Determinants of Rural Women’s Nutrition Security Status in Northwest Ethiopia

Background: Nutrition security of women is one of the most vital foundations for overall development and wellbeing of society. Since understanding the factors that influence the nutrition security of women is very important for implementing appropriate interventions, this study was conducted to determine the determinants of the nutrition security status of rural women in Northwest Ethiopia. Methods: Survey data were collected from 197 rural women randomly selected using a two-stage sampling method (Cluster sampling in the first stage and Stratified random sampling in the second stage). Data in the two outcomes (nutritionally secured whose BMI ≥ 18.5, and nutritionally insecure whose BMI < 18.5 kg/m2) were analyzed using Binary Logit regression model to determine the significance of the determinants on women’s nutrition security status. Results: The study showed that 72.6% of the women in the study area were nutritionally insecure. Results of the statistical analysis revealed that family size (negative effect), and women’s daily feed frequency, the consumption of milk, fruits and vegetables, and animal products, and women empowerment (all positive effect) were the significant determinants of the nutrition security status of rural women. The weight, the height, and the BMI of nutritionally insecure women (44 kg, 1.45 m, and 15.8 kg/m2, respectively) were significantly lower than those of nutritionally secured women (50.8 kg, 1.55 m, and 21.1 kg/m2, respectively). Conclusions: This is the first study on the determinants of rural women’s nutrition security status using social and demographic data collected at the grass root level and analyzed using an advanced econometric model. The findings of the study show the need for government and other stakeholders’ interventions to increase access to nutritious food products and to provide trainings on feeding culture and dietary diversity to women. The findings of this study can help the Government of Ethiopia to achieve its National Development Priorities in line with the Sustainable Development Goals (SDGs) of UN, particularly Goals 2, 3 and 5.

Impact of the COVID-19 lockdown on the economic situation and food security of rural households in India

PurposeThe purpose of the study is to understand what impact the first COVID-19 lockdown in 2020 had on the income and food security of rural households in India and whether it differed across socioeconomic factors. Moreover, the study assesses the needs of rural households and determines whether they had received adequate support services during the lockdown.Design/methodology/approachThe study adopted a repeated-measures quantitative survey design with 1,319 rural women from 16 states of India and conducted a telephonic survey.FindingsThe lockdown had directly impacted rural households' employment status and income but the impact differed depending on the type of employment. For example, working in a salaried job or on one's farm led to a lower likelihood of a complete decline in income in states other than Kerala as the lockdown continued. The study also revealed a change in the pattern of food consumption, with higher consumption of subsidized staple foods. It also became evident that the aid announced by the government reached the rural population with some delay.Research limitations/implicationsA limitation of the study was that many respondents refused to participate in phase 2, which reduced the sample size when comparing the two phases because the women did not own mobile phones. Instead, they were using their husbands' phones.Originality/valueThe study's findings can help better understand the needs of rural populations during crises, such as the COVID-19 pandemic. This can help to plan better and build preventive actions for such populations once their needs are understood. In addition, this can aid disadvantaged people for a minimal level of preparedness and security during such a crisis in the future.

Protective Roles of Some Leafy and Non-leafy Vegetables against the Severity of Arsenic-induced Skin Lesions among Women Living in Rural Bangladesh: A Case Control Study

Arsenicosis is common among villagers as they drink more contaminatedwater since the arsenic-crisis in Bangladesh. Supplementation of vitamins and micronutrients in counteracting arsenic toxicity has been proved for arsenic treatment. This study was intended to assess protective and beneficial roles of some commonly eaten vegetables on the development and severity of arsenicinduced skin lesions. A case-control study among (N=122) adult rural-women (62 cases had various forms of arsenical skin-lesions e.g. melanosis/keratosis/ mixed-lesions and 60 sex-age-matched healthy-controls) was conducted in Shaharstee Upazilla of Chandpur district, Bangladesh. Socio-demographic data recorded in a pre-tested-questionnaire, ‘per-day vegetables ingestion’ of cases and controls were measured qualitative and quantitatively (24-hour recall-methods, food-frequency/week and food history-record/week). Multiple logistic regression/MLR analyses were performed to find out protective roles of some dietary leafy-vegetables/LVs and non-leafy vegetables/NLVs on arsenicosis and their influences on the degree of severity of arsenicosis also determined. Abstinence from taking some LVs/NLVs among cases than controls is associated with increased risk for arsenicosis (P<0.05). Amongst all most-frequently eaten vegetables (n=17) per day Momordica diocia has the highest skin protective role on arsenicosis [Adjusted odds ratio/AOR 8.2, 95% CI (2.11-31.9), P=<0.01], followed by Ipomoea acquatica (AOR:7.3), Basella alba (AOR:6.2), Solanum tuberosum (AOR:4.0), Vigna unguiculata sesquipedalis (AOR:3.2), Trichosanthes anguina (AOR:1.2) and Abelmoschus esculentus (AOR:1.2). Moreover, severe skin lesion was observed as compared to non-severe cases (mild/moderate) for less intake frequencies of vegetables. This study outlined that commonly eaten vegetables have protective and beneficial roles on arsenic-induced skin lesions. Large samples longitudinal study of this important field of therapeutic-intervention is warranted

Socio-Economic Impact of the Interest-Free Community Investment Fund: A Case Study of Rural Sindh, Pakistan

This study aims to measure the impact of an intervention, the Community Investment Fund (CIF), on the socio-economic life of rural women. CIF is a community-managed fund aimed at improving the living standards of women by empowering them to undertake income-generating projects to become financially more stable and self-governed in the Khairpur, Shikarpur, Kandhkot-Kashmore and Jacobabad districts of Sindh, Pakistan. This study used a quasi-experimental design approach that involved two groups, i.e., the treatment group (beneficiaries) and control group (non-beneficiaries). The sample size of this study was 708 respondents including the treatment and control group. The results of comparison of mean indicate that there is a significant difference between treatment and control group in terms of socio-demographic variables (including monthly income and consumption, saving amount, total asset value, an asset purchased value and household diet) and women empowerment’s indicators, thereby suggesting that CIF has resulted in women empowerment. Concerning the results of the poverty scorecard, the higher graduation of beneficiaries (treatment group) asserts that the intervention of CIF has also a positive impact on targeted beneficiaries. In particular, the findings indicate that 72% of beneficiaries (treatment group) have graduated from one poverty band to another higher band compared to 59.4% of non-beneficiaries (control group) in poverty score. In addition, the findings of the logistic regression analysis confirmed that participation in the CIF program empowers women beneficiaries. This study will support policymakers to further improve CIF so that it can become more effective and sustainable.

Prevalence and determinants of wife-beating in Bangladesh: evidence from a nationwide survey

Background Intimate partner violence (IPV) is a global public health concern, with women in low- and middle-income countries (LMICs) bearing a disproportionately high burden. This study investigates the prevalence and factors correlated with attitudes regarding wife-beating among Bangladeshi women in urban–rural contexts. Methods A sample of 13,033 urban women and 51,344 rural women data from the Bangladesh Multiple Indicator Cluster Survey (MICS) 2019 were analyzed using the Chi-square test and ordinal logistic regression model. Results The findings reveal that arguing with her husband is the widespread reason for wife-beating in Bangladesh (urban: 17.3%, rural: 21.9%), followed by neglecting the children (urban: 12.7%, rural: 15.8%). About 8% of urban women and 10% of rural women favoured the opinion that refusing to involve sexual intercourse is a legitimate justification for wife-beating. In comparison, around 5% feel that a husband has a right to beat his wife due to burning food. The respondents’ age, education, marital status, number of children, socioeconomic level, any health or physical difficulty, having problems becoming pregnant, and the husband’s age are all significant factors in justifying wife-beating. Conclusions Bangladesh has a massive challenge in eliminating IPV. Women from lower socioeconomic classes, low levels of education, other challenges, and residents of rural areas are particularly more vulnerable than their urban counterparts. Therefore, it is vital to develop a proper action plan that considers women’s education and occupation to raise awareness of the various implications of wife-beating in women, particularly in Bangladesh’s rural areas.

Maternal and Child Health Services in Rural Settings of The Gambia: Contextual Determinants of Postnatal Care from Mothers’ Perspectives—A Community-Based Analytical Cross-Sectional Study

Background. Maternal and child health in The Gambia is a trending public health burden. The postnatal period is critical and vital to the lives and health of the maternal mothers and their newborns, and pieces of evidence deduced that a majority of maternal and newborn deaths occur during this period. Hence, this research aimed to assess the prevalence and determinants of postnatal care utilization across women in rural Gambia. Methods. A community-based cross-sectional design was conducted in January 2020, with 265 women of childbearing age were recruited from the selected households in rural communities across the Upper River Region (URR), Gambia, using multistage sampling technique. A structured-interview questionnaire was developed to elicit contextual sociodemographic characteristics regarding the use of postnatal care. Percentages, chi-square/Fisher’s exact test for variables with p value ≤0.15 were considered for inclusion into the logistic regression model. The significance level was set at p < 0.05 . The adjusted odds ratios (aOR) with 95% confidence interval (CI) were computed to declare significance. Results. The study revealed that 90% of women utilize postnatal care (PNC) services in the rural settings of URR, Gambia. Factors such as women’s occupation, location, number of pregnancies, attending in last pregnancy, current uptake of family planning, and complication(s) in last labor were found to be associated with PNC utilization. Women who attended antenatal care (ANC) services in their last pregnancy were 10.8 times (aOR = 10.795, 95% CI: 1.025–113.694), current users of FP were 10.7 times (aOR = 10.708, 95% CI: 1.379–83.152), women’s number of pregnancies increases by a factor of 4.6 times (aOR = 4.649, 95% CI: 1.518–14.243) more likely to utilize PNC while women’s number of children alive were less likely by 76.1% (aOR = 0.239, 95% CI: 0.071–0.810) as compared to those who were not utilizing PNC services. Conclusion. The findings showed that attending ANC services, current uptake of FP, women’s number of pregnancies, and number of children alive were associated with PNC. Strengthening women empowerment and designing responsive ANC programs especially for rural women to improve PNC services are required.

Declining Women Work Participation in Rural India: Trends, Causes and Policy Implications

One of the major policy concerns in recent years has been decline in the number of women workers in the Indian labour market. The ‘education’ and ‘income’ effect hypotheses for such decline are generally advocated. Such analyses, however, are limited in their focus. This study attempts to fill up this gap by exclusively focusing on rural women. Using the National Sample Survey Organisation (NSSO) data for the years 2004–2005 and 2011–2012 and Periodic Labour Force Survey data for the year 2017–2018, it observes a widespread decline in rural women’s work participation rates (WPRs) across their different social groups, income strata and states in the country albeit at a significantly varying rate. While the major decline in women WPRs in the age-group, 15–24 years has been in favour of education, it has been largely in favour of ‘domestic works’ in the other age-groups. The major decline in women workforce is observed in case of those as not-literates, ‘unpaid family labour’ in agriculture and ‘casual wage labour’ both in farm and non-farm sectors. This is largely due to contraction in self-employment and casual wage works both in farm and non-farm sectors, more so during recent period. This study finds a positive impact of rising household income on women’s WPRs. While education emerges as a significant predictor of women joining workforce, its iteration with their social groups shows differing impact of similar level of education on different caste groups. It offers inputs for policy measures to be aimed at providing decent livelihoods in rural areas in a big scale, with strong focus on reducing caste and gender disparities. JEL Codes: E24, J16, J21, J18

“They Didn’t Ask.” Rural Women With Disabilities and Experiences of Violence Describe Interactions With the Healthcare System

Women with disabilities are at risk of experiencing multiple forms of severe and prolonged violence, yet guidelines for screening this population are unclear, screening rates are historically low, and screening tools may be inadequate to capture disability-related aspects of abuse. We conducted qualitative in-depth interviews with 33 rural women in the United States with diverse disabilities and experiences of violence. They described overarching healthcare provider and system factors that influenced their trust and confidence in healthcare delivery as an avenue to support their safety. Women described interactions with the healthcare system during their experience of violence as a missed opportunity for identifying and responding to their abuse and connecting them with resources. We conclude with policy and practice recommendations based on women with disabilities’ perspectives and insights.