scholarly journals Gender dimensions of the impact of HIV/AIDS on stunting in children under five years in Zimbabwe

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lesley Macheka ◽  
George Kembo ◽  
Terrence Kairiza

Abstract Background HIV/AIDS can have a disastrous effect on household food and nutrition security outcomes such as stunting in children under 5. However, stunting and HIV/AIDS are highly gendered phenomena that need to be explored in order to get an in-depth understanding of the interrelationship. This study was therefore aimed at investigating gender dimensions of the impact of HIV/AIDS on stunting in children under 5 years in Zimbabwe. Methods The study uses a large scale nationally representative cross-sectional dataset of 13,854 Zimbabwean households for the year 2019. To test hypothesis 1, the study employs binary choice models (Probit and Logit) since the outcome variable household HIV/AIDS status is dichotomous. To test hypothesis 2 and 3, the study employs the Propensity Score Matching (PSM) approach to circumvent the self-selection problem in the creation of treatment and control groups for households affected by HIV/AIDS and those that are not. Results The results revealed that household HIV/AIDS status is independent of the gender of household head. On the other hand, the results for the PSM estimates show that the probability of the household having a stunted child under 5 years is higher for households with an HIV positive member compared to those without. In addition, female headed households with an HIV positive member are more likely to have a stunted child under 5 years compared to male headed households under similar circumstances. Conclusion Overall, the results provide evidence of a higher risk of stunting among children from households affected by HIV/AIDS. The study offers three major findings. Firstly, the study finds no significant association between gender of the household head and household HIV/AIDS status. Secondly, households that have at least one HIV positive member are more likely to have a stunted child under 5 years. Lastly, female headed households with at least one HIV positive member are more likely to have a stunted child under 5 years compared to male headed household with similar HIV/AIDS status. The findings have important policy implications towards improved integration of HIV/AIDS status, household head gender and child nutrition services in affected households.

2020 ◽  
Author(s):  
Lesley Macheka ◽  
George Kembo ◽  
Terrence Kairiza

Abstract Background: HIV/AIDS can have a disastrous effect on household food and nutrition security, an example includes stunting in children. However, stunting and HIV/AIDS are highly gendered phenomena that need to be explored in order to get an in-depth understanding of the interrelationship. This study was therefore aimed at investigating gender dimensions of the impact of HIV/AIDS on stunting in children under five years from HIV/AIDS affected households in Zimbabwe. Methods: The study uses a large scale nationally representative cross-sectional dataset of 13 854 Zimbabwean households for the year 2019. To test hypothesis 1, the study employs binary choice models (Probit and Logit) since the outcome variable household HIV/AIDS status is dichotomous. To test hypothesis 2 and 3, the study employs the Propensity Score Matching (PSM) approach to circumvent the self selection problem in the creation of treatment and control groups for households affected by HIV/AIDS and those that are not. Results: The results revealed that household HIV/AIDS status is independent of the gender of household head. On the other hand, the results for the PSM estimates show that the probability of the household having a stunted child under five years is higher for households with an HIV positive member compared to those without. In addition, female headed households with an HIV positive member are more likely to have a stunted child under five years compared to male headed households under similar circumstances. Conclusion: Overall, the results provide evidence of a higher risk of stunting among children from households affected by HIV/AIDS. The study offers three major findings. Firstly, the study finds no significant association between gender of the household head and household HIV/AIDS status. Secondly, households that have at least one HIV positive member are more likely to have a stunted child under five years. Lastly, female headed households with at least one HIV positive member are more likely to have a stunted child under five years compared to male headed household with similar HIV/AIDS status. The findings have important policy implications towards improved integration of HIV/AIDS status, household head gender and child nutrition services in affected households.


2020 ◽  
Author(s):  
Lesley Macheka ◽  
George Kembo ◽  
Terrence Kairiza

Abstract Background: HIV/AIDS can have a disastrous effect on household food and nutrition security, an example includes stunting in children. However, stunting and HIV/AIDS are highly gendered phenomena that need to be explored in order to get an in-depth understanding of the interrelationship. This study was therefore aimed at investigating gender dimensions of the impact of HIV/AIDS on stunting in children under five years from HIV/AIDS affected households in Zimbabwe. Methods: The study uses a large scale nationally representative cross-sectional dataset of 13 854 Zimbabwean households for the year 2019. To test hypothesis 1, the study employs binary choice models (Probit and Logit) since the outcome variable household HIV/AIDS status is dichotomous. To test hypothesis 2 and 3, the study employs the Propensity Score Matching (PSM) approach to circumvent the self selection problem in the creation of treatment and control groups for households affected by HIV/AIDS and those that are not. Results: The results revealed that household HIV/AIDS status is independent of the gender of household head. On the other hand, the results for the PSM estimates show that the probability of the household having a stunted child under five years is higher for households with an HIV positive member compared to those without. In addition, female headed households with an HIV positive member are more likely to have a stunted child under five years compared to male headed households under similar circumstances. Conclusion: Overall, the results provide evidence of a higher risk of stunting among children from households affected by HIV/AIDS. The study offers three major findings. Firstly, the study finds no significant association between gender of the household head and household HIV/AIDS status. Secondly, households that have at least one HIV positive member are more likely to have a stunted child under five years. Lastly, female headed households with at least one HIV positive member are more likely to have a stunted child under five years compared to male headed household with similar HIV/AIDS status. The findings have important policy implications towards improved integration of HIV/AIDS status, household head gender and child nutrition services in affected households.


2020 ◽  
Author(s):  
Lesley Macheka ◽  
George Kembo ◽  
Terrence Kairiza

Abstract Background: HIV/AIDS can have a disastrous effect on household food and nutrition security outcomes such as stunting in children under 5. However, stunting and HIV/AIDS are highly gendered phenomena that need to be explored in order to get an in-depth understanding of the interrelationship. This study was therefore aimed at investigating gender dimensions of the impact of HIV/AIDS on stunting in children under five years in Zimbabwe. Methods: The study uses a large scale nationally representative cross-sectional dataset of 13 854 Zimbabwean households for the year 2019. Given self-selection bias associated with household HIV/AIDS status, the study employs Propensity Score Matching (PSM) approach to investigate the impact of HIV/AIDS on stunting in children under five years.Results: The results revealed that household HIV/AIDS status is independent of the gender of household head. On the other hand, the results for the PSM estimates show that the probability of the household having a stunted child under five years is higher for households with an HIV positive member compared to those without. In addition, female headed households with an HIV positive member are more likely to have a stunted child under five years compared to male headed households under similar circumstances. Conclusion: Overall, the results provide evidence of a higher risk of stunting among children from households affected by HIV/AIDS. The study offers three major findings. Firstly, the study finds no significant association between gender of the household head and household HIV/AIDS status. Secondly, households that have at least one HIV positive member are more likely to have a stunted child under five years. Lastly, female headed households with at least one HIV positive member are more likely to have a stunted child under five years compared to male headed household with similar HIV/AIDS status. The findings have important policy implications towards improved integration of HIV/AIDS status, household head gender and child nutrition services in affected households.


2020 ◽  
Author(s):  
Terrence Kairiza ◽  
George Kembo ◽  
Asankha Pallegedara ◽  
Lesley Macheka

Abstract Background: High prevalence of stunting in children under five years poses a major threat to child development in developing countries. It is associated with micronutrient deficiency arising from poor diets fed to children under five years. Food fortification is amongst the interventions focused at reducing the incidence of stunting in children under five years. Methods : Using a large-scale household data from Zimbabwe, we investigated the gender-based importance of household adoption of food fortification on the proportion of stunted children in the household. We employed propensity score matching to mitigate self-selection bias associated with household adoption of food fortification. Results: We offer three major findings. Firstly, we find statistically weak evidence that female headed households are more likely to adopt food fortification than their male counterparts. Secondly, food fortification reduces the proportion of stunted children in the household. Finally, in comparison to non-adopters, female headed households that adopt food fortification are more able to reduce the proportion of stunted children in their households than their male counterparts.Conclusion: The results highlight the need for policy makers to actively promote food fortification, as such interventions are likely to contribute to the reduction of stunting and to involve men in fortification interventions to improve on their knowledge and appreciation of fortified foods and the associated benefits.


2020 ◽  
Author(s):  
Terrence Kairiza ◽  
George Kembo ◽  
Asankha Pallegedara ◽  
Lesley Macheka

Abstract High prevalence of stunting in under 5 children poses a major threat to child development in developing countries. It is associated with micronutrient deficiency arising from poor diets fed to under 5 children. Food fortification is amongst the interventions focused at reducing the incidence of stunting in under 5 children. Using a large scale household data from Zimbabwe, we investigated the gender based importance of household adoption of food fortification on the proportion of stunted children in the household. We employed propensity score matching to mitigate self-selection bias associated with household adoption of food fortification. We offer three major findings. Firstly we find little evidence for gender differences in the adoption of fortified foods. Secondly, household adoption food fortification reduces the proportion of stunted children in the household. Finally, vis-à-vis non adopters, female headed households that adopt food fortification reduce a larger proportion of stunted children in their households than their male counterparts who adopt food fortification. These results highlight the need for policy makers to actively promote food fortification programmes to involve men in fortification programmes to improve their knowledge and appreciation of fortified foods and the associated benefits.


Author(s):  
Takeshi Mizunoya ◽  
Noriko Nozaki ◽  
Rajeev Kumar Singh

AbstractIn the early 2000s, Japan instituted the Great Heisei Consolidation, a national strategy to promote large-scale municipal mergers. This study analyzes the impact that this strategy could have on watershed management. We select the Lake Kasumigaura Basin, the second largest lake in Japan, for the case study and construct a dynamic expanded input–output model to simulate the ecological system around the Lake, the socio-environmental changes over the period, and their mutual dependency for the period 2012–2020. In the model, we regulate and control the following water pollutants: total nitrogen, total phosphorus, and chemical oxygen demand. The results show that a trade-off between economic activity and the environment can be avoided within a specific range of pollution reduction, given that the prefectural government implements optimal water environment policies, assuming that other factors constraining economic growth exist. Additionally, municipal mergers are found to significantly reduce the budget required to improve the water environment, but merger budget efficiency varies nonlinearly with the reduction rate. Furthermore, despite the increase in financial efficiency from the merger, the efficiency of installing domestic wastewater treatment systems decreases drastically beyond a certain pollution reduction level and eventually reaches a limit. Further reductions require direct regulatory instruments in addition to economic policies, along with limiting the output of each industry. Most studies on municipal mergers apply a political, administrative, or financial perspective; few evaluate the quantitative impact of municipal mergers on the environment and environmental policy implications. This study addresses these gaps.


Author(s):  
Nguyen Thi Mai

This study uses the data extracted from the Vietnam Access to Resources Household Survey 2008, 2010, 2012, 2014, 2016 on 2,107 rural households in Vietnam. Results from logit regressions show that: (1) natural disasters, plant or animal diseases, mean years of schooling of all labor members in the households, household size, levels of participation in associations and social organizations help to increase the ability of households to diversify when there is a risk; (2) On the contrary, the harmful impacts from pest of the previous year, mean years of schooling of household head, age, ethnicity, land area, attitude to risks exert a negative impact on the ability of income diversification. Thereby, the study offers some policy implications such as improving the educational level of the households, encouraging households to actively participate in training sessions, skills training and market access organized by the State and NGOs, disseminating knowledge on risk response measures through income diversification. The novel point of the study is the application of the microeconomic theory to measure the impact of attitude to risk on the decision to diversify income when risks occur. In addition, the study also examines the impact of each type of risk, and the severity of the risk on the choice of income diversification to cope with risks.


2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Nooshin Zarei ◽  
Hassan Joulaei

Background. Suicidal ideation is considered a major health problem associated with HIV/AIDS. Suicide rates among people living with HIV/AIDS (PLHA) are more than three times higher in the general population and that is a significant difference. This study aimed at investigating the related factors of suicidal ideations among HIV-positive patients in Southwest Iran. Study Design. A cross-sectional study. Methods. 351 adult volunteer HIV-infected patients that referred to the Voluntary Counseling and Testing (VCT) center in the south of Iran were evaluated based on convenience sampling. Data was collected utilizing a structured questionnaire from March to August 2015. Results. Over the six months prior to the study, 15.4% of the entire sample had been diagnosed with suicidal ideation. There was a significant correlation between the quality of life, spiritual beliefs, perceived stigma, and age with suicidal ideation. Suicidal ideation is significantly different in terms of gender and marital status. Perceived stigma and spiritual beliefs showed the highest effect on suicidal ideations, respectively. Conclusions. Having religious beliefs due to accelerating psychological adaptation can motivate HIV patients to survive and have also been considered effective in preventing women from suicide. Perceived stigma and quality of life are other factors that should be taken into consideration as key elements in suicide preventive programs.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Terrence Kairiza ◽  
George D. Kembo

AbstractOn the basis of a large-scale nationally representative sample of household data from five pooled cross-section surveys conducted by the Zimbabwe Vulnerability Assessment Committee (ZimVAC), this study assesses the existence of gender differences in the vulnerability to food and nutrition insecurity, usage of consumption-based and livelihoods-based coping strategies, and the existence of gender heterogeneity in the correlation of usage of such coping strategies when confronted by food and nutrition insecurity. The study offers three main findings. Firstly, female-headed households are more susceptible to food and nutrition insecurity than those headed by males. Secondly, female-headed households are more likely to employ consumption-based coping strategies than their male counterparts, but there is no statistically significant difference in the usage of livelihoods-based coping strategies. Finally, whilst there is little evidence of gender heterogeneity in the correlation of the usage consumption-based coping strategies, there is overwhelming evidence that female-headed household heads are less likely to adopt livelihoods-based coping strategies when confronted with food and nutrition insecurity. The sum total of these findings is that whilst female-headed households are more prone to food insecurity than their male counterparts, they are less able to use livelihoods-based coping strategies to weather household food and nutrition insecurity than their male counterparts.


Author(s):  
Lisa Baumgartner

Contexts influence the experience of disease. In this study, I examined how the sociocultural context (e.g., race, class, gender, and sexual orientation) affected the experience of living with HIV/AIDS and the incorporation of the HIV/AIDS identity into the self. I interviewed 36 individuals living with HIV/AIDS. Findings indicate that race, socioeconomic status, and sexual orientation affected access to HIV/AIDS resources and/or the disclosure of one’s HIV-positive status that, in turn, influenced the integration of the HIV/AIDS identity into the self. Additional research concerning the impact of gender on the HIV/AIDS identity corporation process is warranted.


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