Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments

In Bihar, India, coverage of essential nutrition interventions is low, but little is known about the factors associated with service delivery by FLW and utilization of services by HH. Data: A cross‐sectional survey of 790 FLWs and 6002 HH from 400 villages in 1 district in Bihar. Analysis: Multivari...

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Autores principales: Ruel, Marie T., Ballard, Terri J., Deitchler, Megan
Formato: Capítulo de libro
Lenguaje:Inglés
Publicado: International Food Policy Research Institute 2014
Materias:
Acceso en línea:https://hdl.handle.net/10568/149830
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author Ruel, Marie T.
Ballard, Terri J.
Deitchler, Megan
author_browse Ballard, Terri J.
Deitchler, Megan
Ruel, Marie T.
author_facet Ruel, Marie T.
Ballard, Terri J.
Deitchler, Megan
author_sort Ruel, Marie T.
collection Repository of Agricultural Research Outputs (CGSpace)
description In Bihar, India, coverage of essential nutrition interventions is low, but little is known about the factors associated with service delivery by FLW and utilization of services by HH. Data: A cross‐sectional survey of 790 FLWs and 6002 HH from 400 villages in 1 district in Bihar. Analysis: Multivariate regression analysis to examine supply‐ and demand‐side determinants of whether HH receive immunization, food supplements (FS), pregnancy care information (PCI) or nutrition information (NI). Supply side determinants varied by outcome: incentives for FLW were marginally positively associated (p<0.1) with immunization; FLW living outside their service areas was negatively associated with FS to HH (p<0.1); FLW education (p<0.05), use of pregnancy registers (p<0.05) and incentives (p<0.05) were positively associated with PCI. Demand side determinants varied by outcome: having a more educated HH head was associated with greater immunization; lower SES HH were more likely to get FS (p<0.05), but higher SES HH (p<0.05) and HH who had visited nutrition centers (p<0.05) were more likely to get NI. Conclusion: FLW education, proximity to area of service, and incentives affect service delivery outcomes, but HH factors are also important. Recruiting more educated candidates as FLW, investing in incentives, and enhancing HH contacts with nutrition centers through demand creation could improve service delivery outcomes.Grant Funding Source: Supported by Bill & Melinda Gates Foundation, through POSHAN led by IFPRI
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spelling CGSpace1498302025-11-06T04:16:54Z Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments Ruel, Marie T. Ballard, Terri J. Deitchler, Megan birth weight anaemia nutrition policies indicators stunting malnutrition nutrition trace elements food supply children mortality poverty breastfeeding In Bihar, India, coverage of essential nutrition interventions is low, but little is known about the factors associated with service delivery by FLW and utilization of services by HH. Data: A cross‐sectional survey of 790 FLWs and 6002 HH from 400 villages in 1 district in Bihar. Analysis: Multivariate regression analysis to examine supply‐ and demand‐side determinants of whether HH receive immunization, food supplements (FS), pregnancy care information (PCI) or nutrition information (NI). Supply side determinants varied by outcome: incentives for FLW were marginally positively associated (p<0.1) with immunization; FLW living outside their service areas was negatively associated with FS to HH (p<0.1); FLW education (p<0.05), use of pregnancy registers (p<0.05) and incentives (p<0.05) were positively associated with PCI. Demand side determinants varied by outcome: having a more educated HH head was associated with greater immunization; lower SES HH were more likely to get FS (p<0.05), but higher SES HH (p<0.05) and HH who had visited nutrition centers (p<0.05) were more likely to get NI. Conclusion: FLW education, proximity to area of service, and incentives affect service delivery outcomes, but HH factors are also important. Recruiting more educated candidates as FLW, investing in incentives, and enhancing HH contacts with nutrition centers through demand creation could improve service delivery outcomes.Grant Funding Source: Supported by Bill & Melinda Gates Foundation, through POSHAN led by IFPRI 2014 2024-08-01T02:50:02Z 2024-08-01T02:50:02Z Book Chapter https://hdl.handle.net/10568/149830 en https://doi.org/10.2499/9780896295643 Open Access application/pdf International Food Policy Research Institute Ruel, Marie T.; Ballard, Terri J.; Deitchler, Megan. 2014. Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments. In Global nutrition report 2014: Actions and accountability to accelerate the world's progress on nutrition. Supplementary Online Material. https://hdl.handle.net/10568/149830
spellingShingle birth weight
anaemia
nutrition policies
indicators
stunting
malnutrition
nutrition
trace elements
food supply
children
mortality
poverty
breastfeeding
Ruel, Marie T.
Ballard, Terri J.
Deitchler, Megan
Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments
title Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments
title_full Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments
title_fullStr Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments
title_full_unstemmed Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments
title_short Measuring and tracking the access dimension of food security: Available indicators and recommendations for future investments
title_sort measuring and tracking the access dimension of food security available indicators and recommendations for future investments
topic birth weight
anaemia
nutrition policies
indicators
stunting
malnutrition
nutrition
trace elements
food supply
children
mortality
poverty
breastfeeding
url https://hdl.handle.net/10568/149830
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