University of Iowa, 312 Jessup, Hall Iowa City, IA, 52245, United States.
Soc Sci Med. 2021 Sep;285:114282. doi: 10.1016/j.socscimed.2021.114282. Epub 2021 Jul 29.
Recently, nutrition-sensitive agriculture programs have taken aim at malnutrition's multi-sectoral roots through re-diversifying agricultural production while integrating women's empowerment and nutrition behavior-change communication components. For these integrated nutrition-sensitive agricultural programs, women-led self-help groups have emerged as promising platforms for program delivery. Yet, while well-designed nutrition behavior-change communication has been successfully used in self-help groups, and is central to nutrition-sensitive agriculture, it can take many forms. These vary widely in their theoretical and ethical underpinnings, communication strategies, and theory of change. As nutrition-sensitive agriculture continues to proliferate, it is critical to better understand how women interact with different behavior-change messages and how to engage individuals in ethical, effective ways. This paper analyzes qualitative data collected from a nutrition-sensitive agricultural project in India that used participatory storytelling to generate knowledge and awareness about malnutrition among women. Drawing from data across two sites, the paper analyzes why certain messages generated more discussion among women then others. We find self-help group women were drawn to topics of early marriage and diet diversity because they emotionally connected to them, and felt they were relevant to their lives with high perceived pay-off and actionability. While other topics on gender and health also provoked emotional, lively discussions, the stories were less effective due to their complexity, which were difficult for volunteer facilitators to communicate. We conclude that there is unmet demand among women in rural India for structured spaces to discuss gendered aspects of health and diet, and nutrition-sensitive agricultural programs could benefit from focusing attention here.
最近,营养敏感型农业项目通过重新使农业生产多样化,同时纳入妇女赋权和营养行为改变沟通部分,针对营养不良的多部门根源采取了措施。对于这些综合营养敏感型农业项目,以妇女为主导的自助小组已经成为有前途的方案交付平台。然而,虽然精心设计的营养行为改变沟通已成功地用于自助小组中,并且是营养敏感型农业的核心,但它可以有多种形式。这些形式在理论和伦理基础、沟通策略和变革理论方面差异很大。随着营养敏感型农业的继续普及,必须更好地了解妇女如何与不同的行为改变信息互动,以及如何以道德和有效的方式让个人参与进来。本文分析了从印度一个营养敏感型农业项目中收集的定性数据,该项目使用参与式故事讲述来提高妇女对营养不良的认识。本文从两个地点的数据中分析了为什么某些信息比其他信息引起了更多的讨论。我们发现,自助小组成员被早婚和饮食多样性的话题所吸引,因为这些话题与她们的情感相关,并且她们认为这些话题与她们的生活息息相关,具有高回报和可操作性。虽然性别和健康方面的其他话题也引发了情感上的热烈讨论,但由于其复杂性,这些故事的效果较差,志愿辅导员难以传达。我们的结论是,印度农村妇女对讨论性别和饮食健康方面的结构化空间有未满足的需求,营养敏感型农业项目可以从中受益。