486 research outputs found
Forest conservation in central and West Africa: Opportunities and risks for gender equity
In recent years, the forestry sector has tried to mainstream gender1 into legislation, policies and programs in order to promote âwomenâs empowermentâ (FAO 2007). This focus on women in gender mainstreaming has arisen because women have often been more excluded from forest conservation governance, employment and decision making than men (FAO 2007). Case studies have shown how the inclusion of women in forest conservation programs can empower women by, for example, increasing womenâs incomes or promoting female participation in forest management committees (Schroeder 1995; Yatchou 2011)
[Accepted Manuscript] Formative qualitative research to develop community-based interventions addressing low birth weight in the plains of Nepal.
To explore the factors affecting intra-household food allocation practices to inform the development of interventions to prevent low birth weight in rural plains of Nepal.
Qualitative methodology using purposive sampling to explore the barriers and facilitating factors to improved maternal nutrition.
Rural Dhanusha District, Nepal.
We purposively sampled twenty-five young daughters-in-law from marginalised groups living in extended families and conducted semi-structured interviews with them. We also conducted one focus group discussion with men and one with female community health volunteers who were mothers-in-law.
Gender and age hierarchies were important in household decision making. The mother-in-law was responsible for ensuring that a meal was provided to productive household members. The youngest daughter-in-law usually cooked last and ate less than other family members, and showed respect for other family members by cooking only when permitted and deferring to others' choice of food. There were limited opportunities for these women to snack between main meals. Daughters-in-law' movement outside the household was restricted and therefore family members perceived that their nutritional need was less. Poverty affected food choice and families considered cost before nutritional value.
It is important to work with the whole household, particularly mothers-in-law, to improve maternal nutrition. We present five barriers to behaviour change: poverty; lack of knowledge about cheap nutritional food, the value of snacking, and cheap nutritional food that does not require cooking; sharing food; lack of self-confidence; and deference to household guardians. We discuss how we have targeted our interventions to develop knowledge, discuss strategies to overcome barriers, engage mothers-in-law, and build the confidence and social support networks of pregnant women
Economic inequality in malnutrition: a global systematic review and meta-analysis
Objective: To describe the evidence on global and regional economic inequality in malnutrition, and the associations between economic inequality and malnutrition.
Methods: We conducted a systematic review and meta-analysis. Between 1 November 2020 and 22 January 2021, we searched Medline, Embase, Global Health, Eldis, Web of Science and EBSCO Discovery Service. We contacted 39 experts and tracked citations. We included any study reporting a concentration index (CIX) relating economic status and nutritional status and any multilevel study reporting an association between economic inequality and nutritional status. Nutritional status was measured as stunting, wasting, anaemia, or overweight in children (<5 years), or underweight, overweight or obesity, or anaemia in adults (15â49 years). We had no study date or language restriction. Quality was assessed using the Appraisal Tool for Cross-Sectional Studies (AXIS tool). We mapped estimates and pooled them using multilevel random-effects meta-analyses.
Results: From 6185 results, 91 studies provided 426 CIX (>2.9 million people) and 47 associations (~3.9 million people). Stunting (CIX â0.15 (95% CI â0.19 to â0.11)) and wasting (â0.03 (95% CI â0.05 to â0.02)) are concentrated among poor households. Adult overweight and obesity is concentrated in wealthier households (0.08 (95% CI â0.00 to 0.17)), particularly in South Asia (0.26 (95% CI 0.19 to 0.34)), but not in Europe and Central Asia (â0.02 (95% CI â0.08 to 0.05)) or North America (â0.04 (95% CI â0.10 to 0.03)). We found no association between 0.1 increase in Gini coefficient and adult underweight (OR 1.03 (95% CI 0.94 to 1.12)) or overweight and obesity (0.92 (95% CI 0.80 to 1.05)).
Conclusions: There is good evidence that the prevalence of malnutrition varies by levels of absolute economic status. Undernutrition is concentrated in poor households, whereas concentration of overweight and obesity by economic status depends on region, and we lack information on economic inequalities in anaemia and child overweight. In contrast, links between malnutrition and relative economic status are less clear and should not be assumed; robust evidence on causal pathways is needed.
PROSPERO registration number: CRD42020201572
[Accepted Manuscript] Smartphone tool to collect repeated 24 h dietary recall data in Nepal.
To outline the development of a smartphone-based tool to collect thrice-repeated 24 h dietary recall data in rural Nepal, and to describe energy intakes, common errors and researchers' experiences using the tool.
We designed a novel tool to collect multi-pass 24 h dietary recalls in rural Nepal by combining the use of a CommCare questionnaire on smartphones, a paper form, a QR (quick response)-coded list of foods and a photographic atlas of portion sizes. Twenty interviewers collected dietary data on three non-consecutive days per respondent, with three respondents per household. Intakes were converted into nutrients using databases on nutritional composition of foods, recipes and portion sizes.
Dhanusha and Mahottari districts, Nepal.
Pregnant women, their mothers-in-law and male household heads. Energy intakes assessed in 150 households; data corrections and our experiences reported from 805 households and 6765 individual recalls.
Dietary intake estimates gave plausible values, with male household heads appearing to have higher energy intakes (median (25th-75th centile): 12 079 (9293-14 108) kJ/d) than female members (8979 (7234-11 042) kJ/d for pregnant women). Manual editing of data was required when interviewers mistook portions for food codes and for coding items not on the food list. Smartphones enabled quick monitoring of data and interviewer performance, but we initially faced technical challenges with CommCare forms crashing.
With sufficient time dedicated to development and pre-testing, this novel smartphone-based tool provides a useful method to collect data. Future work is needed to further validate this tool and adapt it for other contexts
Ultra-Slow Light and Enhanced Nonlinear Optical Effects in a Coherently Driven Hot Atomic Gas
We report the observation of small group velocities of order 90 meters per
second, and large group delays of greater than 0.26 ms, in an optically dense
hot rubidium gas (~360 K). Media of this kind yield strong nonlinear
interactions between very weak optical fields, and very sharp spectral
features. The result is in agreement with previous studies on nonlinear
spectroscopy of dense coherent media
Relative power: Explaining the effects of food and cash transfers on allocative behaviour rural Nepalese households
We estimate the effects of antenatal food and cash transfers with women's groups on household allocative behaviour and explore whether these effects are explained by intergenerational bargaining among women. Interventions were tested in randomised-controlled trial in rural Nepal, in a food-insecure context where pregnant women are allocated the least adequate diets. We show households enrolled in a cash transfer intervention allocated pregnant women with 2â3 pp larger shares of multiple foods (versus their mothers-in-law and male household heads) than households in a control group. Households in a food transfer intervention only increased pregnant women's allocation of staple foods (by 2 pp). Intergenerational bargaining power may partly mediate the effects of the cash transfers but not food transfers, whereas household food budget and nutrition knowledge do not mediate any effects. Our findings highlight the role of intergenerational bargaining in determining the effectiveness of interventions aiming to reach and/or empower junior women
How to design a complex behaviour change intervention: experiences from a nutrition-sensitive agriculture trial in rural India
Many public health interventions aim to promote healthful
behaviours, with varying degrees of success. With a lack
of existing empirical evidence on the optimal number or
combination of behaviours to promote to achieve a given
health outcome, a key challenge in intervention design
lies in deciding what behaviours to prioritise, and how
best to promote them. We describe how key behaviours
were selected and promoted within a multisectoral
nutrition-sensitive agriculture intervention that aimed to
address maternal and child undernutrition in rural India.
First, we formulated a Theory of Change, which outlined
our hypothesised impact pathways. To do this, we used
the following inputs: existing conceptual frameworks,
published empirical evidence, a feasibility study, formative
research and the intervention teamâs local knowledge.
Then, we selected specific behaviours to address within
each impact pathway, based on our formative research,
behaviour change models, local knowledge and community
feedback. As the intervention progressed, we mapped each
of the behaviours against our impact pathways and the
transtheoretical model of behaviour change, to monitor the
balance of behaviours across pathways and along stages
of behaviour change. By collectively agreeing on definitions
of complex concepts and hypothesised impact pathways,
implementing partners were able to communicate clearly
between each other and with intervention participants.
Our intervention was iteratively informed by continuous
review, by monitoring implementation against targets
and by integrating community feedback. Impact and
process evaluations will reveal whether these approaches
are effective for improving maternal and child nutrition,
and what the effects are on each hypothesised impact
pathway
Role of electromagnetically induced transparency in resonant four-wave-mixing schemes.
Published versio
Gain without population inversion in V-type systems driven by a frequency-modulated field
We obtain gain of the probe field at multiple frequencies in a closed
three-level V-type system using frequency modulated pump field. There is no
associated population inversion among the atomic states of the probe
transition. We describe both the steady-state and transient dynamics of this
system. Under suitable conditions, the system exhibits large gain
simultaneously at series of frequencies far removed from resonance. Moreover,
the system can be tailored to exhibit multiple frequency regimes where the
probe experiences anomalous dispersion accompanied by negligible
gain-absorption over a large bandwidth, a desirable feature for obtaining
superluminal propagation of pulses with negligible distortion.Comment: 10 pages + 8 figures; To appear in Physical Review
Smartphone tool to collect repeated 24 h dietary recall data in Nepal
Objective To outline the development of a smartphone-based tool to collect thrice-repeated 24 h dietary recall data in rural Nepal, and to describe energy intakes, common errors and researchers' experiences using the tool. Design We designed a novel tool to collect multi-pass 24 h dietary recalls in rural Nepal by combining the use of a CommCare questionnaire on smartphones, a paper form, a QR (quick response)-coded list of foods and a photographic atlas of portion sizes. Twenty interviewers collected dietary data on three non-consecutive days per respondent, with three respondents per household. Intakes were converted into nutrients using databases on nutritional composition of foods, recipes and portion sizes. Setting Dhanusha and Mahottari districts, Nepal. Subjects Pregnant women, their mothers-in-law and male household heads. Energy intakes assessed in 150 households; data corrections and our experiences reported from 805 households and 6765 individual recalls. Results Dietary intake estimates gave plausible values, with male household heads appearing to have higher energy intakes (median (25th-75th centile): 12 079 (9293-14 108) kJ/d) than female members (8979 (7234-11 042) kJ/d for pregnant women). Manual editing of data was required when interviewers mistook portions for food codes and for coding items not on the food list. Smartphones enabled quick monitoring of data and interviewer performance, but we initially faced technical challenges with CommCare forms crashing. Conclusions With sufficient time dedicated to development and pre-testing, this novel smartphone-based tool provides a useful method to collect data. Future work is needed to further validate this tool and adapt it for other contexts
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