Download or read book The Glass of Milk Subsidy Program and Malnutrition in Peru written by Harold Alderman and published by World Bank Publications. This book was released on 2003 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors evaluate the Vaso de Leche (VL) feeding program in Peru. They pose the question that if a community-based multistage targeting scheme such as that of the VL program is progressive, is it possible that the program can achieve its nutritional objectives? The authors address this by linking VL public expenditure data with household survey data to assess the targeting, and then to model the determinants of nutritional outcomes of children to see if VL program interventions have an impact on nutrition. They confirm that the VL program is well targeted to poor households and to those with low nutritional status. While the bulk of the coverage of the poor is attributed to targeting of poor districts, the fact that the poor receive larger in-kind transfers is attributed to intradistrict targeting. But the impact of these food subsidies beyond their value as income transfers is limited by the degree to which the commodity transfers are inframarginal. The authors find that transfers of milk and milk substitutes from the VL program are inframarginal for approximately half of the households that receive them. So, it is not entirely surprising that they fail to find econometric evidence of the nutritional objectives of the VL program being achieved. In models of child standardized heights, the authors find no impact of the VL program expenditures on the nutritional outcomes of young children-the group to whom the program is targeted.

Download or read book Glass of Milk Subsidy Program and Malnutrition in Peru written by David Stifel and published by . This book was released on 2006 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Glass of Milk Subsidy Program and Malnutrition in Peru written by David C. Stifel and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This study of the Vaso de Leche (quot;Glass of Milkquot;) feeding program in Peru looks for evidence that this in-kind transfer program aimed at young children furthers nutritional objectives. The study links public expenditure data with household survey data to substantiate the targeting and to model the determinants of nutritional outcomes. It confirms that the social transfer program targets poor households and households with low nutritional status. Nevertheless, the study fails to find econometric evidence that the nutritional objectives are being achieved.

Download or read book The Glas of Milk Subsidiary Program and Malnutrition in Peru written by David Stifel and published by . This book was released on 2003 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Provisional Agenda written by and published by . This book was released on 2001 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Glass of Milk Subsidy Program and Maltnutrition in Peru written by David Stifel and published by . This book was released on 2003 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book What Can We Learn from Nutrition Impact Evaluations written by The World Bank and published by World Bank Publications. This book was released on 2010-08-27 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evaluation Summary What Can We Learn from Nutrition Impact Evaluations? High levels of child malnutrition in developing countries contribute to mortality and have long-term consequences for children s cognitive development and earnings as adults. Recent impact evaluations show that many different interventions have had an impact on children s anthropometric outcomes (height, weight, and birth weight), but there is no simple answer to the question What works? to address the problem. Similar interventions have widely different results in different settings, owing to differences in local context, the causes and severity of malnutrition, and the capacity for program implementation. Impact evaluations of programs supported by the Bank, which are generally large-scale, complex inter-ventions in low-capacity settings, show equally variable results. The findings confirm that it should not be assumed that an intervention found effective in a randomized medical setting will have the same effects when implemented under field conditions. There are many robust experimental and quasi-experimental methods for assessing impact under difficult circumstances often found in field settings. The relevance and impact of nutrition impact evaluations could be enhanced by collecting data on service delivery, demand-side behavioral outcomes, and implementation processes to better understand the causal chain and what part of the chain is weak, in parallel with impact evaluations. It is also important to understand better the distribution of impacts, particularly among the poor, and to document better the costs and effectiveness of interventions. High levels of child malnutrition in developing countries are contributing to mortality and present long-term consequences for the survivors. An estimated 178 million children under age 5 in developing countries are stunted (low height for age) and 55 million are wasted (low weight for height). Malnutrition makes children more susceptible to illness and strongly affects child mortality. Beyond the mortality risk in the short run, the developmental delays caused by undernutrition affect children s cognitive outcomes and productive potential as adults. Micronutrient deficiencies vitamin A, iron, zinc, iodine, for example are also common and have significant consequences. Progress in reducing malnutrition has been slow: More than half of countries are not on track to achieve the Millennium Development Goal of halving the share of children who are malnou-rished (low weight for age) by 2015. The food price and financial crises are making achievement of this goal even more elusive. The World Bank has recently taken steps to ex-pand its support for nutrition in response to the underlying need and the increased urgency due to the crises. WHAT DO WE KNOW ABOUT REDUCING MALNUTRITION? The increased interest and resources focused on the problem of high and potentially increasing rates of undernutrition raises the question, what do we know about the causes of malnutrition and the in-terventions most likely to reduce it? The medical literature points to the need to inter-vene during gestation and the first two years of life to prevent child malnutrition and its consequences. It suggests that investments in interventions during this window of opportunity among children under 2 are likely to have the greatest benefits. Recently published meta-analyses of the impact evaluation literature point to several interventions found effective for reducing undernutrition in spe-cific settings. However, there are limitations to the generalizability of those reviews findings, particularly in the context of large-scale government programs most likely to be supported by the World Bank. The reviews tend to disproportionately draw on the findings of smaller, controlled experiments; there are few examples of evaluations of large-scale programs, over which there is less control in implementation. In reviewing a large number of studies, interventions, and outcomes, they tend to focus on average impacts. They generally do not explain the magnitude or variability of impacts across or within studies. Very few address the programmatic reasons why some interventions work or don t work, nor do they assess the cost-effectiveness of interventions. Objectives of the Review This paper reviews recent impact evaluations of interventions and programs to improve child anth-ropometric outcomes height, weight, and birth weight with an emphasis on both the findings and limitations of the literature and on understanding what might happen in a non-research setting. It further reviews in greater detail the experience and lessons from evaluations of the impact of World Bank-supported programs on nutrition outcomes. Specifically, the review addresses four questions. First, what can be said about the impact of different interventions on children s anthropometric outcomes? Second, how do these findings vary across settings and within target groups, and what accounts for this variability? Third, what is the evidence of the cost-effectiveness of these interventions? Finally, what have been the lessons from implementing impact evaluations of Bank-supported programs with anthropometric impacts? While there are different dimensions of child nutri-tion that could be explored, the report focuses on child anthropometric outcomes -- weight, height, and birth weight. These are the most common nutrition outcome indicators in the literature and the most frequently monitored by national nutrition programs supported by the World Bank. Low weight for age (underweight) is also the indicator for one of the MDGs. Methodology and Scope Forty-six nutrition impact evaluations published since 2000 were systematically reviewed. These evaluations assessed the impact of diverse interven-tions community nutrition programs, conditional and unconditional cash transfers, early child devel-opment programs, food aid, integrated health and nutrition services, and de-worming. All of the evaluations used research designs that compared the outcomes among those affected by the project to the counterfactual that is, what would have happened to a similar group of people in the absence of the intervention. About half used randomized assignment to create treatment and control groups, while the remainder used matching and various econometric techniques to construct a counterfactual. Among the 46 evaluations, twelve assessed the im-pact of World Bank-supported programs on nutri-tion outcomes in eight countries. While the broader review relies on the analysis of the published impact evaluations as the main source of data, for these twelve evaluations project documents and research outputs were reviewed and World Bank staff, country officials and the evaluators and re-searchers who conducted the studies were interviewed. Findings A wide range of interventions had a positive impact on indicators related to height, weight, wasting, and low birth weight. There were a total of 10 different outcome indica-tors for the four main anthropometric outcomes. A little more than half of the evaluations addressing a height-related indicator found program impacts on at least one group of children, and this was true for about the same share of interventions aimed at improving weight-related and wasting (low weight for height)-related indicators. About three-quarters of the 11 evaluations of interventions that aimed at improving birth weight indicators registered an impact in at least one specification, including five out of seven micronutrient interven-tions. There was no clear pattern of impacts across interventions in every intervention group there were examples of programs that did and did not have an impact on a given indicator, and with varying magnitude. Evaluations of the nutritional impact of programs supported by the World Bank, which are generally large-scale, complex, and implemented in low-capacity settings, show equally variable results. Even controlling for the specific outcome indicator, studies often targeted children of different age groups that might be more or less susceptible to the interventions. It is thus difficult to point to inter-ventions that are systematically more effective than others in reducing malnutrition across diverse set-tings and age groups. Differences in local context, variation in the age of the children studied, the length of exposure to the intervention, and differing methodologies of the studies account for much of the variability in results. Context includes factors like the level and local determinants of malnutrition, differences in the characteristics of beneficiaries (including their age), the availability of service infrastructure, and the implementation capacity of government. Outside of a research setting in the context of a large government program there are many things that can go wrong in either service delivery or the demand response that can compromise impact. Beyond this, there are social factors like the status of women or the presence of civil unrest that can affect outcomes. These findings underscore the conclusion that it should not be assumed that an intervention found effective in a randomized controlled trial in a re-search setting will have the same effects when im-plemented under field conditions in a different set-ting. They also point to the need to understand the prevailing underlying causes of malnutrition in a given setting and the age groups most likely to benefit in selecting an intervention. Further, impact evaluations need to supplement data measuring impact with data on service delivery and demand-side behavioral outcomes to demonstrate the plausibility of the findings, to understand what part of a program works, and to address weak links in the results chain to improve performance. There is scant evidence on the distribution of nutrition impacts who is benefiting and who is not or on the cost-effectiveness of interventions Just because malnutrition is more common among the poor does not mean that they will disproportio-nately benefit from an intervention, particularly if acting on new knowledge or different incentives relies on access to education or quality services. Only a third of the 46 evaluations looked at the distribution of impacts by gender, mother s education, poverty status, or availability of complementary health services. Only nine assessed the impacts on nutritional outcomes of the poor compared with the non-poor. Among the evaluations that did examine variation in results, several found that the children of more educated mothers or in better-off communities are be-nefitting the most. Bank-supported cash transfers, community nutrition, and early child development programs in six of eight countries had some impact on child anthropometric outcomes. Of the 12 impact evaluations of Bank support, all but one were of large-scale government programs with multiple interventions and a long results chain. Three-quarters found a positive impact on anthro-pometric outcomes of children in at least one age group, although the magnitude was in some cases not large or applied to a narrow age group. Most of the impact evaluations involved assessment of completely new programs and involved World Bank researchers. Most used quasi-experimental evaluation designs and two-thirds assessed impact after at most 3 years of program implementation. Only half of the evaluations documented the distribution of impacts and only a third presented information on the costs of the intervention (falling short of cost-effectiveness analysis). In two of the countries (Colombia and the Philippines) the evaluations likely had an impact on government policy or programs. Lessons A number of lessons for development practi-tioners and evaluators arose from the review of impact evaluations of World Bank nutrition support. For task managers: Impact evaluations of interventions that are clearly beyond the means of the government to sustain are of limited relevance. The complexity, costs, and fiscal sustainability of the intervention should figure into the decision as to whether an impact evaluation is warranted. Impact evaluations are often launched for the purpose of evaluating completely new pro-grams, but they may be equally or even more useful in improving the effectiveness of ongo-ing programs. There are methods for obtaining reliable impact evaluation results when randomized assignment of interventions is not possible for political, ethical, or practical reasons. For evaluators: In light of the challenges of evaluating large-scale programs with a long results chain, it is well worth the effort to assess the risks to disruption of the impact evaluation ahead of time and identify mitigation measures. The design and analysis of nutrition impact evaluations need to take into account the likely sensitivity of children of different ages to the intervention. For the purposes of correctly gauging im-pact, it is important to know exactly when delivery of an intervention took place in the field (as opposed to the official start of the program). Evaluations need to be designed to provide evidence for timely decision-making, but with sufficient elapsed time for a plausible impact to have occurred. The relevance of impact evaluations for po-licymakers would be greatly enhanced if im-pact evaluations were to document both the

Download or read book Health Care In Peru written by Dieter K. Zschock and published by Routledge. This book was released on 2019-04-23 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines an important aspect of health care in Peru in considerable depth, based on intensive analysis of data from Peruvian sources. It offers a number of recommendations that can help bring the allocation of health sector resources into line with the country's health care policy. .

Download or read book School Health Nutrition and Education for All written by Matthew C. H. Jukes and published by CABI. This book was released on 2008 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book contains 7 chapters. The following topics are discussed: case for school health and nutrition; challenges for child health and nutrition (infectious diseases and nutritional deficiencies); health, nutrition and access to education; long-term effects of preschool health and nutrition on educational achievement; health, nutrition and educational achievement of school age children; costs and benefits of school health and nutrition interventions; and school health and nutrition programmes.

Download or read book Infant and young child feeding written by and published by . This book was released on 2009 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Chapter on Infant and Young Child Feeding is intended for use in basic training of health professionals. It describes essential knowledge and basic skills that every health professional who works with mothers and young children should master. The Model Chapter can be used by teachers and students as a complement to textbooks or as a concise reference manual.

Download or read book Indigenous Peoples Food Systems written by Harriet V. Kuhnlein and published by Fao. This book was released on 2009 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today, globalisation and homogenisation have replaced local food cultures. The 12 case studies presented in this book show the wealth of knowledge in indigenous communities in diverse ecosystems, the richness of their food resources, the inherent strengths of the local traditional food systems, how people think about and use these foods, the influx of industrial and purchased food, and the circumstances of the nutrition transition in indigenous communities. The unique styles of conceptualising food systems and writing about them were preserved. Photographs and tables accompany each chapter.

Download or read book Nutrition guidelines and standards for school meals written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2019-01-11 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Setting nutrition guidelines and standards has been recommended internationally to ensure that school meals are in line with children’s nutrition needs and adequate to their context. This report provides a descriptive overview of the situation of school meal nutrition guidelines and standards in 33 low and middle-income countries as reported through a global survey. The report identifies key aspects to consider for stakeholders who are planning to develop or update their guidelines and standards in the context of school meal programmes.

Download or read book Escaping the Poverty Trap written by Amartya Sen and published by IDB. This book was released on 2003 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Basing their discussions on the concept of "intergenerational transmission of poverty"--the "process by which poor parents pass on poverty and disadvantage to their children," in the words of editor Moran (until recently a senior economist with the International Development Bank's Sustainable Development Department)--five essays reflect on political, philosophical, social, and other dimensions of investing in early childhood in Latin America. The essays include Amartya Sen's discussion of early childhood investment within the context of the overall development process, as well explorations of the relationship between health, nutrition, and cognitive and social dimensions of poverty; the impact of early childhood investment on economic growth and equity; and the role of the state in marshalling resources for early childhood investment. Distributed by Johns Hopkins U. Press. Annotation : 2004 Book News, Inc., Portland, OR (booknews.com).

Download or read book Food policies and nutrition transition in Sri Lanka Historical trends political regimes and options for interventions written by Weerahewa, Jeevika and published by Intl Food Policy Res Inst. This book was released on with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this paper we look at Sri Lanka’s food and nutrition policies from a historical perspective to identify the intervention options for addressing the country’s current food security and nutrition challenges.

Download or read book Improving Diets and Nutrition written by Brian Thompson and published by CABI. This book was released on 2014-04-28 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nutrition-sensitive, food-based approaches towards hunger and malnutrition are effective, sustainable and long-term solutions. This book discusses the policy, strategic, methodological, technical and programmatic issues associated with such approaches, proposes “best practices” for the design, targeting, implementation and evaluation of specific nutrition-sensitive, food-based interventions and for improved methodologies for evaluating their efficacy and cost-effectiveness, and provides practical lessons for advancing nutrition-sensitive food-based approaches for improving nutrition at policy and programme level.

Download or read book Dietary assessment written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2018-06-11 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: FAO provides countries with technical support to conduct nutrition assessments, in particular to build the evidence base required for countries to achieve commitments made at the Second International Conference on Nutrition (ICN2) and under the 2016-2025 UN Decade of Action on Nutrition. Such concrete evidence can only derive from precise and valid measures of what people eat and drink. There is a wide range of dietary assessment methods available to measure food and nutrient intakes (expressed as energy insufficiency, diet quality and food patterns etc.) in diet and nutrition surveys, in impact surveys, and in monitoring and evaluation. Differenct indicators can be selected according to a study's objectives, sample population, costs and required precision. In low capacity settings, a number of other issues should be considered (e.g. availability of food composition tables, cultural and community specific issues, such as intra-household distribution of foods and eating from shared plates, etc.). This manual aims to signpost for the users the best way to measure food and nutrient intakes and to enhance their understanding of the key features, strengths and limitations of various methods. It also highlights a number of common methodological considerations involved in the selection process. Target audience comprises of individuals (policy-makers, programme managers, educators, health professionals including dietitians and nutritionists, field workers and researchers) involved in national surveys, programme planning and monitoring and evaluation in low capacity settings, as well as those in charge of knowledge brokering for policy-making.

Download or read book Inclusive Social Protection in Latin America written by Simone Cecchini and published by UN. This book was released on 2012 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Foreword -- Summary -- Introduction -- Social policy and protection -- Social protection in Latin America in the new millennium -- Co-responsibility transfer programmes and social protection -- Towards a comprehensive social protection system -- Co-responsibility transfer programmes as a gateway into social protection -- Consolidating social protection in Latin America: Main challenges -- Bibliography -- Social protection and economic, social and cultural rights -- Three model co-responsibility transfer programmes in the region -- Estimated cost of non-contributory cash transfers -- Statistical annex