TY - JOUR
T1 - Role of Women's Empowerment in Child Nutrition Outcomes
T2 - A Systematic Review
AU - Santoso, Marianne V.
AU - Kerr, Rachel Bezner
AU - Hoddinott, John
AU - Garigipati, Priya
AU - Olmos, Sophia
AU - Young, Sera L.
N1 - Funding Information:
MVS was partly supported by the Collaborative Crop Research Program of the McKnight Foundation. SLY was supported by the National Institutes of Health (K01 MH098902). Author disclosures: MVS, RBK, JH, PG, SO, and SLY, no conflicts of interest. Supplemental Tables 1–11 and Supplemental Figures 1–3 are available from the “Supplementary data”link in the online posting of the article and from the same link in the online table of contents at https://academic.oup.com/advances/. Address correspondence to SLY (e-mail: sera.young@northwestern.edu).
Publisher Copyright:
© 2019 American Society for Nutrition.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Women's empowerment has gained attention as critical for child nutrition during the first 1000 days of life. However, the ways in which various women's empowerment measures are applied and the evidence for how they are differentially related to child nutrition is unclear. In this systematic review, therefore, we 1) systematically parse the many ways in which women's empowerment has been quantitatively measured in the context of child nutrition through the use of a theoretically driven application of dimensions and domains of empowerment; 2) summarize evidence for each of the various pathways between women's empowerment and child nutrition, based on dimensions and domains of empowerment; and 3) offer suggestions for future research to better articulate the relationship between women's empowerment and child nutrition. A search of evidence yielded 62 quantitative studies that used 200 unique indicators of women's empowerment, tested in 1316 associations with various child nutrition outcomes. Despite the large number of unique indicators, indicators for time resource allocation and reproductive decisions and indicators for men's engagement in child care and nutrition, all pertinent to child nutrition, were missing. Overall, the findings indicated an inconclusive relationship between women's empowerment and child nutrition: 379 out of 461 (82% weighted) and 217 out of 258 (84% weighted) associations found with stunting and wasting outcomes, respectively, were not significant. The current lack of evidence is likely not due to the absence of an underlying relationship between women's empowerment and child nutrition, but rather limitations in study design. Future research should carefully select women's empowerment indicators in context-specific ways, aggregate them meaningfully, and use a longitudinal study design to conduct pathway and lifecycle analysis in appropriate populations to clarify the relationship between women's empowerment and child nutrition.
AB - Women's empowerment has gained attention as critical for child nutrition during the first 1000 days of life. However, the ways in which various women's empowerment measures are applied and the evidence for how they are differentially related to child nutrition is unclear. In this systematic review, therefore, we 1) systematically parse the many ways in which women's empowerment has been quantitatively measured in the context of child nutrition through the use of a theoretically driven application of dimensions and domains of empowerment; 2) summarize evidence for each of the various pathways between women's empowerment and child nutrition, based on dimensions and domains of empowerment; and 3) offer suggestions for future research to better articulate the relationship between women's empowerment and child nutrition. A search of evidence yielded 62 quantitative studies that used 200 unique indicators of women's empowerment, tested in 1316 associations with various child nutrition outcomes. Despite the large number of unique indicators, indicators for time resource allocation and reproductive decisions and indicators for men's engagement in child care and nutrition, all pertinent to child nutrition, were missing. Overall, the findings indicated an inconclusive relationship between women's empowerment and child nutrition: 379 out of 461 (82% weighted) and 217 out of 258 (84% weighted) associations found with stunting and wasting outcomes, respectively, were not significant. The current lack of evidence is likely not due to the absence of an underlying relationship between women's empowerment and child nutrition, but rather limitations in study design. Future research should carefully select women's empowerment indicators in context-specific ways, aggregate them meaningfully, and use a longitudinal study design to conduct pathway and lifecycle analysis in appropriate populations to clarify the relationship between women's empowerment and child nutrition.
KW - empowerment
KW - gender equity
KW - infant and young child feeding
KW - nutrition-sensitive
KW - systematic review
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U2 - 10.1093/advances/nmz056
DO - 10.1093/advances/nmz056
M3 - Review article
C2 - 31298299
AN - SCOPUS:85075089868
SN - 2161-8313
VL - 10
SP - 1138
EP - 1151
JO - Advances in Nutrition
JF - Advances in Nutrition
IS - 6
ER -
