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In low-income farming communities in West Africa where populations are growing rapidly, climate change is anticipated to reduce agricultural production and increase household food insecurity. The impact on women's health of more frequent and severe periods of food insecurity is anticipated to significantly elevate women's risks of adverse and irreversible health outcomes. In particular, women of reproductive age are likely to face adverse pregnancy and childbearing outcomes because of biological and behavioral factors associated with food insecurity. Quantitative evidence linking reproductive health outcomes and food security is limited by lack of spatial analyses that consider individual-level women's health outcomes. Expanding the body of quantitative evidence that clearly links food insecurity experiences to individual-and community-level health outcomes is vital for informing effective aid planning and …