Comparing delivery channels to promote nutrition-sensitive agriculture: A cluster-randomized controlled trial in Bangladesh.
Comparing delivery channels to promote nutrition-sensitive agriculture: A cluster-randomized controlled trial in Bangladesh.
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DOI：
10.1016/j.foodpol.2023.102484
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发表时间：
2023-07
期刊：
影响因子：
6.5
通讯作者：
Roy, Shalini
中科院分区：
文献类型：
--
作者：
Ahmed, Akhter;Coleman, Fiona;Hoddinott, John;Menon, Purnima;Parvin, Aklima;Pereira, Audrey;Quisumbing, Agnes;Roy, Shalini
关键词：
通过随机对照试验，我们比较了两种共同向丈夫和妻子提供营养内容的模式：部署女性营养工作者与大多数男性农业推广人员。这两种方法都增加了男性和女性的营养知识、家庭和个人饮食质量以及女性赋权；然而，我们并不否认它们的影响是平等的。我们的研究结果表明，异性代理人在提供培训方面不一定会更有效。在南亚，农业推广系统以男性为主，培训男性传递营养信息可能会暂时解决女性推广人员短缺的问题，并提供扩大和促进营养敏感型农业的机会。然而，在这两个模型中，我们发现证据表明，家庭中婆婆的存在削弱了项目在某些营养、赋权和态度措施方面的有效性。我们在孟加拉国农村进行了一项随机对照试验，比较了两种共同向丈夫和妻子提供营养内容的模式：部署女性营养工作者与大多数男性农业推广人员。这两种方法都增加了男性和女性的营养知识、家庭和个人饮食质量以及女性赋权。在营养工作者和农业推广工作者提供培训的模式之间，对农业和营养知识、农业生产多样性、饮食多样性、妇女赋权和性别平等的干预效果没有显着差异。态度评分是个例外，其结果表明同性代理人对分数的影响可能与异性代理人不同。我们的研究结果表明，异性代理人在提供培训方面不一定会更有效。在南亚，农业推广系统和这些系统的管道由男性主导，培训男性传递营养信息可能会暂时解决女性推广人员短缺的问题，并提供扩大和促进营养敏感型农业的机会。然而，在这两个模型中，我们发现证据表明，家庭中婆婆的存在改变了计划在某些营养、赋权和态度措施方面的有效性，这表明考虑其他有影响力的家庭成员是未来计划的一个潜在领域。
Using an RCT, we compare two models of delivering nutrition content jointly to husbands and wives: deploying female nutrition workers versus mostly male agriculture extension workers. Both approaches increased nutrition knowledge of men and women, household and individual diet quality, and women’s empowerment; however, we do not reject the null that their impacts were equal. Our results suggest opposite-sex agents may not necessarily be less effective in providing training. In South Asia, where agricultural extension systems are male-dominated, training men to deliver nutrition messages may offer a temporary solution to the shortage of female extension workers and offer opportunities to scale and promote nutrition-sensitive agriculture. However, in both models, we find evidence that the presence of mothers-in-law within households attenuates the programs’ effectiveness on some nutrition, empowerment, and attitude measures. We use a randomized controlled trial in rural Bangladesh to compare two models of delivering nutrition content jointly to husbands and wives: deploying female nutrition workers versus mostly male agriculture extension workers. Both approaches increased nutrition knowledge of men and women, household and individual diet quality, and women’s empowerment. Intervention effects on agriculture and nutrition knowledge, agricultural production diversity, dietary diversity, women’s empowerment, and gender parity do not significantly differ between models where nutrition workers versus agriculture extension workers provide the training. The exception is in an attitudes score, where results indicate same-sex agents may affect scores differently than opposite-sex agents. Our results suggest opposite-sex agents may not necessarily be less effective in providing training. In South Asia, where agricultural extension systems and the pipeline to those systems are male-dominated, training men to deliver nutrition messages may offer a temporary solution to the shortage of female extension workers and offer opportunities to scale and promote nutrition-sensitive agriculture. However, in both models, we find evidence that the presence of mothers-in-law within households modifies the programs’ effectiveness on some nutrition, empowerment, and attitude measures, suggesting that accounting for other influential household members is a potential area for future programming.
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