Motuma Aboma, Dawe Mohammed Jemal, Gemada Assefa Tola, Beshir Temam, Hawulte Behailu, Zakaria Hamdi Fekredin, Roba Kedir Teji
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Fellana Health Center, Kombolcha Woreda, Oromia Region, Ethiopia.
J Health Popul Nutr. 2025 May 16;44(1):160. doi: 10.1186/s41043-025-00892-5.
Food insecurity remain sub-Saharan African issues, particularly pastoral society. Pastoralist women's active role in the household economy and livelihood diversification despite their marginal position in terms of access to basic health and education services, and decision making. The use of cash transfers in humanitarian settings is an emerging; however, there is scare of evidence on how well cash transfers improve nutritional outcomes. Moreover, evidence limited on food consumption scores, particularly pastoralist women in Ethiopia. Therefore, this study aims to assess food consumption score and associated factors among cash-beneficiary women in emergency nutrition response in drought-affected pastoralist communities in Eastern Ethiopia.
A community-based cross-sectional study design was conducted among cash-beneficiary women in 2022. Data was collected using a pretested structured questionnaire among 374 randomly selected cash beneficiary women. Food consumption score was calculated using a seven-day dietary recall of food items consumed. After collecting the data the food items were categorized into eight food groups and summed up. EPI Data version 3.1 software was used to code, enter, and clean the data. SPSS version 23 was used for analysis. The study used ordinal logistic regression to identify factors influencing the food consumption score. Variables with p-value < 0.25 in bivariable analysis were considered for multivariable analysis, and 95% confidence interval was used to measure the strengths of association at p-values < 0.05.
The study shows that the acceptable food consumption score among cash beneficiaries' women was 43.3% (95% CI 38.27-48.36%). The source of food from own product (AOR = 2.18, [95% CI: 1.68, 4.56]), and animal source food (AOR = 12.14, [95% CI: 5.25, 28.0.6]) were significantly associated with the acceptable food consumption score. However, the acceptable food consumption score was significantly lower among cash-beneficiary women who requested by kebeles administrative to share money for registration (AOR = 0.059, [95% CI: 0.011, 0.32]).
The findings show that the acceptable food consumption score was low among cash-beneficiary women. The government should be maximizing on local food production and animal-sourced food to scale up the acceptable food consumption score. Policies and programs should be enhancing and promoting on sustainable local food products. Moreover, strengthening the policies that promote the welfare of pastoralist women, providing training on women's capacity building, enhancing women's empowerment, and encouraging their participation in the decision-making process are essential to mitigating the problems pastoralist women face.
粮食不安全仍然是撒哈拉以南非洲地区的问题，尤其是在游牧社会。尽管游牧妇女在获得基本卫生和教育服务以及决策方面处于边缘地位，但她们在家庭经济和生计多样化中发挥着积极作用。在人道主义环境中使用现金转移支付是一个新出现的情况；然而，关于现金转移支付如何改善营养结果的证据很少。此外，关于食物消费得分的证据有限，特别是在埃塞俄比亚的游牧妇女中。因此，本研究旨在评估埃塞俄比亚东部受干旱影响的游牧社区紧急营养应对中现金受益妇女的食物消费得分及相关因素。
2022年对现金受益妇女进行了一项基于社区的横断面研究设计。使用预先测试的结构化问卷收集了374名随机选择的现金受益妇女的数据。通过对七天内食用的食物进行回忆来计算食物消费得分。收集数据后，将食物项目分为八个食物组并进行汇总。使用EPI Data 3.1软件对数据进行编码、录入和清理。使用SPSS 23版本进行分析。该研究使用有序逻辑回归来确定影响食物消费得分的因素。在双变量分析中p值<0.25的变量被纳入多变量分析，并使用95%置信区间在p值<0.05时衡量关联强度。
研究表明，现金受益妇女中可接受的食物消费得分是43.3%（95%可信区间38.27 - 48.36%）。来自自有产品的食物来源（调整后比值比[AOR]=2.18，[95%可信区间：1.68，4.56]）和动物源食物（AOR = 12.14，[95%可信区间：5.25，28.06]）与可接受的食物消费得分显著相关。然而，在被社区行政部门要求分享注册资金的现金受益妇女中，可接受的食物消费得分显著较低（AOR = 0.059，[95%可信区间：0.011，0.32]）。
研究结果表明，现金受益妇女中可接受的食物消费得分较低。政府应最大限度地提高当地粮食产量和动物源食物，以提高可接受的食物消费得分。政策和计划应加强和推广可持续的当地食品。此外，加强促进游牧妇女福利的政策，提供妇女能力建设培训，增强妇女权能，并鼓励她们参与决策过程，对于缓解游牧妇女面临的问题至关重要。
