IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v56y2016icp11-22.html

Planning an integrated agriculture and health program and designing its evaluation: Experience from Western Kenya

Author

Listed:
  • Cole, Donald C.
  • Levin, Carol
  • Loechl, Cornelia
  • Thiele, Graham
  • Grant, Frederick
  • Girard, Aimee Webb
  • Sindi, Kirimi
  • Low, Jan

Abstract

Multi-sectoral programs that involve stakeholders in agriculture, nutrition and health care are essential for responding to nutrition problems such as vitamin A deficiency among pregnant and lactating women and their infants in many poor areas of lower income countries. Yet planning such multi-sectoral programs and designing appropriate evaluations, to respond to different disciplinary cultures of evidence, remain a challenge. We describe the context, program development process, and evaluation design of the Mama SASHA project (Sweetpotato Action for Security and Health in Africa) which promoted production and consumption of a bio-fortified, orange-fleshed sweetpotato (OFSP). In planning the program we drew upon information from needs assessments, stakeholder consultations, and a first round of the implementation evaluation of a pilot project. The multi-disciplinary team worked with partner organizations to develop a program theory of change and an impact pathway which identified aspects of the program that would be monitored and established evaluation methods. Responding to the growing demand for greater rigour in impact evaluations, we carried out quasi-experimental allocation by health facility catchment area, repeat village surveys for assessment of change in intervention and control areas, and longitudinal tracking of individual mother-child pairs. Mid-course corrections in program implementation were informed by program monitoring, regular feedback from implementers and partners’ meetings. To assess economic efficiency and provide evidence for scaling we collected data on resources used and project expenses. Managing the multi-sectoral program and the mixed methods evaluation involved bargaining and trade-offs that were deemed essential to respond to the array of stakeholders, program funders and disciplines involved.

Suggested Citation

  • Cole, Donald C. & Levin, Carol & Loechl, Cornelia & Thiele, Graham & Grant, Frederick & Girard, Aimee Webb & Sindi, Kirimi & Low, Jan, 2016. "Planning an integrated agriculture and health program and designing its evaluation: Experience from Western Kenya," Evaluation and Program Planning, Elsevier, vol. 56(C), pages 11-22.
    • Handle: RePEc:eee:epplan:v:56:y:2016:i:c:p:11-22
    DOI: 10.1016/j.evalprogplan.2016.03.001
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0149718916300581
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2016.03.001?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453.
    2. F. James Levinson & Isabel Madzorera, 2005. "Recent Experience in the Monitoring and Evaluation of Nutrition-Related Projects in Developing Countries: Nine Lessons Learned," Working Papers in Food Policy and Nutrition 28, Friedman School of Nutrition Science and Policy.
    3. Horton, Douglas & Rotondo, Emma & Paz Ybarnegaray, Rodrigo & Hareau, Guy & Devaux, André & Thiele, Graham, 2013. "Lapses, infidelities, and creative adaptations: Lessons from evaluation of a participatory market development approach in the Andes," Evaluation and Program Planning, Elsevier, vol. 39(C), pages 28-41.
    4. Sridharan, Sanjeev & Nakaima, April, 2011. "Ten steps to making evaluation matter," Evaluation and Program Planning, Elsevier, vol. 34(2), pages 135-146, May.
    5. Guerra-López, Ingrid & Hicks, Karen, 2015. "The participatory design of a performance oriented monitoring and evaluation system in an international development environment," Evaluation and Program Planning, Elsevier, vol. 48(C), pages 21-30.
    6. Cooksy, Leslie J. & Gill, Paige & Kelly, P. Adam, 2001. "The program logic model as an integrative framework for a multimethod evaluation," Evaluation and Program Planning, Elsevier, vol. 24(2), pages 119-128, May.
    7. World Bank, 2013. "Bulgaria : Options to Improve Security of Gas Supply," World Bank Publications - Reports 16080, The World Bank Group.
    8. Eduardo Pol, 2013. "Reconciling the Invisible Hand and innovation," Economics of Innovation and New Technology, Taylor & Francis Journals, vol. 22(5), pages 431-446, July.
    9. Trickett, E.J. & Beehler, S. & Deutsch, C. & Green, L.W. & Hawe, P. & McLeroy, K. & Lin Miller, R. & Rapkin, B.D. & Schensul, J.J. & Schulz, A.J. & Trimble, J.E., 2011. "Advancing the science of community-level interventions," American Journal of Public Health, American Public Health Association, vol. 101(8), pages 1410-1419.
    10. Aarestrup, Anne Kristine & Jørgensen, Thea Suldrup & Due, Pernille & Krølner, Rikke, 2014. "A six-step protocol to systematic process evaluation of multicomponent cluster-randomised health promoting interventions illustrated by the Boost study," Evaluation and Program Planning, Elsevier, vol. 46(C), pages 58-71.
    11. Michael R. Carter & Rachid Laajaj & Dean Yang, 2013. "The Impact of Voucher Coupons on the Uptake of Fertilizer and Improved Seeds: Evidence from a Randomized Trial in Mozambique," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 95(5), pages 1345-1351.
    12. World Bank, 2013. "Improving Nutrition Through Multisectoral Approaches [Estrategias multisectoriales para mejorar la corrupción]," World Bank Publications - Reports 16450, The World Bank Group.
    13. repec:hal:pseose:halshs-00979120 is not listed on IDEAS
    14. ., 2013. "Improving global health," Chapters, in: Strategic Public Private Partnerships, chapter 11, pages 123-133, Edward Elgar Publishing.
    15. Luo, Laura Pan & Liu, Lin, 2014. "Reflections on conducting evaluations for rural development interventions in China," Evaluation and Program Planning, Elsevier, vol. 47(C), pages 1-8.
    16. World Bank, 2013. "Improving Nutrition through Multisectoral Approaches," World Bank Publications - Reports 16953, The World Bank Group.
    17. Serbanescu Cosmin & Popescu Doina & Popa Ion, 2013. "Improving The Taxation Of Non-Cash Employee Benefits," Studies in Business and Economics, Lucian Blaga University of Sibiu, Faculty of Economic Sciences, vol. 8(1), pages 115-122, April.
    18. Jolley, Gwyneth, 2014. "Evaluating complex community-based health promotion: Addressing the challenges," Evaluation and Program Planning, Elsevier, vol. 45(C), pages 71-81.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nordhagen, Stella & Nielsen, Jennifer & van Mourik, Tom & Smith, Erin & Klemm, Rolf, 2019. "Fostering CHANGE: Lessons from implementing a multi-country, multi-sector nutrition-sensitive agriculture project," Evaluation and Program Planning, Elsevier, vol. 77(C).
    2. Baffoe, Gideon, 2019. "Exploring the utility of Analytic Hierarchy Process (AHP) in ranking livelihood activities for effective and sustainable rural development interventions in developing countries," Evaluation and Program Planning, Elsevier, vol. 72(C), pages 197-204.
    3. Enock Warinda & Dickson M Nyariki & Stephen Wambua & Reuben M Muasya & Munir A Hanjra, 2020. "Sustainable development in East Africa: impact evaluation of regional agricultural development projects in Burundi, Kenya, Rwanda, Tanzania, and Uganda," Natural Resources Forum, Blackwell Publishing, vol. 44(1), pages 3-39, February.
    4. Jakub Sikora & Marcin Niemiec & Monika Tabak & Zofia Gródek-Szostak & Anna Szeląg-Sikora & Maciej Kuboń & Monika Komorowska, 2020. "Assessment of the Efficiency of Nitrogen Slow-Release Fertilizers in Integrated Production of Carrot Depending on Fertilization Strategy," Sustainability, MDPI, vol. 12(5), pages 1-10, March.
    5. Lam, Steven & Dodd, Warren & Wyngaarden, Sara & Skinner, Kelly & Papadopoulos, Andrew & Harper, Sherilee L., 2021. "How and why are Theory of Change and Realist Evaluation used in food security contexts? A scoping review," Evaluation and Program Planning, Elsevier, vol. 89(C).
    6. A. V. Vijaya Bhaskar & D. J. Nithya & S. Raju & R. V. Bhavani, 2017. "Establishing integrated agriculture-nutrition programmes to diversify household food and diets in rural India," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 9(5), pages 981-999, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Taylor, Sebastian A.J. & Perez-Ferrer, Carolina & Griffiths, Andrew & Brunner, Eric, 2015. "Scaling up nutrition in fragile and conflict-affected states: The pivotal role of governance," Social Science & Medicine, Elsevier, vol. 126(C), pages 119-127.
    2. Nordhagen, Stella & Nielsen, Jennifer & van Mourik, Tom & Smith, Erin & Klemm, Rolf, 2019. "Fostering CHANGE: Lessons from implementing a multi-country, multi-sector nutrition-sensitive agriculture project," Evaluation and Program Planning, Elsevier, vol. 77(C).
    3. Arlène Alpha & Samuel Gebreselassié, 2015. "Governing Food and Nutrition Security in Food-Importing and Aid-Recipient Countries: Burkina Faso and Ethiopia," FOODSECURE Working papers 34, LEI Wageningen UR.
    4. World Bank, "undated". "World Bank East Asia and Pacific Economic Update, October 2015," World Bank Publications - Reports 22710, The World Bank Group.
    5. Göran Bostedt & Agneta Hörnell & Gert Nyberg, 2016. "Agroforestry extension and dietary diversity – an analysis of the importance of fruit and vegetable consumption in West Pokot, Kenya," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(1), pages 271-284, February.
    6. Smith, Lisa C. & Haddad, Lawrence, 2015. "Reducing Child Undernutrition: Past Drivers and Priorities for the Post-MDG Era," World Development, Elsevier, vol. 68(C), pages 180-204.
    7. Göran Bostedt & Agneta Hörnell & Gert Nyberg, 2016. "Agroforestry extension and dietary diversity – an analysis of the importance of fruit and vegetable consumption in West Pokot, Kenya," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(1), pages 271-284, February.
    8. World Bank Group, 2016. "Leveraging the Rice Value Chain for Poverty Reduction in Cambodia, Lao PDR, and Myanmar," World Bank Publications - Reports 24711, The World Bank Group.
    9. Johnston, Deborah & Stevano, Sara & Malapit, Hazel J. & Hull, Elizabeth & Kadiyala, Suneetha, 2015. "Agriculture, gendered time use, and nutritional outcomes: A systematic review," IFPRI discussion papers 1456, International Food Policy Research Institute (IFPRI).
    10. Iffat Mahmud & Nkosinathi Mbuya, 2016. "Water, Sanitation, Hygiene, and Nutrition in Bangladesh," World Bank Publications - Books, The World Bank Group, number 22800, April.
    11. Nick Chisholm, 2019. "Multi‐sectoral collaboration for improved nutrition: The problems and prospects of implementation in Ethiopia," Development Policy Review, Overseas Development Institute, vol. 37(2), pages 274-292, March.
    12. E. Duncan & L. Ashton & A. R. Abdulai & T. Sawadogo-Lewis & S. E. King & E. D. G. Fraser & S. Vosti & J. Haines & F. Knight & T. Roberton, 2022. "Connecting the food and agriculture sector to nutrition interventions for improved health outcomes," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 14(3), pages 657-675, June.
    13. Tranchant, Jean-Pierre & Justino, Patricia & Müller, Cathérine, 2020. "Political violence, adverse shocks and child malnutrition: Empirical evidence from Andhra Pradesh, India," Economics & Human Biology, Elsevier, vol. 39(C).
    14. Dyfrig Hughes & Joanna Charles & Dalia Dawoud & Rhiannon Tudor Edwards & Emily Holmes & Carys Jones & Paul Parham & Catrin Plumpton & Colin Ridyard & Huw Lloyd-Williams & Eifiona Wood & Seow Tien Yeo, 2016. "Conducting Economic Evaluations Alongside Randomised Trials: Current Methodological Issues and Novel Approaches," PharmacoEconomics, Springer, vol. 34(5), pages 447-461, May.
    15. Keiko Fukumori & Ayumi Arai & Tomoya Matsumoto, 2022. "Risk Management for Smallholder Farmers: An Empirical Study on the Adoption of Weather-Index Crop Insurance in Rural Kenya," Working Papers 230, JICA Research Institute.
    16. Paal Joranger & Arild Nesbakken & Halfdan Sorbye & Geir Hoff & Arne Oshaug & Eline Aas, 2020. "Survival and costs of colorectal cancer treatment and effects of changing treatment strategies: a model approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(3), pages 321-334, April.
    17. Mara Airoldi & Alec Morton & Jenifer A. E. Smith & Gwyn Bevan, 2014. "STAR—People-Powered Prioritization," Medical Decision Making, , vol. 34(8), pages 965-975, November.
    18. Refoios Camejo, Rodrigo & McGrath, Clare & Herings, Ron, 2011. "A dynamic perspective on pharmaceutical competition, drug development and cost effectiveness," Health Policy, Elsevier, vol. 100(1), pages 18-24, April.
    19. Saha, Sanjib & Gerdtham, Ulf-G. & Toresson, Håkan & Minthon, Lennart & Jarl, Johan, 2018. "Economic Evaluation of Interventions for Screening of Dementia," Working Papers 2018:20, Lund University, Department of Economics.
    20. Mark Oppe & Daniela Ortín-Sulbarán & Carlos Vila Silván & Anabel Estévez-Carrillo & Juan M. Ramos-Goñi, 2021. "Cost-effectiveness of adding Sativex® spray to spasticity care in Belgium: using bootstrapping instead of Monte Carlo simulation for probabilistic sensitivity analyses," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(5), pages 711-721, July.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:56:y:2016:i:c:p:11-22. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.