2019
DOI: 10.1016/j.socscimed.2019.05.024
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Last and least: Findings on intrahousehold undernutrition from participatory research in South Asia

Abstract: In this paper, we analyze intrahousehold mechanisms that rural South Asian women themselves identify as contributing to their inabilities to achieve adequate nutrition. The majority of our female respondents explain that, within their families, they are most likely to eat least and last and to seek lower quality healthcare later, both of which can lead to undernutrition. We consider the explanations that women provide for why they do so. In addition to norm abidance, we highlight two social factors: a partner'… Show more

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Cited by 21 publications
(28 citation statements)
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References 45 publications
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“…The lockdown began at the end of March, when monthly rations were almost depleted, and although all impoverished families in HP received two months of advance rations in April, the increased number of mouths to feed caused stress and rationing 1 . In times of household food scarcity, it is typically the women who eat “last and least” (Lentz, Narayanan, and De 2019), and we heard many reports of similar scenarios across field sites. One Nepali woman stated she used to eat at 9 a.m., but since her household had swelled to 12 people, she was too busy cooking for others, so she now ate alone at noon (Sunita, 2 Gokulganga, May 25, 2020).…”
Section: Resultsmentioning
confidence: 99%
“…The lockdown began at the end of March, when monthly rations were almost depleted, and although all impoverished families in HP received two months of advance rations in April, the increased number of mouths to feed caused stress and rationing 1 . In times of household food scarcity, it is typically the women who eat “last and least” (Lentz, Narayanan, and De 2019), and we heard many reports of similar scenarios across field sites. One Nepali woman stated she used to eat at 9 a.m., but since her household had swelled to 12 people, she was too busy cooking for others, so she now ate alone at noon (Sunita, 2 Gokulganga, May 25, 2020).…”
Section: Resultsmentioning
confidence: 99%
“…Our specific effort is to identify aspects of empowerment that are salient to nutritional outcomes, as opposed to a general notion of empowerment. Because women can experience different degrees of empowerment in different spheres (e.g., in agricultural production versus in nutrition) (Kabeer 1999;Lentz et al 2019), we focus on the concept of nutritional empowerment to understand how empowerment in each nutrition-related domain-dimension influences nutritional outcomes. We also take a broad perspective on what indicators may be relevant for nutritional empowerment.…”
Section: Wellbeing In Niger and Role Of Empowerment For Nutritionmentioning
confidence: 99%
“…Whether and how women's empowerment impacts health outcomes or nutritional status of women themselves is not adequately addressed, barring a few studies. 3 This is a crucial gap in the literature since there is some evidence that within communities, women may fare far worse than either their male counterparts or their children (FAO, et al, 2017;Lentz et al, 2018;Narayanan et al, 2017a). There is also evidence to suggest that women eat last and least and might prioritize the health of other family members ahead of themselves when resources are constrained (Lentz et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…3 This is a crucial gap in the literature since there is some evidence that within communities, women may fare far worse than either their male counterparts or their children (FAO, et al, 2017;Lentz et al, 2018;Narayanan et al, 2017a). There is also evidence to suggest that women eat last and least and might prioritize the health of other family members ahead of themselves when resources are constrained (Lentz et al, 2018). Given that intergenerational transmission of nutrition is potentially important and there exists a positive relationship between maternal and child nutrition (Black et al, 2013), it is important to understand the drivers of women's own nutritional status.…”
Section: Introductionmentioning
confidence: 99%