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Malnutrition is a major public health concern in low-and-middle-income countries (LMICs). Understanding food and nutrient intake across communities, households and individuals is critical to the development of health policies and interventions. To ease the procedure in conducting large-scale dietary assessments, we propose to implement an intelligent passive food intake assessment system via egocentric cameras particular for households in Ghana and Uganda. Algorithms are first designed to remove redundant images for minimising the storage memory. At run time, deep learning-based semantic segmentation is applied to recognise multi-food types and newly-designed handcrafted features are extracted for further consumed food weight monitoring. Comprehensive experiments are conducted to validate our methods on an in-the-wild dataset captured under the settings which simulate the unique LMIC conditions with participants of Ghanaian and Kenyan origin eating common Ghanaian/Kenyan dishes. To demonstrate the efficacy, experienced dietitians are involved in this research to perform the visual portion size estimation, and their predictions are compared to our proposed method. The promising results have shown that our method is able to reliably monitor food intake and give feedback on users' eating behaviour which provides guidance for dietitians in regular dietary assessment.