A Prepandemic Nutrition-Sensitive Social Protection Program Has Sustained Benefits for Food Security and Diet Diversity in Myanmar during a Severe Economic Crisis

Maffioli, Elisa M.; Headey, Derek; Lambrecht, Isabel; Oo, Than Zaw; Zaw, Nicholus Tint

doi:10.1016/j.tjnut.2023.02.009

Cited by 8 publications

(4 citation statements)

References 20 publications

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“…It subsequently diffuses to the lower socio-economic groups; however, diffusion's intensity can be time-dependent (48). (49,50). Studies have shown that cash incentives play a role in purchasing food items that are perceived as costly or not purchased by households regularly (51).…”

Section: Discussionmentioning

confidence: 99%

Effect of Social and Behavioral Change interventions on improving minimum dietary diversity among pregnant women and associated socio-economic inequality to improve nutrition outcomes in Rajasthan, India.

Sharma,

Chanda,

Porwal

et al. 2024

Preprint

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Background: Maternal dietary diversity is a key to improving the birth and child health outcomes. Besides socio-economic factors, the nutrition specific program- Social and Behavioural Change Communication (SBCC) interventions aimed to improve maternal dietary diversity has varied levels of impact on the socio-economic groups in poor resource setups. Objective: To measure the factors associated with the minimum dietary diversity (MDD) among pregnant women in selected districts of Rajasthan with special emphasis on the SBCC components. Additionally, it measures the socio-economic gaps in the behaviour of consumption of diversified diet during pregnancy. Methods: Data from a cross sectional survey of 6848 pregnant women, who have received a continuous SBCC counselling and registered under a state introduced conditional cash transfer program, during May to June, 2023, in five intervention districts -Banswara, Baran, Dunagrpur, Pratapgarh and Udaipur in Rajasthan was used. A 24 hour recall based food consumption behaviour has been gathered to measure the MDD of pregnant women. Study has used descriptive statistics, multivariate regressions, and multivariate decomposition analysis to address the research objectives. Results: Study finds that only 55.2% of pregnant women are consuming diverse diet in the study duration with mean dietary diversity score is 4.8 (+/- 1.5). Logistic regression finds that SBCC components such as frontline workers (aOR= 1.3, CI: 1.1-1.4), community motivators (aOR= 1.9, CI: 1.7-2.1), and participation in MCHND (aOR= 1.0, CI: .9-1.2) have significant and higher likelihood on consumption of MDD food on previous day. A higher education and belonging from richer wealth quintile also show higher association for consumption of MDD. Multivariate decomposition shows, among richest and poorest wealth categories there is 19 percentage point difference (58% Difference due to coefficient vs. 42% difference due to composition) in MDD consumption. This is positively contributed by the caste and educational categories of women. Conclusion: Despite a predominant vegetarian diet consuming population, better maternal dietary diversity was observed among those exposed to higher dose of SBCC intervention package. Educational status and caste of the respondent were significantly associated with minimum dietary diversity and contributed to the socio-economic inequality highlighting the importance of tailored and sustained SBCC interventions.

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Section: Discussionmentioning

confidence: 99%

Effect of Social and Behavioral Change interventions on improving minimum dietary diversity among pregnant women and associated socio-economic inequality to improve nutrition outcomes in Rajasthan, India.

Sharma,

Chanda,

Porwal

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…SBCC interventions and cash incentives can have a long-term impact beyond program due duration than only cash interventions by modifying immediate and underlying factors of malnutrition [ 50 , 51 ]. Studies have shown that cash incentives play a role in purchasing food items that are perceived as costly or not purchased by households regularly [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of social and behavioral change interventions on minimum dietary diversity among pregnant women and associated socio-economic inequality in Rajasthan, India

Sharma,

Chanda,

Porwal

et al. 2024

BMC Nutr

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Background Maternal dietary diversity is a key to improving the birth and child health outcomes. Besides socio-economic factors, the nutrition specific program- Social and Behavioural Change Communication (SBCC) interventions aimed to improve maternal dietary diversity has varied levels of impact on the socio-economic groups in poor resource setups. Objective To measure the factors associated with the minimum dietary diversity (MDD) among pregnant women in selected districts of Rajasthan with special emphasis on the SBCC components. Additionally, it measures the socio-economic gaps in the behaviour of consumption of diversified diet during pregnancy. Methods Data from a cross sectional survey of 6848 pregnant women, who have received a continuous SBCC counselling and registered under a state introduced conditional cash transfer program, during May to June, 2023, in five intervention districts -Banswara, Baran, Dunagrpur, Pratapgarh and Udaipur in Rajasthan was used. A 24 h recall based food consumption behaviour has been gathered to measure the MDD of pregnant women. Study has used descriptive statistics, multivariate regressions, and multivariate decomposition analysis to address the research objectives. Results Study finds that only 55.2% of pregnant women are consuming diverse diet in the study duration with mean dietary diversity score is 4.8 (+/- 1.5). Logistic regression finds that SBCC components such as frontline workers (aOR = 1.3, CI: 1.1–1.4), community motivators (aOR = 1.9, CI: 1.7–2.1), and participation in MCHND (aOR = 1.0, CI: 0.9-1.2) have significant and higher likelihood on consumption of MDD food on previous day. A higher education and belonging from richer wealth quintile also show higher association for consumption of MDD. Multivariate decomposition shows, among richest and poorest wealth categories there is 19% point difference (58% difference due to coefficient vs. 42% difference due to composition) in MDD consumption. This is positively contributed by the caste and educational categories of women. Conclusion Despite a predominant vegetarian diet consuming population, better maternal dietary diversity was observed among those exposed to higher dose of SBCC intervention package. Educational status and caste of the respondent were significantly associated with minimum dietary diversity and contributed to the socio-economic inequality highlighting the importance of tailored and sustained SBCC interventions.

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“…There is strong rationale for targeting social protection resources to nutritionally vulnerable groups, particularly pregnant women and mothers of young children. A forthcoming study finds that Maternal and Child cash transfers which were implemented and ceased before the pandemic still had benefits on food security and diet quality outcomes during the pandemic and post‐coup period (Maffioli et al, 2023). While negotiation with the military regime is a contentious issue for international agencies and implementing partners on the ground (who must subject to regime‐supervised registration process) investments in this kind of program to protect the most vulnerable, potentially with digital cash transfers and nutritional training as modalities for reaching populations in remote or physically insecure areas, is necessary to mitigate suffering.…”

Section: Discussionmentioning

confidence: 99%

Double jeopardy: COVID‐19, coup d'état and poverty in Myanmar

Boughton

Headey

Mahrt

et al. 2023

Applied Eco Perspectives Pol

Self Cite

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Myanmar experienced multiple COVID shocks as well as a military takeover in February 2021. Impacts on household poverty remain uncertain, however, because large‐scale in‐person surveys were impossible during the pandemic and heightened internal conflict. We use ex ante simulation models and phone survey evidence to estimate the poverty effects of these shocks and identify factors correlated with them. While each approach has limitations, and cannot explicitly validate each other, they both indicate rising rural and urban poverty and capital‐depleting coping mechanisms. Wider use of simulation modeling could help mobilize social protection faster than waiting for survey results in emergencies.

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A Prepandemic Nutrition-Sensitive Social Protection Program Has Sustained Benefits for Food Security and Diet Diversity in Myanmar during a Severe Economic Crisis

Cited by 8 publications

References 20 publications

Effect of Social and Behavioral Change interventions on improving minimum dietary diversity among pregnant women and associated socio-economic inequality to improve nutrition outcomes in Rajasthan, India.

Effect of Social and Behavioral Change interventions on improving minimum dietary diversity among pregnant women and associated socio-economic inequality to improve nutrition outcomes in Rajasthan, India.

Effect of social and behavioral change interventions on minimum dietary diversity among pregnant women and associated socio-economic inequality in Rajasthan, India

Double jeopardy: COVID‐19, coup d'état and poverty in Myanmar

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