After the Road Came: Insights into the Nexus of Food Security and Malnutrition in Northwestern Nepal

Grocke, Michelle; McKay, Kimber Haddix

doi:10.1659/mrd-journal-d-18-00019.1

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…We also collect data on ethnicity, if they are living rurally or in a city and if they are living in a joint family or not. We also collect data on food insecurity using Household Food Insecurity Access Scale previously used in Nepal (38,39). Food insecure pregnant women are more likely to suffer from violence from her household members (40).…”

Section: Background and Associated Variablesmentioning

confidence: 99%

Addressing Domestic Violence in Antenatal Care Environments in Nepal (ADVANCE) – Study Protocol for a Randomized Controlled Trial Evaluating a Video Intervention on Domestic Violence among Pregnant Women

Chalise,

Manandhar,

et al. 2023

Preprint

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Background Domestic violence (DV) prior to, and during pregnancy is associated with increased risks for morbidity and mortality. As pregnant women routinely attend antenatal care this environment can be used to offer support to women experiencing DV. We have developed a video intervention that focuses on the use of behavioral coping strategies, particularly regarding disclosure of DV experiences. The effectiveness of this intervention will be evaluated through a randomized controlled trial (RCT) and a concurrent process evaluation.Methods All pregnant women between 12–22 weeks of gestation attending routine antenatal care at two tertiary level hospitals in Nepal are invited to participate. DV is measured using the Nepalese version of the Abuse Assessment Screen (N-AAS). Additionally, we measure participants’ mental health, use of coping strategies, physical activity, and food security through a Color-coded Audio Computer Assisted Self Interview (C-ACASI). Irrespective of DV status, women are randomized into the intervention or control arm using a computer-generated randomization program. The intervention arm views a short video providing information on DV, safety improving actions women can take with an emphasis on disclosing the violence to a trusted person along with utilizing helplines available in Nepal. The control group watches a video on maintaining a healthy pregnancy and when to seek healthcare. The primary outcome is the proportion of women disclosing their DV status to someone. Secondary outcomes are symptoms of anxiety and depression, coping strategies, the use of safety measures and attitudes towards acceptance of abuse. Follow-up is conducted after 32 weeks of gestation, where both the intervention and control group participants view the intervention video after completing the follow-up questionnaire. Additionally, a mixed methods process evaluation of the intervention will be carried out to explore factors influencing the acceptability of the intervention and the disclosure of DV, including a review of project documents, individual interviews, and focus group discussions with members of the research team, healthcare providers, and participants.Discussion This study will provide evidence on whether pregnant women attending regular antenatal visits can enhance their safety by disclosing their experiences of violence to a trusted person after receiving a video intervention.Trial registration The study is registered in ClinicalTrial.gov with identifier NCT05199935.

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Section: Background and Associated Variablesmentioning

confidence: 99%

Addressing Domestic Violence in Antenatal Care Environments in Nepal (ADVANCE) – Study Protocol for a Randomized Controlled Trial Evaluating a Video Intervention on Domestic Violence among Pregnant Women

Chalise,

Manandhar,

et al. 2023

Preprint

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“…Mountain regions are embedded in all aspects of globalization (Debarbieux and Rudaz 2015;Chand and Leimgruber 2016). These include, for example, energy and transport networks, tourism (Scott et al 2012;Pr€ obstl-Haider et al 2019), and supplies of food (Grocke and McKay 2018;Aubriot et al 2019) and minerals (Franks 2015).…”

Section: Mountain Regions In a Globalized Worldmentioning

confidence: 99%

The International Mountain Conference, Innsbruck, Austria, September 2019 (IMC2019): A Synthesis with Recommendations for Research

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Gurgiser

Juen

et al. 2022

Mountain Research and Development

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Three decades of land-use and land-cover change in mountain regions of the Brazilian Atlantic Forest

Silva

Millington

Moran

et al. 2020

Landscape and Urban Planning

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After the Road Came: Insights into the Nexus of Food Security and Malnutrition in Northwestern Nepal

Abstract: BioOne Complete (complete.BioOne.org) is a full-text database of 200 subscribed and open-access titles in the biological, ecological, and environmental sciences published by nonprofit societies, associations, museums, institutions, and presses.

Cited by 5 publications

References 29 publications

Addressing Domestic Violence in Antenatal Care Environments in Nepal (ADVANCE) – Study Protocol for a Randomized Controlled Trial Evaluating a Video Intervention on Domestic Violence among Pregnant Women

Addressing Domestic Violence in Antenatal Care Environments in Nepal (ADVANCE) – Study Protocol for a Randomized Controlled Trial Evaluating a Video Intervention on Domestic Violence among Pregnant Women

The International Mountain Conference, Innsbruck, Austria, September 2019 (IMC2019): A Synthesis with Recommendations for Research

Three decades of land-use and land-cover change in mountain regions of the Brazilian Atlantic Forest

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