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The Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) Indicator Is Related to Household Food Insecurity and Farm Production Diversity : Evidence from Rural Mali

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  • Laura Adubra

    (NutriPass - Nutrition et Alimentation des Populations aux Suds - UM1 - Université Montpellier 1 - IRD - Institut de Recherche pour le Développement - UM2 - Université Montpellier 2 - Sciences et Techniques - UM - Université de Montpellier - Montpellier SupAgro - Institut national d’études supérieures agronomiques de Montpellier, Montpellier SupAgro - Institut national d’études supérieures agronomiques de Montpellier, SU - Sorbonne Université)

  • Mathilde Savy

    (NutriPass - Nutrition et Alimentation des Populations aux Suds - UM1 - Université Montpellier 1 - IRD - Institut de Recherche pour le Développement - UM2 - Université Montpellier 2 - Sciences et Techniques - UM - Université de Montpellier - Montpellier SupAgro - Institut national d’études supérieures agronomiques de Montpellier, IRD - Institut de Recherche pour le Développement)

  • Sonia Fortin

    (NutriPass - Nutrition et Alimentation des Populations aux Suds - UM1 - Université Montpellier 1 - IRD - Institut de Recherche pour le Développement - UM2 - Université Montpellier 2 - Sciences et Techniques - UM - Université de Montpellier - Montpellier SupAgro - Institut national d’études supérieures agronomiques de Montpellier, IRD - Institut de Recherche pour le Développement)

  • Yves Kameli

    (NutriPass - Nutrition et Alimentation des Populations aux Suds - UM1 - Université Montpellier 1 - IRD - Institut de Recherche pour le Développement - UM2 - Université Montpellier 2 - Sciences et Techniques - UM - Université de Montpellier - Montpellier SupAgro - Institut national d’études supérieures agronomiques de Montpellier, IRD - Institut de Recherche pour le Développement)

  • Niamké Ezoua Kodjo
  • Kamayera Fainke
  • Tanimoune Mahamadou
  • Agnès Le Port
  • Yves Martin-Prével

    (NutriPass - Nutrition et Alimentation des Populations aux Suds - UM1 - Université Montpellier 1 - IRD - Institut de Recherche pour le Développement - UM2 - Université Montpellier 2 - Sciences et Techniques - UM - Université de Montpellier - Montpellier SupAgro - Institut national d’études supérieures agronomiques de Montpellier, Montpellier SupAgro - Institut national d’études supérieures agronomiques de Montpellier)

Abstract

Background: The popularity of nutrition-sensitive interventions calls for high-quality monitoring and evaluation tools. In this context, the Minimum Dietary Diversity for Women of Reproductive Age (MDD-W), validated as a proxy of micronutrient adequacy, does fill a gap. However, because it is a newly endorsed indicator, information on its linkages with other dimensions of food and nutrition security is still scarce. Objective: The objective of this study was to investigate whether the MDD-W is related to household food insecurity and farm production diversity. Methods: A cross-sectional survey on a representative sample of 5046 women of reproductive age was conducted in the region of Kayes, Mali, in 2013. Dietary diversity was assessed through qualitative 24-h recall, and MDD-W was computed. MDD-W equaled 1 if the women consumed at least 5 different food groups and 0 otherwise. Food insecurity was measured using the Household Food Insecurity Access Scale and the Household Hunger Scale (HHS), and a farm production diversity score (FPDS) was calculated based on a count of food crops/livestock groups produced. Logistic regressions were used to assess the relation between MDD-W and the indicators of household food security. Results: Only 27% of women reached the MDD-W. These women consumed animal source foods and/or vitamin A-rich vegetables and fruits more frequently than did other women. Women from extremely food insecure households (moderate to severe hunger according to the HHS) were less likely to reach the MDD-W (OR: 0.70; 95% CI: 0.50, 0.97). One more group in the FPDS increased the odds of attaining the MDD-W (OR: 1.12; 95% CI: 1.06, 1.18). Conclusion: In the rural region of Kayes, Mali, women's dietary diversity, as measured by the MDD-W, was associated with household-level food security indicators.

Suggested Citation

  • Laura Adubra & Mathilde Savy & Sonia Fortin & Yves Kameli & Niamké Ezoua Kodjo & Kamayera Fainke & Tanimoune Mahamadou & Agnès Le Port & Yves Martin-Prével, 2019. "The Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) Indicator Is Related to Household Food Insecurity and Farm Production Diversity : Evidence from Rural Mali," Post-Print hal-02082572, HAL.
    • Handle: RePEc:hal:journl:hal-02082572
    DOI: 10.1093/cdn/nzz002
    Note: View the original document on HAL open archive server: https://hal.sorbonne-universite.fr/hal-02082572
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    References listed on IDEAS

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    1. Smale, Melinda & Theriault, Veronique & Vroegindewey, Ryan, 2020. "Nutritional implications of dietary patterns in Mali," African Journal of Agricultural and Resource Economics, African Association of Agricultural Economists, vol. 15(3), September.
    2. Alexa L. Wood & Louie Rivers & Amadou Sidbé & Arika Ligmann-Zielinska, 2021. "Decision-making capacity to address climate-induced food insecurity within women-led groups in Southern Mali," Climatic Change, Springer, vol. 164(3), pages 1-18, February.
    3. Theriault, Veronique & Smale, Melinda, 2021. "The unintended consequences of the fertilizer subsidy program on crop species diversity in Mali," Food Policy, Elsevier, vol. 102(C).
    4. Eric O. Verger & Cédric Gaillard & Andrew D. Jones & Roseline Remans & Gina Kennedy, 2021. "Construction and Interpretation of Production and Market Metrics Used to Understand Relationships with Dietary Diversity of Rural Smallholder Farming Households," Agriculture, MDPI, vol. 11(8), pages 1-21, August.

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    Keywords

    nutrition sensitive; dietary diversity; women; West Africa; farm production diversity; household food security; rural;
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