The effect of women's decision-making on child nutritional outcomes in South Africa

Women’s decision-making is a phenomenon in children's nutritional outcomes. This study investigated the causal effect of women’s decision-making on child nutritional outcomes using a panel dataset from the South African National Income Dynamic Survey (NIDS) from 2014/15–2017. The child's nutritional outcomes comprised three anthropometric measurements, which included weight-for-height, weight-for-age, and height-for-age. The study used variables, which include daily expenditure, large purchases, where children attended school, who lived with the family, and where the household lived, to create a decision-making index using Multiple Correspondence Analysis (MCA). A control function approach (CFA) was used to control for endogeneity issues. Using this approach, the findings suggested that women’s decision-making had a significant positive effect on the child's nutritional outcomes. While women's decision-making improves a child’s weight-for-age and weight-for-height, the result was inconclusive on the child’s height-for-age. The policy implications of these findings indicate that the role of women's empowerment is important and could significantly help in achieving better child nutritional outcomes. Overall, the findings suggest the evaluation of policies that ameliorate gender inequality and children's health and well-being.