We investigated how adolescents’ time allocation across daily activities influences their body mass index and well-being by paying explicit attention to gender and activities relevant to low- and middle-income countries (LMICs). We hypothesized that the inequitable domestic burden shouldered by girls adversely affects their health and well-being. Using data from three waves of the Young Lives Longitudinal Survey (2009, 2013, and 2016) tracking 1891 children aged 8, 12, and 15 from predominantly rural, low-income households from South India, we analyzed gendered time use patterns and their implications. Girls spent more time on caregiving, housework, and studying at home, while boys allocated more time to school, leisure, and sleep. Random effects models revealed that time spent on caregiving and housework increased the likelihood of being overweight or obese among girls, whereas leisure time reduced it. Time in school was positively associated with girl’s thinness, as was time spent on sleep for both boys and girls. Gender moderated the effects of time spent on housework and unpaid economic tasks on thinness, reducing its likelihood for girls. Subjective well-being improved with time spent in school and studying for all adolescents. Fixed effects models revealed it worsened for girls engaged in paid work and boys engaged in leisure. Longer sleep hours improved boys’ well-being. These findings underscore that gendered time use patterns, particularly girls’ unequal burden of domestic responsibilities, contribute to their increased risk of overweight and obesity. Addressing these disparities is crucial for improving adolescents’ health and well-being in resource-poor settings in LMICs.
The two decades since the passage of the act have seen tremendous changes
The year 2025 marks the 20th anniversary of the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA). The programme design, resulting from a unique collaboration between bureaucrats and civil society, reflects a rights-based approach where 100 days of manual labour are to be provided to any rural household. It is the largest government programme with its budget reflecting 17% of the total budget for centrally sponsored schemes.
While the dominant patterns of migration for livelihood among the poor in India are rural-to-rural and circular, literature on the health implications of child migration has largely focused on rural-to-urban, permanent movement. We compared child growth across three migration typologies rural Bihar: circular migrant families that repeatedly migrate to rural destination sites with accompanying young children, rural households with male migrants, and rural households that do not engage in migration. We integrated network theory based on caste and tribe geography to inform our analytical approach. Our results demonstrate complex associations between nutrition status and repeated movement of children between home and destination spaces. In addition to the policy imperative of multilocational strategies for migrant families, households that do not engage in migration yet are located in high outmigration regions also require targeted livelihood and health interventions.
Of the four key areas that define women’s empowerment, personal efficacy, power in intra-household negotiations, societal engagement, and access to income-generating activities, we see improvements in the first three domains. In contrast, the fourth — access to employment — has stagnated.