ArticlePublic health nutrition2025
Pathways from integrated agriculture and health-based interventions to nutrition: a case from Southern Bangladesh.
Article in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveWe aimed to analyse the effects of nutrition-sensitive agriculture (NSA) interventions on nutrition, examine the pathways within a project cycle and explore the pathways 3 years after the end of the funding period.
designWe employed a sequential mixed-methods design using (1) secondary quantitative data and (2) primary qualitative data. The quantitative data were analysed using the Mann-Whitney test, independent sample
settingThis research used the case of the Integrated Agriculture and Health Based Interventions project.
participantsThe quantitative data comprised 4825 households. The qualitative data included forty-six participants (twenty-eight beneficiaries and eighteen implementers) from two focus group discussions (
resultsNSA interventions reduced child underweight and improved household and women's dietary diversity scores, breastfeeding practices, handwashing and access to Fe-folic acid during pregnancy. Pregnant and lactating women's minimum dietary diversity increased, while children's minimum dietary diversity reduced. Key pathways to nutrition during project implementation were food production, nutrition-related knowledge and strengthening local institutions. Sustainability of knowledge was mostly evident, followed by food production, while the strengthening of local institutions was less evident.
conclusionsKey pathways to outcomes during the project implementation were food production, nutrition-related knowledge and strengthening local institutions, as these were the main focus of the project. Income and women's empowerment pathways could be more effective if intentionally integrated. We reiterate the need to enhance children's dietary diversity, strengthen income-expenditure and women empowerment pathways, sustain livestock production and strengthen local institutions.
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