Is women's empowerment a pathway to improving child nutrition outcomes in a nutrition-sensitive agriculture program?: Evidence from a randomized controlled trial in Burkina Faso

Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous studies have found cross-sectional associations linking women's empowerment and child nutritional status, there is limited empirical evid...

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Published in:Social science & medicine (1982) Vol. 233; pp. 93 - 102
Main Authors: Heckert, Jessica, Olney, Deanna K., Ruel, Marie T.
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01.07.2019
Pergamon
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ISSN:0277-9536, 1873-5347, 1873-5347
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Abstract Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous studies have found cross-sectional associations linking women's empowerment and child nutritional status, there is limited empirical evidence supporting the hypothesis that empowering women as part of an intervention will, in turn, improve child nutritional outcomes. We tested this hypothesis using two waves of data from a cluster-randomized controlled trial of a nutrition-sensitive agricultural program in Burkina Faso. With structural equation models, we examined whether four domains of women's empowerment—purchasing decisions, healthcare decisions, family planning decisions, and spousal communication—mediated the program's impact on reducing wasting and increasing hemoglobin among children who were three to 12 months old at the start of the two-year program. We found that improvements in women's empowerment in the domains of spousal communication, purchasing decisions, healthcare decisions, and family planning decisions contributed to the program's impact on reducing wasting with the largest share being attributable to spousal communication. Improvements in women's empowerment did not contribute to the increase in hemoglobin. These findings provide the first evidence from a randomized controlled trial that women's empowerment is a pathway by which a nutrition-sensitive program can improve child wasting. Programs that aim to improve child nutritional status should incorporate interventions designed to empower women. •A nutrition- and gender-sensitive agriculture program was evaluated in Burkina Faso.•The program reduced child wasting and improved women's empowerment (WE).•Reductions in child wasting were partially mediated by improvements in WE.•This is the first experimental evidence that increasing WE improves child nutrition.•Programs to reduce wasting can be more effective if they also target WE.
AbstractList Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous studies have found cross-sectional associations linking women's empowerment and child nutritional status, there is limited empirical evidence supporting the hypothesis that empowering women as part of an intervention will, in turn, improve child nutritional outcomes. We tested this hypothesis using two waves of data from a cluster-randomized controlled trial of a nutrition-sensitive agricultural program in Burkina Faso. With structural equation models, we examined whether four domains of women's empowerment-purchasing decisions, healthcare decisions, family planning decisions, and spousal communication-mediated the program's impact on reducing wasting and increasing hemoglobin among children who were three to 12 months old at the start of the two-year program. We found that improvements in women's empowerment in the domains of spousal communication, purchasing decisions, healthcare decisions, and family planning decisions contributed to the program's impact on reducing wasting with the largest share being attributable to spousal communication. Improvements in women's empowerment did not contribute to the increase in hemoglobin. These findings provide the first evidence from a randomized controlled trial that women's empowerment is a pathway by which a nutrition-sensitive program can improve child wasting. Programs that aim to improve child nutritional status should incorporate interventions designed to empower women.Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous studies have found cross-sectional associations linking women's empowerment and child nutritional status, there is limited empirical evidence supporting the hypothesis that empowering women as part of an intervention will, in turn, improve child nutritional outcomes. We tested this hypothesis using two waves of data from a cluster-randomized controlled trial of a nutrition-sensitive agricultural program in Burkina Faso. With structural equation models, we examined whether four domains of women's empowerment-purchasing decisions, healthcare decisions, family planning decisions, and spousal communication-mediated the program's impact on reducing wasting and increasing hemoglobin among children who were three to 12 months old at the start of the two-year program. We found that improvements in women's empowerment in the domains of spousal communication, purchasing decisions, healthcare decisions, and family planning decisions contributed to the program's impact on reducing wasting with the largest share being attributable to spousal communication. Improvements in women's empowerment did not contribute to the increase in hemoglobin. These findings provide the first evidence from a randomized controlled trial that women's empowerment is a pathway by which a nutrition-sensitive program can improve child wasting. Programs that aim to improve child nutritional status should incorporate interventions designed to empower women.
Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous studies have found cross-sectional associations linking women's empowerment and child nutritional status, there is limited empirical evidence supporting the hypothesis that empowering women as part of an intervention will, in turn, improve child nutritional outcomes. We tested this hypothesis using two waves of data from a cluster-randomized controlled trial of a nutrition-sensitive agricultural program in Burkina Faso. With structural equation models, we examined whether four domains of women's empowerment—purchasing decisions, healthcare decisions, family planning decisions, and spousal communication—mediated the program's impact on reducing wasting and increasing hemoglobin among children who were three to 12 months old at the start of the two-year program. We found that improvements in women's empowerment in the domains of spousal communication, purchasing decisions, healthcare decisions, and family planning decisions contributed to the program's impact on reducing wasting with the largest share being attributable to spousal communication. Improvements in women's empowerment did not contribute to the increase in hemoglobin. These findings provide the first evidence from a randomized controlled trial that women's empowerment is a pathway by which a nutrition-sensitive program can improve child wasting. Programs that aim to improve child nutritional status should incorporate interventions designed to empower women. •A nutrition- and gender-sensitive agriculture program was evaluated in Burkina Faso.•The program reduced child wasting and improved women's empowerment (WE).•Reductions in child wasting were partially mediated by improvements in WE.•This is the first experimental evidence that increasing WE improves child nutrition.•Programs to reduce wasting can be more effective if they also target WE.
Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous studies have found cross-sectional associations linking women's empowerment and child nutritional status, there is limited empirical evidence supporting the hypothesis that empowering women as part of an intervention will, in turn, improve child nutritional outcomes. We tested this hypothesis using two waves of data from a cluster-randomized controlled trial of a nutrition-sensitive agricultural program in Burkina Faso. With structural equation models, we examined whether four domains of women's empowerment-purchasing decisions, healthcare decisions, family planning decisions, and spousal communication-mediated the program's impact on reducing wasting and increasing hemoglobin among children who were three to 12 months old at the start of the two-year program. We found that improvements in women's empowerment in the domains of spousal communication, purchasing decisions, healthcare decisions, and family planning decisions contributed to the program's impact on reducing wasting with the largest share being attributable to spousal communication. Improvements in women's empowerment did not contribute to the increase in hemoglobin. These findings provide the first evidence from a randomized controlled trial that women's empowerment is a pathway by which a nutrition-sensitive program can improve child wasting. Programs that aim to improve child nutritional status should incorporate interventions designed to empower women.
Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous studies have found cross-sectional associations linking women's empowerment and child nutritional status, there is limited empirical evidence supporting the hypothesis that empowering women as part of an intervention will, in turn, improve child nutritional outcomes. We tested this hypothesis using two waves of data from a cluster-randomized controlled trial of a nutrition-sensitive agricultural program in Burkina Faso. With structural equation models, we examined whether four domains of women's empowerment—purchasing decisions, healthcare decisions, family planning decisions, and spousal communication—mediated the program's impact on reducing wasting and increasing hemoglobin among children who were three to 12 months old at the start of the two-year program. We found that improvements in women's empowerment in the domains of spousal communication, purchasing decisions, healthcare decisions, and family planning decisions contributed to the program's impact on reducing wasting with the largest share being attributable to spousal communication. Improvements in women's empowerment did not contribute to the increase in hemoglobin. These findings provide the first evidence from a randomized controlled trial that women's empowerment is a pathway by which a nutrition-sensitive program can improve child wasting. Programs that aim to improve child nutritional status should incorporate interventions designed to empower women. • A nutrition- and gender-sensitive agriculture program was evaluated in Burkina Faso. • The program reduced child wasting and improved women's empowerment (WE). • Reductions in child wasting were partially mediated by improvements in WE. • This is the first experimental evidence that increasing WE improves child nutrition. • Programs to reduce wasting can be more effective if they also target WE.
Author Heckert, Jessica
Olney, Deanna K.
Ruel, Marie T.
AuthorAffiliation Poverty, Health, and Nutrition Division, International Food Policy Research Institute, 1201 I Street, NW, Washington, DC, 20005, USA
AuthorAffiliation_xml – name: Poverty, Health, and Nutrition Division, International Food Policy Research Institute, 1201 I Street, NW, Washington, DC, 20005, USA
Author_xml – sequence: 1
  givenname: Jessica
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  surname: Heckert
  fullname: Heckert, Jessica
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  givenname: Deanna K.
  surname: Olney
  fullname: Olney, Deanna K.
  email: D.Olney@cgiar.org
– sequence: 3
  givenname: Marie T.
  surname: Ruel
  fullname: Ruel, Marie T.
  email: M.Ruel@cgiar.org
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31195195$$D View this record in MEDLINE/PubMed
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Keywords Women's empowerment
Child nutrition
Agriculture
Nutrition-sensitive programs
Burkina Faso
Mediation analysis
Language English
License This is an open access article under the CC BY license.
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Snippet Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous...
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StartPage 93
SubjectTerms Adult
Agriculture
Burkina Faso
Child nutrition
Child Nutritional Physiological Phenomena
Child, Preschool
Communication
Cross-Sectional Studies
Decision Making
Empowerment
Female
Humans
Infant
Mediation analysis
Mothers - statistics & numerical data
Nutrition-sensitive programs
Nutritional Status - physiology
Wasting Syndrome - prevention & control
Women's empowerment
Title Is women's empowerment a pathway to improving child nutrition outcomes in a nutrition-sensitive agriculture program?: Evidence from a randomized controlled trial in Burkina Faso
URI https://dx.doi.org/10.1016/j.socscimed.2019.05.016
https://www.ncbi.nlm.nih.gov/pubmed/31195195
https://www.proquest.com/docview/2242164888
https://pubmed.ncbi.nlm.nih.gov/PMC6642337
Volume 233
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