Women's bargaining power and child feeding in Nepal: Linkages through nutrition information.
Adolescent
Adult
Breast Feeding
Cross-Sectional Studies
Decision Making
Diet
Family Characteristics
Female
Health Knowledge, Attitudes, Practice
Humans
Infant
Infant, Newborn
Male
Meals
Middle Aged
Mothers
/ psychology
Negotiating
Nepal
/ ethnology
Nutritional Status
Ownership
Social Participation
Workload
Young Adult
IYCF practices
bargaining power
nutrition information
Journal
Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
received:
07
02
2019
revised:
29
07
2019
accepted:
02
08
2019
pubmed:
7
8
2019
medline:
29
1
2021
entrez:
7
8
2019
Statut:
ppublish
Résumé
Women's intra-household bargaining power is an important determinant of child nutritional status, but there is limited evidence on how it relates to infant and young child feeding (IYCF) practices. We conducted a cross-sectional analysis using 2012 baseline data from the impact evaluation of Suaahara, a multisectoral programme in Nepal, focusing on households with children 0-23 months (n = 1787). We examined if women's bargaining power was related to exposure to IYCF information and if exposure to IYCF information was in turn associated with improved IYCF practices: early initiation of breastfeeding, exclusive breastfeeding, minimum meal frequency and dietary diversity. Bargaining power consisted of four domains: (i) ownership and control of assets; (ii) social participation; (iii) workload; and (iv) household decision-making control and were primarily measured using additive scales. We used generalized structural equation modelling to examine if exposure to IYCF information mediated the relationship between the bargaining domains and the four IYCF practices, separately. Social participation was positively associated with exposure to IYCF information (β = 0.266, P < .001), which in turn was related to early initiation (β = 0.241, P = .001). We obtained similar results for the relationship between social participation and dietary diversity. Decision-making control was directly associated with exclusive breastfeeding (β = 0.350, P = .036). No domains were associated with minimum meal frequency. Different domains of women's bargaining power may relate to exposure to nutrition information and IYCF behaviours. Understanding specific domains of bargaining power is critical to developing interventions that can effectively address gender-related issues that underlie child nutrition outcomes.
Identifiants
pubmed: 31386796
doi: 10.1111/mcn.12883
pmc: PMC7038888
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12883Informations de copyright
© 2019 The Authors. Maternal & Child Nutrition published by John Wiley & Sons, Ltd.
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