Department of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
J Nutr Sci. 2022 Oct 20;11:e92. doi: 10.1017/jns.2022.86. eCollection 2022.
Little is known about the relation between the women empowerment in agriculture index, and health and nutrition outcomes among under-five children in Ethiopia. The study's objective was to examine women's empowerment in agriculture and its association with the nutritional status of children (6-59 months) in rural, cash crop producing, and resource-limited settings of Ethiopia. A community-based cross-sectional study was conducted employing 422 households; having women of reproductive age group and children under-five. Stratified simple random sampling was used to identify households; a simple random sampling was used to select villages and households. Women empowerment in agriculture was measured by the abbreviated women empowerment in agriculture index. Even if the overall multi-dimensional five domains of empowerment index (5DE) was not a significant predictor of nutritional status in children ( > 0⋅05), sub-indicators had a pivotal role in child nutritional status. Disempowerment in decisions about input into production [AOR = 8⋅85], empowerment on control of income [AOR = 0⋅35] and availability of livestock [AOR = 0⋅38] were predictors of child stunting, whereas women's disempowerment in production decisions seems beneficiary for wasting, disempowered women have 84 % less likely to have wasted child than empowered women [AOR = 0⋅16]. Dietary and agricultural diversity [particularly livestock farming], and women's empowerment in production decisions were predictors of better nutritional outcomes in children. Therefore, a concentrated effort is needed towards strengthening the multi-dimensional empowerment of women in agriculture emphasising women's input into production decisions, dietary and agricultural diversification, mainly livestock farming.
人们对妇女在农业中的赋权指数与埃塞俄比亚五岁以下儿童健康和营养结果之间的关系知之甚少。本研究旨在探讨妇女在农业中的赋权及其与农村、经济作物生产和资源有限环境中儿童（6-59 个月）营养状况之间的关系。本研究采用基于社区的横断面研究方法，共调查了 422 户家庭，包括育龄妇女和 5 岁以下儿童。采用分层简单随机抽样方法识别家庭，采用简单随机抽样方法选择村庄和家庭。妇女在农业中的赋权通过简化的妇女赋权农业指数来衡量。尽管总体多维赋权指数（5DE）并不是儿童营养状况的显著预测因素（>0.05），但是各个子指标在儿童营养状况中起着关键作用。在生产投入决策方面的无权（AOR=8.85）、对收入控制的赋权（AOR=0.35）和牲畜可得性的赋权（AOR=0.38）是儿童发育迟缓的预测因素，而妇女在生产决策方面的无权似乎有利于消瘦，无权妇女的消瘦儿童比例比赋权妇女低 84%（AOR=0.16）。饮食和农业多样性（特别是畜牧业）以及妇女在生产决策中的赋权是儿童更好营养结果的预测因素。因此，需要集中精力加强妇女在农业中的多维赋权，强调妇女对生产决策、饮食和农业多样化的投入，特别是畜牧业。
