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Journal of Ethnobiology and

Ethnomedicine
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Indigenous and traditional plants: South African parents' knowledge,


perceptions and uses and their children's sensory acceptance
Journal of Ethnobiology and Ethnomedicine 2013, 9:78

doi:10.1186/1746-4269-9-78

Marinka van der Hoeven ([email protected])


Jennifer Osei ([email protected])
Minrie Greeff ([email protected])
Annamarie Kruger ([email protected])
Mieke Faber ([email protected])
Cornelius M Smuts ([email protected])

ISSN
Article type

1746-4269
Research

Submission date

18 July 2013

Acceptance date

7 November 2013

Publication date

25 November 2013

Article URL

http://www.ethnobiomed.com/content/9/1/78

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2013 van der Hoeven et al.


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Indigenous and traditional plants: South African


parents knowledge, perceptions and uses and their
childrens sensory acceptance
Marinka van der Hoeven1,2,*
Email: [email protected]
Jennifer Osei2
Email: [email protected]
Minrie Greeff1
Email: [email protected]
Annamarie Kruger1
Email: [email protected]
Mieke Faber3
Email: [email protected]
Cornelius M Smuts2
Email: [email protected]
1

Africa Unit for Transdisciplinary Health Research (AUTHeR); Faculty of


Health Sciences, North-West University, Potchefstroom Campus, Private Bag
6001, Potchefstroom 2520, South Africa
2

Centre of Excellence for Nutrition (CEN); Faculty of Health Sciences, NorthWest University, Potchefstroom Campus, Private Bag 6001, Potchefstroom
2520, South Africa
3

Nutritional Intervention Research Unit, Medical Research Council (MRC), PO


Box 19070, Tygerberg 7505, South Africa
*

Corresponding author. Africa Unit for Transdisciplinary Health Research


(AUTHeR); Faculty of Health Sciences, North-West University, Potchefstroom
Campus, Private Bag 6001, Potchefstroom 2520, South Africa

Abstract
Background
The dietary shift from indigenous and traditional plants (ITPs) to cash crops and exotic plant
food sources increases the risk of malnutrition and other nutrition-related non-communicable
diseases, especially in poor rural communities. Farm communities in South Africa have been
associated with poor nutritional status and extreme poverty. ITPs have been found to be
affordable sources of several micronutrients. However, knowledge of and the use of these
plants are declining, and little is known about the childs acceptance of dishes prepared with

ITPs. This knowledge can be used to improve the general acceptance of ITPs. This study
aimed to gain insight into parents knowledge and perceptions and their use of ITPs in a
farming community in the North West Province and to assess childrens acceptance of and
preference for dishes made with African leafy vegetables (ALVs) and Swiss chard.

Methods
Parents (n = 29) responsible for food preparation for children in grade 2 to 4 in two schools
were purposively selected for four focus group discussions. A sensory evaluation assessed the
childrens (n = 98) acceptance of, preference for and intended consumption of dishes made
with leafy vegetables. The dishes were made of Amaranthus spp., Cleome gynandra,
Cucurbita maxima, Vigna unguiculata and Beta vulgaris.

Results
Parents mentioned 30 edible ITPs during the focus group discussions. Parents had knowledge
of available ITPs and their use as food. Location, seasonal variation and rainfall affected the
availability of and access to ITPs. Sun-dried ITPs were stored in sacks for later use. ITPs
were perceived as healthy, affordable and delicious, hence acceptable to the parents. The
children also evaluated the dishes made with ALVs as acceptable in terms of colour, smell
and taste. Swiss chard was preferred, most likely because of the childrens exposure to this
vegetable. Children indicated that they would like to eat these leafy vegetables twice a week.

Conclusion
These results look promising for the promotion of ITPs as a strategy to reduce malnutrition in
rural farm communities and for potential inclusion of these micronutrient-rich ALVs in
school feeding programmes to improve the nutritional status of children.

Keywords
Indigenous plants, Traditional plants, African leafy vegetables, Knowledge, Perception, Use,
Sensory evaluation, Parents, Primary school children, South Africa

Background
Over millennia, indigenous and traditional plants (ITPs) have been the main source of food
for many rural communities. However, colonial economies and post-independence
development schemes placed greater emphasis on the production and consumption of cash
crops, introduced foods that led to the displacement of indigenous food crops and caused
subsequent changes in the diet of African people [1]. Their food patterns reflected an
increasing intake of a limited number of domesticated plant staples, while intake of the edible
wild plant species that once sustained health and nutritional status was reduced [2]. It is
evident that urbanisation has contributed to a decline in knowledge of the usefulness of ITPs,
hence the reduction in the consumption of these foods. This dietary change, especially in poor
rural communities, put people at risk of malnutrition and other nutrition-related noncommunicable diseases. According to the United Nations Childrens Fund conceptual
framework on malnutrition, the underlying causes of malnutrition and death in children are

poor household food security, inadequate maternal and child care, insufficient health services
and an unhealthy environment or lack of education and information [3]. The South African
National Food Consumption survey of 1999 showed that a large number of children had
inadequate intake of energy, vitamin A, vitamin C, thiamine, riboflavin, niacin, vitamin B6,
vitamin B12, folic acid and zinc [4]. It also showed that rural children were worse off than
those who lived in urban areas. Lemke stated that in South Africa, with regard to socioeconomic status, health status, household nutrition security and education, farm worker
households tended to be most vulnerable among all groups [5]. ITPs can play an important
part in alleviating hunger and malnutrition. They are important sources of micronutrients,
including vitamins A and C, iron and other nutrients, and are sometimes better nutritional
sources than modern vegetables [6]. Modernisation of South African rural communities has
led to people perceiving ITPs as inferior. Faber et al. reported that African leafy vegetables
(ALVs) were often regarded as a poor peoples food in South Africa [7]. Labels such as
backward knowledge have been linked to traditional vegetables and associated knowledge,
thus discouraging the youth from learning about them [8,9].
Knowledge of the use of indigenous plants needs urgent scientific investigation and
documentation before it is irreversibly lost to future generations [6]. Several studies in South
Africa have reported a decline in the use of ITPs [10-12]. However, Shackleton reported the
frequent use of wild edible herbs among rural communities [13]. Faber et al. [7] concluded
that availability and access to nutrition-related uses of ALVs are content-specific, with interand intra-provincial rural/urban differences. Different communities may have different
perceptions and beliefs about the ITPs that grow in their area and this affects the consumption
and use of the plants. Sensory characteristics of food, such as appearance, smell, texture and
taste, also play an important role in peoples decision to consume a particular food. Research
on the acceptability of food is needed to determine the impact of taste and preference on
dietary intake patterns of consumers that can be used to improve the general acceptance of
ITP foods [14].
As information collected during small studies within a specific area cannot be generalised to
the entire South African population, the objectives of this contextual study were to gain
insight into the parent [1] s knowledge and perceptions of and their use of ITPs in a farming
community in the North West Province and to assess childrens acceptance of and preference
for dishes made with ALVs and Swiss chard.

Methodology
Research design
The study was conducted in two phases. The first phase used a qualitative interpretive
description approach [15] to explore and describe parents knowledge and perceptions and
their use of ITPs. Household socio-demographic characteristics were also obtained from these
parents. The second phase used a quantitative cross-sectional approach in the form of sensory
evaluation to assess childrens acceptance of and preference for dishes made with ALVs and
Swiss chard.

Setting
The North West Province of South Africa is approximately 116 320 square kilometers in area
and almost all its rainfall occurs in the summer months between October and April. Average

rainfall of 539 mm per annum decreases from east to west. There is a short growing season
for frost-sensitive crops between October (last cold) and the end of April (first frost). Regular
droughts occur in this province. Sixty percent of the provinces 3.2 million inhabitants live in
rural areas [16,17]. According to the North West Province State of the Environment Report in
2002, mining and agriculture, including both crop cultivation and livestock production
systems, were the two most important economic sectors. In the same year, the estimated
unemployment rate was 38% and approximately a third of the population was illiterate [17].
According to Cloete et al., 53% of the population lives in poverty and 41% is economically
dependent on social funding from government [18]. The current study was conducted within
the infrastructure of two farm primary schools in a rural area approximately 50 kilometres
from Potchefstroom in the southeastern part of the North West Province (Figure 1). The
main farming activities in this area include maize, sunflower and chicken farming. Both these
primary schools were located in similar farm surroundings (with only very small shops, socalled tuck shops) and were fully sponsored by the South African Department of Education
and by the farm owners themselves. One school was situated approximately 25 kilometres
from an urban area with markets and grocery stores, the other school approximately 35
kilometres from such an area. Schools were chosen as entry point because they are closely
linked to the community.
Figure 1 Map indicating the study site in the North West Province of South Africa
(adapted from 17).

Ethical considerations
Ethical approval was granted by the Ethics Committee of the North-West University (NWU00033-09-A1). Permission to conduct the study was granted by the Department of Education
of the North West Province (Dr Kenneth Kaunda district) and the school governing bodies of
the two schools. Several parent meetings, in the preferred language of the parents, were held
at the school premises to explain the purpose and procedures of the study, and to answer any
questions that the parents had. Potential participants were invited to participate in the study
and were asked to sign an informed consent form (illiterate people made a cross in front of a
witness) agreeing that they themselves and their children would participate in the study. Only
children who obtained parental consent and gave assent for the study were included. Potential
participating parents were assured of data confidentiality and that the data would be used for
the sole purpose of the study. Participation was voluntary and the participants could withdraw
at any time without any consequences.

Phase 1: Parents knowledge, perceptions and use of indigenous and


traditional plants
Sample
Prospective households from which to recruit a purposive voluntary sample of participants
were identified through the two primary schools [19]. Two focus group discussions per
school were planned, with the possibility of increasing this number if data saturation was not
reached. Participants were recruited through house visits. The participant had to be a parent
or primary caregiver (hereafter called parent) of a child attending grade 2 to 4 at the selected
primary school, responsible for procuring and preparing food in the household, living in the
selected community and 18 years or older. After the parent meetings and a week before the

focus group meeting, the prospective participant was verbally informed about the research
again and invited to participate. If the prospective participant indicated not being available for
the focus group, a different parent was asked to participate. Although eight parents were
invited to participate per focus group, only one focus group consisted of eight participants.
The other three focus groups had seven participants each. Repetition in knowledge and
themes was noted after the third focus group discussion. The fourth focus group discussion
did not provide any significant new information, therefore no more parents were selected to
participate.

Data collection
Household socio-demographic characteristics data for the 29 parents participating in the
focus group discussions was collected by means of a structured questionnaire prior to the
focus group discussions.
The focus group discussions were held in a classroom at the two schools during school
holidays. The school environment was chosen in order to make participants feel that they
were in an environment to which they were already used. Transport was provided to get to
the schools. All participants received refreshments before and after the focus group
discussions and were given a small monetary incentive for their participation. Participants
were seated in a circle. This allowed them to see one another during the discussions and it
also encouraged a sense of group atmosphere and bonding. All focus groups were conducted
in the local language (Setswana), audio-recorded and transcribed verbatim. Each focus group
was conducted by an interviewer and an assistant moderator, responsible for operating the
tape, making observations and taking notes. A photo atlas from the South African
Agricultural Research Council with pictures of ITPs [20] was used to assist participants to
identify the ITPs and to connect the common names of the plants to their botanical names.
All botanical names used in this manuscript have been verified with the International Plant
Names Index and the World Checklist of Selected Plant Families [21,22].
The focus groups followed a semi-structured format to ensure accuracy in topics covered
across the different groups and still permit a certain level of flexibility within the group [23].
A discussion guide with six open-ended questions was designed to collect data on the
knowledge and use of ITPs. The interview guide was discussed with other experts in the
field, adjusted and pilot tested [24]. The following open-ended questions were included:
1.
2.
3.
4.
5.
6.

Can you tell me more about the indigenous and traditional plants in your
community/surroundings?
You have mentioned all these plants; let us talk about where you get them.
These plants, how do you use them?
These plants, how and why do you store them?
Please tell me more about the beliefs about these plants?
Please tell me more about your feelings and your views regarding these plants?

Concepts of knowledge and use


For the purpose of this study, ITPs and ALVs are foods/vegetables that are either native to
the region, or were introduced to it a long time ago to evolve through natural processes or
farmer selection, including both wild foods/vegetables and ones traditionally cultivated by the

inhabitants of a region. In describing the results of the focus groups, it was important to
contextualize the term knowledge and use. Gadgil et al. defined knowledge as an
outcome of model-making about the functioning of the natural world. They further defined
indigenous knowledge as a cumulative body of knowledge and beliefs handed down through
generations by cultural transmission about survival and the relationship of beings (including
humans) with one another and their environment [25]. This definition of knowledge was
adapted to this study. In this context, parents were considered to be knowledgeable if they
could express or give any form of relevant information related to the topic of study. The term
use in this context referred to the purposes the ITPs served in the community and the
processes that were involved in preparation to serve their purpose.

Data analysis
Household socio-demographic characteristics data was analysed by means of descriptive
statistics using the IBM Statistical Package for Social Sciences (IBM SPSS 20.0 for
Windows). A quality check was carried out on the transcribed data of the focus groups by a
research assistant who was fluent in both English and Setswana, to ensure that the discussion
was correctly translated without the original meaning being lost in translation. The notes
taken during the focus group discussion by the assistant moderator were used to complement
the rich data. The transcripts were coded and analysed with Atlas.ti 6 computer software,
using the framework approach as described by Rabiee [26]. The coding of the transcripts was
done independently by two researchers (MvdH and JO). After the second focus group no new
codes were added. Differences between researchers were minimal and consensus was easily
reached.

Trustworthiness
The principle of trustworthiness was adhered to using the approach of Guba (in [27]). The
pilot study and the focus groups ensured prolonged engagement (truth value) with the
participants in this study. Truth value was further increased through triangulation of
investigators and sources. Applicability was ensured by conducting multiple focus groups,
using a detailed interview guide, encouraging participants to share their knowledge, the
saturation of data and a dense description of the methodology. Transferability was obtained
through purposive sampling and using direct quotations when presenting findings. The
establishment of an audit trial for stepwise replication of the research was possible and a cocoder was used during data analysis, ensuring consistency and neutrality.

Phase 2: Childs acceptance


Participants
Children from grade 2 to 4 in the two primary schools (n = 98; M/F: 40/58, 710 years) were
randomly selected to participate in the sensory evaluation.

Food sample preparation and presentation


Four different dishes made from ALVs harvested in the study area and one dish made from
store-bought Swiss chard were tested for acceptability. Swiss chard was included as reference
sample. Each dish had a different vegetable content (see Table 1); however, the remaining

ingredients were the same. These included tomatoes, onions, salt and vegetable oil. The
ALVs selected for this study and the recipe for the dishes were based on the results of
previous studies in the North West Province [28,29]. Sufficient samples of the five dishes
were prepared, transported to the study site and heated in a microwave oven in a standardized
manner. Each sample (numbered with three-digit random numbers) was served on a small,
white plate accompanied by a small spoon.
Table 1 Leafy vegetables used in dishes tested in sensory evaluation
Leafy vegetables used in dish
Common name
ALV: Amaranthus cruentus L. (100%)
Amaranth
ALV: Amaranthus cruentus L. (80%) and Cleome gynandra L.
Amaranth and
(20%)
spiderplant
ALV: Amaranthus cruentus L. (80%) and Cucurbita maxima
Amaranth and pumpkin
Lam.(20%)
ALV: Amaranthus cruentus L. (80%) and Vigna unguiculata (L.)
Amaranth and cowpea
Walp (20%)
Conventional vegetable: Beta vulgaris L.
Swiss chard

Procedure for sensory evaluation


The sensory evaluation followed the procedures as described by Dalton et al. [30]. An hour
before the sensory evaluation took place, the participant ate a sandwich with margarine and
polony to prevent potential hunger from influencing the rating of the different dishes. The
sensory evaluation took place in an empty classroom, in sessions of 10 participants per group.
A facilitator conversed with the participants in the local language (Setswana) in a friendly
manner to put them at ease. The facilitator explained the procedure and the score sheet to the
group. Each participant was then allocated to a trained fieldworker for a one-on-one interview
in the childs preferred language. They were seated in such a way that interaction between the
participants was minimised. Each child (n = 98) evaluated four of the five different samples
(each dish was therefore evaluated at least 77 times), randomly allocated by means of a Latin
square design. One by one, the participant evaluated each sample (30 gram) for colour, smell,
taste and overall acceptance. Between tasting the samples the participants were ask to take a
sip of water and eat a small piece of apple to cleanse the palate in order to reduce possible
overlap of flavours. The participants could indicate their opinion by pointing at the relevant
smiley face representing the score or whisper their response to the fieldworker. In both
instances the fieldworker recorded the appropriate score. After the evaluation of four
samples, the participant was asked if he or she had a preference for one of the samples and if
so, for which sample. The last question was how many times per week the participant was
willing to eat this type of food (leafy vegetables). The participants received a piece of candy
as incentive after completion of the sensory evaluation.

Score sheet
The procedure for sensory evaluation and the score sheet were standardised during a pilot
study conducted in one of the schools. The 10 randomly selected children (M/F: 5/5; 710
years) participating in the pilot study were excluded from participation in the sensory
evaluation. Chen et al. (1996) and Kroll (1990), both cited by Guinard [31], recommend
using hedonic scales with verbal anchors. The score sheet used a five-point ordinal scale,
ranging from super good (value = 5) to super bad (value = 1) (see Figure 2). The five-point

ordinal scale has an equal number of positive and negative categories and is often used in
consumer studies accommodating different language groups [32]. To avoid potential
comprehension problems the five-point ordinal scale was explained by the facilitator using
visual stimuli [31] in the form of a large lollipop (super good) and cod liver oil (super bad).
The score sheet also included a question on a potential preferred sample and a seven-point
food action rating scale to score consumption intent relating to each sample. This was done
by asking how many times per week the participant was willing to eat leafy vegetables [29].
From the pilot study it was evident that the participants understood the score sheet used.
Figure 2 Five-point ordinal scale used for sensory evaluation (adapted from 30).

Data analysis
Each verbal anchor used in the sensory evaluation was allocated a value ranging from super
good (value = 5) to super bad (value = 1). Mean values for the different attributes were
calculated. Data was found not to be normally distributed, therefore the Kruskal-Wallis,
MannWhitney U test and chi-square test for independence were performed using the IBM
Statistical Package for Social Sciences (IBM SPSS 20.0 for Windows), controlling for Type 1
error across tests by using the Bonferroni approach. A p-value of <0.05 was regarded as
significant.

Results and discussion


Parents knowledge, perceptions and use
In total, 29 parents (median age 40.1 years, range 20.7 82.9 years) participated in four focus
groups. Most of them (n = 26) were female. This was expected, because women are usually
responsible for taking care of children in the home and also are responsible for ensuring that
the household has access to food. Table 2 describes the characteristics of these participants.
More than half of the participants (58.6%) indicated that their husbands were the heads of the
household, whereas 34% of the participants indicated that they themselves were the heads of
the household. On average, two people (2.69 1.58) in a household contributed to the
income of the household. A child support grant was received by 69% of participants, whereas
19% received a pension grant. Most of participants indicated that their household did not
receive any food from a feeding scheme (excluding the national school feeding programme)
(89.7%) or that the household did not grow any food for its own use (72.4%). The socioeconomic data indicated that these participants had a low educational background and were
of low socio-economic status. This made them a vulnerable group, hence their significance
for this study.

Table 2 Characteristics of focus group participants (n = 29)


Percentage
n
Education level
No education
5
17.2
Primary education
14
48.3
Secondary education
10
34.5
Household size
Children (018 years)
Adults (1964 years)
Adults (65 and older)
Number of children taking care of
Work status
Employed
17
58.6
41.4
Unemployed / retired
12
Total monthly household income
Less than ZAR 1000
6
20.7
ZAR 1000 ZAR 2000
12
41.4
ZAR 2000 ZAR 3000
7
24.1
More than ZAR 3000
4
13.8
Monthly expenditures on food
Less than ZAR 400
8
27.6
ZAR 400 ZAR 800
13
44.8
More than ZAR 800
8
27.6
ZAR: South African Rand; 1 USD 9.08 ZAR.

Median

Range

3.0
2.0
0.0
3.0

1-7
0-5
0-2
1-7

Direct quotations from participants were included in the description of the findings in order to
give a richer description of the context. Results of the focus groups in general showed that the
participants appeared to be knowledgeable on various edible ITPs in their surroundings in
terms of their use.

Edible ITPs
The themes that emerged from the data with regard to the edible ITPs included availability
and access, preservation and storage, preparation and perceptions, including beliefs and
feelings.
Table 3 shows the edible ITPs identified by the participants. The most commonly used edible
plants were Amaranthus spp., commonly known as thepe, and Chenopodium album,
commonly known as senkgampapa. The parts of the plants that were mostly consumed were
the leaves. Participants referred to the leafy vegetables as morogo or wild spinach.

Table 3 Identified edible ITPs


Local name in Setswana
Botanical name
Part consumed
FG 1
FG 2
FG 3
FG 4
Amadumbe (IsiZulu)
Colocasia esculenta (L.) Schott and Xanthosoma sagittifolium(L.) Schott
Leaves, stem
Y
Bobete
Urtica urens L.
Leaves
Y
Chencha-keledi
unknown
Fruit
Y
Kgobe-di-metsing
Portulaca oleracea L.
Leaves
Y
Leleme-la-kgomo
Looks like Ricinodendron rautanenii Schinz
Fruit, seeds
Y*
Y*
Lekatane
Citrullus lanatus (Thunb.) Matsum. & Nakai
Fruit, leaves
Y
Lekgomane
Lagenaria siceraria (Molina) Standl.
Leaves
Y
Y
Lerotho
Cleome gynandra L.
Leaves
Y
Y
Leshabe
Sonchus asper Vill. and S. oleraceus L.
Leaves
Y
Motangtang/ Mistrikadika (fruit)
Momordica balsamina L.
Fruit
Y
Mmilo
Vangueria infausta Burch.
Fruit
Y
Y
Mmoko
unknown
Fruit
Y
Moetsa-wa-pere
unknown
Roots
Y*
Y
Mokofi
unknown
Seeds
Y
Morwetla
Grewia flava D.C.
Fruit
Y
Y
Y
Monokotshwai
unknown
Fruit
Y
Motswetswejane
unknown
Fruit
Y
Qhela
unknown
Leaves
Y
Rapa/ rape
Brassica rapa L.
Leaves, stem
Y
Rotsane
unknown
Fruit
Y
Sebitsa
unknown
Leaves
Y
Sehuwe
unknown
Leaves
Y
Y
Y*
Sekgalo
unknown
Leaves
Y*
Y
Y
Y
Solele
Portulaca oleracea L.
Leaves
Y
Senkgane/Sekgapapane/ Imbikilicane
Chenopodium album L.
Leaves
Y*
Y*
Y*
Y*
Spaile
Brassica carinata A. Braun
Leaves
Y
Y*
Y*
Sepatlapatla
Physalis peruviana L.
Leaves, stem
Y
Y
Sthwanya
unknown
Leaves
Y
Y
Storfyn
unknown
Leaves
Y
Thepe
Amaranthus spp: A. blitum L., A. graecizans L., A. cruentus L. , A. tricolor L. Leaves, stem
Y*
Y*
Y*
Y*
The local names are given in Setswana, unless differently indicated. FG: Focus Group. (Y): the majority (75% or more) of participants within a particular focus group knew about the particular
ITP mentioned and was familiar with its use. (*): the IPT was commonly/mostly used by the participants. (): the ITP was not used and/or known.

Two of the identified plants, Momordica balsamina (Motangtang/Mistrikadika) and Physalis


pyruviana (Sepatlapatla), were found to be used for both medicinal and food purposes.
According to the participants, the fruits of the Momordica balsamina plant were eaten,
mainly as a snack, whereas the leaves were used as eye medication for children. The leaves of
the Physalis pyruviana plant were used as a condiment for starchy foods (mostly porridge
made with maize meal, locally called pap). It was also known to cure ailments associated
with pain.
Participants of focus group three and four were less familiar with some of the identified ITPs.
A possible reason for this might be that these participants were mostly working or living
closer to the urban area than those of the other two groups. When asked during the focus
group discussions about the ITPs that they used, they tended to mention more exotic,
cultivated plants such as cabbage, spinach and apples. It was thus evident that participants in
group three and four used fewer of the plants that grow naturally and as a result were less
exposed to them. Urbanisation has been associated with loss of knowledge of ITPs and their
use, even by people who live in rural areas ([1,33]. Vorster et al. reported that access to a
market had a negative influence on the use of traditional vegetables [9]. People who did not
have easy access to places where food is sold tended to rely more on those edible plants that
grow naturally.
None of the participants had a negative perception of ITPs, which is in contrast to studies that
found that especially members of the younger generation would label ITPs as inferior and as
poverty foods [9,34]. The current study included mostly Tswana people, while Dweba and
Mearns included predominantly Zulu people in their study [34] and Vorster et al. Pedi,
Amaphondo-Xhosa, Tembu-Xhosa, Shangaan and Zulu people [9]. Cultural differences
probably contribute to the difference in perceptions of ITPs reported across studies.
Participants in the current study perceived ITPs as advantageous, since there are no monetary
costs involved in obtaining these edible plants. According to the socio-demographic data, a
typical household with about eight people only had ZAR 601-800 (USD 6688) to spend on
household food monthly, which was insufficient to sustain the whole household.

Availability and accessibility


According to the participants the edible, leafy ITPs and fruits were mostly found in the
bushes, on farms and in fields and areas where water is widely available:
We get all the types of wild spinach from the farms and fields, like thepe and
senkgane. On these farms, they grow maize and sunflowers and more. The
wild spinach will grow in between these crops.
Participants said that the leafy ITPs, especially thepe and spaile, were available at certain
times of the year and it was during those periods that the ITPs were mostly used or being
preserved for when they were not available in the wild:
Thepe grows when it rains, but you eat it around August.
Participants who work on the farms may have access to these plants because they can pick
them while working on the farms. The availability of these plants, however, can be
compromised if they grow among cultivated crops as the farmers, who may have less
knowledge about them, may see them as weeds and hence destroy them with herbicides.

Vorster et al. reported that ITPs are still perceived as weeds by research and extension
personnel who criticize farmers for not keeping them under control [9]. Farmers and research
and extension personnel should thus be informed of the importance of these plants.
Participants indicated that the seasonal availability of most ITPs affected the frequency of
consumption. In addition, drought periods affect their availability as well. Ways of improving
the availability of ITPs during off-season and drought periods include using recycled water
[9] and collection of seeds of ITPs. Collection of seeds is not the current practice in rural
communities, where people rely on the plants self-sowing abilities of ITPs [35].

Preservation, storage and preparation


Participants were knowledgeable on how to access these plants during periods of low
availability. One of the storage methods described was first to dry the leaves in the sun and
then to store them in sacks. During storage, other plants (e.g. beans) were used as
preservatives for the plants being stored.
Only one-third of the participants (34.5%) had access to a working fridge or freezer, meaning
that the majority had to rely on traditional methods of preservation and storage. Sun drying of
leaves is a cheap and convenient way of preserving these plants, especially in this population,
but it may lead to a great loss of essential micronutrients such as vitamins A and C [36,37].
Some participants said the leaves of the plants could be cooked before being dried and stored.
According to Mnkeni et al., all vegetables should be blanched in steam before drying, to
deactivate the action of enzymes and also to prevent the loss of some nutrients [38]. Ndawula
et al. observed that blanching reduced the loss of -carotene in cowpea leaves [36].
When describing how they used the leafy ITPs, participants said that these vegetables were
mostly used as condiments to accompany starch-based dishes (especially pap). Participants
had different opinions on which ingredients to use during preparation of the leafy ITPs in
order to enhance the taste.
With thepe you pick it and then cook it the way you know if you have
potatoes, you can add them. If you have onions, you can add them and also a
bit of milk. You do not add water. If you have any spices, you add them, and
there you will have a nice meal that you can enjoy with pap.
Then you add salt, maybe spices, and then eat it. It does not really need all
that stuff, like, potatoes, tomatoes. To really enjoy thepe, you can just cook it
and add onions and salt.
The leaves of the ITPs were often picked by hand, washed, and boiled in water. Certain types
of leafy ITPs, such as spiderplant, were said to have a bitter taste, and as a result were boiled
with plenty of water. Similar to the findings reported by Dweba and Mearns [34], this water
was discarded two to three times in an attempt to get rid of the bitterness. Participants had
mixed views and beliefs on the effect the rinsing and draining had on leafy ITPs. Some
believed that the rinsing was good, as it improved the taste, while others did not think it was
good because of nutrient losses:
when you cook it, if you do not want to lose the nutrients, you do not pour
out the water you cook it in, and you should not cook it for too long. You can

add more vegetables to it when you pour out the water that is when you
lose all the vitamins. If you fry it until it is golden, you will lose all the
nutrients and it will not be healthy for you you must time it properly so that
you do not overcook it and lose all the nutrients.
We wash it, put it in a pot, and boil it for maybe 30 minutes my
grandmother believed that you would drain out the vitamins. (The water was
not drained.)
It tends to be very bitter, so you have to drain it yes, it also has vitamins.
Draining and discarding the water used in cooking vegetables are likely to cause the loss of
water-soluble vitamins such as vitamin B complex and vitamin C [34]. It is therefore
important to educate this population on cooking methods that retain most of the nutritional
value of the ITPs.

Perceptions, beliefs and feelings


When participants were asked about how they feel about the ITPs in their surroundings, the
responses they gave were mostly positive and were related to the benefits these plants have
for their wellbeing. The responses were related to the role the ITPs play in improving their
health, the monetary benefits and lastly, the acceptability of these plants.
Edible ITPs were perceived as good sources of nutrients, especially vitamins, which they
believed were essential in providing energy, boosting the immune system and preventing
illnesses and infections. Similar to the findings of Nesamvuni et al. [10], participants were
passionate and knowledgeable about these plants, especially wild spinach, and their
importance in good nutrition. In contrast, Vorster et al. found that although ITPs were
perceived to be nutritious because they had been consumed by previous generations, there is
little awareness of the importance of these plants [9].
Participants felt that the edible plants were crucial in their lives because they always provided
them with a source of food and they did not have to spend money to acquire these plants.
I feel proud of them because most of the time when you do not have money,
you just go out, find them and collect them. Sometimes, you may have pap but
nothing to eat it with. Then you can look for wild spinach, and you go to bed
with a full stomach.
Throughout the focus group discussions participants expressed their acceptance of the taste of
edible ITPs. The variety of ways in which they could be prepared with different ingredients
made them very enjoyable to add as part of a meal. This is contrary to the findings of Dweba
and Mearns, who reported that the lack of variety in cooking methods of traditional
vegetables could make them less appealing and therefore affect consumption [34].
Participants also expressed a high preference for the leafy ITPs compared to meat.
Several studies have reported the nutritional composition of ALV, indicating that these
vegetables are rich in various micronutrients such as -carotene, iron, calcium, magnesium,
zinc and vitamin C [6,7]. Increased availability of and access to these plants may thus help to
address micronutrient deficiencies. ITPs could also play a role in the diversification of diets

and improving household food security in resource-poor households [34,39]. Matenge et al.
showed that consumption of these foods could be increased through education, increased
availability, marketing and gradual introduction to ITPs [29]. This, combined with a positive
attitude to ITPs, could benefit the promotion of ITPs. The concept of affordability should be
avoided or used carefully in marketing strategies, as some ethnic groups/cultures associate
these foods with poverty [7].

Transfer of knowledge
Several methods for preservation and storage had been passed on through generations, thus
indicating transfer of knowledge from one generation to another:
Back then, our mothers used to dry them and save them for the future.
In describing the cooking methods used for the various leafy ITPs, participants also indicated
that there was transfer of knowledge through generations and hence the practice had not
faded away completely:
I drain the water. Back home, my grandmother used to drain the water and
then add peanuts and some oil. My grandmother believed they add[ed] flavour
to the wild spinach and that peanuts were nutritious.
It is evident that the older generation in this population was seen as custodians of knowledge
related to ITPs, and they passed their knowledge on in the hope that it would be transferred
and not lost through generations. This finding was similar to the findings of a study
conducted by Shava in the Eastern Cape, who found the younger generation to have extensive
knowledge of ITPs in their surroundings, probably because of the close relationship they had
with the elderly people in their community [40].
The focus groups were female-dominated, usually including only one male, and as a result
females tended to dominate the discussions. However, the facilitator was able to insist on
male participation regularly, and as a result, the males were able to describe their knowledge
as well, thus avoiding bias. At times, some male participants were hesitant to make comments
because they associated some aspects of the discussions with female roles, for example,
cooking of food or the use of ITPs in the household. At times the older participants tended to
hold back as the younger participants dominated the discussions. One elderly woman said: I
just dont understand see the younger ones are managing well on their own with the
information. The group facilitator was able to bridge these gaps and get the older
participants more involved in the discussions as they went along. McLafferty stated that there
are several ways of creating homogeneity in focus groups. In explorative studies
homogeneity can also be classified according to status, class, occupation and other
characteristics instead of gender and age [41]. The homogeneity between the participants in
the focus groups was based on their role as parents of children and the person involved in
food preparation, since the main focus of this study was on knowledge and usage of ITPs. For
future studies, it may be more appropriate to separate the focus group participants by age and
gender.

Childrens sensory evaluation of African leafy vegetables


Although parents participating in the focus groups were knowledgeable about various edible
ITPs and especially passionate about their importance in good nutrition, this study also
sought to provide answers on childrens acceptance of ALVs by means of a sensory
evaluation. Knowledge of childrens acceptance of the sensory attributes of ALVs is
important for the potential future promotion of consumption of ITPs, including ALVs, as a
strategy for reducing malnutrition (e.g. in a school nutrition programme).
The results of the sensory evaluation showed significant differences between the five dishes
in the mean ratings for smell, taste and overall acceptability. When the dish made with Swiss
chard was excluded from the analysis, there was no significant difference between any of the
ratings of the four dishes made of ALVs (See Table 4).
Table 4 Evaluation of differences between the different dishes including and excluding
the dish made with Swiss chard
Dishes excluding Swiss chard
Dishes including Swiss chard
K-W p-value1
P 2 p-value2
K-W p-value1
P 2 p-value2
0.386
0.639
0.603
Colour 0.120
<0.001
0.003
0.426
0.261
Smell
<0.001
0.002
0.632
0.931
Taste
0.039
0.599
0.931
Overall <0.001
p-value of <0.05 was considered statistically significant.
1
Kruskal-Wallis p-value refers to mean values. 2 Pearson 2 p-value refers to frequency.
A comparison of the responses for gender revealed no statistically significant differences
between different genders mean ratings for the five different dishes (MannWhitney U Test:
p colour = 0.631; p smell = 0.268, p taste = 0.518 and p overall = 0.415). In the entire group,
the dish made with Swiss chard was rated statistically significantly higher for smell, taste and
overall acceptability than any of the dishes made with ALVs. There was no significant
difference between the rating of the colour of Swiss chard and ALVs. Ratings for the dishes
made with ALVs did not differ significantly in terms of colour, smell, taste and overall
acceptability (see Table 5) and were thus equally acceptable regarding sensory characteristics
to females and males. These four dishes combined were rated good or super good by
78.0%, 73.3%, 58.9% and 65.2% of the participants, respectively for colour, smell, taste and
overall acceptability. Five of the 98 children did not have a preference for a specific dish. Of
the 93 participants who did have a preference for one of the four dishes they evaluated, 75
had evaluated a dish made with Swiss chard. More than half (57.3%) of these participants
preferred the sample made with Swiss chard. The median number of days per week the
participants would like to eat these leafy vegetables was 2.0 (range 17). There was no
statistically significant difference in the number of days per week the participants would like
to eat these leafy vegetables between the participants who did and did not evaluate a dish
made with Swiss chard (MannWhitney U test: p = 0.651). The intended consumption was
consistent with the positive rating of the dishes made with ALVs.

Table 5 Sensory evaluation scores (mean SD) for different dishes made with leafy
vegetables
N Colour
Smell
Taste
Overall
Dish
a
a
a
100% Amaranth
77 3.83 1.13 3.66 1.22 3.53 1.34 3.82 1.44a
80% Amaranth + 20% Cowpea
80 4.05 0.98a 3.95 1.02a 3.50 1.45a 3.71 1.35a
80% Amaranth + 20% Pumpkin 79 3.85 1.16a 3.65 1.25a 3.33 1.47a 3.57 1.47a
80% Amaranth + 20% Spiderplant 78 3.83 1.19a 3.85 1.17a 3.31 1.41a 3.59 1.48a
100% Swiss chard
78 4.21 0.93a 4.33 0.94b 4.26 1.19b 4.38 1.13b
Score: five-point ordinal scale ranging from 5 (super good) to 1 (super bad). Dishes with
different superscript differed statistically significant (p < 0.005).
The dish made with Swiss chard was included as a reference dish, as it was expected that
children would be exposed to this vegetable more often at home and at school via the daily
cooked school meal. This was evident in the preference for the dish made with Swiss chard
with regard to smell and taste. Although the dish made with Swiss chard was preferred, the
four dishes made with ALVs were found to be of acceptable colour, smell and taste. These
results are promising for the inclusion of ALVs in childrens diet, particularly as Michicich et
al. found a positive correlation between liking and consumption [42]. Therefore, ALVs might
be successfully introduced into a school nutrition programme that has a limited budget per
school meal. Developing a range of recipes with different ingredients, as mentioned in the
focus group discussions, will add variety to the flavours of the dishes. ALVs have been
advocated as excellent sources of several micronutrients [6,7] and could potentially address
co-existing multiple micronutrient deficiencies in individuals. Edible ITPs can add variety to
the diets of people, especially those who do not have easy and regular access to markets or
other fresh produce.

Conclusion
This study indicated that there was not only a wealth of knowledge on various edible ITPs
and their use in this farm community, but traditionally prepared ALV dishes were also
sensorily acceptable to children. Edible ITPs were usually found growing on farms and fields
among cultivated crops, and their availability and accessibility were influenced by seasonality
and environmental conditions. Drying and storage methods for use during off-season periods
should be optimized to minimize nutrient losses. Edible ITPs were perceived as rich sources
of health-promoting nutrients and an affordable source of food and were appreciated for their
taste. Knowledge about edible ITPs was transferred from one generation to another. The
positive perceptions and knowledge of ITPs of the parents, and the childrens acceptance of
the taste of dishes made with ALVs indicate great potential for the promotion of ITPs as a
strategy for improved child nutrition. It also looks promising for future use of edible ITPs in,
for example, school feeding programmes. The researchers will be investigating the effect of
these ALVs as part of the school meal on the nutritional status of children. Results of this
study to date strongly indicate that compliance in the intervention study will be high.

Abbreviations
ALVs, African leafy vegetables; ITPs, Indigenous and traditional plants

Competing interests
The authors declare that they have no competing interests.

Authors contributions
MvdH: design; acquisition of data; analysis and interpretation of data; drafting the
manuscript. JO: acquisition of data; analysis and interpretation of data; drafting the
manuscript. MG: design; critical revision of manuscript for intellectual content. AK: critical
revision of manuscript for intellectual content. MF: design; critical revision of manuscript for
intellectual content. CMS: design; critical revision of manuscript for intellectual content. All
authors read and approved the final manuscript.

Authors information
MvdH is currently a PhD student in Nutrition at the Centre of Excellence for Nutrition (CEN)
at the North-West University, South Africa. She is studying the effect of African leafy
vegetables on the alleviation of micronutrient deficiencies in school children residing in the
North West Province of South Africa. She is also the research co-ordinator for the South
African leg of the Biodiversity study at Africa Unit for Transdisciplinary Health Research
(AUTHeR) at the same university. This transdisciplinary research aims to increase
agricultural biodiversity to improve nutritional and health status , as well as livelihoods and
to establish more sustainable production systems in the North West Province of South Africa.
JO is currently a PhD student in Nutrition at the CEN at the North-West University, South
Africa. Her PhD research is focused on iodine nutrition in mothers and their infants in the
North West Province, South Africa. She has just completed her MSc in Nutrition; her
research focused on the potential contribution of African leafy vegetables to the nutritional
status of school children residing in the North West Province of South Africa.
MG is a professor and senior researcher in the AUTHeR in the Faculty of Health Sciences of
the North-West University, South Africa. She holds an MCur and a PhD in Psychiatric
Nursing. She is an acknowledged researcher and has published extensively in national and
international scientific journals and presented her research findings at many national and
international conferences. Her research over the past few years has mainly focused on the
quality of life of people living with HIV and AIDS and HIV stigma reduction on a
community base. She is a South African nationally rated researcher and an inducted member
of the International Nurses Hall of Fame.
MF is a chief specialist scientist at the Medical Research Council and an extra-ordinary
professor at the University of the Western Cape as well as the University of Pretoria , South
Africa. She is an acknowledged researcher and her research over the past few years has
mainly focused on food-based approaches to address micronutrient malnutrition in children,
particularly in rural areas. Her research also covers aspects of food security and indigenous
foods.
CMS is a professor in nutrition and senior scientist in the CEN, North-West University, South
Africa. He is currently the president of the Nutrition Society of South Africa. He is a wellrecognised researcher and has an interest in the role of essential fatty acids in health and
disease, and the interactions between iron and essential fatty acids in cognitive development.
His research mostly targets vulnerable children residing in low socio-economic areas.

Acknowledgements
The authors would like to thank to the parents and their children for their contribution. Dr
Eva Manyedi is thanked for her contribution in facilitating the focus group discussions.
Mashudu Ramabulana, Mashudu Nndanduleni, and Martin Smit are thanked for their
contribution in naming the identified plants. Professor Magdalena J.C. Bosman and Dr
Annalien Dalton are thanked for their advice on the sensory evaluation. This research was
supported by a grant from the Program to Support Pro-poor Policy Development (PSPPD), a
partnership between the Presidency of South Africa and the European Union.

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