Implementing nutrition initiatives through multi‐sectoral collaboration is challenging. This qualitative study explores these challenges in two regions of Ethiopia, through interviews with development staff at lower administrative levels. Respondents identified structural and attitudinal causes of undernutrition. The health sector was perceived to have primary responsibility to address nutrition. The Women's Affairs office had a lesser role than expected. Agricultural officers still saw their primary mandate as increasing cereal production. Cross‐sectoral collaboration was stronger in addressing short‐term food crises rather than chronic undernutrition. There is a need to build a shared understanding of the causes of undernutrition, including the many constraints faced by resource‐poor households, to provide more resources for implementation and to adopt a more gendered focus.
Background
The aim of this study was to examine the effect of household food security on childhood anemia in Bangladesh while controlling for socioeconomic and demographic factors.
Methods
We used nationally representative Bangladesh Demographic Health Survey (BDHS) 2011 data for this study, the only existing survey including anemia information and household food security. The sample included 2171 children aged 6–59 months and their mothers. Differences between socioeconomic and demographic variables were analyzed using Chi-square test. Univariate and multivariate logistic regression analyses were performed to estimate the effects of different socioeconomic and demographic factors on childhood anemia. We also performed mediation analysis to examine the direct and indirect effect of household food security on childhood anemia.
Results
In Bangladesh, 53% male (95% CI: 50–56) and 51% female (95% CI: 47–54) children aged 6–59 months were anemic in 2011. The food insecure households have 1.20 times odds (95% CI: 0.97–1.48) of having anemic children comparing to food secure households in the unadjusted model. On the other hand, anemic mothers have 2 times odds (95% CI: 1.67–2.44) of having anemic children comparing to non-anemic mothers. However, household food security is no longer significantly associated with childhood anemia in the adjusted model while mothers’ anemia remained a significant factor (OR 1.87: 95% CI: 1.53–2.29). Age of children is the highest associated factor, and the odds are 4.89 (95% CI: 3.21–7.45) for 6–12 months old children comparing to 49–59 months in the adjusted model. Stunting and household wealth are also a significant factor for childhood anemia. Although food security has no significant direct effect on childhood anemia, maternal anemia and childhood stunting mediated that relationship.
Conclusions
Future public health policies need to focus on improving mothers’ health with focusing on household food security to eliminate childhood anemia.
This study aims at exploring the potential impact of forest protection on rural households' private fuel tree planting in Chiro district of eastern Ethiopia. It attempts to evaluate whether or not forest protection interventions improve rural households' private fuel wood production and indirectly contribute to reforestation and restoration of endangered wildlife. The study results revealed a robust and significant positive impact of the intervention on farmers' decisions to produce private household energy by growing fuel trees on their farm. As participation in private fuel tree planting is not random, the study confronts a methodological issue in investigating the causal effect of forest protection intervention on rural farm households' private fuel tree planting through non-parametric propensity score matching (PSM) method. The protection intervention on average has increased fuel tree planting by 4 633 (1 725%) compared to open access areas and indirectly contributed to slowing down the loss of biodiversity in the area.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.