Food insecurity is a worrying challenge worldwide, with sub-Sahara Africa most affected. Literature reveals that in developing countries, food insecurity is a largely ‘‘managed process’’, meaning people are active participants in responding to the risks they face in life. This paper focuses on how households cope with food shortages and how these food coping strategies vary along the urban–rural continuum. A transect approach was used to guide data collection in and around the city of Tamale in northern Ghana. A total of 19 Focus Group discussions, having eight participants each (four women, four men), were conducted between March and May 2014. Additionally, three qualitative in-depth interviews were also conducted, one each in the urban, periurban and rural area. In periurban and rural areas, gathering of wild food and selling of charcoal was widely practised, while in urban areas, most households tended to reduce the number of meals as a more frequent coping strategy. The study identified five coping strategies along the urban–rural continuum as the most severe in times of food insecurity, namely skipping a whole day without food, borrowing, buying food on credit, consuming seed stock and restricting adult intake in favour of children. Hunting, consuming less preferred food, taking occasional jobs and engaging in small trading were considered as not severe. Study results reveal that food coping strategies vary from one spatial entity to another in terms of frequency, severity and coping strategy indices along the urban–rural continuum. This information is useful for indicators to predict crisis (early warning), to understand shortfalls in access to adequate food (assessment), to allocate resources (targeting) or to track the impact of interventions (monitoring and evaluation).

There is growing evidence of urban poverty in and around cities in sub-Saharan Africa in the form of food and nutrition insecurity. Although many studies have been done across sub-Saharan Africa on urban agriculture, food and nutrition insecurity, little is known about the association of urban agriculture to household food and nutrition insecurity along the urban–rural continuum, especially in West African cities. Therefore, a survey was carried out between August and September 2014 in and around Ouagadougou (Burkina Faso), using a transect approach to guide the data collection. The purpose of this study was to understand the dynamics of urban, periurban and rural agriculture and its association with household food and nutrition insecurity. A total of 240 households participated in the survey. From these households, data were collected on 179 women of reproductive age (15–49 yr) and 133 children under the age of 5 yr to compute Women's Dietary Diversity Scores (WDDS) and other anthropometric indices. The results of this study provide a general picture of crop production which is inclined to subsistence and income generation. Households in rural and periurban areas were more engaged in crop and livestock production compared with their urban area counterparts. Households in periurban areas had the highest relative proportion (54%) of food insecurity (household food insecurity access scale (HFIAS) > 11), compared with urban areas (39%) and rural areas (45%). At the same time the periurban households had the highest relative proportion of stunting and wasting prevalence compared with urban and rural households. Households in the rural areas had the highest dietary diversity (WDDS ≥ 6), compared with periurban and urban households. Households keeping livestock significantly experienced less wasting (weight-for-height index (WHZ)) (coef = −0.15;P= 0.008) by a factor of 0.15, and overweight (body mass index (BMI)-for-age (BAZ)) (coef = −0.12;P= 0.015) by a factor of 0.12 compared with households not doing livestock keeping. Households involved in crop production significantly experienced more food insecurity, HFIAS (coef. = 2.55;P= 0.042) by a factor of 2.55 compared with households without crop production. The complexity of periurban areas coupled with the scourge of food and nutrition insecurity will require more periurban agriculture and food policy consideration.

Women’s dietary diversity scores and childhood anthropometric measurements as indices of nutrition insecurity along the urban-rural continuum in Ouagadougou, Burkina Faso