Lee, Amanda. Associations between women's empowerment, infant and young child feeding, and child anemia in rural Senegal. Retrieved from https://doi.org/doi:10.7282/t3-3x9t-3n76
DescriptionMalnutrition in all its forms includes undernutrition, micronutrient deficiencies, and overweight/obesity. The determinants of malnutrition are inadequate dietary intake and disease, with underlying factors of food insecurity, poor health and household environments, and inadequate care practices. Children under 2 years are especially vulnerable to malnutrition because of rapid growth rates, and their nutritional status is directly affected by infant and young child feeding (IYCF) practices. Mothers are typically the primary caregivers who are responsible for IYCF. However, for women with low status and unequal access to resources, it is difficult to implement the best care practices. In rural Senegal, where gender inequalities and anemia are prevalent, appropriate complementary feeding practices are of most concern. The present study explores how women’s empowerment is related to IYCF practices and child anemia in the context of rural Senegal. This is a cross-sectional secondary data analysis of subsistence farming households, surveying mothers 15 to 49 years with children aged 0 to 23 months (n=521). Findings show that among children 6 to 23 months (n=484), 41.7% met minimum dietary diversity, 22.3% consumed a minimum acceptable diet, 51.4% had any unhealthy food consumption, and 65.7% consumed zero vegetables and fruits. Mother’s empowerment scores, measured on a scale from 0 to 9, were very low (mean 2.89±1.96). Binary logistic regression revealed few significant differences in IYCF with women’s empowerment as a predictor— having personal savings was the only significant determinant of meeting minimum dietary diversity in unadjusted analyses. The relationship between women’s status and IYCF practices could not be well-established in this study. However, our findings highlight the severity of suboptimal IYCF practices, child anemia, and low women’s status in rural Senegal.