A Quasi-Experimental Evaluation of a Nutrition Behavior Change Intervention Delivered Through Women’s Self-Help Groups in Rural India: Impacts on Maternal and Young Child Diets, Anthropometry, and Intermediate Outcomes

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cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.affiliationPublic Health Resource Societyen
cg.contributor.affiliationProfessional Assistance for Development Action, Indiaen
cg.contributor.affiliationUniversity of Iowaen
cg.contributor.donorCGIAR Trust Funden
cg.contributor.initiativeTransforming Agrifood Systems in South Asia
cg.coverage.countryIndia
cg.coverage.iso3166-alpha2IN
cg.coverage.regionSouthern Asia
cg.creator.identifierSamuel Scott: 0000-0002-5564-0510
cg.creator.identifierShivani Gupta: 0000-0002-6358-9057
cg.creator.identifierPurnima Menon: 0000-0001-5988-2894
cg.creator.identifierKalyani Raghunathan: 0000-0002-4705-4351
cg.creator.identifierGiang Thai: 0000-0003-2269-9505
cg.creator.identifierAgnes Quisumbing: 0000-0002-5429-1857
cg.creator.identifierNeha Kumar: 0000-0001-7982-3277
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1093/cdn/nzac079en
cg.identifier.projectIFPRI - Women Improving Nutrition through Group-based Strategies (WINGS)
cg.identifier.projectIFPRI - Partnerships and Opportunities to Strengthen and Harmonize Actions for Nutrition in India (POSHAN)
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Division
cg.identifier.projectIFPRI - South Asia Region
cg.identifier.publicationRankNot ranked
cg.issn2475-2991en
cg.issue6en
cg.journalCurrent Developments in Nutritionen
cg.number6(6)en
cg.reviewStatusPeer Reviewen
cg.subject.actionAreaSystems Transformation
cg.subject.impactAreaNutrition, health and food security
cg.volume6en
dc.contributor.authorScott, Samuel P.en
dc.contributor.authorGupta, Shivanien
dc.contributor.authorMenon, Purnimaen
dc.contributor.authorRaghunathan, Kalyanien
dc.contributor.authorThai, Giangen
dc.contributor.authorQuisumbing, Agnes R.en
dc.contributor.authorKumar, Nehaen
dc.date.accessioned2023-01-20T21:25:18Zen
dc.date.available2023-01-20T21:25:18Zen
dc.identifier.urihttps://hdl.handle.net/10568/127735
dc.titleA Quasi-Experimental Evaluation of a Nutrition Behavior Change Intervention Delivered Through Women’s Self-Help Groups in Rural India: Impacts on Maternal and Young Child Diets, Anthropometry, and Intermediate Outcomesen
dcterms.abstractBackground: Women's self-help groups (SHGs) have become one of the largest institutional platforms serving the poor. Nutrition behavior change communication (BCC) interventions delivered through SHGs may improve maternal and child nutrition outcomes. Objective: To understand the effects of a nutrition BCC intervention delivered through SHGs in rural India on intermediate outcomes and nutrition outcomes. Methods: We compared 16 matched blocks where communities were supported to form SHGs and improve livelihoods; 8 blocks received a 3-year nutrition intensive (NI) intervention with nutrition BCC, agriculture- and rights-based information, facilitated by a trained female volunteer; another 8 blocks received standard activities (STD) to support savings/livelihoods. Repeated cross-sectional surveys of mother-child pairs were conducted in 2017-18 (n = 1609 pairs) and 2019-20 (n = 1841 pairs). We matched treatment groups over time and applied difference-in-difference regression models to estimate impacts on intermediate outcomes (knowledge, income, agriculture/livelihoods, rights, empowerment) and nutrition outcomes (child feeding, woman's diet, woman and child anthropometry). Analyses were repeated on households with at least one SHG member. Results: 40% of women were SHG members and 50% were from households with at least one SHG member. Only 10% of women in NI blocks had heard of intervention content at endline. Knowledge improved in both NI and STD groups. There was a positive NI impact on knowledge of timely introduction of animal sourced foods to children (p<0.05) but not on other intermediate outcomes. No impacts were observed for anthropometry or diet indicators except child animal source food consumption (p<0.01). In households with at least one SHG member, there was a positive NI impact on child unhealthy food consumption (p<0.05). Conclusions: Limited impacts may be due to limited exposure or skills of volunteers, and a concurrent national nutrition campaign. Our findings add to a growing literature on SHG-based BCC interventions and the conditions necessary for their success.en
dcterms.accessRightsOpen Access
dcterms.audienceAcademicsen
dcterms.bibliographicCitationScott, Samuel; Gupta, Shivani; Menon, Purnima; Raghunathan, Kalyani; Thai, Giang; Quisumbing, Agnes R.; Kumar, Neha; et al. 2022. A quasi-experimental evaluation of a nutrition behavior change intervention delivered through women’s self-help groups in rural India: Impacts on maternal and young child diets, anthropometry and intermediate outcomes. Current Developments in Nutrition 6(6): nzac079. https://doi.org/10.1093/cdn/nzac079en
dcterms.extentnzac079en
dcterms.isPartOfCurrent Developments in Nutritionen
dcterms.issued2022-06
dcterms.languageen
dcterms.licenseCC-BY-NC-ND-4.0
dcterms.publisherElsevieren
dcterms.relationhttps://doi.org/10.1016/j.gfs.2017.11.002en
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/8214en
dcterms.subjectnutritionen
dcterms.subjectbehaviouren
dcterms.subjectgenderen
dcterms.subjectwomenen
dcterms.subjectrural areasen
dcterms.subjectself-help groupsen
dcterms.subjectdieten
dcterms.subjectchildrenen
dcterms.subjectanthropometryen
dcterms.subjectinfant feedingen
dcterms.subjectchild feedingen
dcterms.subjectbehavioral economicsen
dcterms.typeJournal Article

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