Peri-urban agriculture and household food and nutrition security around Eldoret, Kenya

Rapid urbanisation in low- and middle-income countries, which has encroached on agricultural lands but has not been consistently accompanied by corresponding improvements in water and sanitation services, has raised questions about its impact on the food and nutrition security of households living in transitional, peri-urban areas. Through an analysis of survey data collected from 518 households living around the town of Eldoret, Kenya, we investigate the existing links between peri-urban households' engagement in agriculture, their dietary behaviour, and their children's nutrition outcomes. We find that peri-urban households engaged in agriculture, particularly in crop growing and in the sales of their agricultural produce, have more diverse and nutritious diets than agriculturally non-engaged households, all other things being equal. However, a significant improvement in children's health outcomes is observed in these households only when coupled with improved water, sanitation, and hygiene conditions.