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Kenyan perceptions of aflatoxin: 
An analysis of raw milk consumption 
M. Walke, N. Mtimet, D. Baker, J. Lindahl, M. Hartmann and D. Grace 
14th European Association of Agricultural Economists (EAAE) Congress 
Ljubljana, Slovenia 
26–29 August 2014
Outline 
•Introduction 
•Study area & data collection 
•Methodology 
•Results 
•Conclusions 
2
Introduction 
•Aflatoxins are mycotoxins produced by certain species of moulds, mainly Aspergillus flavus and Aspergillus parasiticus 
•Aflatoxins can be transmitted to humans through agricultural products consumption 
3
Introduction 
Corn/feed purchased 
Treatment 
Corn/feed produced at farm 
AB1 
AB1 
AB1-> AM1 
Milk produced at farm 
Consumers 
Farmer 
AB1 
AM1 
Figure 1. Aflatoxin contamination pathway 
4
Introduction 
•Aflatoxins could be responsible for: 
Hepatocellular carcinoma in humans 
Stunting in children 
Acute aflatoxin poisoning due to consumption of contaminated food causes deaths 
Chronic aflatoxin poisoning in dairy cattle, causing a reduction in milk yield 
Decreased feed efficiency 
Reduced reproduction efficiency 
5
Introduction 
•There are no accurate estimates of incidence of chronic and acute disease related to aflatoxin exposure 
•Outbreaks in Kenya (1982, 2001, 2004 and 2005) and Somalia (1997/98) indicate the magnitude of the problem 
•The 2004 outbreak in Kenya was responsible for 317 cases and 125 deaths 
6
Introduction 
•Kenya has among the highest milk consumption levels of developing countries (100 kg/year per capita vs. 25kg for sub-Saharan Africa) 
•Around 80% of the marketed milk is sold raw and mainly through the informal market 
•Research questions: 
Are consumers aware about aflatoxins and possible milk contamination? 
Are consumers willing to pay (WTP) for certified ‘aflatoxin-free’ milk? 
7
•City of Nairobi, Kenya 
•1 area: 
Dagoretti: peri-urban area of Nairobi low-income class respondents; raw milk consumers (323 participants) 
•Sampling: systematic sampling - assumptions of randomness over time 
•Face-to-face interviews conducted in July and August 2013 
Study area & data collection 
8
•Face-to-face questionnaire: 
Directed at raw milk consumers 
•Questionnaire included different sections: 
Milk purchase and consumption habits 
Aflatoxin awareness 
Choice experiment exercise 
Attitudinal issues 
Socio-demographic characteristics 
Study area & data collection 
9
•We opted for Choice Experiment (CE) or more precisely Best-Worst (B-W) technique 
•The selection of the milk attributes to design the experiment was on the basis of: 
Research objectives 
Review of literature and previous works 
Respondents’ ability to process the information 
Methodology 
10
Table 1. Selected raw milk attributes and their respective levels 
Methodology 
Attributes 
Levels 
Milk colour 
White 
Yellowish 
Milk smell 
Not smelly 
Smelly 
Aflatoxin 
Certified retailer 
certification 
Non-certified retailer 
Price* (KSH/Litre) 
50 
60 
70 
80 
*1 Euro = 120 KSH (May 2014) 
11
•Raw milk attributes: 23.4 = 32 different products 
•Orthogonal fractional factorial design (OMP) to reduce the number of products 
•OMP reduce the number of choice cards to 8 (first alternative) Using two generators we produced the 2 remaining alternatives 
Methodology 
12
Methodology 
Milk 1 
Milk 2 
Milk 3 
White 
White 
Yellowish 
Not smelly 
Not smelly 
Smelly 
Aflatoxin-free certified 
Non-certified 
Aflatoxin-free certified 
70 KSH/litre 
50 KSH/litre 
80 KSH/litre 
Card 5 
Please indicate the most preferred cow milk and the least preferred cow milk 
(Tick only one case in each line) 
Most preferred 
Least preferred 
Figure 2. An example of a choice experiment card for the raw milk questionnaire 
13
•Conjoint analysis arises from the theory of Lancaster (1966) which stipulates that utility is derived from the properties or characteristics that goods possess (bundle of attributes) Consumer’s utility could be expressed as: (1) Lancaster theory leads to the following linear additive decomposition of Vij: (2) xijn is the nth attribute value for card j for consumer i, and 훽n represents the coefficients to be estimated 
Methodology 
푈푖푗= 푉푖푗+휀푖푗 
푉푖푗= 훽1푥푖푗1+훽2푥푖푗2+ …+훽푛푥푖푗푛 
14
Methodology 
•Following additional assumptions about the distribution of the error term, the following probability models could be derived: 
CL (McFadden, 1973): 푃푟푗= 푒 푉푖푗 푒푉푖푘 푘∈퐶푛 (3) 
RPL model (Train, 2009): 푃푟푖= ( 푒훽′.푋푛푖 푒 훽′.푋푛푗 푗 ).푓훽.푑훽 (4) where 푓(훽) is the density function of 훽 
15
Methodology 
•Consumers’ willingness to pay (WTP) in preference space was obtained as follows: 푊푇푃푖= − 훽푖 훽푝푟푖푐푒 (5) 훽푖 : coefficient of the attribute level 훽푝푟푖푐푒 : coefficient of the price attribute 
•Consumers’ willingness to pay (WTP) in WTP space was obtained by estimating a Generalized Multinomial Logit model (G-MNL) fixing 휃= 휏=0 (Hensher and Green 2010; Hole 2011) 
16
Results 
Characteristic 
Characteristic level 
(%) 
Age 
≤ 20 
6 
21-30 
50 
31-40 
28 
41 and older 
16 
Marital Status 
Single 
40 
Married 
56 
Divorced 
3 
Widow 
1 
Members of Households 
One 
14 
Two 
19 
Three 
22 
Four 
20 
Five 
18 
More than five 
7 
Table 2. Respondents’ characteristics 
17
Results 
Characteristic 
Characteristic level 
(%) 
Children living 
No children 
33 
in the household 
One child 
26 
Two children 
24 
Three children 
Four children and more 
14 
3 
Education 
No education 
1 
Primary 
23 
Secondary 
49 
College 
21 
University 
6 
Table 2. Respondents’ characteristics (contd.) 
18
Results 
Figure 3. Raw milk purchase frequency 
19 
22% 
69% 
5% 
4% 
0% 
20% 
40% 
60% 
80% 
100% 
More than once a day 
Once a day 
Once/week< <once/day 
Less than once a week
Results 
20 
•Almost all respondents (99%) boil the milk prior to consumption 
64% 
21% 
18% 
11% 
Hygienic concerns 
Because everybody is doing it 
No refrigeration 
Uncertainty about milk´s 
freshness 
Figure 4. Reasons for boiling the milk 
•Majority of respondents (95%) believe that the milk is safe after boiling
Results 
Figure 5. Have you heard about aflatoxin? 
21 
55% 
45% 
Yes 
No 
Figure 6. Can aflatoxins be transferred from mouldy feed given to a cow into milk? 
45% 
14% 
41% 
0% 
20% 
40% 
60% 
80% 
100% 
Yes 
No 
Don´t know
Results 
Figure 7. Health impact of aflatoxin on humans 
22 
53% 
19% 
10% 
3% 
15% 
0% 
20% 
40% 
60% 
80% 
100% 
Serious threat 
Medium threat 
Minor threat 
No threat at all 
I don´t know 
Figure 8. Is it possible to make aflatoxin contaminated milk safe? 
37% 
27% 
36% 
0% 
20% 
40% 
60% 
80% 
100% 
Yes 
No 
I don´t know
Results 
Figure 9. Opinion on food certificate/food safety labels? 
23 
24% 
13% 
27% 
23% 
13% 
0% 
20% 
40% 
60% 
80% 
100% 
Fully trust 
Mostly trust 
Do not really trust 
Do not trust at all 
Do not even look at them 
81% 
57% 
17% 
11% 
TV 
Radio 
Newspaper 
Internet 
Friends 
Work colleagues 
Figure 10. Main sources of information*
Results 
Table 3. Estimated models’ coefficients for raw milk survey respondents 
24 
Variable 
CL 
RPL 
Whitea 
.3567*** 
. 6563*** 
Smellyb 
-1.8465*** 
-5. 6716*** 
Certifiedc 
1.7593*** 
4.4568*** 
Price 
-.0301*** 
-.0643*** 
SD_White 
1.1018 *** 
SD_Smelly 
-4.0607*** 
SD_Certified 
3.5125*** 
SD_Price 
0.0954*** 
LL 
-1980.1*** 
-1600.9*** 
Pseudo R2 
0.1998*** 
a Dummy variable takes 1 when the milk is white and 0 when it is yellowish. 
b Dummy variable takes 1 when the milk is smelly and 0 when it is not smelly. 
c Dummy variable takes 1 when the milk is certified and 0 when it is non-certified. 
***Significant at 1%.
Results 
Table 4. Willingness to pay (WTP) estimates (in KSH/litre) and 
95% confidence intervals (CI) for raw milk survey respondents 
25 
CL 
RPL 
WTP 
[95% CI] 
WTP 
[95% CI] 
Variable 
White 
11.8 
10.2 
[7.3; 16.8] 
[5.9; 15.3 ] 
Not smelly 
61.2 
88.1 
[53.4; 71.6] 
[71.4; 111.6] 
Certified 
58.4 
69.3 
[50.0; 69.6] 
[55.3; 89.2]
Results 
Table 5. RPL model willingness to pay (WTP) estimates (in KSH/litre) and 95% confidence intervals (CI) for certified ‘aflatoxin-free’ milk 
26 
WTP 
Groups 
[95% CI] 
All sample 
69.3 
[55.3; 89.2] 
Heard about aflatoxin 
73.0 
[55.7; 102.4] 
Have not heard about aflatoxin 
66.4 
[47.6; 99.5] 
Aflatoxin can be transferred 
154.3 
[96.3; 370.7] 
It can’t be transferred or I don’t know 
45.6 
[36.8; 57.4]
Results 
Table 6. Willingness to pay (WTP) estimates (in KSH/litre) and 95% confidence intervals (CI) for raw milk survey respondents: preference space vs. WTP space 
27 
RPL preference space 
RPL WTP space 
[95% CI] 
[95% CI] 
Variable 
White 
10.2 
5.2 
[5.9; 15.3 ] (2.5) 
[1.8; 8.5] (1.72) 
Not smelly 
88.1 
67.8 
[71.4; 111.6] (10.1) 
[57.1; 78.4] (5.44) 
Certified 
69.3 
58.2 
[55.3; 89.2] (7.80) 
[47.4; 69.1] (5.53)
Conclusions 
•Surprisingly, milk consumers/buyers’ awareness about aflatoxin is relatively high in peri-urban areas (55%) 
•Insufficient knowledge of respondents on the health risks of aflatoxin and if it can be transferred to milk importance to enhance population understanding (communication, TV, radio) 
•A high proportion of respondents believe that boiling the milk will eliminate aflatoxin from the milk (which is wrong) 
28
Conclusions 
•Respondents are willing to pay a premium for certified ‘aflatoxin-free’ milk These results are of value to the dairy industry in the design and implementation of the necessary actions to improve the quality of the product (certification? trust?) 
•Respondents’ WTP depends on their awareness about aflatoxin and its presence in milk higher awareness implies higher premium 
•RPL model is the best suited (among the other studied models: CL, OL, ROL) 
•Next steps: GMNL model – WTP space – correlation among variables 
29
30 
This work is part of the FoodAfrica Programme, financed as a research collaboration between the MFA of Finland, MTT Agrifood Research Finland, the CGIAR research programs on Agriculture for Nutrition and Health and on Policies Institutions Markets led by the International Food Policy Research Institute, and GIZ. 
Acknowledgement
Contacts 
Nadhem Mtimet 
n.mtimet@cgiar.org 
International Livestock Research Institute www.ilri.org 
Thanks 
31

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Kenyan perceptions of aflatoxins: An analysis of raw milk consumption

  • 1. Kenyan perceptions of aflatoxin: An analysis of raw milk consumption M. Walke, N. Mtimet, D. Baker, J. Lindahl, M. Hartmann and D. Grace 14th European Association of Agricultural Economists (EAAE) Congress Ljubljana, Slovenia 26–29 August 2014
  • 2. Outline •Introduction •Study area & data collection •Methodology •Results •Conclusions 2
  • 3. Introduction •Aflatoxins are mycotoxins produced by certain species of moulds, mainly Aspergillus flavus and Aspergillus parasiticus •Aflatoxins can be transmitted to humans through agricultural products consumption 3
  • 4. Introduction Corn/feed purchased Treatment Corn/feed produced at farm AB1 AB1 AB1-> AM1 Milk produced at farm Consumers Farmer AB1 AM1 Figure 1. Aflatoxin contamination pathway 4
  • 5. Introduction •Aflatoxins could be responsible for: Hepatocellular carcinoma in humans Stunting in children Acute aflatoxin poisoning due to consumption of contaminated food causes deaths Chronic aflatoxin poisoning in dairy cattle, causing a reduction in milk yield Decreased feed efficiency Reduced reproduction efficiency 5
  • 6. Introduction •There are no accurate estimates of incidence of chronic and acute disease related to aflatoxin exposure •Outbreaks in Kenya (1982, 2001, 2004 and 2005) and Somalia (1997/98) indicate the magnitude of the problem •The 2004 outbreak in Kenya was responsible for 317 cases and 125 deaths 6
  • 7. Introduction •Kenya has among the highest milk consumption levels of developing countries (100 kg/year per capita vs. 25kg for sub-Saharan Africa) •Around 80% of the marketed milk is sold raw and mainly through the informal market •Research questions: Are consumers aware about aflatoxins and possible milk contamination? Are consumers willing to pay (WTP) for certified ‘aflatoxin-free’ milk? 7
  • 8. •City of Nairobi, Kenya •1 area: Dagoretti: peri-urban area of Nairobi low-income class respondents; raw milk consumers (323 participants) •Sampling: systematic sampling - assumptions of randomness over time •Face-to-face interviews conducted in July and August 2013 Study area & data collection 8
  • 9. •Face-to-face questionnaire: Directed at raw milk consumers •Questionnaire included different sections: Milk purchase and consumption habits Aflatoxin awareness Choice experiment exercise Attitudinal issues Socio-demographic characteristics Study area & data collection 9
  • 10. •We opted for Choice Experiment (CE) or more precisely Best-Worst (B-W) technique •The selection of the milk attributes to design the experiment was on the basis of: Research objectives Review of literature and previous works Respondents’ ability to process the information Methodology 10
  • 11. Table 1. Selected raw milk attributes and their respective levels Methodology Attributes Levels Milk colour White Yellowish Milk smell Not smelly Smelly Aflatoxin Certified retailer certification Non-certified retailer Price* (KSH/Litre) 50 60 70 80 *1 Euro = 120 KSH (May 2014) 11
  • 12. •Raw milk attributes: 23.4 = 32 different products •Orthogonal fractional factorial design (OMP) to reduce the number of products •OMP reduce the number of choice cards to 8 (first alternative) Using two generators we produced the 2 remaining alternatives Methodology 12
  • 13. Methodology Milk 1 Milk 2 Milk 3 White White Yellowish Not smelly Not smelly Smelly Aflatoxin-free certified Non-certified Aflatoxin-free certified 70 KSH/litre 50 KSH/litre 80 KSH/litre Card 5 Please indicate the most preferred cow milk and the least preferred cow milk (Tick only one case in each line) Most preferred Least preferred Figure 2. An example of a choice experiment card for the raw milk questionnaire 13
  • 14. •Conjoint analysis arises from the theory of Lancaster (1966) which stipulates that utility is derived from the properties or characteristics that goods possess (bundle of attributes) Consumer’s utility could be expressed as: (1) Lancaster theory leads to the following linear additive decomposition of Vij: (2) xijn is the nth attribute value for card j for consumer i, and 훽n represents the coefficients to be estimated Methodology 푈푖푗= 푉푖푗+휀푖푗 푉푖푗= 훽1푥푖푗1+훽2푥푖푗2+ …+훽푛푥푖푗푛 14
  • 15. Methodology •Following additional assumptions about the distribution of the error term, the following probability models could be derived: CL (McFadden, 1973): 푃푟푗= 푒 푉푖푗 푒푉푖푘 푘∈퐶푛 (3) RPL model (Train, 2009): 푃푟푖= ( 푒훽′.푋푛푖 푒 훽′.푋푛푗 푗 ).푓훽.푑훽 (4) where 푓(훽) is the density function of 훽 15
  • 16. Methodology •Consumers’ willingness to pay (WTP) in preference space was obtained as follows: 푊푇푃푖= − 훽푖 훽푝푟푖푐푒 (5) 훽푖 : coefficient of the attribute level 훽푝푟푖푐푒 : coefficient of the price attribute •Consumers’ willingness to pay (WTP) in WTP space was obtained by estimating a Generalized Multinomial Logit model (G-MNL) fixing 휃= 휏=0 (Hensher and Green 2010; Hole 2011) 16
  • 17. Results Characteristic Characteristic level (%) Age ≤ 20 6 21-30 50 31-40 28 41 and older 16 Marital Status Single 40 Married 56 Divorced 3 Widow 1 Members of Households One 14 Two 19 Three 22 Four 20 Five 18 More than five 7 Table 2. Respondents’ characteristics 17
  • 18. Results Characteristic Characteristic level (%) Children living No children 33 in the household One child 26 Two children 24 Three children Four children and more 14 3 Education No education 1 Primary 23 Secondary 49 College 21 University 6 Table 2. Respondents’ characteristics (contd.) 18
  • 19. Results Figure 3. Raw milk purchase frequency 19 22% 69% 5% 4% 0% 20% 40% 60% 80% 100% More than once a day Once a day Once/week< <once/day Less than once a week
  • 20. Results 20 •Almost all respondents (99%) boil the milk prior to consumption 64% 21% 18% 11% Hygienic concerns Because everybody is doing it No refrigeration Uncertainty about milk´s freshness Figure 4. Reasons for boiling the milk •Majority of respondents (95%) believe that the milk is safe after boiling
  • 21. Results Figure 5. Have you heard about aflatoxin? 21 55% 45% Yes No Figure 6. Can aflatoxins be transferred from mouldy feed given to a cow into milk? 45% 14% 41% 0% 20% 40% 60% 80% 100% Yes No Don´t know
  • 22. Results Figure 7. Health impact of aflatoxin on humans 22 53% 19% 10% 3% 15% 0% 20% 40% 60% 80% 100% Serious threat Medium threat Minor threat No threat at all I don´t know Figure 8. Is it possible to make aflatoxin contaminated milk safe? 37% 27% 36% 0% 20% 40% 60% 80% 100% Yes No I don´t know
  • 23. Results Figure 9. Opinion on food certificate/food safety labels? 23 24% 13% 27% 23% 13% 0% 20% 40% 60% 80% 100% Fully trust Mostly trust Do not really trust Do not trust at all Do not even look at them 81% 57% 17% 11% TV Radio Newspaper Internet Friends Work colleagues Figure 10. Main sources of information*
  • 24. Results Table 3. Estimated models’ coefficients for raw milk survey respondents 24 Variable CL RPL Whitea .3567*** . 6563*** Smellyb -1.8465*** -5. 6716*** Certifiedc 1.7593*** 4.4568*** Price -.0301*** -.0643*** SD_White 1.1018 *** SD_Smelly -4.0607*** SD_Certified 3.5125*** SD_Price 0.0954*** LL -1980.1*** -1600.9*** Pseudo R2 0.1998*** a Dummy variable takes 1 when the milk is white and 0 when it is yellowish. b Dummy variable takes 1 when the milk is smelly and 0 when it is not smelly. c Dummy variable takes 1 when the milk is certified and 0 when it is non-certified. ***Significant at 1%.
  • 25. Results Table 4. Willingness to pay (WTP) estimates (in KSH/litre) and 95% confidence intervals (CI) for raw milk survey respondents 25 CL RPL WTP [95% CI] WTP [95% CI] Variable White 11.8 10.2 [7.3; 16.8] [5.9; 15.3 ] Not smelly 61.2 88.1 [53.4; 71.6] [71.4; 111.6] Certified 58.4 69.3 [50.0; 69.6] [55.3; 89.2]
  • 26. Results Table 5. RPL model willingness to pay (WTP) estimates (in KSH/litre) and 95% confidence intervals (CI) for certified ‘aflatoxin-free’ milk 26 WTP Groups [95% CI] All sample 69.3 [55.3; 89.2] Heard about aflatoxin 73.0 [55.7; 102.4] Have not heard about aflatoxin 66.4 [47.6; 99.5] Aflatoxin can be transferred 154.3 [96.3; 370.7] It can’t be transferred or I don’t know 45.6 [36.8; 57.4]
  • 27. Results Table 6. Willingness to pay (WTP) estimates (in KSH/litre) and 95% confidence intervals (CI) for raw milk survey respondents: preference space vs. WTP space 27 RPL preference space RPL WTP space [95% CI] [95% CI] Variable White 10.2 5.2 [5.9; 15.3 ] (2.5) [1.8; 8.5] (1.72) Not smelly 88.1 67.8 [71.4; 111.6] (10.1) [57.1; 78.4] (5.44) Certified 69.3 58.2 [55.3; 89.2] (7.80) [47.4; 69.1] (5.53)
  • 28. Conclusions •Surprisingly, milk consumers/buyers’ awareness about aflatoxin is relatively high in peri-urban areas (55%) •Insufficient knowledge of respondents on the health risks of aflatoxin and if it can be transferred to milk importance to enhance population understanding (communication, TV, radio) •A high proportion of respondents believe that boiling the milk will eliminate aflatoxin from the milk (which is wrong) 28
  • 29. Conclusions •Respondents are willing to pay a premium for certified ‘aflatoxin-free’ milk These results are of value to the dairy industry in the design and implementation of the necessary actions to improve the quality of the product (certification? trust?) •Respondents’ WTP depends on their awareness about aflatoxin and its presence in milk higher awareness implies higher premium •RPL model is the best suited (among the other studied models: CL, OL, ROL) •Next steps: GMNL model – WTP space – correlation among variables 29
  • 30. 30 This work is part of the FoodAfrica Programme, financed as a research collaboration between the MFA of Finland, MTT Agrifood Research Finland, the CGIAR research programs on Agriculture for Nutrition and Health and on Policies Institutions Markets led by the International Food Policy Research Institute, and GIZ. Acknowledgement
  • 31. Contacts Nadhem Mtimet n.mtimet@cgiar.org International Livestock Research Institute www.ilri.org Thanks 31