Aulo Gelli

Assessing the overall benefits of programs enhancing human capital and equity: A new method with an application to school meals

Unpacking power dynamics and women’s economic empowerment in polygynous households in Burkina Faso

Objective We aim to describe power distributions in polygynous households and consider how these matter for the production and allocation of food-generating resources in western Burkina Faso, where there is a high prevalence of polygyny. Background Recent studies on polygyny focus on its likely negative consequences and mechanisms for explaining these outcomes using data from large multitopic surveys. These approaches fail to consider the underlying dynamics in polygynous households. Method As part of a 5-year mixed-methods evaluation of a nutrition- and gender-sensitive poultry value chain intervention in western Burkina Faso, we conducted a thematic analysis of 24 gender-disaggregated focus group discussions (265 individuals) and 24 semi-structured interviews in six communities. They focused on gender and power dynamics, food production, and food allocation with a specific focus on polygyny. Results Relationships among co-wives are often cooperative, though not necessarily warm, and typically hierarchical. Monogamous and polygynous marriage may support women’s empowerment in different domains. Polygynous co-wives may be able to divide care work, but first wives often control how labor is divided. In monogamous marriages, wives often make decisions jointly with their husbands, while in polygynous marriages, most co-wives are left out of decisions. In polygynous households, women are better able to maintain control over their earnings. Conclusion We discuss these findings in terms of their implications for studying polygynous households in quantitative surveys and in terms of how to better design and target interventions for this population.

A large-scale nutrition- and gender-sensitive poultry market-based program did not improve maternal and child diets in rural Burkina Faso: A cluster-randomized controlled trial

Background Livestock production interventions can improve consumption of animal-source foods and diet diversity, which may lead to improved micronutrient adequacy. Objective We assessed the effectiveness on maternal and child dietary outcomes of SELEVER, a livestock intervention designed to improve diets in rural Burkina Faso through training and market facilitation to improve poultry production; women’s empowerment activities; and nutrition and hygiene behavior change communication. Methods For a nonblinded cluster-randomized controlled trial, we randomly assigned 30 communes to SELEVER and 30 communes to control, of which 15 communes served as control for a narrow sample. Fifteen households were randomly selected in two villages per commune; of which 12 were included in the narrow sample. In the wide sample, we used ANCOVA to assess SELEVER’s effectiveness on dietary diversity in index children aged 2-4 years at baseline and in their caregivers, and on minimum acceptable diet in their siblings aged 6-23 months at measurement. In the narrow sample, we used difference-in-difference to assess SELEVER’s effectiveness on vitamin A, iron, and zinc prevalence of adequate intakes (PA) and mean PA of 11 micronutrients in index children and caregivers. Results We enrolled 1,767 index children, 1,766 caregivers and 412 siblings aged 6–23 months at endline in the wide sample, and 1,054 caregiver-child dyads in the narrow sample. In the wide sample, exposure to program activities was higher but moderate in SELEVER communities, with limited effects on dietary knowledge and practices and no effects on diet outcomes. The narrow sample showed a negative effect on zinc PA in children (-26 percentage points, P=0.020), and no effect on other outcomes. Conclusions A program focused on improving the productivity of and demand for nutritious foods did not improve micronutrient adequacy. Implementation strategy and bottlenecks may have limited the system transformations needed to produce measurable shifts toward healthier diets. The study was registered on the ISCRCTN registry (ISRCTN16686478); details are available at https://www.isrctn.com/ISRCTN16686478