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Women’s decision-making power and undernutrition in their children under age five in the Democratic Republic of the Congo: A cross-sectional study

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  • Caroline G McKenna
  • Susan A Bartels
  • Lesley A Pablo
  • Melanie Walker

Abstract

Undernutrition in children remains a major global health issue and the prevalence of undernutrition in children under age five in the Democratic Republic of the Congo (DRC) is among the highest in the world. Both biological and socioeconomic factors contribute to undernutrition, and the literature reports an association between women’s empowerment and lower rates of child undernutrition in sub-Saharan Africa. However, the relationship between women’s decision-making power and child undernutrition is less understood. The objective of this study was to evaluate the association between women’s decision-making power and stunting/wasting in their children under age five in the DRC. This study used cross-sectional data from the 2013–2014 DRC Demographic and Health Survey, from which a sample of 3,721 woman-child pairs were identified. Women were classified as having decision-making power in five decision-making dimensions if they participated in the decision either alone or jointly with their husband or partner or someone else. Child height-for-age and weight-for-height Z-scores were used to determine stunting and wasting, respectively, according to the World Health Organization Child Growth Standards. Multivariate regression analyses demonstrated that none of the five dimensions of decision-making power were associated with stunting or wasting in children. Further research that evaluates women’s decision-making power with more detailed, relevant and context-specific measures is warranted to more accurately investigate women’s decision-making power and undernutrition in children.

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  • Caroline G McKenna & Susan A Bartels & Lesley A Pablo & Melanie Walker, 2019. "Women’s decision-making power and undernutrition in their children under age five in the Democratic Republic of the Congo: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-19, December.
    • Handle: RePEc:plo:pone00:0226041
    DOI: 10.1371/journal.pone.0226041
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    References listed on IDEAS

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    1. Chitale Remonja Rabaoarisoa & Rado Rakotoarison & Nivo Heritiana Rakotonirainy & Reziky Tiandraza Mangahasimbola & Alain Berthin Randrianarisoa & Ronan Jambou & Inès Vigan-Womas & Patrice Piola & Rind, 2017. "The importance of public health, poverty reduction programs and women’s empowerment in the reduction of child stunting in rural areas of Moramanga and Morondava, Madagascar," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-18, October.
    2. Alderman, Harold & Hoogeveen, Hans & Rossi, Mariacristina, 2006. "Reducing child malnutrition in Tanzania: Combined effects of income growth and program interventions," Economics & Human Biology, Elsevier, vol. 4(1), pages 1-23, January.
    3. Hindin, Michelle J., 2000. "Women's power and anthropometric status in Zimbabwe," Social Science & Medicine, Elsevier, vol. 51(10), pages 1517-1528, November.
    4. Smith, Lisa C. & Ramakrishnan, Usha & Ndiaye, Aida & Haddad, Lawrence James & Martorell, Reynaldo, 2003. "The importance of women's status for child nutrition in developing countries:," Research reports 131, International Food Policy Research Institute (IFPRI).
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    1. Abreha, Solomon K. & Walelign, Solomon Z. & Zereyesus, Yacob A., 2020. "Associations between Women’s Empowerment and Child Health Status in Ethiopia," 2020 Annual Meeting, July 26-28, Kansas City, Missouri 304174, Agricultural and Applied Economics Association.
    2. Phillips Edomwonyi Obasohan & Stephen J. Walters & Richard Jacques & Khaled Khatab, 2020. "Risk Factors Associated with Malnutrition among Children Under-Five Years in Sub-Saharan African Countries: A Scoping Review," IJERPH, MDPI, vol. 17(23), pages 1-23, November.
    3. Solomon Kibret Abreha & Solomon Zena Walelign & Yacob Abrehe Zereyesus, 2020. "Associations between women’s empowerment and children’s health status in Ethiopia," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-24, July.
    4. Adediran, Olanrewaju Adewole, 2024. "The effect of women's decision-making on child nutritional outcomes in South Africa," Economics & Human Biology, Elsevier, vol. 53(C).
    5. Agyen, Vida Afarebea & Annim, Samuel Kobina & Asmah, Emmanuel Ekow, 2024. "Neighbourhood mothers’ education and its differential impact on stunting: Evidence from 30 Sub-Saharan African countries," Social Science & Medicine, Elsevier, vol. 340(C).

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