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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Going beyond the surface: Gendered intra-household bargaining as a social determinant of child health and nutrition in low and middle income countries
Social Science and Medicine, Volume 95, Year 2013
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Description
A growing body of research highlights the importance of gendered social determinants of child health, such as maternal education and women's status, for mediating child survival. This narrative review of evidence from diverse low and middle-income contexts (covering the period 1970-May 2012) examines the significance of intra-household bargaining power and process as gendered dimensions of child health and nutrition. The findings focus on two main elements of bargaining: the role of women's decision-making power and access to and control over resources; and the importance of household headship, structure and composition. The paper discusses the implications of these findings in the light of lifecycle and intersectional approaches to gender and health. The relative lack of published intervention studies that explicitly consider gendered intra-household bargaining is highlighted. Given the complex mechanisms through which intra-household bargaining shapes child health and nutrition it is critical that efforts to address gender in health and nutrition programming are thoroughly documented and widely shared to promote further learning and action. There is scope to develop links between gender equity initiatives in areas of adult and adolescent health, and child health and nutrition programming. Child health and nutrition interventions will be more effective, equitable and sustainable if they are designed based on gender-sensitive information and continually evaluated from a gender perspective. © 2012 Elsevier Ltd.
Authors & Co-Authors
Richards, Esther
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Theobald, Sally Jane
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
George, Asha S.
United States, Baltimore
Johns Hopkins University
United States, New York
Unicef
Kim, Julia C.
United States, New York
Unicef
Rudert, Christiane
United States, New York
Unicef
Jehan, Kate
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Tolhurst, Rachel J.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Statistics
Citations: 122
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.1016/j.socscimed.2012.06.015
ISSN:
18735347
Research Areas
Food Security
Health System And Policy
Maternal And Child Health
Study Design
Randomised Control Trial
Narrative Study
Study Approach
Qualitative
Participants Gender
Female