column 4: MK model with animal bio index & crop bio index, no other controls

Column 5: FE model with animal bio index & crop bio index, full set of controls

Column 6: MK model with animal bio index & crop bio index, full set of controls

This set of specifications will allow your readers to see that the results are not sensitive to either the use of FE or MK, or to the inclusion/exclusion of other control variables This has been perfectly adapted, and indeed as the reviewers advised this is now well displayed by our results that they are consistent despite inclusions or exclusions of other controls

(8) I suggest that the authors break Table 3 into four parts (one for each micro-nutrient). For each micro-nutrient, I suggest that they present four results:

Column 1: MK model. Total intake (=Own farm + market) with FPD bio index, full set of controls

Column 2: MK model. Total intake (=Own farm + market) with animal bio index & crop bio index, full set of controls

Column 3: MK model. Own farm intake with animal bio index & crop bio index, full set of controls

Column 4: MK model. Market intake with animal bio index & crop bio index, full set of controls

This reporting would be more informative than what currently exists in the paper. This is perfectly considered, and now each micronutrient is presented in own Table. It would allow you to see the total effect of production diversity on micro-nutrient consumption (column 1); how much of this effect comes from animals and how much from crops (column 2); and whether own production is crowding out market intake (by comparing results from columns 3 and 4). This is now achieved and various impact of FPD or its components is now well documented and the crowding effects also clearly elaborated.

Reviewer #2: This is a relevant manuscript that highlights the importance of producing diverse food products. My comments for consideration are below:

• More information is needed in the introduction section describing the common food production and consumption patterns in Uganda. This is now sufficiently done. What various types of crops and livestock are usually produced? This is also done. This is important because HDD score depends on food groups. Also, what proportion of farmers eat their own farm produce and what proportion do not. This is done. In other words, what proportion of own production is consumed? What types of farm products are usually sold for cash and not consumed by farmers? This is also sufficiently done.

• A few specific examples of crops considered in the counts would be useful since nutrient content and expected nutritional contributions may differ among crops. This is also done. Such information will be helpful in the discussions on page 17.

• The authors found a strong positive association of the crop species count with energy and micronutrients sourced from own farm produce and attributed this to farmers mostly consuming what they grow. So, my question is: what is the problem in Uganda? Farm production is still dominantly subsistence and perhaps insufficient to cater for all households’ nutritional and dietary needs. If farmers are producing and eating what they grow, then what is the gap? Why are they hungry or suffering from malnutrition? Largely grow cereals and tubers that mostly supply energy with minimal micronutrient contributions, and often times are produced in insufficient quantities that can’t fully satisfy all food and dietary needs of households.

• In the last sentence on Page 18, what do you mean by essential foods? You listed cereals or their products, oils and fats etc. Why do you refer to these foods as essential? The word “essential” was perhaps used in a wrong context, this is clarified with better wording. Also, you need to distinguish between raw produce and processed products. Aren't the farmers producing cereals and foods rich in fats and oils e.g. groundnuts? Clarify this essential food category. This is well clarified now.

• You concluded that diversification in crop species could be more important than animal species diversification towards availing more energy, and micronutrients per adult. Were you expecting significant differences in nutritional contrition of different livestock species? What different species were counted? Unfortunately, we didn’t have fish production – but indeed the expectation would be valid that different animal species could contribute differently, just as is with crop species, say cereals versus pulses. Unfortunately, we don’t extend our analysis to specific species assessment for impact on specific nutrition outcomes. Perhaps, livestock and fisheries could have some differences in nutritional value and contributions to HDDS. If there is data on fish production and consumption, then it will be interesting and relevant to consider it in the analysis. we didn’t have data on fish production, and perhaps it happens only with large scale urban farmers who are missed in the UNPS general survey.

• Other comments: the manuscript needs to be better structured with introduction, methods and data analysis sections clearly separated. Last paragraph on page 4 – 5 could be moved to methods section. Information under your current methods section could be put under data analysis. This suggested re-arrangement of sections for a more logical flow, has been incorporated.

Reviewer #3: The manuscript addresses an area of great importance to the success of policies, especially in resource-scarce settings. The manuscript is well-organised and easy to follow. I have read the manuscript and have made the following observations which I think the authors need to address before publication can be considered:

1. The manuscript requires significant proofreading, especially checking of punctuation. This has been done effectively, with more short sentences and single punctuation per sentence.

2. Section I: Introduction

a) Please justify why the study only investigated the impact of FPD on daily energy, iron, zinc, and vitamin A, but not any other nutrients. Particularly, how do these relate to the nutritional issues in Uganda? Selected micronutrients are justified in the introduction.

3. Section C: Data Description

a) It would be helpful for reader to give an overview of farm characteristics of the sample, e.g., location on map, location map is difficult because it considers all Uganda, so we feared it could add no value. names and types of crops cultivated this is clearly added, cropping system etc.

b) Referring to Table 1, the amount of energy and most micronutrients consumed from both market and own farm sources are far higher in year 2015 than in 2018 and 2019. Is there any explanation to this anomaly? This is observed but clear explanation a bit difficult to zero down too. Perhaps, could it have been due to larger land size and increasing land fragmentation in later years? We Checked-out rains data for 2015 versus other years and other specialties that could have favored more production, but this is available on regional level unlike particular locations for smallholder farmers locations. Could this anomaly affect the statistical rigour?

4. Methods, Results and Discussions

a) It appears that the volume of crop yield and its potential confounding effect on HDDS and nutritional outcome have not been considered or discussed sufficiently in the manuscript. Volume of crop yield couldn’t be considered in the model for fear of potential endogeneity with other X variables including FPD itself. Moreover, our outcome indicator – HDDS - is more of a quality indicator than a quantity one. Nevertheless, we acknowledge sufficiently now in our discussions that a limited volume of crop yield over the years could explain the minimal variation in nutrition outcomes over the years.

b) “Each crop species added to those farmed with in a household was associated with 5.9 and 18.8 kilocalories (0.6 and 0.9 percentage points) added to energy sourced from own farm produce consumption or markets respectively. With regards to iron, each additional crop species was associated with 0.4 and 0.1 milligrams (4.2 and 0.7 percentage points) added to daily iron intake sourced from own farm produce or markets consumption respectively. With regards to zinc, each additional crop species grown on the farm was associated with 0.3 and 0.1 milligrams (6.2 and 0.9 percentage points) added to daily zinc intake sourced from own farm produce, and markets consumption respectively. Lastly, each additional crop species grown on farm was associated with 1.1 and 0.6 rae_micrograms (0.3 and 0.2 percentage points) added to daily vitamin A intake sourced from own farm produce, and markets consumption respectively.”

What is the significance of the percentages of gains quoted above in the diets of the sample population? Are these considered meaningful impact on nutritional status? Also, will increment in crop diversity continue to produce nutritional gains at a linear rate or will the effect level off? At what point will the effect level off? We added squared FPD to detect linear contributions, which are of course not continuous indefinitely, we discuss this in the paper. Check for the meaningful impact of changes by % in nutrition status. Percentages are just used to show relative proportions – however, we quote the exact thresholds for each micronutrient as advised by WHO and FAO, the percentages discussed in the paper, just help us to show the proportion of the effect, with regards to average values in the sample; which was earlier compared with thresholds to define energy and micronutrient deficient households and those that were not deficient.

c) “There are however other factors that are consistently and significantly associated with energy, and micronutrients intake, for instance gender effects, household size, and year variables, which we don’t discuss here to prioritize our focus on FPD sub-components, which are our main covariates.”

Wouldn’t understanding these other factors that are also consistently and significantly associated with energy, and micronutrients intake and the relationships of these factors with FPD help in devising more effective policy? Because we increased the coverage of the micronutrients and energy, accommodating each to own table, thus generating 4 tables from 1 original table – still we found ourselves limited by space. Therefore, we completely eliminated all other covariates from the main manuscript and thus their discussions but presented full tables in supporting information in Tables 3-6.

5. Section VI: Policy Implications

a) This section is not sufficiently discussed. It is suggested that the government should devote more attention to crop species, but it does not recommend any specific measures. The scope of our analysis didn’t allow us to make specific crop recommendations as our analysis stopped on crops in general without specifications. The authors should focus on how to translate their research into practice at varying levels of scale, considering all other confounders and trade-offs. We clarify that finer guidance may need further research on particular crops or animal species that we didn’t consider in this study.

b) For various apparent reasons, the policymakers might be more inclined to invest in promotion of cash crops as a means to achieve rural development and poverty alleviation. Cash crops also encourages mono-cropping that reduces FPD. How can this dilemma be addressed? How can policy makers be convinced? Again, our focus didn’t disintegrate particular crops or animals – since there were already two levels of disintegration (at FPD level (animals or crops), and sources of considered nutrition outcomes (own farm or markets), thus further disintegration could be so much in one paper. But we refer to this as an interesting area of research that can be exploited in the future.

Attachment

Submitted filename: Response to Reviewers.docx

Decision Letter 1

Carla Pegoraro

5 Jul 2022

PONE-D-22-06649R1Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel SurveyPLOS ONE

Dear Dr. Sekabira,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

 We have received comments from all 3 previous reviewers. Please note that Reviewer 3 has sent their comments in the document attached to this email. Please make sure you address all the concerns raised. 

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Reviewers' comments:

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Comments to the Author

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Reviewer #2: All comments have been addressed

Reviewer #3: (No Response)

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Reviewer #2: Yes

Reviewer #3: (No Response)

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Reviewer #1: No

Reviewer #2: I Don't Know

Reviewer #3: (No Response)

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Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: (No Response)

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Reviewer #2: Yes

Reviewer #3: (No Response)

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Reviewer #1: Review of: Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel Survey (Manuscript Number: PONE-D-22-06649R1)

This revised paper examines associations between the diversity of crop and livestock products produced by households living in Uganda and measures of the diversity of their food consumption. Although there are already many papers published on this topic, this is a welcome addition to the literature as it includes new evidence from a country that previously had received relatively little attention. The authors are to be commended for taking seriously the concerns raised in my initial report and for extensively revising the paper.

That said, this revision has generated new concerns that were not apparent in the initial submission.

(1) The specification used in Table 2 includes linear and quadratic terms for measures of production diversity. Tables 3-6 use linear terms only. This does not make sense; you need to use the same specification for all tables.

(2) The quadratic formulation in Table 2 produces some very odd results. I calculated the marginal effects of increasing diversity by one unit, using the estimates reported in column (1). Going from 0 to 1 and from 1-2 units increases consumption diversity, but going from 2 to 3, 3 to 4 and 4 to 5 leads to reductions in consumption diversity. This makes no sense. The authors have a good idea, they want to allow for diminishing increases in consumption diversity as production diversity rises but a quadratic formulation is the wrong way of doing so. A much better approach would be to use an inverse hyperbolic sine (see Bellemare, Oxford Bulletin of Economics and Statistics); this allows for increases at a diminishing rate while also allowing for zero values in the independent variable (note that you will need to convert the parameter estimates to marginal effects; Bellemare provides the formulae for doing so).

(3) The introductory materials are far too long; these could be reduced in length by 50%.

(4) The paper needs to be copy-edited by a native English speaker; there are still many odd use of words and phrases (for example, the abstract states that nutrition outcomes are disintegrated by source when I think the authors mean to say “disaggregated by source.”

(5) As this is an observational study, any policy implications should be made very cautiously.

Reviewer #2: The authors have done well by addressing all my concerns. I find the manuscript suitable for publication.

Reviewer #3: (No Response)

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Reviewer #3: Yes: Ee Von Goh

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Attachment

Submitted filename: Review_v2.docx

PLoS One. 2022 Dec 16;17(12):e0279358. doi: 10.1371/journal.pone.0279358.r004

Author response to Decision Letter 1


2 Sep 2022

PONE-D-22-06649R1

Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel Survey

PLOS ONE

CURRENT RESPONSES TO REVIEWERS’ COMMENTS ARE HIGHLIGHTED IN GREEN INK

Reviewer #1:

That said, this revision has generated new concerns that were not apparent in the initial submission.

(1) The specification used in Table 2 includes linear and quadratic terms for measures of production diversity. Tables 3-6 use linear terms only. This does not make sense; you need to use the same specification for all tables.

We now drop the quadratic terms all through the specifications as advised by the reviewer, but consistently use the inverse hyperbolic sine of the respective FPD indices across all specifications, thus all tables.

(2) The quadratic formulation in Table 2 produces some very odd results. I calculated the marginal effects of increasing diversity by one unit, using the estimates reported in column (1). Going from 0 to 1 and from 1-2 units increases consumption diversity, but going from 2 to 3, 3 to 4 and 4 to 5 leads to reductions in consumption diversity. This makes no sense. The authors have a good idea, they want to allow for diminishing increases in consumption diversity as production diversity rises but a quadratic formulation is the wrong way of doing so. A much better approach would be to use an inverse hyperbolic sine (see Bellemare, Oxford Bulletin of Economics and Statistics); this allows for increases at a diminishing rate while also allowing for zero values in the independent variable (note that you will need to convert the parameter estimates to marginal effects; Bellemare provides the formulae for doing so).

We consider the reviewer’s advice and use the inverse hyperbolic sine of the respective FPD index all through the specifications – which now actually gives us a general view of significant and positive associations along the own-farm production consumption pathway, which is logical for totally rural smallholder households.

(3) The introductory materials are far too long; these could be reduced in length by 50%.

The introductory materials are re-written and reduced in volume with more concise and precise wording – maintaining the value of the content but eliminating the bulk.

(4) The paper needs to be copy-edited by a native English speaker; there are still many odd use of words and phrases (for example, the abstract states that nutrition outcomes are disintegrated by source when I think the authors mean to say “disaggregated by source.”

Indeed, this was a big oversight which we correct now – and rewrite the paper carefully with concise and straightforward words. We have also sought the assistance of a native English speaker to edit the paper.

(5) As this is an observational study, any policy implications should be made very cautiously.

Policy implications have been re-written with cautiously made recommendations that are only restricted to what the study covered.

Reviewer #2:

The authors have done well by addressing all my concerns. I find the manuscript suitable for publication.

This is gracefully noted – and thankful for the reviewer’s confirmation.

Reviewer #3:

I find the revision did not fully address my questions or answer. We now address more clearly the queries of the reviewer with more information on the same, only that this increases the bulk of the paper a bit

2. Section I: Introduction

a) Please justify why the study only investigated the impact of FPD on daily energy, iron,

zinc, and vitamin A, but not any other nutrients. Particularly, how do these relate to the

nutritional issues in Uganda? Selected micronutrients are justified in the introduction. We highlight the serious importance of the studied micronutrients to the growth and development of especially in children globally and in Uganda as well, showing how their deficiencies can lead to poor growth, death, and loss of economic productivity. We elaborate the justification of these micronutrients between lines 117 – 160

The revised manuscript failed to answer why only energy, iron, zinc and vitamin A are selected. For instance:

- Energy intake does not appear to be a problem in the population, so why are you investigating the impact of FPD on daily energy? Even your results show that “Average consumption of energy (2,430 kilocalories) was slightly above FAO recommended thresholds per adult”. Because energy is the first general component needed for any organism to live, we saw it necessary to start our analyses with it before looking at micronutrients. Nevertheless, we justify why energy is important for life, and state that even though the average is slightly above the threshold, Uganda has been recently 2018 ranked 168th of 171 countries according to daily energy intake per capita. Therefore, consideration of energy in this regard was justifiable, at least to confirm that despite the low rank, the average is still above the threshold.

- As a side note, it is often more important to balance the macronutrients, i.e., the makeup of the calories one consumes is more important. In that light, what is the breakdown of calorie intake contributed by each class of macronutrients (carbs, proteins, fats)? Why is protein not investigated? Referring to “the regular Ugandan diet is majorly made up of starchy roots and tubers (cassava, sweet potatoes), plantains (mostly cooking bananas), and cereals (maize, millet, sorghum)”, these staples are low in protein, and since they form the bulk of the population’s daily diet, could the population be at risk of protein deficiency? Is stunted growth a problem in Uganda? The reviewer makes a very valid observation that indeed the population consumes fewer protein foods as would be expected of rural populations, and we agree that this is noble to study. Unfortunately, we are building on our 2021 work where in the original data, we did not compute for proteins. However, we make a stark recommendation to expand consideration of macro and micronutrient studies to other nutrients, even though such wider coverage may be difficult in one paper, but done individually for each macro or micronutrient. The other constraint is that we may not cover every macro and micronutrient study in one paper, but we try our best to give a fair picture that can be compared across micronutrients, without actually getting lost into so much detail.

- Iron – is iron-deficiency a public health concern in the population? What is the prevalence of iron-deficiency anaemia?

- Same for zinc and vitamin A. Please justify why just these four nutrients are selected but not the rest. (Just because we can do something doesn't mean we should). Justification for all these micronutrients and their central importance in human growth is now considered in the paper, including local and country statistics that portray this importance. Because of such importance, we prioritized these micronutrients and the fact that our original data already was programmed to generate these micronutrients and not others. However, we acknowledge that it is also important to study other micronutrients if especially the data set-up and technical capabilities allow it.

3. Section C: Data Description

b) Referring to Table 1, the amount of energy and most micronutrients consumed from both

market and own farm sources are far higher in year 2015 than in 2018 and 2019.

Could this anomaly affect the statistical rigour and interpretation? We re-look at the data (official results, our computations, and FOASTAT data to actually confirm that indeed production in 2015, was higher than any of the later years. However, we stress in our explanations on the same, that this time variations in production that could have stemmed from specific factors in specific years do not affect the rigor and interpretation of our results, since we use panel data models where we control for time fixed effects – to clean out any effects related to a particular year that weren’t normal in other years. We explain this in the data description section.

4. Methods, Results and Discussions

b) “Each crop species added to those farmed with in a household was associated with 5.9 and

18.8 kilocalories (0.6 and 0.9 percentage points) added to energy sourced from own farm produce consumption or markets respectively. With regards to iron, each additional crop

species was associated with 0.4 and 0.1 milligrams (4.2 and 0.7 percentage points) added to

daily iron intake sourced from own farm produce or markets consumption respectively. With

regards to zinc, each additional crop species grown on the farm was associated with 0.3 and

0.1 milligrams (6.2 and 0.9 percentage points) added to daily zinc intake sourced from own

farm produce, and markets consumption respectively. Lastly, each additional crop species

grown on farm was associated with 1.1 and 0.6 rae_micrograms (0.3 and 0.2 percentage

points) added to daily vitamin A intake sourced from own farm produce, and markets

consumption respectively.”

What is the significance of the percentages of gains quoted above in the diets of the sample

population? Are these considered meaningful impact on nutritional status? Also, will

increment in crop diversity continue to produce nutritional gains at a linear rate or will the

effect level off? At what point will the effect level off? We added squared FPD to detect

linear contributions, which are of course not continuous indefinitely, we discuss this in

the paper. Check for the meaningful impact of changes by % in nutrition status. Percentages

are just used to show relative proportions – however, we quote the exact thresholds for each

micronutrient as advised by WHO and FAO, the percentages discussed in the paper, just help

us to show the proportion of the effect, with regards to average values in the sample; which

was earlier compared with thresholds to define energy and micronutrient deficient households

and those that were not deficient. We now modify our specifications and use the inverse hyperbolic sine of FPD to show decreasing returns on nutrition indicators with an overly increased FPD.

Referring to my previous question in 2(a). If the “Average consumption of energy (2,430 kilocalories) was slightly above FAO recommended thresholds per adult”, why does “56

calories (2.3 percentage points) added for each species added to FPD” matter? This also relates to Policy Implications. We use these percentage points metrics to show a comparable size of the increment or the decrease. It helps policy makers to see where larger returns can be attained per unit of investment (crop or livestock species) farmed. Therefore, with minimal resources these comparative results can guide policy on which areas to prioritize among all analyzed aspects, for a choice to attain maximum possible impact per unit of investment. We make some justification for studying energy even when it was generally above recommended thresholds. Recently, in 2018, Uganda has been ranked 168th out of 171 countries, indicating that generally Uganda wasn’t fairing well visa viz other countries. Also, energy is the first basic requirement to ensure life, so this also made it important that we looked at it, especially when our data programming could allow it.

Attachment

Submitted filename: Response to Editors for CC 4_0 licence.pdf

Decision Letter 2

Francesco Caracciolo

26 Oct 2022

PONE-D-22-06649R2Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel SurveyPLOS ONE

Dear Dr. Sekabira,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. There are still some minor issues to solve: the main regards the functional specification used in the estimates. As one of the reviewer indicated, you should include only the IHS transforms of crop and animal diversity without the linear term. Please, calculate also the marginal effects from parameter estimates following the formulas provided by Bellemare  (Oxford Bulletin of Economics and Statistics).

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Francesco Caracciolo

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PLOS ONE

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Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: (No Response)

Reviewer #2: All comments have been addressed

Reviewer #3: (No Response)

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: No

Reviewer #2: Yes

Reviewer #3: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: No

Reviewer #2: Yes

Reviewer #3: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

Reviewer #2: Yes

Reviewer #3: (No Response)

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Review of: Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel Survey (Manuscript Number: PONE-D-22-06649R2)

As noted in an earlier report, this paper examines associations between the diversity of crop and livestock products produced by households living in Uganda and measures of the diversity of their food consumption. This is a welcome addition to the literature as it includes new evidence from a country that previously had received relatively little attention. And again, the authors are to be commended for taking seriously the concerns raised in my second report and for extensively revising the paper.

Unfortunately, however, they have misunderstood a crucial comment that I had made. The issue is this. They seek to look at the associations between crop and animal diversity in production and measures of food consumption and food consumption diversity. They want to allow this relationship to be non-linear. However, they cannot use a quadratic specification because the second order term may have a negative coefficient, implying that at some point increased production diversity lowers consumption diversity. They cannot use a logarithmic specification because they may have zero values for their measures of production diversity.

The solution to this problem is to use an inverse hyperbolic sine (see Bellemare, Oxford Bulletin of Economics and Statistics); this allows for increases at a diminishing rate while also allowing for zero values in the independent variable (note that you will need to convert the parameter estimates to marginal effects; Bellemare provides the formulae for doing so). The authors include this in their model but also include a linear term. It does not make sense to include both. The models reported in Tables 2-6 should only include the IHS transforms of crop and animal diversity as well as other control variables.

Reviewer #2: (No Response)

Reviewer #3: 1. Justifications for indicators selection (lines 95 – 160) are a little too long-winded. Although some redundancy can be useful, this section would be greatly improved by making it a lot more concise.

2. Re: "The reviewer makes a very valid observation that indeed the population consumes fewer protein foods as would be expected of rural populations, and we agree that this is noble to study. Unfortunately, we are building on our 2021 work where in the original data, we did not compute for proteins. However, we make a stark recommendation to expand consideration of macro and micronutrient studies to other nutrients, even though such wider coverage may be difficult in one paper, but done individually for each macro or micronutrient. The other constraint is that we may not cover every macro and micronutrient study in one paper, but we try our best to give a fair picture that can be compared across micronutrients, without actually getting lost into so much detail."

Yes, it would be useful to acknowledge the shortcoming and why you thought studying protein (and other micronutrients) in future research is important. But I don't seem to be able to locate these in the manuscript.

**********

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Reviewer #1: No

Reviewer #2: No

Reviewer #3: No

**********

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PLoS One. 2022 Dec 16;17(12):e0279358. doi: 10.1371/journal.pone.0279358.r006

Author response to Decision Letter 2


9 Nov 2022

PONE-D-22-06649R2

Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel Survey

PLOS ONE

Our responses to the editor and reviewers’ comments/suggestions are marked in red

Editors’ comments

There are still some minor issues to solve: the main one regards the functional specification used in the estimates. As one of the reviewers indicated, you should include only the IHS transforms of crop and animal diversity without the linear term. Please, calculate also the marginal effects from parameter estimates following the formulas provided by Bellemare (Oxford Bulletin of Economics and Statistics).

This is noted and has been extensively worked upon, as exactly the reviewer guided.

Please submit your revised manuscript by Dec 10 2022 11:59 PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

resubmission of the revised manuscript has been made within the 10th of December deadline.

Please include the following items when submitting your revised manuscript:

•A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.

This file has been constructed and uploaded in the revisions.

•A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'. This file has been constructed and uploaded in the revisions.

•An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

This file has been constructed and uploaded in the revisions.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

No changes made.

Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

Two references of Bellemare and Wichman (2020) and Bellemare et al. (2013) – with empirical guidance on IHS implementation and usage have been added.

Reviewers' comments:

Reviewer #1:

As noted in an earlier report, this paper examines associations between the diversity of crop and livestock products produced by households living in Uganda and measures of the diversity of their food consumption. This is a welcome addition to the literature as it includes new evidence from a country that previously had received relatively little attention. And again, the authors are to be commended for taking seriously the concerns raised in my second report and for extensively revising the paper.

We are delighted with the observation and comment from the reviewer.

Unfortunately, however, they have misunderstood a crucial comment that I had made. The issue is this. They seek to look at the associations between crop and animal diversity in production and measures of food consumption and food consumption diversity. They want to allow this relationship to be non-linear. However, they cannot use a quadratic specification because the second order term may have a negative coefficient, implying that at some point increased production diversity lowers consumption diversity. They cannot use a logarithmic specification because they may have zero values for their measures of production diversity.

This guidance is appreciated and plausible and has been incorporated as earlier advised by the reviewer.

The solution to this problem is to use an inverse hyperbolic sine (see Bellemare, Oxford Bulletin of Economics and Statistics); this allows for increases at a diminishing rate while also allowing for zero values in the independent variable (note that you will need to convert the parameter estimates to marginal effects; Bellemare provides the formulae for doing so). The authors include this in their model but also include a linear term. It does not make sense to include both. The models reported in Tables 2-6 should only include the IHS transforms of crop and animal diversity as well as other control variables.

This guiding solution has now been extensively implemented as guided by the reviewer, following Bellemare and Wichman 2020, hopefully to the satisfaction of the reviewer.

Reviewer #2:

(No Response)

This is noted, and we are delighted to have satisfied the reviewer.

Reviewer #3:

1. Justifications for indicators selection (lines 95 – 160) are a little too long-winded. Although some redundancy can be useful, this section would be greatly improved by making it a lot more concise.

Guidance is noted, and the section is shortened more concisely.

2. Re: "The reviewer makes a very valid observation that indeed the population consumes fewer protein foods as would be expected of rural populations, and we agree that this is noble to study. Unfortunately, we are building on our 2021 work where in the original data, we did not compute for proteins. However, we make a stark recommendation to expand consideration of macro and micronutrient studies to other nutrients, even though such wider coverage may be difficult in one paper, but done individually for each macro or micronutrient. The other constraint is that we may not cover every macro and micronutrient study in one paper, but we try our best to give a fair picture that can be compared across micronutrients, without actually getting lost into so much detail."

Yes, it would be useful to acknowledge the shortcoming and why you thought studying protein (and other micronutrients) in future research is important. But I don't seem to be able to locate these in the manuscript.

Indeed, as observed by the reviewer, this was not included in the manuscript, but we now concisely make mention of it. We are grateful for this advice.

Attachment

Submitted filename: Response to Reviewers.pdf

Decision Letter 3

Francesco Caracciolo

6 Dec 2022

Farm Production Diversity, Household Dietary Diversity and Nutrition: Evidence from Uganda’s National Panel Survey

PONE-D-22-06649R3

Dear Dr. Sekabira,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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Kind regards,

Francesco Caracciolo

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: (No Response)

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

**********

Acceptance letter

Francesco Caracciolo

8 Dec 2022

PONE-D-22-06649R3

Farm production diversity, household dietary diversity, and nutrition: Evidence from Uganda’s national panel survey

Dear Dr. Sekabira:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Francesco Caracciolo

Academic Editor

PLOS ONE

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    S1 Table. Animal and crops species used in the calculation of the FPD bio index.

    (DOCX)

    S2 Table. Association of farm production diversity (FPD) on Household dietary diversity score (HDDS).

    (DOCX)

    S3 Table. Association of farm production diversity (FPD) and daily energy intake per adult equivalent (AE).

    (DOCX)

    S4 Table. Association of farm production diversity (FPD) and daily iron intake per adult equivalent (AE).

    (DOCX)

    S5 Table. Association of farm production diversity (FPD) and daily zinc intake per adult equivalent (AE).

    (DOCX)

    S6 Table. Association of farm production diversity (FPD) and daily vitamin-A intake per adult equivalent (AE).

    (DOCX)

    S1 File. Data used for the generation of these model results.

    (DTA)

    S2 File. Data from FAOSTAT used to further show that food production in 2015 was generally more than that in 2018 or 2019.

    (CSV)

    Attachment

    Submitted filename: Response to Reviewers.docx

    Attachment

    Submitted filename: Review_v2.docx

    Attachment

    Submitted filename: Response to Editors for CC 4_0 licence.pdf

    Attachment

    Submitted filename: Response to Reviewers.pdf

    Data Availability Statement

    The data is freely publicly available at the World Bank website on the following link: https://www.worldbank.org/en/programs/lsms/initiatives/lsms-ISA#8. We also provide the specific data for this particular paper in supporting information S1 File.


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