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• Women face unique risks associated with food insecurity and climate change. • Changing childbearing may be an explicit livelihood strategy. • Women respond to growing season conditions by adjusting fertility behaviors. • Ensuring availability of diverse family planning services is a priority. Agricultural production and household food security are hypothesized to play a critical role connecting climate change to downstream effects on women's health, especially in communities dependent on rainfed agriculture. Seasonal variability in agriculture strains food and income resources and makes it a challenging time for households to manage a pregnancy or afford a new child. Yet, there are few direct assessments of the role locally varying agricultural quality plays on women's health, especially reproductive health. In this paper we build on and integrate ideas from past studies focused on climate change and growing season quality in low-income countries with those on reproductive health to examine how variation in local seasonal agricultural quality relates to childbearing goals and family planning use in three countries in sub-Saharan Africa: Burkina Faso, Kenya, and Uganda. We use rich, spatially referenced data from the Performance Monitoring for Action (PMA) individual surveys with detailed information on childbearing preferences and family planning decisions. Building on recent advances in remote monitoring of seasonal agriculture, we construct multiple vegetation measures capturing different dimensions of growing season conditions across varying time frames. Results for the Kenya sample indicate that if the recent growing season is better a woman is more likely to want a child in the future. In Uganda, when the growing season conditions are better, women prefer to shorten the time until their next birth and are also more likely to discontinue using family planning. Additional analyses reveal the importance of education and birth spacing in moderating these findings. Overall, our findings suggest that, in some settings, women strategically respond to growing season conditions by adjusting fertility aspirations or family planning use. This study also highlights the importance of operationalizing agriculture in nuanced ways that align with women's lives to better understand how women are impacted by and respond to seasonal climate conditions. [ABSTRACT FROM AUTHOR]

We compare changes in low birth weight and child malnutrition in 13 African countries under projected climate change versus socio-economic development scenarios. Climate scenarios are created by linking surface temperature gradients with declines in seasonal rainfall sea along with warming values of 1 °C and 2 °C. Socio-economic scenarios are developed by assigning regionally specific changes in access to household electricity and mother's education. Using these scenarios, in combination with established models of children's health, we investigate and compare the changes in predicted health outcomes. We find that the negative effects of warming and drying on child stunting could be mitigated by positive development trends associated with increasing mothers’ educational status and household access to electricity. We find less potential for these trends to mitigate how warming and drying trends impact birth weights. In short, under warming and drying, the risk of more malnourished children is greater than the risk of more children with low birth weights, but increases in child malnutrition could be averted in regions that increase access to educational resources and basic infrastructure. [ABSTRACT FROM AUTHOR]

This paper examined the relationship between birth weight, precipitation, and temperature in 19 African countries. We matched recorded birth weights from Demographic and Health Surveys covering 1986 through 2010 with gridded monthly precipitation and temperature data derived from satellite and ground-based weather stations. Observed weather patterns during various stages of pregnancy were also used to examine the effect of temperature and precipitation on birth weight outcomes. In our empirical model we allowed the effect of weather factors to vary by the dominant food production strategy (livelihood zone) in a given region as well as by household wealth, mother's education and birth season. This allowed us to determine if certain populations are more or less vulnerable to unexpected weather changes after adjusting for known covariates. Finally we measured effect size by observing differences in birth weight outcomes in women who have one low birth weight experience and at least one healthy birth weight baby. The results indicated that climate does indeed impact birth weight and at a level comparable, in some cases, to the impact of increasing women's education or household electricity status. [ABSTRACT FROM AUTHOR]