<str<strong>on</strong>g>Gender</str<strong>on</strong>g> Influences On Child Survival, Health And Nutriti<strong>on</strong>: A Narrative Review Key messages <strong>on</strong> gender-sensitive interventi<strong>on</strong>s addressing <strong>child</strong> <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong> ‣ There are very few examples of evaluated gender-sensitive interventi<strong>on</strong>s that explicitly aim to impact young <strong>child</strong> <strong>survival</strong>, <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong>; ‣ Addressing modes of service delivery must involve making services more accessible to carers of <strong>child</strong>ren; interventi<strong>on</strong>s which have included a focus <strong>on</strong> accessing households directly through home visits or that address barriers to reaching facilities <strong>and</strong> seek to mobilize <strong>and</strong> engage communities have been effective in improving <strong>child</strong> <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong> outcomes; ‣ Interventi<strong>on</strong>s have also dem<strong>on</strong>strated the benefits of including senior females, such as gr<strong>and</strong>mothers in improving attitudes <strong>and</strong> practices regarding infant nutriti<strong>on</strong>; ‣ Bey<strong>on</strong>d the realm of <strong>child</strong> <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong> programming, interventi<strong>on</strong>s addressing women’s financial struggles, through cash transfers <strong>and</strong> micro credit schemes have shown benefits for <strong>child</strong> <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong> but these kinds of initiatives need careful planning <strong>and</strong> m<strong>on</strong>itoring to avoid negative c<strong>on</strong>sequences such as the reinforcing of gender norms <strong>and</strong> gender-based violence; ‣ Overall the review of interventi<strong>on</strong>s dem<strong>on</strong>strates that there are benefits to be reaped by designing programmes that use gender-sensitive approaches to address <strong>child</strong> <strong>survival</strong>, <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong>. ‣ There is a need to document gender-sensitive interventi<strong>on</strong>s <strong>on</strong> <strong>child</strong> <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong> <strong>and</strong> to make links between other interventi<strong>on</strong>s aimed at improving gender-equity in <strong>health</strong> (e.g. addressing violence) <strong>and</strong> specific <strong>child</strong> <strong>health</strong> outcomes. 57
<str<strong>on</strong>g>Gender</str<strong>on</strong>g> Influences On Child Survival, Health And Nutriti<strong>on</strong>: A Narrative Review REFERENCES Adato, M. & Bassett, L. (2009) 'Social protecti<strong>on</strong> to support vulnerable <strong>child</strong>ren <strong>and</strong> families: the potential of cash transfers to protect educati<strong>on</strong>, <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong>', AIDS Care, vol. 21, no. S1, pp. 60-75. Agarwal, S. & Srivastava, A. (2009) 'Social determinants of <strong>child</strong>ren's <strong>health</strong> in urban areas in India', Journal Of Health Care For The Poor And Underserved, vol. 20, no. 4 Suppl, pp. 68-89. Ahmed, S., Koenig, M.A. & Stephens<strong>on</strong>, R. (2006) 'Effects of Domestic Violence <strong>on</strong> Perinatal <strong>and</strong> Early- Childhood Mortality: Evidence From North India', Am J Public Health, vol. 96, no. 8, pp. 1423- 1428. Ahorlu, C.K., Dunyo, S.K., Afari, E.A., Koram, K.A. & Nkrumah, F.K. (1997) 'Malaria-related beliefs <strong>and</strong> behaviour in southern Ghana: implicati<strong>on</strong>s for treatment, preventi<strong>on</strong> <strong>and</strong> c<strong>on</strong>trol', Tropical medicine & internati<strong>on</strong>al <strong>health</strong> : TM & IH, vol. 2, no. 5, pp. 488-499. al-Taiar, A., Ch<strong>and</strong>ler, C., Al Eryani, S. & Whitty, C.J.M. (2009) 'Knowledge <strong>and</strong> practices for preventing severe malaria in Yemen: the importance of gender in planning policy', Health Policy And Planning, vol. 24, no. 6, pp. 428-437. Almroth, S., Mohale, M. & Latham, M.C. (1997) 'Gr<strong>and</strong>ma ahead of her time: traditi<strong>on</strong>al ways of diarrhoea management in Lesotho', Journal Of Diarrhoeal Diseases Research, vol. 15, no. 3, pp. 167-172. Anyangwe, S., Njikam, O., Kouemeni, L., Awa, P. & Wansi, E. (1994) <str<strong>on</strong>g>Gender</str<strong>on</strong>g> issues in the c<strong>on</strong>trol <strong>and</strong> preventi<strong>on</strong> of malaria <strong>and</strong> urinary schistosomiasis in endemic foci in Camero<strong>on</strong>, IDRC, Ottawa, ON, CA Apodaca, C. (2008) 'Women's Status <strong>and</strong> the Alleviati<strong>on</strong> of Child Hunger', C<strong>on</strong>ference Papers -- Internati<strong>on</strong>al Studies Associati<strong>on</strong>, pp. 1-28. Arcos, E., Uarac, M. & Molina, I. (2003) '[The impact of domestic violence <strong>on</strong> <strong>child</strong>ren's <strong>health</strong>]', Rev Med Chil, vol. 131, no. 12, pp. 1454-1462. Arcos, E., Uarac, M., Molina, I., Repossi, A. & Ulloa, M. (2001) 'Impact of domestic violence <strong>on</strong> reproductive <strong>and</strong> ne<strong>on</strong>atal <strong>health</strong>', Revista Medica De Chile, vol. 129, no. 12, pp. 1413-1424. Asenso-Okyere, Anum, A., Osei-Akoto, I., Codjoe, V. & Aduk<strong>on</strong>u, A. (1997) The Role of Men in Promoting More Equitable Relati<strong>on</strong>s in Malaria <strong>and</strong> Health Care, Report Number M<strong>on</strong>ograph Series No. 7, Health Social Science Research Unit, Institute of Statistical, Social <strong>and</strong> Ec<strong>on</strong>omic Research (ISSER), University of Ghana, Accra Asling-M<strong>on</strong>emi, K., Pena, R., Ellsberg, M. & Perss<strong>on</strong>, L. (2003) 'Violence against women increases the risk of infant <strong>and</strong> <strong>child</strong> mortality: a case-referent study in Nicaragua.', Bull World Health Organ., vol. 81, no. 1, pp. 10-16. Aubel, J. (2011a) 'The role <strong>and</strong> influence of gr<strong>and</strong>mothers <strong>on</strong> <strong>child</strong> nutriti<strong>on</strong>: Culturally-designated advisors <strong>and</strong> care-givers', Maternal <strong>and</strong> Child Nutriti<strong>on</strong>, vol. In Press. Aubel, J. (2011b) The roles <strong>and</strong> influence of gr<strong>and</strong>mothers <strong>and</strong> men: evidence supporting a familyfocused approach to optimal infant <strong>and</strong> young <strong>child</strong> nutriti<strong>on</strong>, USAID, Aubel, J., Touré, I. & Diagne, M. (2004) 'Senegalese gr<strong>and</strong>mothers promote improved maternal <strong>and</strong> <strong>child</strong> nutriti<strong>on</strong> practices: the guardians of traditi<strong>on</strong> are not averse to change', Social Science & Medicine, vol. 59, no. 5, pp. 945-959. Barker, G., Lyra, J. & Medrado, B. (2003) The Roles, Resp<strong>on</strong>sibilities, <strong>and</strong> Realities of Married Adolescent Males <strong>and</strong> Adolescent Fathers: A Brief Literature Review, WHO/UNFPA/Populati<strong>on</strong> Council Technical C<strong>on</strong>sultati<strong>on</strong> <strong>on</strong> Married Adolescents,, Geneva, 9-12 December 2003. 58