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Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania

About 2 billion people worldwide suffer moderate or severe forms of food insecurity, calling for correctional measures involving economic strengthening interventions. This study assessed the impact of household economic strengthening (HES) intervention on food security among caregivers of orphans an...

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Autores principales: Exavery, Amon, Charles, John, Barankena, Asheri, Bajaria, Shraddha, Minja, Epifania, Mulikuza, Jacob, Mbwambo, Tumainiel, Ally, Amal, Mseya, Remmy, Mubyazi, Godfrey M., Kikoyo, Levina, Balampama, Marianna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8880745/
https://www.ncbi.nlm.nih.gov/pubmed/35213627
http://dx.doi.org/10.1371/journal.pone.0264315
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author Exavery, Amon
Charles, John
Barankena, Asheri
Bajaria, Shraddha
Minja, Epifania
Mulikuza, Jacob
Mbwambo, Tumainiel
Ally, Amal
Mseya, Remmy
Mubyazi, Godfrey M.
Kikoyo, Levina
Balampama, Marianna
author_facet Exavery, Amon
Charles, John
Barankena, Asheri
Bajaria, Shraddha
Minja, Epifania
Mulikuza, Jacob
Mbwambo, Tumainiel
Ally, Amal
Mseya, Remmy
Mubyazi, Godfrey M.
Kikoyo, Levina
Balampama, Marianna
author_sort Exavery, Amon
collection PubMed
description About 2 billion people worldwide suffer moderate or severe forms of food insecurity, calling for correctional measures involving economic strengthening interventions. This study assessed the impact of household economic strengthening (HES) intervention on food security among caregivers of orphans and vulnerable children (OVC) in Tanzania. The study was longitudinal in design, based on OVC caregivers’ baseline (2017–2018) and midline (2019) data from the USAID Kizazi Kipya project. Food security, the outcome, was measured using the Household Hunger Scale (HHS) in three categories: little to no hunger (food secure), moderate hunger, and severe hunger. Membership in the USAID Kizazi Kipya-supported economic strengthening intervention (i.e. WORTH Yetu) was the main independent variable. Data analysis involved generalized estimating equation (GEE) for multivariate analysis. With mean age of 50.3 years at baseline, the study analyzed 132,583 caregivers, 72.2% of whom were female. At midline, 7.6% of all caregivers enrolled at baseline were members in WORTH Yetu. Membership in WORTH Yetu was significantly effective in reducing household hunger among the caregivers: severe hunger dropped from 9.4% at baseline to 4.1% at midline; moderate hunger dropped from 65.9% at baseline to 62.8% at midline; and food security (i.e., little to no hunger households) increased from 25.2% at baseline to 33.1% at midline. In the multivariate analysis, membership in WORTH Yetu reduced the likelihood of severe hunger by 47% (OR = 0.53, 95% CI 0.48–0.59), and moderate hunger by 21% (OR = 0.79, 95% CI 0.76–0.83), but increased the likelihood of food security by 45% (OR = 1.45, 95% CI 1.39–1.51). The USAID Kizazi Kipya’s model of household economic strengthening for OVC caregivers was effective in improving food security and reducing household hunger in Tanzania. This underscores the need to expand WORTH Yetu coverage. Meanwhile, these results indicate a potential of applying the intervention in similar settings to address household hunger.
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spelling pubmed-88807452022-02-26 Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania Exavery, Amon Charles, John Barankena, Asheri Bajaria, Shraddha Minja, Epifania Mulikuza, Jacob Mbwambo, Tumainiel Ally, Amal Mseya, Remmy Mubyazi, Godfrey M. Kikoyo, Levina Balampama, Marianna PLoS One Research Article About 2 billion people worldwide suffer moderate or severe forms of food insecurity, calling for correctional measures involving economic strengthening interventions. This study assessed the impact of household economic strengthening (HES) intervention on food security among caregivers of orphans and vulnerable children (OVC) in Tanzania. The study was longitudinal in design, based on OVC caregivers’ baseline (2017–2018) and midline (2019) data from the USAID Kizazi Kipya project. Food security, the outcome, was measured using the Household Hunger Scale (HHS) in three categories: little to no hunger (food secure), moderate hunger, and severe hunger. Membership in the USAID Kizazi Kipya-supported economic strengthening intervention (i.e. WORTH Yetu) was the main independent variable. Data analysis involved generalized estimating equation (GEE) for multivariate analysis. With mean age of 50.3 years at baseline, the study analyzed 132,583 caregivers, 72.2% of whom were female. At midline, 7.6% of all caregivers enrolled at baseline were members in WORTH Yetu. Membership in WORTH Yetu was significantly effective in reducing household hunger among the caregivers: severe hunger dropped from 9.4% at baseline to 4.1% at midline; moderate hunger dropped from 65.9% at baseline to 62.8% at midline; and food security (i.e., little to no hunger households) increased from 25.2% at baseline to 33.1% at midline. In the multivariate analysis, membership in WORTH Yetu reduced the likelihood of severe hunger by 47% (OR = 0.53, 95% CI 0.48–0.59), and moderate hunger by 21% (OR = 0.79, 95% CI 0.76–0.83), but increased the likelihood of food security by 45% (OR = 1.45, 95% CI 1.39–1.51). The USAID Kizazi Kipya’s model of household economic strengthening for OVC caregivers was effective in improving food security and reducing household hunger in Tanzania. This underscores the need to expand WORTH Yetu coverage. Meanwhile, these results indicate a potential of applying the intervention in similar settings to address household hunger. Public Library of Science 2022-02-25 /pmc/articles/PMC8880745/ /pubmed/35213627 http://dx.doi.org/10.1371/journal.pone.0264315 Text en © 2022 Exavery et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://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
Exavery, Amon
Charles, John
Barankena, Asheri
Bajaria, Shraddha
Minja, Epifania
Mulikuza, Jacob
Mbwambo, Tumainiel
Ally, Amal
Mseya, Remmy
Mubyazi, Godfrey M.
Kikoyo, Levina
Balampama, Marianna
Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania
title Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania
title_full Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania
title_fullStr Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania
title_full_unstemmed Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania
title_short Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania
title_sort impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in tanzania
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8880745/
https://www.ncbi.nlm.nih.gov/pubmed/35213627
http://dx.doi.org/10.1371/journal.pone.0264315
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