Assessing the effect of women’s empowerment on their dietary intake: a cross-sectional study

Priyanshu Rastogi; Rohit  Pandey; Sunil Mehra; Shantanu Sharma

doi:10.18203/2394-6040.ijcmph20240894

Authors

Priyanshu Rastogi Department of Maternal, Newborn and Child Health and Nutrition, MAMTA Health Institute for Mother and Child, New Delhi, Delhi, India
Rohit Pandey Department of Maternal, Newborn and Child Health and Nutrition, MAMTA Health Institute for Mother and Child, New Delhi, Delhi, India
Sunil Mehra Department of Maternal, Newborn and Child Health and Nutrition, MAMTA Health Institute for Mother and Child, New Delhi, Delhi, India
Shantanu Sharma Department of Maternal, Newborn and Child Health and Nutrition, MAMTA Health Institute for Mother and Child, New Delhi, Delhi, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240894

Keywords:

Women, Empowerment, Dietary diversity, Social skills, Self-esteem

Abstract

Background: Women empowerment is an important strategy to reduce maternal and child undernutrition, which continues to be a major health burden in low- and middle-income countries. The present study aimed to assess the effect of women empowerment on their dietary intake in the two selected blocks of Sultanpuri urban slums, West Delhi.

Methods: The baseline was conducted using a cross-sectional research method with girls and women (15-35 years). The research was conducted through a predesigned, pretested, semi-structured questionnaire to capture the information on socio-demographic profiles along with knowledge on social skills, self-esteem, and decision-making. The data were collected on the consumption of food groups in the last 24 hours from 2402 girls and women. We employed unadjusted and adjusted step-wise regression models to assess the effect of domains of women empowerment on dietary intake.

Results: The median (interquartile range) age of the women was 27 (22-31) years. We found a 0.17-point increase in the dietary diversity score per one-unit increase in the self-esteem score of the women. Similarly, there was a 0.06-unit increase in the dietary diversity score per one-unit increase in the social skills score of the women. The association remained statistically significant even after adjustments for co-variates like age, education status, and socio-economic status.

Conclusions: The present study recommends that focusing on women's empowerment dimensions, particularly social skills, self-esteem, and decision-making power, can be an effective strategy for improving dietary intake among women.

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References

Barak F, Efitre J, Odong R, Melgar-Quiñonez H. Women’s agency in nutrition in the association between women’s empowerment in agriculture and food security: A case study from Uganda. World Food Policy. 2023;9(2):228-49.

Agaba M, Azupogo F, Brouwer ID. Maternal nutritional status, decision-making autonomy and the nutritional status of adolescent girls: a cross-sectional analysis in the Mion District of Ghana. J Nutr Sci. 2022;11:e97.

Kumar R, Kumar A, Rajpal S, Joe W. Underweight and Overweight Prevalence Among Indian Women. In: Guilmoto CZ, ed. Atlas of Gender and Health Inequalities in India. Demographic Transformation and Socio-Economic Development. Springer Nature Switzerland. 2023:17-27.

Acharya DR, Bell JS, Simkhada P, van Teijlingen ER, Regmi PR. Women’s autonomy in household decision-making: a demographic study in Nepal. Reproductive Health. 2010;7(1):15.

van den Bold M, Quisumbing A, Gillespie S. Women’s Empowerment and Nutrition An Evidence Review. SSRN Electronic J. 2013;1.

Alaofè H, Zhu M, Burney J, Naylor R, Douglas T. Association Between Women’s Empowerment and Maternal and Child Nutrition in Kalalé District of Northern Benin. Food Nutr Bull. 2017;38(3):302-18.

Gupta S, Vemireddy V, Pingali PL. Nutritional outcomes of empowerment and market integration for women in rural India. Food Secur. 2019;11(6):1243-56.

Sraboni E, Malapit HJ, Quisumbing AR, Ahmed AU. Women’s Empowerment in Agriculture: What Role for Food Security in Bangladesh? World Development. 2014;61:11-52.

Ickes SB, Wu M, Mandel MP, Roberts AC. Associations between social support, psychological well-being, decision making, empowerment, infant and young child feeding, and nutritional status in Ugandan children ages 0 to 24 months. Matern Child Nutr. 2018;14(1):e12483.

Saaka M. Women’s decision-making autonomy and its relationship with child feeding practices and postnatal growth. J Nutr Sci. 2020;9:e38.

Rahman MdM, Saima U, Goni MdA. Impact of Maternal Household Decision-Making Autonomy on Child Nutritional Status in Bangladesh. Asia Pacific J Public Health. 2015;27(5):509-20.

Shourove JH, Meem FC, Rahman M, Islam GM. Does Higher Dietary Diversity Associate with Women’s Decision-Making Autonomy in Bangladesh? Evidence from a National Representative Survey. PLOS Glob Public Health. 2023;3(7):e0001617.

Onah MN, Horton S, Hoddinott J. What empowerment indicators are important for food consumption for women? Evidence from 5 sub-Sahara African countries. PLoS One. 2021;16(4):e0250014.

Dadzie LK, Amo-Adjei J, Esia-Donkoh K. Women empowerment and minimum daily meal frequency among infants and young children in Ghana: analysis of Ghana demographic and health survey. BMC Public Health. 2021;21(1):1700.

CGIAR. Minimum Dietary Diversity for Women- A Guide to Measurement. Available at: https://gender. cgiar.org/tools-methods-manuals/minimum-dietary-diversity-women-mdd-w-guide-measurement. Accessed on 12 January 2024.

Bold M van den, Quisumbing AR, Gillespie S. Women’s Empowerment and Nutrition An Evidence Review. SSRN Electronic J. 2013;01294.

Shourove JH, Meem FC, Rahman M, Islam GMR. Is women's household decision-making autonomy associated with their higher dietary diversity in Bangladesh? Evidence from nationally representative survey. PLOS Glob Public Health. 2023;3(7):e0001617.

Etea TD, Yalew AW, Sisay MM. Mediating effects of women’s empowerment on dietary diversity during pregnancy in Central West Ethiopia: A structural equation modelling. Global Health Action. 2023;16(1):2290303.

Komakech JJ, Walters CN, Rakotomanana H, Hildebrand DA, Stoecker BJ. 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. Matern Child Nutr. 2022;18(4):e13421.

Katenga-Kaunda LZ, Kamudoni PR, Holmboe-Ottesen G, et al. Enhancing nutrition knowledge and dietary diversity among rural pregnant women in Malawi: a randomized controlled trial. BMC Pregnancy Childbirth. 2021;21:644.