Unequal coverage of nutrition and health interventions for women and children in seven countries
Objective: To examine inequalities and opportunity gaps in co-coverage of health and nutrition interventions in seven countries. Methods: We used data from the most recent (2015–2018) demographic and health surveys of mothers with children younger than 5 years in Afghanistan (n = 19 632), Bangladesh...
| Autores principales: | , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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World Health Organization
2022
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| Acceso en línea: | https://hdl.handle.net/10568/141131 |
| _version_ | 1855539578818002944 |
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| author | Nguyen, Phuong Hong Singh, Nishmeet Scott, Samuel P. Neupane, Sumanta Jangid, Manita Walia, Monika Menon, Purnima |
| author_browse | Jangid, Manita Menon, Purnima Neupane, Sumanta Nguyen, Phuong Hong Scott, Samuel P. Singh, Nishmeet Walia, Monika |
| author_facet | Nguyen, Phuong Hong Singh, Nishmeet Scott, Samuel P. Neupane, Sumanta Jangid, Manita Walia, Monika Menon, Purnima |
| author_sort | Nguyen, Phuong Hong |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Objective: To examine inequalities and opportunity gaps in co-coverage of health and nutrition interventions in seven countries. Methods: We used data from the most recent (2015–2018) demographic and health surveys of mothers with children younger than 5 years in Afghanistan (n = 19 632), Bangladesh (n = 5051), India (n = 184 641), Maldives (n = 2368), Nepal (n = 3998), Pakistan (n = 8285) and Sri Lanka (n = 7138). We estimated co-coverage for a set of eight health and eight nutrition interventions and assessed within-country inequalities in co-coverage by wealth and geography. We examined opportunity gaps by comparing coverage of nutrition interventions with coverage of their corresponding health delivery platforms. Findings: Only 15% of 231 113 mother–child pairs received all eight health interventions (weighted percentage). The percentage of mother–child pairs who received no nutrition interventions was highest in Pakistan (25%). Wealth gaps (richest versus poorest) for co-coverage of health interventions were largest for Pakistan (slope index of inequality: 62 percentage points) and Afghanistan (38 percentage points). Wealth gaps for co-coverage of nutrition interventions were highest in India (32 percentage points) and Bangladesh (20 percentage points). Coverage of nutrition interventions was lower than for associated health interventions, with opportunity gaps ranging from 4 to 54 percentage points. Conclusion: Co-coverage of health and nutrition interventions is far from optimal and disproportionately affects poor households in south Asia. Policy and programming efforts should pay attention to closing coverage, equity and opportunity gaps, and improving nutrition delivery through health-care and other delivery platforms. |
| format | Journal Article |
| id | CGSpace141131 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | World Health Organization |
| publisherStr | World Health Organization |
| record_format | dspace |
| spelling | CGSpace1411312025-10-26T13:01:17Z Unequal coverage of nutrition and health interventions for women and children in seven countries Nguyen, Phuong Hong Singh, Nishmeet Scott, Samuel P. Neupane, Sumanta Jangid, Manita Walia, Monika Menon, Purnima maternal and child health gender child nutrition health nutrition interventions children poverty women Objective: To examine inequalities and opportunity gaps in co-coverage of health and nutrition interventions in seven countries. Methods: We used data from the most recent (2015–2018) demographic and health surveys of mothers with children younger than 5 years in Afghanistan (n = 19 632), Bangladesh (n = 5051), India (n = 184 641), Maldives (n = 2368), Nepal (n = 3998), Pakistan (n = 8285) and Sri Lanka (n = 7138). We estimated co-coverage for a set of eight health and eight nutrition interventions and assessed within-country inequalities in co-coverage by wealth and geography. We examined opportunity gaps by comparing coverage of nutrition interventions with coverage of their corresponding health delivery platforms. Findings: Only 15% of 231 113 mother–child pairs received all eight health interventions (weighted percentage). The percentage of mother–child pairs who received no nutrition interventions was highest in Pakistan (25%). Wealth gaps (richest versus poorest) for co-coverage of health interventions were largest for Pakistan (slope index of inequality: 62 percentage points) and Afghanistan (38 percentage points). Wealth gaps for co-coverage of nutrition interventions were highest in India (32 percentage points) and Bangladesh (20 percentage points). Coverage of nutrition interventions was lower than for associated health interventions, with opportunity gaps ranging from 4 to 54 percentage points. Conclusion: Co-coverage of health and nutrition interventions is far from optimal and disproportionately affects poor households in south Asia. Policy and programming efforts should pay attention to closing coverage, equity and opportunity gaps, and improving nutrition delivery through health-care and other delivery platforms. 2022-01-01 2024-04-12T13:37:20Z 2024-04-12T13:37:20Z Journal Article https://hdl.handle.net/10568/141131 en Open Access World Health Organization Hong Nguyen, P., Singh, N., Scott, S., Neupane, S., Jangid, M., Walia, M., Murira, Z., Bhutta, Z., Torlesse, H., Piwoz, E., Heidkamp, R., & Menon, P. (2022). Unequal coverage of nutrition and health interventions for women and children in seven countries. In Bulletin of the World Health Organization (Vol. 100, Issue 1, pp. 20–29). WHO Press. https://doi.org/10.2471/blt.21.286650 |
| spellingShingle | maternal and child health gender child nutrition health nutrition interventions children poverty women Nguyen, Phuong Hong Singh, Nishmeet Scott, Samuel P. Neupane, Sumanta Jangid, Manita Walia, Monika Menon, Purnima Unequal coverage of nutrition and health interventions for women and children in seven countries |
| title | Unequal coverage of nutrition and health interventions for women and children in seven countries |
| title_full | Unequal coverage of nutrition and health interventions for women and children in seven countries |
| title_fullStr | Unequal coverage of nutrition and health interventions for women and children in seven countries |
| title_full_unstemmed | Unequal coverage of nutrition and health interventions for women and children in seven countries |
| title_short | Unequal coverage of nutrition and health interventions for women and children in seven countries |
| title_sort | unequal coverage of nutrition and health interventions for women and children in seven countries |
| topic | maternal and child health gender child nutrition health nutrition interventions children poverty women |
| url | https://hdl.handle.net/10568/141131 |
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