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Urban physical food environments drive dietary behaviours in Ghana and Kenya: A photovoice study

Lookup NU author(s): Dr Fiona GrahamORCiD



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© The AuthorsWe identified factors in the physical food environment that influence dietary behaviours among low-income dwellers in three African cities (Nairobi, Accra, Ho). We used Photovoice with 142 males/females (≥13 years). In the neighbourhood environment, poor hygiene, environmental sanitation, food contamination and adulteration were key concerns. Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods. Home gardening supplemented household nutritional needs, particularly in Nairobi. Policies to enhance food safety in neighbourhood environments are required. Home gardening, food pricing policies and social protection schemes could reduce financial barriers to safe and healthy diets.

Publication metadata

Author(s): Pradeilles R, Irache A, Wanjohi MN, Holdsworth M, Laar A, Zotor F, Tandoh A, Klomegah S, Graham F, Muthuri SK, Kimani-Murage EW, Coleman N, Green MA, Osei-Kwasi HA, Bohr M, Rousham EK, Asiki G, Akparibo R, Mensah K, Aryeetey R, Bricas N, Griffiths P

Publication type: Article

Publication status: Published

Journal: Health and Place

Year: 2021

Volume: 71

Print publication date: 01/09/2021

Online publication date: 07/08/2021

Acceptance date: 02/08/2021

Date deposited: 24/08/2021

ISSN (print): 1353-8292

ISSN (electronic): 1873-2054

Publisher: Elsevier Ltd


DOI: 10.1016/j.healthplace.2021.102647


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Funder referenceFunder name
... which is funded by the Bill & Melinda Gates Foundation Seattle, WA and the Foreign, Commonwealth & Development Office, and managed by the University ...
... of South Carolina Arnold School of Public Health, USA.
‘Dietary transitions in Ghana’ project was funded by a grant from the Drivers of Food Choice Competitive Grants Programme [grant number OPP1110043], ...
Economic and Social Research Council (ESRC) and Natural Environment Research Council (NERC).
supported by Arts and Humanities Research Council (AHRC), Biotechnology and Biological Sciences Research (BBSRC),
TACLED project was funded by a Global Challenges Research Fund (GCRF) Foundation Award led by the MRC [grant number MR/P025153/1],