Evidence map›Paper›PMID 31195195›Full record

Trial reportSocial science & medicine (1982)2019

Is women's empowerment a pathway to improving child nutrition outcomes in a nutrition-sensitive agriculture program?: Evidence from a randomized controlled trial in Burkina Faso.

Jessica Heckert, Deanna K Olney, Marie T Ruel

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Social science & medicine (1982), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jessica HeckertPoverty, Health, and Nutrition Division, International Food Policy Research Institute, 1201 I Street, NW, Washington, DC, 20005, USA. Electronic address: J.Heckert@cgiar.org.
Deanna K OlneyPoverty, Health, and Nutrition Division, International Food Policy Research Institute, 1201 I Street, NW, Washington, DC, 20005, USA. Electronic address: D.Olney@cgiar.org.
Marie T RuelPoverty, Health, and Nutrition Division, International Food Policy Research Institute, 1201 I Street, NW, Washington, DC, 20005, USA. Electronic address: M.Ruel@cgiar.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nutrition-sensitive programs in low- and middle-income countries often aim to improve child nutrition outcomes in part by empowering women. Although previous studies have found cross-sectional associations linking women's empowerment and child nutritional status, there is limited empirical evidence supporting the hypothesis that empowering women as part of an intervention will, in turn, improve child nutritional outcomes. We tested this hypothesis using two waves of data from a cluster-randomized controlled trial of a nutrition-sensitive agricultural program in Burkina Faso. With structural equation models, we examined whether four domains of women's empowerment-purchasing decisions, healthcare decisions, family planning decisions, and spousal communication-mediated the program's impact on reducing wasting and increasing hemoglobin among children who were three to 12 months old at the start of the two-year program. We found that improvements in women's empowerment in the domains of spousal communication, purchasing decisions, healthcare decisions, and family planning decisions contributed to the program's impact on reducing wasting with the largest share being attributable to spousal communication. Improvements in women's empowerment did not contribute to the increase in hemoglobin. These findings provide the first evidence from a randomized controlled trial that women's empowerment is a pathway by which a nutrition-sensitive program can improve child wasting. Programs that aim to improve child nutritional status should incorporate interventions designed to empower women.

Indexed as

AgricultureEmpowermentAdultBurkina FasoChild Nutritional Physiological PhenomenaChild, PreschoolCommunicationCross-Sectional StudiesDecision MakingFemaleHumansInfantMothersNutritional StatusWasting SyndromeAgricultureBurkina FasoChild nutritionMediation analysisNutrition-sensitive programsWomen's empowerment

Identifiers

PMID31195195
PMCPMC6642337

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.