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Context for layering women’s nutrition interventions on a large scale poverty alleviation program: Evidence from three eastern Indian states
Over 70 million women of reproductive age are undernourished in India. Most poverty alleviation programs have not been systematically evaluated to assess impact on women’s empowerment and nutrition outcomes. National Rural Livelihoods Mission’s poverty alleviation and livelihoods generation initiati...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342298/ https://www.ncbi.nlm.nih.gov/pubmed/30668595 http://dx.doi.org/10.1371/journal.pone.0210836 |
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author | R. S., Reshmi Dinachandra, Konsam Bhanot, Arti Unisa, Sayeed Menon, Gopinath T. Agrawal, Neeraj Bhatia, Vikas Ruikar, Manisha Daniel, Abner Bhattacharjee, Sourav Parhi, Rabi N. Sachdev, H. P. S. Gope, Raj Kumar Wagt, Arjan De Sethi, Vani |
author_facet | R. S., Reshmi Dinachandra, Konsam Bhanot, Arti Unisa, Sayeed Menon, Gopinath T. Agrawal, Neeraj Bhatia, Vikas Ruikar, Manisha Daniel, Abner Bhattacharjee, Sourav Parhi, Rabi N. Sachdev, H. P. S. Gope, Raj Kumar Wagt, Arjan De Sethi, Vani |
author_sort | R. S., Reshmi |
collection | PubMed |
description | Over 70 million women of reproductive age are undernourished in India. Most poverty alleviation programs have not been systematically evaluated to assess impact on women’s empowerment and nutrition outcomes. National Rural Livelihoods Mission’s poverty alleviation and livelihoods generation initiative is an opportune platform to layer women’s nutrition interventions being tapped by project Swabhimaan in three eastern Indian states—Bihar, Chhattisgarh and Odisha. A cross-sectional baseline survey covering 8755 mothers of children under-two years of age, one of the three primary target groups of program are presented. Standardized questionnaire was administered and anthropometric measurements were undertaken from October 2016 to January 2017. 21 indicators on women’s empowerment, Body Mass Index and Mid-upper Arm Circumference for nutrition status, food insecurity indicators as per the Food Insecurity Experience Scale and selected indicators for assessing women’s access to basic health services were included. National Rural Livelihoods Mission operates in contexts with stark social and gender inequalities. Self-help group members exhibited better control on financial resources and participation in community activities than non-members. Using Body Mass Index, at least 45% mothers were undernourished irrespective of their enrolment in self-help groups. Higher proportion of self-help group members (77%-87%) belonged to food insecure households than non-members (66%-83%). Proportion of mothers reporting receipt of various components of antenatal care service package varied from over 90% for tetanus toxoid vaccination to less than 10% for height measurement. Current use of family planning methods was excruciatingly low (8.2%-32.4%) in all states but positively skewed towards self-help group members. Participation in monthly fixed day health camps was a concern in Bihar. Layering women’s nutrition interventions as stipulated under Swabhimaan may yield better results for women’s empowerment and nutrition status under National Rural Livelihoods Mission. While this opportunity exists in all three states, Bihar with a higher proportion of matured self-help groups offers more readiness for Swabhimaan implementation. |
format | Online Article Text |
id | pubmed-6342298 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-63422982019-02-02 Context for layering women’s nutrition interventions on a large scale poverty alleviation program: Evidence from three eastern Indian states R. S., Reshmi Dinachandra, Konsam Bhanot, Arti Unisa, Sayeed Menon, Gopinath T. Agrawal, Neeraj Bhatia, Vikas Ruikar, Manisha Daniel, Abner Bhattacharjee, Sourav Parhi, Rabi N. Sachdev, H. P. S. Gope, Raj Kumar Wagt, Arjan De Sethi, Vani PLoS One Research Article Over 70 million women of reproductive age are undernourished in India. Most poverty alleviation programs have not been systematically evaluated to assess impact on women’s empowerment and nutrition outcomes. National Rural Livelihoods Mission’s poverty alleviation and livelihoods generation initiative is an opportune platform to layer women’s nutrition interventions being tapped by project Swabhimaan in three eastern Indian states—Bihar, Chhattisgarh and Odisha. A cross-sectional baseline survey covering 8755 mothers of children under-two years of age, one of the three primary target groups of program are presented. Standardized questionnaire was administered and anthropometric measurements were undertaken from October 2016 to January 2017. 21 indicators on women’s empowerment, Body Mass Index and Mid-upper Arm Circumference for nutrition status, food insecurity indicators as per the Food Insecurity Experience Scale and selected indicators for assessing women’s access to basic health services were included. National Rural Livelihoods Mission operates in contexts with stark social and gender inequalities. Self-help group members exhibited better control on financial resources and participation in community activities than non-members. Using Body Mass Index, at least 45% mothers were undernourished irrespective of their enrolment in self-help groups. Higher proportion of self-help group members (77%-87%) belonged to food insecure households than non-members (66%-83%). Proportion of mothers reporting receipt of various components of antenatal care service package varied from over 90% for tetanus toxoid vaccination to less than 10% for height measurement. Current use of family planning methods was excruciatingly low (8.2%-32.4%) in all states but positively skewed towards self-help group members. Participation in monthly fixed day health camps was a concern in Bihar. Layering women’s nutrition interventions as stipulated under Swabhimaan may yield better results for women’s empowerment and nutrition status under National Rural Livelihoods Mission. While this opportunity exists in all three states, Bihar with a higher proportion of matured self-help groups offers more readiness for Swabhimaan implementation. Public Library of Science 2019-01-22 /pmc/articles/PMC6342298/ /pubmed/30668595 http://dx.doi.org/10.1371/journal.pone.0210836 Text en © 2019 R. S. et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article R. S., Reshmi Dinachandra, Konsam Bhanot, Arti Unisa, Sayeed Menon, Gopinath T. Agrawal, Neeraj Bhatia, Vikas Ruikar, Manisha Daniel, Abner Bhattacharjee, Sourav Parhi, Rabi N. Sachdev, H. P. S. Gope, Raj Kumar Wagt, Arjan De Sethi, Vani Context for layering women’s nutrition interventions on a large scale poverty alleviation program: Evidence from three eastern Indian states |
title | Context for layering women’s nutrition interventions on a large scale poverty alleviation program: Evidence from three eastern Indian states |
title_full | Context for layering women’s nutrition interventions on a large scale poverty alleviation program: Evidence from three eastern Indian states |
title_fullStr | Context for layering women’s nutrition interventions on a large scale poverty alleviation program: Evidence from three eastern Indian states |
title_full_unstemmed | Context for layering women’s nutrition interventions on a large scale poverty alleviation program: Evidence from three eastern Indian states |
title_short | Context for layering women’s nutrition interventions on a large scale poverty alleviation program: Evidence from three eastern Indian states |
title_sort | context for layering women’s nutrition interventions on a large scale poverty alleviation program: evidence from three eastern indian states |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342298/ https://www.ncbi.nlm.nih.gov/pubmed/30668595 http://dx.doi.org/10.1371/journal.pone.0210836 |
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