@article{Darrouzet-Nardi:235536,
      recid = {235536},
      author = {Darrouzet-Nardi, Amelia and Miller, Laurie and Joshi,  Neena and Mahato, Shubh and Lohani, Mahendra and  Drozdowsky, Julia and Beatrice, Rogers},
      title = {Longitudinal analysis of the intrahousehold distribution  of foods in rural Nepal: Effectiveness of a community-level  development intervention},
      address = {2016-05},
      number = {333-2016-14284},
      pages = {25},
      year = {2016},
      abstract = {Inadequate child dietary quality is a problem of public  health significance in rural Nepal. This study explores  whether and how dietary patterns within households changed  over a four-year time period with the introduction of a  randomized community development intervention in rural  Nepal. Individual-level dietary data within households is  rarely observed over extended periods of time, which limits  our understanding of within-household food distribution  dynamics, especially in the context of impact evaluations.  Six rural communities of Nepal with predominantly  agricultural livelihoods were selected to participate in  the phased implementation of a long-term community-level  development intervention. Households (N=414 at baseline)  and children (N=951 at baseline) in each community were  surveyed at baseline; and the 116-item follow-up surveys  were implemented at 6 months, 12 months, 18 months, 24  months, and 48 months. Detailed data on food consumption  were collected at the household-level and for individual  children older than 6 months of age using a 24 hour recall  for 17 foods and food groups; parents responded for  children. Child-level dietary diversity and consumption of  animal sourced foods were the outcomes of interest.  Fixed-effects analysis of the resulting panel data  indicates that there are disparities in the responsiveness  of child dietary quality with respect to household dietary  quality, as measured by elasticities. Results indicate that  there are no differences in the responsiveness of child  dietary quality to household dietary quality between girl  and boy children, but there are measurable disparities in  dietary quality responsiveness across age groups of  children and across regions of Nepal. As the length of time  of exposure to the community development intervention  increased, so did the responsiveness of child dietary  quality to household dietary quality, as measured by  elasticities. This pattern holds during both times of  household stress and times of household prosperity, as  indicated by the household-level dietary diversity  differenced from the mean across all six time periods. The  long-term, community-level development of rural women’s  groups may have increased women’s status in the study sites  and resulted in the improved diets for children, but  measurement of women’s status over time is necessary to  test that hypothesis. These results stress the importance  of measuring and addressing intrahousehold dynamics – in  particular across age cohorts – during community  development projects, and caution against assuming the  presence of sex bias in the distribution of foods within  households.},
      url = {http://ageconsearch.umn.edu/record/235536},
      doi = {https://doi.org/10.22004/ag.econ.235536},
}