Impact of household economic strengthening intervention on food security among caregivers of orphans and vulnerable children in Tanzania

Author:

Exavery AmonORCID,Charles John,Barankena Asheri,Bajaria Shraddha,Minja Epifania,Mulikuza Jacob,Mbwambo Tumainiel,Ally Amal,Mseya Remmy,Mubyazi Godfrey M.,Kikoyo Levina,Balampama Marianna

Abstract

About 2 billion people worldwide suffer moderate or severe forms of food insecurity, calling for correctional measures involving economic strengthening interventions. This study assessed the impact of household economic strengthening (HES) intervention on food security among caregivers of orphans and vulnerable children (OVC) in Tanzania. The study was longitudinal in design, based on OVC caregivers’ baseline (2017–2018) and midline (2019) data from the USAID Kizazi Kipya project. Food security, the outcome, was measured using the Household Hunger Scale (HHS) in three categories: little to no hunger (food secure), moderate hunger, and severe hunger. Membership in the USAID Kizazi Kipya-supported economic strengthening intervention (i.e. WORTH Yetu) was the main independent variable. Data analysis involved generalized estimating equation (GEE) for multivariate analysis. With mean age of 50.3 years at baseline, the study analyzed 132,583 caregivers, 72.2% of whom were female. At midline, 7.6% of all caregivers enrolled at baseline were members in WORTH Yetu. Membership in WORTH Yetu was significantly effective in reducing household hunger among the caregivers: severe hunger dropped from 9.4% at baseline to 4.1% at midline; moderate hunger dropped from 65.9% at baseline to 62.8% at midline; and food security (i.e., little to no hunger households) increased from 25.2% at baseline to 33.1% at midline. In the multivariate analysis, membership in WORTH Yetu reduced the likelihood of severe hunger by 47% (OR = 0.53, 95% CI 0.48–0.59), and moderate hunger by 21% (OR = 0.79, 95% CI 0.76–0.83), but increased the likelihood of food security by 45% (OR = 1.45, 95% CI 1.39–1.51). The USAID Kizazi Kipya’s model of household economic strengthening for OVC caregivers was effective in improving food security and reducing household hunger in Tanzania. This underscores the need to expand WORTH Yetu coverage. Meanwhile, these results indicate a potential of applying the intervention in similar settings to address household hunger.

Publisher

Public Library of Science (PLoS)

Subject

Multidisciplinary

Reference57 articles.

1. FAO, IFAD, UNICEF, WFP, WHO. The State of Food Security and Nutrition in the World 2019. Safeguarding against economic slowdowns and downturns. Rome: FAO; 2019 [cited 2021 Jan 18]. Report No.: Licence: CC BY-NC-SA 3.0 IGO. https://docs.wfp.org/api/documents/WFP-0000106760/download/?

2. COVID-19 and the future of food systems at the UNFCCC;S Gralak;Lancet Planet Health,2020

3. United Nations. Zero Hunger Challenge: Pathways to Zero Hunger. 2012 [cited 2021 Jan 13]. https://www.un.org/zerohunger/content/challenge-hunger-can-be-eliminated-our-lifetimes

4. Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review;E Chop;Health Care Women Int,2017

5. Food Insecurity—A Risk Factor for HIV Infection;N. Rollins;PLOS Med,2007

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3