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Does geographic targeting of nutrition interventions make sense in cities?

Author

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  • Morris, Saul Sutkover
  • Levin, Carol E.
  • Armar-Klemesu, Margaret
  • Maxwell, Daniel G.
  • Ruel, Marie T.

Abstract

Although most developing country cities are characterized by pockets of substandard housing and inadequate service provision, it is not known to what degree low incomes and malnutrition are confined to specific neighborhoods. This analysis uses representative household surveys of Abidjan and Accra to quantify small-area clustering in service provision, demographic characteristics, consumption, and nutrition. Both cities showed significant clustering in housing conditions but not in nutrition, while income was clustered in Abidjan, but less so in Accra. This suggests that neighborhood targeting of poverty-alleviation or nutrition interventions in these and similar cities could lead to undercoverage of the truly needy.

Suggested Citation

  • Morris, Saul Sutkover & Levin, Carol E. & Armar-Klemesu, Margaret & Maxwell, Daniel G. & Ruel, Marie T., 1999. "Does geographic targeting of nutrition interventions make sense in cities?," FCND discussion papers 61, International Food Policy Research Institute (IFPRI).
    • Handle: RePEc:fpr:fcnddp:61
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    References listed on IDEAS

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    1. Ruel, Marie T. & Levin, Carol E. & Armar-Klemesu, Margaret & Maxwell, Daniel & Morris, Saul S., 1999. "Good Care Practices Can Mitigate the Negative Effects of Poverty and Low Maternal Schooling on Children's Nutritional Status: Evidence from Accra," World Development, Elsevier, vol. 27(11), pages 1993-2009, November.
    2. Ruel, Marie T. & Garrett, James L. & Morris, Saul Sutkover & Maxwell, Daniel G. & Oshaug, Arne & Engle, Patrice L. & Menon, Purnima & Slack, Alison T. & Haddad, Lawrence James, 1998. "Urban challenges to food and nutrition security," FCND discussion papers 51, International Food Policy Research Institute (IFPRI).
    3. Vandell Kerry D., 1994. "Market Factors Affecting Spacial Heterogeneity Among Urban Neighborhoods," Wisconsin-Madison CULER working papers 94-11, University of Wisconsin Center for Urban Land Economic Research.
    4. Paul Kwadwo Asabere, 1981. "# The Determinants of Land Values in an African City: The Case of Accra, Ghana," Land Economics, University of Wisconsin Press, vol. 57(3), pages 385-397.
    5. Coulombe, H. & Demery, L., 1993. "Household Size in Cote d'Ivoire, Simpling Bias in the CILSS," Papers 97, World Bank - Living Standards Measurement.
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    Cited by:

    1. Ruel, Marie T. & Haddad, Lawrence James & Garrett, James L., 1999. "Some urban facts of life," FCND discussion papers 64, International Food Policy Research Institute (IFPRI).
    2. Ruel, Marie T. & Haddad, Lawrence & Garrett, James L., 1999. "Some Urban Facts of Life: Implications for Research and Policy," World Development, Elsevier, vol. 27(11), pages 1917-1938, November.

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