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Community Participation and Multidimensional Child Growth: Evidence from the Vietnam Young Lives Study
Rolando Gonzales Martinez1, Jonathan Wells2, Paul Anand3
1Population Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, The Netherlands.
Current Developments in Nutrition
|April 13, 2022
Summary
Community participation in intervention design positively impacts child growth, especially for deprived children in the WASH sector. Participation benefits nonphysical growth dimensions, highlighting its importance in public health initiatives.
Area of Science:
- Child Health and Development
- Public Health Interventions
- Socioeconomic Determinants of Health
Background:
- Community participation can enhance intervention effectiveness and reduce child growth inequalities.
- Multidimensional indicators are crucial for assessing these effects and disparities.
Purpose of the Study:
- To quantify the association between multidimensional child growth and community participation.
- To examine this association within two distinct nutrition-sensitive interventions.
Main Methods:
- Utilized the Vietnam Young Lives Survey (5-year-old cohort) with data on 240 children.
- Calculated a Multidimensional Index of Child Growth and analyzed community participation in health and WASH interventions.
- Employed ordinary least-squares and quantile regressions, controlling for child advantage, sex, and location.
Main Results:
- Positive association found between community participation in WASH intervention design and child growth, particularly for deprived children.
- Negative effects observed for health intervention design; no significant impact from implementation-stage participation.
- Significant associations were linked to nonphysical dimensions of child growth, not physical ones.
- Rural children showed growth inequalities, but not girls.
Conclusions:
- Community participation during intervention design is vital, especially for nonphysical (social, psychological) child growth dimensions.
- Benefits of participation were more pronounced in urban settings compared to rural settings, warranting further investigation.
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