Impact and cost-effectiveness of women's training in home gardening and nutrition in Bangladesh

Schreinemachers, Pepijn; Patalagsa, Marie Antoinette; Uddin, Md. Nasir

doi:10.1080/19439342.2016.1231704

Cited by 65 publications

(61 citation statements)

References 25 publications

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“…This might be due to women who had home gardening would have chance of eating diversified food regularly and may contribute to appropriate weight. This finding was consistent with prior studies in Cambodia, Nepal, and Philippines [ 39 , 40 ].…”

Section: Discussionsupporting

confidence: 94%

Determinants of chronic energy deficiency among non-pregnant and non-lactating women of reproductive age in rural Kebeles of Dera District, North West Ethiopia, 2019: Unmatched case control study

et al. 2020

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Background In Ethiopia about 25% of rural women are chronically malnourished. Non-pregnant and non-lactating women present an opportunity to implement strategies to correct maternal and child health status and to potentiate improved pregnancy outcomes in developing countries like Ethiopia. The determinant factors of chronic energy deficiency vary across settings and contexts; hence, it is important to identify local determinant factors in order to implement effective and efficient intervention strategies. Objective To assess the determinants of chronic energy deficiency of non-pregnant, non-lactating rural women within the reproductive age group (15–49 years), in rural kebeles of Dera district, North West Ethiopia, 2019. Methods A community based unmatched case control study was conducted. A total of 552 participants were involved and a multi-stage sampling technique was used to select the samples. Data was collected from January 15 to February 30, 2019 using face-to-face interviews and anthropometric assessments. EPI-info version 7 and SPSS™ version 23 were used for data entry and analysis, respectively. Bivariable and multivariable logistic regression models were used to analyze the association between dependent and independent variables. Association was considered statistically significant at 95% CI with p-value < 0.05 in multivariable logistic regression. Result A total of 548 non-pregnant, non-lactating women with 137 cases and 411 controls were included in the study with a response rate of 99.3%. High family size (AOR = 1.88, 95% CI: 1.085, 3.275), low educational status (AOR = 3.389, 95% CI: 1.075, 10.683), inadequate meal frequency (AOR = 5.345, 95% CI: 2.266, 12.608), absence of home garden (AOR = 5.612, 95% CI: 3.177, 9.915) and absence of latrine facility (AOR = 6.365, 95% CI: 3.534, 11.462) were found positively associated with chronic energy deficiency. Conclusion and recommendation Inadequate meal frequency, absence of home gardening, absence of latrine facility, high family size and educational status of illiterate were the determinants of chronic energy deficiency, thus indicating the imperative for a multi-sectoral approach with health, agriculture and education entities developing and delivering interventions.

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Section: Discussionsupporting

confidence: 94%

Determinants of chronic energy deficiency among non-pregnant and non-lactating women of reproductive age in rural Kebeles of Dera District, North West Ethiopia, 2019: Unmatched case control study

et al. 2020

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“…There is growing interest in the potential of home‐based food production to address micronutrient undernutrition in developing countries (e.g., Keatinge et al, ; Olney, Pedehombga, Ruel, & Dillon, ; Weinberger, ). Home gardens can be a useful food‐based strategy to promote more balanced diets amongst poor rural HHs that have access to a small plot of land and are willing to engage in gardening (Schreinemachers, Patalagsaand, & Uddin, ). Studies conducted in Bangladesh, Cambodia, Nepal, and the Philippines found that families who participated in homestead food production activities benefited from increased production and consumption of vegetables, fruits, and poultry products (Helen Keller International, ).…”

Section: Discussionmentioning

confidence: 99%

Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya

Boedecker¹,

Odour²,

Lachat

et al. 2019

Maternal & Child Nutrition

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Our study assessed the effectiveness of a community‐based participatory approach in increasing micronutrient adequacy of diets of women and young children through agricultural activities and nutrition education in Vihiga County, Western Kenya. Outcome indicators include the mean dietary diversity score (DDS), the percentage of women and children reaching minimum dietary diversity (MDD), and micronutrient adequacy (mean adequacy ratio). The project consisted of(a) a diagnostic survey covering agrobiodiversity and nutrition, (b) participatory development of activities to improve nutrition, (c) a baseline survey covering dietary intakes, (d) participatory implementation of the developed activities, and (e) an endline survey covering dietary intakes. The diagnostic survey was conducted in 10 sublocations of Vihiga County, which were pair‐matched and split into five intervention and five control sublocations. The intervention sublocations developed activities towards improving nutrition. Before implementation, a baseline survey collected the dietary intake data of 330 women–child pairs in the intervention and control sublocations. To support the activities, communities received agriculture and nutrition training. After 1 year of implementation, an endline survey collected dietary intake data from 444 women–child pairs in the intervention and control sublocations. Impact was assessed using the difference‐in‐difference technique. Highly significant positive impacts on children's mean DDS (treatment effect = 0.7, p < 0.001) and on the share of children reaching MDD (treatment effect = 0.2, p < 0.001) were shown. Higher dietary diversity can be explained by the development of subsistence and income‐generating pathways and increased nutrition knowledge. Participatory farm diversification and nutrition education were shown to significantly increase dietary diversity of young children in Western Kenya.

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“…For the subsequent six months, the visiting frequency was monthly. The average cost of the intervention was about USD 55.3 per home garden, including all direct and indirect project costs (Schreinemachers et al 2016). The project was funded by the United States Agency for International Development (USAID) and implemented by the World Vegetable Center in partnership with the non-governmental organizations BRAC and Proshika.…”

Section: The Home Garden Interventionmentioning

confidence: 99%

“…There is growing evidence that integrated home garden interventions are effective in increasing the consumption of nutritious food among poor rural households in developing countries (Olney et al 2009(Olney et al , 2013Schreinemachers et al 2016;Tesfamariam et al 2018;Osei et al 2017). Several recent reviews have identified that such interventions are one of few agricultural interventions with a proven impact on increased vegetable consumption, although the evidence basis for nutritional status remains weak (DFID 2014;Ruel et al 2013).…”

Section: Introductionmentioning

confidence: 99%

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Long-term behavioural impact of an integrated home garden intervention: evidence from Bangladesh

et al. 2019

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Integrated home garden interventions combine training in gardening practices with education about nutrition knowledge. Such interventions have been shown to improve nutrition behaviour in low income countries. However, to date rigorous evidence is lacking for their long-term impact. We test the impact of an integrated home garden intervention on vegetable production and consumption three years after the intervention ended. We analyse three rounds of survey data for 224 control and 395 intervention households in rural Bangladesh. Three years after the intervention, the average impact on vegetable production per household was 43 kg/year (+49% over baseline levels; p < 0.01), and the effect was not statistically different from the impact one year after the intervention, which demonstrates that impact was maintained in the long-term. The impact on the micronutrient supply for iron, zinc, folate and pro-vitamin A from home gardens was maintained in the longterm. These impacts may have been driven by the long-term improvements in women's nutrition knowledge and gardening practices, explaining the sustainability of the behavioural nutrition change. We also identify positive impacts on women's empowerment and women's output market participation, highlighting how integrated programs, even if modest in scope, can be drivers of social change.

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Impact and cost-effectiveness of women's training in home gardening and nutrition in Bangladesh

Cited by 65 publications

References 25 publications

Determinants of chronic energy deficiency among non-pregnant and non-lactating women of reproductive age in rural Kebeles of Dera District, North West Ethiopia, 2019: Unmatched case control study

Determinants of chronic energy deficiency among non-pregnant and non-lactating women of reproductive age in rural Kebeles of Dera District, North West Ethiopia, 2019: Unmatched case control study

Participatory farm diversification and nutrition education increase dietary diversity in Western Kenya

Long-term behavioural impact of an integrated home garden intervention: evidence from Bangladesh

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