From Fuel to Pot: an interdisciplinary partnership to address the role of solid fuel use in food preparation in the household in Kenya and Malawi

Lead Research Organisation: University of Stirling
Department Name: Health Sciences

Abstract

In this project, we want to understand why people in slums and settlements in Kenya and Malawi cook using solid fuel like wood, charcoal, coal and animal dung, given that it is bad for their health, so that we can develop interventions to improve the situation. This is a key aspect of the food system because more than 3 billion people in the world cook with solid fuels, since they are often the only fuel available or the only one they can afford. The people most affected are poor people in those slums and settlements who cannot afford to connect to the grid for their cooking needs, and live in crowded spaces with limited ventilation for cooking. 3.8 million deaths every year in the world happen due to household air pollution (HAP) and it is also responsible for 50% of pneumonia deaths in children under 5. This is because children often stay close to their mothers when they cook. Getting fuel - e.g., picking large bundles of wood- also risk damaging their growing bodies and takes young people away from schooling and socialising. Women and girls are particularly affected as they are the people in the household who usually collect fuel ( e.g. wood) for cooking and also those who cook in most low income countries. Most studies to date have introduced improved cookstoves ( stoves that require less wood or charcoal) to reduce solid fuel use, but often interventions fail because they do not take into account the fact that cooking on solid fuel is a complex issue related to the accepted behaviours and beliefs within the local community, culture and community histories. This project will fill this gap through building an interdisciplinary Partnership across the UK, Kenya and Malawi. With this Partnership of community members, government representatives, NGOs, traditional leaders, we will identify which aspects of cooking on solid fuels are most important to local communities and where some changes can be made to improve people's well being and health. We will carry these activities:

ACTIVITY 1 focuses on learning from each other within the Team and training to local research assistants in Kenya and Malawi on the various research methods to be used in Activity 2. We will also meet with Chiefs and community representatives of the two target communities for Activity 2 (i.e. Mukuru slum (Nairobi, Kenya) and Ndirande informal settlement (Blantyre, Malawi)). We will hold partnership building events to discuss the issues with relevant stakeholders: government representatives, policy makers, local chiefs, religious leaders, academics and NGOs.

ACTIVITY 2 will use various research methods to understand the beliefs and experiences of the 'fuel to pot' in Mukuru and Ndirande. The various methods include using photos and walking interviews to capture daily cooking experiences, measuring air pollution while cooking and 'dots' photography, which uses dots of lights on photos to show the smoke concentration produced while cooking and how it can damage your health.

During ACTIVITY 3 the data gathered in Activity 2 will be summarised and fed back to the community members of Mukuru and Ndirande, through various techniques to show data in a more visual way ( where people are less literate) and stimulate further discussion, such as pop-up exhibitions of posters/drawings made by local artists, videos, dots photography. Relevant stakeholders identified in Activity 1 will also be invited to share and participate in the discussions in Activity 3.

ACTIVITY 4 consists of partnership meetings in Kenya and Malawi to discuss, with relevant stakeholders identified in Activity 1 and any new ones, the findings and next steps to design interventions, together with the informal settlements communities, to address the most urgent aspects related to cooking with solid fuel usage.

This will lead to the partnership applying for other funding to develop and pilot the intervention in Kenya and Malawi to improve the lives of those communities.

Planned Impact

This project will consist of multidisciplinary research and engagement to explore the challenges and priorities of households in informal settlements regarding food preparation using solid fuels, with the aim of developing contextualised interventions. It will have Societal, and Academic impacts.
SOCIETAL IMPACT on communities involved in the Mukuru slum (Nairobi, Kenya) and in Ndirande informal settlement (Blantyre, Malawi). In Activity 1, we will meet with community representatives and chiefs to help guide the implementation of our planned activities. In Activity 2 we will recruit participants in both communities to hear their lived experiences of the 'fuel to pot journey' and measure potential HAP exposure in their homes from cooking food on solid fuel. We will integrate what community members tell us and visualise the data gathered to present it back to them for feedback and discussion in Activity 3. The impact of this activity will be in starting a discussion with the community on their priorities with regards to cooking on solid fuels, leading to the co-production of intervention ideas. To measure our impact we will measure participation in the activities and conduct focus group discussions to gain feedback on the methods we used, we will measure attendance at community events and Partnership meetings, and record the levels of engagement from community members.
SOCIETAL IMPACT on potential partners and stakeholders in Kenya and Malawi. Throughout the Project, we will grow and strengthen the Partnership by engaging with a wide range of stakeholders, from government representatives and policy makers to traditional and religious leaders, donors, academics and civil society organisations. We will invite those to Partnership building events in Activity 1 and to engage in our community-based events in Activity 3, so they can partake in the discussion with community members and understand their priorities. In Activity 4 we will invite them to further Partnership events alongside community representatives to seek their input and renewed commitment to the Partnership's future work (including further funding applications). We will keep stakeholders informed through regular bulletins between events. To measure our impact, we will record the participation of stakeholders in the Partnership's activities, chart the Partnership growth over the life of the project, record the level of engagement via email and social media throughout and log any indirect impact on policy formulation, and advocacy.
ACADEMIC IMPACT through capacity building. In Activity 1 we will use team wide peer-training and knowledge exchange regarding the methods to be used in the project. In Activity 2 we will build the capacity of Research Assistants (RAs) and Team to collect and analyse data gathered through a variety of innovative mixed methods. In Activity 3 we will maximise impact through learning, testing and sharing data visualization techniques (pop-up exhibitions of posters/ drawings made by local artists, photovoice and HAP photos, videos). Our direct impact will be visible if the two RAs trained continue to work in the subject area beyond the project's lifetime and if the co-applicants are able to utilise their new knowledge to inform their practice going forward. We will measure this by conducting a small impact survey within our team at the end of the project.
ACADEMIC IMPACT through dissemination and communication to wider audiences. We will use the Team, Project Advisory Group and Partnership's extensive networks to disseminate the outputs. Team members will present findings at key Conferences and meetings. We will use social media, websites and open access publishing mechanisms (e.g. the Conversation) to engage with wider global audiences. To measure of our impact success we will monitor the number of website hits, article downloads, location of visitors and social media statistics, statistics including Altmetric for our academic outputs.

Publications

10 25 50
 
Description Worldwide, 2.4 billion people rely on solid fuels for cooking and there are approximately 3.2 million deaths per year from illnesses attributable to household air pollution (HAP) . HAP is linked to diseases such as strokes and heart disease, and respiratory illnesses including chronic obstructive pulmonary disease (COPD) and lung cancer. Women and children are disproportionately exposed to HAP. The health of the poorest populations living in informal settlements (slums) is often the most affected, as cleaner types of fuels remain unavailable or unaffordable to those living in those areas .We used novel methods: The project used walking interviews (where the researcher walks alongside the participant measuring air pollution and asking questions as the person goes on their journey to find or buy fuel) and a methodology called "Photovoice" (where residents themselves take pictures of their environment and then discuss the issues that are of greatest concern to them). We conducted 15 walking interviews as people collected or purchased their cooking fuel and then cooked with it with 15 participants in informal settlements in Kenya and 15 in Malawi. We also used captured video images, location data and air pollution data measurement using a device called a PurpleAir monitor which provides information on concentrations of fine particulate matter (PM2.5). We conducted a photovoice study with 10 participants in Mukuru and 9 in Ndirande. The World Health Organisation (WHO) guidelines state that annual average concentrations of PM2.5 should not exceed 5 µg/m3, while 24-hour average exposures should not exceed 15 µg/m3 . Our measurements in Mukuru (Kenya) found participants experiencing PM2.5 concentrations as high as 600 µg/m3 during their daily activities, and as high as 1500 µg/m3 in Ndirande (Malawi).
Through the photovoice, we found that residents in informal settlements in both countries use a variety of fuels, and practice 'fuel stacking' to meet their daily cooking needs. In terms of solid fuels, charcoal and wood are commonly used. Different fuels are used to cook or re-heat different food types. Some people In Mukuru also use LPG and liquid fuels like paraffin/kerosene; in Malawi residents also use maize cobs and stalks and plastic bottle. One of our main findings is that costs and poverty often dictacte which fuels are used. Residents in both countries described vividly how the smoke produced during cooking is damaging to their health (particularly lungs) and that children are especially at risk.

We are currently writing 3 papers on the results of this study. We also conducted significant impact and dissemination events in Kenya and Malawi in February 2023 with community stakeholders and also policymakers. Evidence briefs are being developped to be disseminated to key policy stakeholders, containing specific recommendation from the study.

This project has strengthen the research capacity of all 3 institutions and the Team is now developing a proposal for follow up interventions in both countries to be submitted in 2023 to the UKRI.
Exploitation Route We conducted significant impact and dissemination events in Kenya and Malawi in February 2023 with community stakeholders and also policymakers. Evidence briefs are being developped to be disseminated to key policy stakeholders, containing specific recommendation from the study. We will follow up with policymakers in each country and involve them in the next proposal and project . One of the main outcome of this funding is an understanding of the most important aspects of solid fuel use for cooking in informal settlements ('slums') form the 'lens' of those most affected. It will lead to identifying the factors most critical and amenable to change with regards to cooking on solid fuels, and will now enable us to target those in the development of a co-designed and contextually appropriate interventions
Sectors Communities and Social Services/Policy,Creative Economy,Energy,Environment,Healthcare

URL http://www.fueltopot.org
 
Description The research and methods used have represented a significant opportunity for the research participants and community members- particularly women and girls- to make their own voices heard on issues affecting them with regards to solid fuel use for cooking and the impact of household air pollution. Women and girls are particularly at risk from the health-related impacts of solid fuel usage for cooking (e.g. pneumonia and musculoskeletal damage), as they are the primary gatherers of fuel for cooking and the primary cooks in most low-and middle-income countries (LMICs).In February 2023, members of the Team from all 3 partner countries undertook visualization/ impact and discussion events with the communities involved in Ndirande and Mukuru. They used a mobile exhibition with posters designed locally featuring air pollution measurements/quotes and stills from videos from walking interviews as well as photos from the photovoice conducted in each country. We engaged in a discussion with over 50 community members in each country around solutions and feasible, appropriate, affordable intervention ideas to address their priorities in terms of cooking food on solid fuels, and harm to health. We recorded proceedings and are producing a short film for dissemination on Youtube and our bespoke website (www.fueltopot.org). Thereafter we cascaded these discussions through further meetings in each country with policymakers and key stakeholders ( NGOs, academics) in Nairobi and Blantyre. We continued to discuss with them the interventions most feasible and amenable to change which can address community concerns, and support the energy and policy strategies of the Kenyan and Malawian Governments. This continuous engagement with collaborators, participants and policymakers will strengthen any future intervention developed and piloted by the Team in the next proposal.
First Year Of Impact 2023
Sector Communities and Social Services/Policy,Education
Impact Types Cultural,Societal,Policy & public services

 
Description GCRF and Newton Consolidation Accounts University of Stirling
Amount £31,457 (GBP)
Funding ID 1836395 
Organisation University of Stirling 
Sector Academic/University
Country United Kingdom
Start 09/2022 
End 03/2023
 
Description ODA GCRF and Newton Consolidation Accounts - University of Stirling
Amount £13,600 (GBP)
Funding ID 101617 
Organisation University of Stirling 
Sector Academic/University
Country United Kingdom
Start 11/2022 
End 03/2023
 
Description Clean the Air Better Indoors for Newborns (CABIN): Reducing Exposure to Household Air Pollution During Pregnancy in Sub-Saharan Africa 
Organisation University of Nairobi
Country Kenya 
Sector Academic/University 
PI Contribution I am bringing my experience in the area of childbirth, nutrition, and community mobilisation In Sub Saharan Africa, as well as the network from the Fuel to Pot project in the area of household air pollution in Kenya and Malawi
Collaborator Contribution Each partner is bringing their network and their expertise. The Aim of this partnership is to identify potential strategies for future interventions to reduce HAP exposure during pregnancy in sub-Saharan Africa. Objectives: 1. Identify relevant published reviews in HAP, neonatal health, tobacco cessation and second-hand smoke (SHS) to extract key methods and concepts which could be transferable to interventions for this target group 2. Share research experience of HAP reduction interventions as well as smoking and SHS exposure reduction interventions in pregnancy through a programme of in-person and online events 3. Identify and select potential strategies to develop an intervention toolkit taking transferable lessons from tobacco control to reduce exposure to HAP during pregnancy 4. Build capacity for intervention development, HAP and SHS exposure measurement through online training workshops for collaborating institutions 5. Conduct pilot feasibility and acceptability research in selected SSA partner locations through engagement with relevant community members and NGOs, including qualitative research on HAP
Impact no outputs yet
Start Year 2021
 
Description Clean the Air Better Indoors for Newborns (CABIN): Reducing Exposure to Household Air Pollution During Pregnancy in Sub-Saharan Africa 
Organisation University of Stirling
Country United Kingdom 
Sector Academic/University 
PI Contribution I am bringing my experience in the area of childbirth, nutrition, and community mobilisation In Sub Saharan Africa, as well as the network from the Fuel to Pot project in the area of household air pollution in Kenya and Malawi
Collaborator Contribution Each partner is bringing their network and their expertise. The Aim of this partnership is to identify potential strategies for future interventions to reduce HAP exposure during pregnancy in sub-Saharan Africa. Objectives: 1. Identify relevant published reviews in HAP, neonatal health, tobacco cessation and second-hand smoke (SHS) to extract key methods and concepts which could be transferable to interventions for this target group 2. Share research experience of HAP reduction interventions as well as smoking and SHS exposure reduction interventions in pregnancy through a programme of in-person and online events 3. Identify and select potential strategies to develop an intervention toolkit taking transferable lessons from tobacco control to reduce exposure to HAP during pregnancy 4. Build capacity for intervention development, HAP and SHS exposure measurement through online training workshops for collaborating institutions 5. Conduct pilot feasibility and acceptability research in selected SSA partner locations through engagement with relevant community members and NGOs, including qualitative research on HAP
Impact no outputs yet
Start Year 2021
 
Description 3 day workshop around training/ knowledge sharing/ research capacity building on Household Air Pollution in Kenya and Malawi 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact The team and the advisers co designed, co-delivered and engaged in a 3 day workshop around training/ knowledge sharing/ research capacity building including the following:
a- Environmental health and context for HAP in informal settlements in Kenya and Malawi
b- Nutrition, cooking, Space, place, home and gender and Power dynamics in the household
c- General qualitative research introduction and brief overview of participatory methods of community engagement
d- Working with young people in the community
e- Focused training on Walking interviews (method, analysis, use of GoPro and GPS, Purple Air)
f- Photovoice methodology training
Year(s) Of Engagement Activity 2021
 
Description Stakeholder engagement Event, - Blantyre ( Malawi) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact 21 policy makers and NGOs took part in a stakeholder event discussion event. We presnted findings from the study and a mobile exhibition (on posters) designed locally to present findings from the community ( air pollution measurements/quotes and stills from videos from walking interviews as well as photos from the photovoice conducted in the Fuel to Pot Project- F2P project). We gained further feedback and discussed directly with politicians, key NGOs and academics potential intervention ideas to address informal settlement residents priorities in terms of cooking food on solid fuels and harm from household air pollution. We filmed this event with consent and are producing a short film for dissemination on Youtube channel and our bespoke website (www.fueltopot.org). This event was attended by the Malawi Broadcast corporation and various key media outlets in Malawi.
Year(s) Of Engagement Activity 2023
URL http://www.fueltopot.org
 
Description Stakeholder engagement Event- Nairobi (Kenya) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact 15 policy makers and NGOs took part in a stakeholder event discussion event. We presented findings from the study and a mobile exhibition (on posters) designed locally to present findings from the community ( air pollution measurements/quotes and stills from videos from walking interviews as well as photos from the photovoice conducted in the Fuel to Pot Project- F2P project). We gained further feedback and discussed directly with politicians, key NGOs and academics potential intervention ideas to address informal settlement residents priorities in terms of cooking food on solid fuels and harm from household air pollution. We filmed this event with consent and are producing a short film for dissemination on Youtube channel and our bespoke website (www.fueltopot.org).
Year(s) Of Engagement Activity 2023
URL http://www.fueltopot.org
 
Description Visualisation and Impact events- Community Event Ndirande ( Malawi) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact 50 members from the Ndirande slumstook part in this visualisation/ discussion event. We invited participants who were involved in walking interviews and the photovoice study , as well as traditional leaders and other key community actors ( local business owners, local councillors). We used a mobile exhibition (on posters) designed locally to present findings from the community ( air pollution measurements/quotes and stills from videos from walking interviews as well as photos from the photovoice conducted in the Fuel to Pot Project- F2P project). We gained further feedback and engaged with the community members in a discussion around potential intervention ideas to address their priorities in terms of cooking food on solid fuels and harm from household air pollution. We filmed this event with consent and are producing a short film for dissemination on Youtube channel and our bespoke website (www.fueltopot.org).
Year(s) Of Engagement Activity 2023
URL http://www.fueltopot.org
 
Description Visualisation and Impact events- Community Event Mukuru (Kenya) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact 50-60 members from the Mukuru slum took part in this visualisation/ discussion event. We invited participants who were involved in walking interviews and the photovoice study , as well as traditional leaders and other key community actors ( local business owners, local councillors). We used a mobile exhibition (on posters) designed locally to present findings from the community ( air pollution measurements/quotes and stills from videos from walking interviews as well as photos from the photovoice conducted in the Fuel to Pot Project- F2P project). We gained further feedback and engaged with the community members in a discussion around potential intervention ideas to address their priorities in terms of cooking food on solid fuels and harm from household air pollution. We filmed this event with consent and are producing a short film for dissemination on Youtube channel and our bespoke website (www.fueltopot.org).
Year(s) Of Engagement Activity 2023
URL http://www.fueltopot.org