INVESTIGATING THE MEDIATING ROLE OF MATERNAL PARTICIPATION IN DAIRY INTENSIFICATION PROGRAMS ON YOUNG CHILD NUTRITION IN WESTERN KENYA Public
Marchetta, Claire Marie (2011)
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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