INVESTIGATING THE MEDIATING ROLE OF MATERNAL PARTICIPATION IN DAIRY INTENSIFICATION PROGRAMS ON YOUNG CHILD NUTRITION IN WESTERN KENYA Open Access

Marchetta, Claire Marie (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/k0698773s?locale=en
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Abstract

BACKGROUND: Dairy intensification programs create an opportunity for smallholder
farmers to generate income and produce nutrient dense foods for household consumption,
thereby alleviating poverty and malnutrition in resource poor settings. Potential adverse
effects of intensification programs on certain household members, specifically women
and young children, are not well understood. Increased dairying often requires female
household members to increase their farm-related workload and in so doing, shift time
away from childcare activities. This paper investigates how women's participation
and/or time allocation to dairying influences child milk consumption, dietary diversity
and breastfeeding.
METHODS: Surveys were conducted in 3 study sites in Rift Valley Province of western
Kenya. Households were selected if they had a resident child younger than 5 years old
and met the requirements for one of 3 predefined daily milk production levels; No Milk
production, Emergent (more than 0 and less than 6 liters of milk produced), or Advanced
(6 liters or more of milk produced). Bivariate and multivariate linear regression models,
adjusting for potential confounders, were used to estimate the associations between milk
production and indicators of child nutrition and to determine whether maternal
participation in dairying affected these associations.
RESULTS: Children in households with the greatest milk production consumed more milk
and had a higher dietary diversity score than their Emergent and No Milk counterparts.
Breastfeeding frequency was lowest in the Advanced milk production group. Adjusting
for confounders reduced the advantage of intensification on milk consumption and
dietary diversity and reduced the disadvantage of intensification on breastfeeding
frequency. Maternal participation in dairying was negatively associated with each of the
child nutrition outcomes and control for this negative association yielded an increase in
the coefficients of the milk production groups.
CONCLUSIONS: Dairy intensification had a positive association with young child milk
consumption and dietary diversity and a negative association with breastfeeding
frequency. Maternal participation in dairying was negatively associated with all
indicators of child nutritional status. Future efforts to intensify dairying production in
western Kenya should provide support to women who have young children so that time
allocated to income generating activities does not adversely affect their children's health.

Table of Contents


TABLE OF CONTENTS



CHAPTER 1 1


INTRODUCTION 1


BACKGROUND AND LITERATURE REVIEW 3



CHAPTER 2: MANUSCRIPT 10


ABSTRACT 10


INTRODUCTION 11


METHODS 13


RESULTS 18


DISCUSSION 23


LITERATURE CITED 27


TABLES 30


FIGURES 35



CHAPTER 3: SUMMARY 36



APPENDIX 38

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