15
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      The long-term impact of community mobilisation through participatory women's groups on women's agency in the household: A follow-up study to the Makwanpur trial

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Women’s groups practicing participatory learning and action (PLA) in rural areas have been shown to improve maternal and newborn survival in low-income countries, but the pathways from intervention to impact remain unclear. We assessed the long-term impact of a PLA intervention in rural Nepal on women’s agency in the household. In 2014, we conducted a follow-up study to a cluster randomised controlled trial on the impact of PLA women’s groups from 2001–2003. Agency was measured using the Relative Autonomy Index (RAI) and its subdomains. Multi-level regression analyses were performed adjusting for baseline socio-demographic characteristics. We additionally adjusted for potential exposure to subsequent PLA groups based on women’s pregnancy status and conduct of PLA groups in areas of residence. Sensitivity analyses were performed using two alternative measures of agency. We analysed outcomes for 4030 mothers (66% of the cohort) who survived and were recruited to follow-up at mean age 39.6 years. Across a wide range of model specifications, we found no association between exposure to the original PLA intervention with women’s agency in the household approximately 11.5 years later. Subsequent exposure to PLA groups was not associated with greater agency in the household at follow-up, but some specifications found evidence for reduced agency. Household agency may be a prerequisite for actualising the benefits of PLA groups rather than a consequence.

          Related collections

          Most cited references59

          • Record: found
          • Abstract: not found
          • Article: not found

          A Caution Regarding Rules of Thumb for Variance Inflation Factors

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            The "what" and "why" of goal pursuits: human needs and the self-determination of behavior

              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              When choice is demotivating: Can one desire too much of a good thing?

                Bookmark

                Author and article information

                Contributors
                Role: Data curationRole: Formal analysisRole: MethodologyRole: SoftwareRole: Writing – original draftRole: Writing – review & editing
                Role: MethodologyRole: SupervisionRole: Writing – review & editing
                Role: InvestigationRole: Project administrationRole: Supervision
                Role: Writing – review & editing
                Role: SupervisionRole: Writing – review & editing
                Role: Writing – review & editing
                Role: SupervisionRole: Writing – review & editing
                Role: Data curationRole: InvestigationRole: Project administration
                Role: ConceptualizationRole: Funding acquisitionRole: ResourcesRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: MethodologyRole: Project administrationRole: SupervisionRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                14 May 2018
                2018
                : 13
                : 5
                : e0197426
                Affiliations
                [1 ] Institute for Global Health, University College London, London, United Kingdom
                [2 ] Mother and Infant Research Activities (MIRA), Kathmandu, Nepal
                [3 ] Department of Maternal, Newborn, Child and Adolescent Health (MCA), World Health Organization, Geneva, Switzerland
                [4 ] Great Ormond Street Institute of Child Health, University College London, London, United Kingdom
                Emory University, School of Public Health, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                http://orcid.org/0000-0002-3905-0465
                Article
                PONE-D-17-36817
                10.1371/journal.pone.0197426
                5951552
                29758071
                083f5dd0-9f83-4820-ad23-88ae948a360f
                © 2018 Gram et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 13 October 2017
                : 2 May 2018
                Page count
                Figures: 3, Tables: 5, Pages: 22
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/100004440, Wellcome Trust;
                Award ID: 085417/Z/08/Z
                Award Recipient :
                Funded by: Child Health Research Charitable Incorporated Organisation
                Award ID: 521297
                Award Recipient :
                Funded by: funder-id http://dx.doi.org/10.13039/501100000265, Medical Research Council;
                Award ID: G81174H
                Award Recipient :
                This study was funded by a Wellcome Trust strategic award [Ref: 085417/Z/08/Z, website: https://wellcome.ac.uk/]. MH was funded during this study as an Academic Clinical Lecturer by the National Institute for Health Research, UK [website: https://www.nihr.ac.uk/]. LG was funded during this study by a Child Health Research Charitable Incorporated Organisation grant [Ref: 521297, website: https://www.ucl.ac.uk/ich/about-us/cio/cio-overview] and the Medical Research Council [Ref: G81174H, website: https://www.mrc.ac.uk/]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Medicine and Health Sciences
                Women's Health
                Maternal Health
                Pregnancy
                Medicine and Health Sciences
                Women's Health
                Obstetrics and Gynecology
                Pregnancy
                Biology and Life Sciences
                Neuroscience
                Cognitive Science
                Cognitive Psychology
                Social Cognition
                Sense of Agency
                Biology and Life Sciences
                Psychology
                Cognitive Psychology
                Social Cognition
                Sense of Agency
                Social Sciences
                Psychology
                Cognitive Psychology
                Social Cognition
                Sense of Agency
                Biology and Life Sciences
                Psychology
                Social Psychology
                Social Cognition
                Sense of Agency
                Social Sciences
                Psychology
                Social Psychology
                Social Cognition
                Sense of Agency
                Medicine and Health Sciences
                Pediatrics
                Child Health
                Medicine and Health Sciences
                Public and Occupational Health
                Child Health
                People and Places
                Geographical Locations
                Asia
                Nepal
                Social Sciences
                Economics
                Finance
                Biology and Life Sciences
                Neuroscience
                Cognitive Science
                Cognitive Psychology
                Decision Making
                Biology and Life Sciences
                Psychology
                Cognitive Psychology
                Decision Making
                Social Sciences
                Psychology
                Cognitive Psychology
                Decision Making
                Biology and Life Sciences
                Neuroscience
                Cognitive Science
                Cognition
                Decision Making
                Research and Analysis Methods
                Database and Informatics Methods
                Health Informatics
                Medicine and Health Sciences
                Public and Occupational Health
                Global Health
                Custom metadata
                As informed consent for data sharing was not gained by participants the data cannot be made publicly available. However, we present aggregated numbers in the tables in the manuscript and the data can be shared on request, following the signing of a data sharing agreement between the researcher and members of our study group, including representatives from the World Health Organization, UCL and Mother Infant Research Activities NGO. Researchers can contact Lu Gram ( sejjlg2@ 123456ucl.ac.uk ) or the Data Administrator for the Institute for Global Health, Mary Caspillo-Brewer ( m.caspillo-brewer@ 123456ucl.ac.uk ), with any enquiries.

                Uncategorized
                Uncategorized

                Comments

                Comment on this article