Maternal & Child Nutrition · 15 authors, 7 centres
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A mixed-methods secondary analysis of the UPAVAN nutrition-sensitive agriculture trial in rural Odisha, India found that interventions were more effective in cooperative households with adequate resources, and that interventions increased women's decision-making power, though this did not always translate to adoption of promoted practices due to persisting resource constraints.
This mixed-methods study conducted a secondary analysis of data from the UPAVAN nutrition-sensitive agriculture programme in rural Odisha, India, examining how intrahousehold power inequalities and cooperation influenced intervention effectiveness. Qualitative evidence indicated that NSA interventions were more effective in cooperative families, particularly when households had access to land, water, and labour. Interventions increased women's decision-making around food and agriculture, especially among households with resources to act on new knowledge. The authors suggest this may reflect heterogeneity in household dynamics, with land, labour, and water constraints remaining insurmountable for some families despite increased women's confidence. Limitations include the secondary analysis design, difficulty measuring intrahousehold power and cooperation quantitatively, inability to infer causal effects, and potential social desirability bias. Implications point to the need for NSA interventions to engage multiple household members and address resource constraints.
