Understanding the Role of Gender Inequality and Food Insecurity on Maternal and Child Health
Understanding the Role of Gender Inequality and Food Insecurity on Maternal and Child Health
To pilot test a group intervention for newly married women and their households to improve
 nutrition, pregnancy and delivery knowledge, and intrahousehold communication
Aim: To test the feasibility of an empowerment and food insecurity intervention for newly
 married women and others in their households to improve maternal and child health outcomes.
 The investigators will pilot an intervention consisting of groups of newly married women,
 their husbands and mothers-in-law. Each household will be enrolled for 4 months in weekly
 sessions. Topics discussed will include behavioral messaging crafted specifically for newly
 married households (including husbands and in-laws) to address the perceptions of different
 family members about food consumption, gender inequality, and the relationship between
 women's nutrition, food consumption, maternal health, and birth outcomes. Behavioral
 messaging at the household level: Based on findings from preliminary studies, key barriers to
 newly married women receiving needed nutrition/food and potential mechanisms to address those
 barriers were identified, as well as informational messages that could be used to address
 specific barriers. Particular attention was paid to how household dynamics and
 decision-making relate to gender inequality and food insecurity. Thirty randomly selected
 newly married households will be recruited to participate in testing the feasibility and
 acceptability of the intervention. Acceptability will be assessed from women, husbands, and
 mothers-in-law through surveys at the end of 4 months with questions on relevance to their
 needs, information gained, and interest in participating further. Enrollment and retention at
 4 months will also be used to measure acceptability. Preliminary changes in knowledge,
 attitudes and behaviors will be assessed through a comparison of pre and post survey data.
 The investigators will also conduct semi structured interviews with 15 participants and 5
 stakeholders. If necessary, the intervention will then be refined.
Inclusion Criteria:

 -  the household has a newly married couple (married in the last 3 months)

 -  a living mother-in-law

 -  both the woman and man being over the age of 18

 Exclusion Criteria:

 -  Under 18

 -  not recently married