The role of child nutrition counselling, gender dynamics, and intra-household feeding decision-making on child dietary diversity in semi-arid northern Ghana

IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Appetite Pub Date : 2024-11-02 DOI:10.1016/j.appet.2024.107755
{"title":"The role of child nutrition counselling, gender dynamics, and intra-household feeding decision-making on child dietary diversity in semi-arid northern Ghana","authors":"","doi":"10.1016/j.appet.2024.107755","DOIUrl":null,"url":null,"abstract":"<div><div>Every child has the right to proper nutrition. As such, child nutrition counselling is recommended to improve child dietary diversity and reduce malnutrition. However, there is limited empirical evidence on how child nutrition counselling, gender dynamics, and intra-household feeding decisions play a role and translate to child dietary diversity in rural contexts. Informed by theoretical conceptions from Health Belief Model (HBM) and Gender and Development (GAD) framework, we analyzed cross-sectional data from 517 smallholder households in Ghana's semi-arid Upper West Region to investigate the relationship between child nutrition counselling, gender dynamics, intra-household feeding decision-making, and their impact on child dietary diversity. Results from ordered logistic regression show that households that received child nutrition counselling reported higher child dietary diversity. Joint intra-household feeding decisions were associated with higher child dietary diversity. Households with good self-rated childcare, engaged in home gardening, and higher wealth, as well as those in the Waala ethnic group, were more likely to have high child dietary diversity. A decrease in household head age was linked to increased high child dietary diversity. On the other hand, female-headed households, Brifo ethnic groups, and those in the Wa East and Wa West districts were less likely to experience high child dietary diversity. Implementing interventions and policies prioritizing nutrition education in the Upper West Region and similar sub-Saharan African contexts is recommended. Strategies like scaling up child nutrition counselling, food demonstrations, mother-to-mother support nutrition outreach, and mobile nutrition clinics can empower women and improve children's well-being.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":null,"pages":null},"PeriodicalIF":4.6000,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Appetite","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0195666324005592","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"BEHAVIORAL SCIENCES","Score":null,"Total":0}
引用次数: 0

Abstract

Every child has the right to proper nutrition. As such, child nutrition counselling is recommended to improve child dietary diversity and reduce malnutrition. However, there is limited empirical evidence on how child nutrition counselling, gender dynamics, and intra-household feeding decisions play a role and translate to child dietary diversity in rural contexts. Informed by theoretical conceptions from Health Belief Model (HBM) and Gender and Development (GAD) framework, we analyzed cross-sectional data from 517 smallholder households in Ghana's semi-arid Upper West Region to investigate the relationship between child nutrition counselling, gender dynamics, intra-household feeding decision-making, and their impact on child dietary diversity. Results from ordered logistic regression show that households that received child nutrition counselling reported higher child dietary diversity. Joint intra-household feeding decisions were associated with higher child dietary diversity. Households with good self-rated childcare, engaged in home gardening, and higher wealth, as well as those in the Waala ethnic group, were more likely to have high child dietary diversity. A decrease in household head age was linked to increased high child dietary diversity. On the other hand, female-headed households, Brifo ethnic groups, and those in the Wa East and Wa West districts were less likely to experience high child dietary diversity. Implementing interventions and policies prioritizing nutrition education in the Upper West Region and similar sub-Saharan African contexts is recommended. Strategies like scaling up child nutrition counselling, food demonstrations, mother-to-mother support nutrition outreach, and mobile nutrition clinics can empower women and improve children's well-being.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
加纳北部半干旱地区儿童营养咨询、性别动态和家庭内部喂养决策对儿童膳食多样性的作用。
每个儿童都有获得适当营养的权利。因此,建议通过儿童营养咨询来改善儿童膳食多样性,减少营养不良。然而,关于儿童营养咨询、性别动态和家庭内部喂养决定如何发挥作用并转化为农村儿童膳食多样性的经验证据却很有限。根据健康信念模型(HBM)和性别与发展(GAD)框架的理论概念,我们分析了加纳半干旱地区上西部 517 个小农家庭的横截面数据,研究了儿童营养咨询、性别动态、家庭内部喂养决策之间的关系及其对儿童膳食多样性的影响。有序逻辑回归的结果显示,接受过儿童营养咨询的家庭报告的儿童膳食多样性更高。家庭内部的共同喂养决策与儿童膳食多样性较高有关。自我评价良好的儿童保育家庭、从事家庭园艺的家庭、较富裕的家庭以及瓦拉(Waala)族家庭更有可能拥有较高的儿童膳食多样性。户主年龄越小,儿童膳食多样性越高。另一方面,女户主家庭、布里佛(Brifo)族群以及瓦东区和瓦西区的家庭不太可能拥有较高的儿童膳食多样性。建议在上西部地区和类似的撒哈拉以南非洲地区实施优先考虑营养教育的干预措施和政策。扩大儿童营养咨询、食品示范、母亲对母亲支持营养推广和流动营养诊所等战略可以增强妇女的能力,改善儿童的福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Appetite
Appetite 医学-行为科学
CiteScore
9.10
自引率
11.10%
发文量
566
审稿时长
13.4 weeks
期刊介绍: Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.
期刊最新文献
Editorial Board A novel appetite loss in older adults with and without cognitive impairment (ALOC) screening scale. Beyond the family's cooking frequency: The Influence of Cooking Techniques on Vegetable and Fruit Consumption among the U.S. population. Sizzling steaks and manly molds: Exploring the meanings of meat and masculinities in young men's lives. The role of child nutrition counselling, gender dynamics, and intra-household feeding decision-making on child dietary diversity in semi-arid northern Ghana
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1