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Improving nutritional status through behavioural change: lessons from Madagascar

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  • Emanuela Galasso
  • Nithin Umapathi

Abstract

The authors provide evidence for intermediate and long-term effects of a large scale intervention that focuses on quality of nutritional and child-care inputs during the early stages of life. Their empirical strategy uses a combination of difference-in-difference and weighting estimators in a longitudinal survey spanning ten years to estimate the effect of the availability of the programme at the community level on nutritional outcomes. They also provide indirect evidence to support their main identification assumption using falsification tests. They find that the programme helped 0-5 year old children in the participating communities to bridge their gap in weight-for-age z-score and the incidence of underweight. The programme also had significant effects in protecting long-term nutritional outcomes (height-for-age z-scores and incidence of stunting). Importantly, the effect of the programme exhibits substantial heterogeneity: gains in nutritional outcomes are larger for more educated mothers and for villages with better infrastructure. The results are suggestive of important complementarities between child-care, maternal education and community infrastructure.

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Bibliographic Info

Article provided by Taylor & Francis Journals in its journal Journal of Development Effectiveness.

Volume (Year): 1 (2009)
Issue (Month): 1 ()
Pages: 60-85

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Handle: RePEc:taf:jdevef:v:1:y:2009:i:1:p:60-85

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Related research

Keywords: community-based programme; nutrition; behavioural change; Madagascar;

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  1. Jalan, Jyotsna & Ravallion, Martin, 2003. "Does piped water reduce diarrhea for children in rural India?," Journal of Econometrics, Elsevier, vol. 112(1), pages 153-173, January.
  2. Alderman, Harold, 2007. "Improving Nutrition through Community Growth Promotion: Longitudinal Study of the Nutrition and Early Child Development Program in Uganda," World Development, Elsevier, vol. 35(8), pages 1376-1389, August.
  3. Thomas, D. & Currie, J., 1993. "Does Head Start Make a Difference?," Papers 694, Yale - Economic Growth Center.
  4. Galasso, Emanuela & Yau, Jeffrey, 2006. "Learning through monitoring : lessons from a large-scale nutrition program in Madagascar," Policy Research Working Paper Series 4058, The World Bank.
  5. Keisuke Hirano & Guido W. Imbens & Geert Ridder, 2000. "Efficient Estimation of Average Treatment Effects Using the Estimated Propensity Score," NBER Technical Working Papers 0251, National Bureau of Economic Research, Inc.
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Cited by:
  1. Shiladitya Chatterjee & Amitava Mukherjee & Raghbendra Jha, . "Approaches to Combat Hunger in Asia and the Pacific," MPDD Working Paper Series WP/10/10, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP).
  2. Stephan Litschig & Marian Meller, 2012. "Saving lives: Evidence from a conditional food supplementation program," Economics Working Papers 1304, Department of Economics and Business, Universitat Pompeu Fabra, revised Nov 2013.
  3. Vinod Thomas & Xubei Luo, 2011. "Overlooked Links in the Results Chain," World Bank Publications, The World Bank, number 2347, July.
  4. Emla Fitzsimons & Bansi Malde & Alice Mesnard & Marcos Vera-Hernandez, 2014. "Nutrition, information, and household behaviour: experimental evidence from Malawi," IFS Working Papers W14/02, Institute for Fiscal Studies.
  5. Maryanne Sharp & Ioana Kruse, 2011. "Health, Nutrition, and Population in Madagascar 2000-09," World Bank Publications, The World Bank, number 5957, July.
  6. Marian Meller & Stephan Litschig, 2013. "Saving Lives: Evidence from a Conditional Food Supplementation Program," Working Papers 609, Barcelona Graduate School of Economics.
  7. Alderman, Harold, 2007. "Improving Nutrition through Community Growth Promotion: Longitudinal Study of the Nutrition and Early Child Development Program in Uganda," World Development, Elsevier, vol. 35(8), pages 1376-1389, August.
  8. Álvarez, Begoña & Vera-Hernández, Marcos, 2013. "Exploiting subjective information to understand impoverished children's use of health care," Journal of Health Economics, Elsevier, vol. 32(6), pages 1194-1204.

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