1. The associations between women's empowerment measures, child growth and dietary diversity: Findings from an analysis of demographic and health surveys of seven countries in Eastern Africa.
- Author
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Komakech, Joel J., Walters, Christine N., Rakotomanana, Hasina, Hildebrand, Deana A., and Stoecker, Barbara J.
- Subjects
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CLUSTER sampling , *STATISTICS , *STATISTICAL significance , *CHILD nutrition , *FOOD security , *CHILD development , *SELF-perception , *ANTHROPOMETRY , *MULTIVARIATE analysis , *WOMEN , *SELF-efficacy , *SURVEYS , *CONCEPTUAL structures , *MATHEMATICAL variables , *FACTOR analysis , *DECISION making , *DESCRIPTIVE statistics , *STATISTICAL sampling , *LOGISTIC regression analysis , *DATA analysis software - Abstract
Evidence on the efficacy of women's empowerment to improve child growth and minimum dietary diversity (MDD) in the Eastern Africa (EA) region is limited. This cross‐sectional study used recent Demographic and Health Survey data of mother–child dyads from seven countries in EA to examine the associations between women's empowerment measures, child growth and MDD. Length‐for‐age z‐scores, weight‐for‐length z‐scores and weight‐for‐age z‐scores were used to categorize growth indicators of 6–23 months old children. Multivariable logistic regression was used to identify significant associations. Among all countries, 32%–59% of children experienced growth failure. Children meeting MDD were 18%–45%. Women having self‐esteem were associated with lower odds of stunting (adjusted odds ratio [AOR] = 0.62 in Rwanda), wasting (AOR = 0.38 in Uganda), underweight (AORs = 0.60 and 0.57 in Tanzania and Uganda, respectively) and growth failure (AOR = 0.64 in Rwanda). Having health decision control in Burundi was associated with lower odds of stunting (AOR = 0.49) and child growth failure (AOR = 0.52) and higher odds of meeting MDD (AOR = 2.50). Having Legal empowerment among women increased the odds of stunting (AOR = 1.79 in Burundi), underweight (AOR = 1.77 in Uganda) and growth failure (AOR = 1.87 in Burundi). Economic empowerment showed mixed associations with child growth and MDD among some countries. Women's self‐esteem and health decision control were associated with better child growth and MDD for some countries in EA. Nutrition‐sensitive interventions aimed at improving child growth and MDD should consider local contexts when addressing women's empowerment. Key messages: Understanding the associations between women's empowerment, child growth and child dietary diversity is important for most nutrition‐sensitive interventions seeking to improve child feeding practices and growth by targeting mothers.In this study, for women to have self‐esteem and health decision control was consistently beneficial for child growth and minimum dietary diversity (MDD). Mixed associations existed among other women's empowerment measures, child growth and MDD across the seven East African countries investigated.For improved child growth and better child dietary diversity, targeting specific women's empowerment measures based on local context may be beneficial in the East African region. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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