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
Cornelius K.A. Pienaah, Mildred Naamwintome Molle, Isaac Luginaah
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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.
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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。
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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
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