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Impact and spill-over effects of an asset transfer program on child undernutrition: Evidence from a randomized control trial in Bangladesh

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  • Raza, Wameq A.
  • Van de Poel, Ellen
  • Van Ourti, Tom

Abstract

Targeting the Ultra-poor (TUP) is an integrated programme that combines the transfer of income-generating assets and multifaceted training on entrepreneurship, health-nutrition, and social awareness over a two-year period to graduate ultra-poor with mainstream poverty. While positive socioeconomic effects and spill-over effects are well-documented, this is the first paper to evaluate the effects of the programme on nutritional outcomes of under-5 children using data from a randomized control trial over a four-year period. We find notable improvements in nutritional outcomes of children in participating households. TUP is further seen to improve food-security, sanitation and duration of exclusive-breastfeeding. Nutrition status of children living in poor non-participant households are also positively affected though no effects were found on children from non-poor households. We conclude that programmes that combine asset transfer with multifaceted training such as TUP can have significant long-term positive health effects.

Suggested Citation

  • Raza, Wameq A. & Van de Poel, Ellen & Van Ourti, Tom, 2018. "Impact and spill-over effects of an asset transfer program on child undernutrition: Evidence from a randomized control trial in Bangladesh," Journal of Health Economics, Elsevier, vol. 62(C), pages 105-120.
  • Handle: RePEc:eee:jhecon:v:62:y:2018:i:c:p:105-120
    DOI: 10.1016/j.jhealeco.2018.09.011
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    1. Handa, Sudhanshu & Huerta, Mari-Carmen & Perez, Raul & Straffon, Beatriz, 2001. "Poverty, inequality, and spillover in Mexico's education, health, and nutrition program," FCND discussion papers 101, International Food Policy Research Institute (IFPRI).
    2. M. Shahe Emran & Virginia Robano & Stephen C. Smith, 2014. "Assessing the Frontiers of Ultrapoverty Reduction: Evidence from Challenging the Frontiers of Poverty Reduction/Targeting the Ultra-poor, an Innovative Program in Bangladesh," Economic Development and Cultural Change, University of Chicago Press, vol. 62(2), pages 339-380.
    3. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2008. "Bootstrap-Based Improvements for Inference with Clustered Errors," The Review of Economics and Statistics, MIT Press, vol. 90(3), pages 414-427, August.
    4. Christopher Blattman & Eric P. Green & Julian Jamison & M. Christian Lehmann & Jeannie Annan, 2016. "The Returns to Microenterprise Support among the Ultrapoor: A Field Experiment in Postwar Uganda," American Economic Journal: Applied Economics, American Economic Association, vol. 8(2), pages 35-64, April.
    5. Christopher Blattman & Nathan Fiala & Sebastian Martinez, 2014. "Generating Skilled Self-Employment in Developing Countries: Experimental Evidence from Uganda," The Quarterly Journal of Economics, Oxford University Press, vol. 129(2), pages 697-752.
    6. Roy, Shalini & Ara, Jinnat & Das, Narayan & Quisumbing, Agnes R., 2015. "“Flypaper effects” in transfers targeted to women: Evidence from BRAC's “Targeting the Ultra Poor” program in Bangladesh," Journal of Development Economics, Elsevier, vol. 117(C), pages 1-19.
    7. Bauchet, Jonathan & Morduch, Jonathan & Ravi, Shamika, 2015. "Failure vs. displacement: Why an innovative anti-poverty program showed no net impact in South India," Journal of Development Economics, Elsevier, vol. 116(C), pages 1-16.
    8. Chambers, Robert, 1994. "Participatory rural appraisal (PRA): Analysis of experience," World Development, Elsevier, vol. 22(9), pages 1253-1268, September.
    9. Najy Benhassine & Florencia Devoto & Esther Duflo & Pascaline Dupas & Victor Pouliquen, 2015. "Turning a Shove into a Nudge? A "Labeled Cash Transfer" for Education," American Economic Journal: Economic Policy, American Economic Association, vol. 7(3), pages 86-125, August.
    10. Navajas, Sergio & Schreiner, Mark & Meyer, Richard L. & Gonzalez-vega, Claudio & Rodriguez-meza, Jorge, 2000. "Microcredit and the Poorest of the Poor: Theory and Evidence from Bolivia," World Development, Elsevier, vol. 28(2), pages 333-346, February.
    11. Oriana Bandiera & Robin Burgess & Narayan Das & Selim Gulesci & Imran Rasul & Munshi Sulaiman, 2017. "Labor Markets and Poverty in Village Economies," The Quarterly Journal of Economics, Oxford University Press, vol. 132(2), pages 811-870.
    12. Guido W. Imbens & Jeffrey M. Wooldridge, 2009. "Recent Developments in the Econometrics of Program Evaluation," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 5-86, March.
    13. Wameq A. Raza & Narayan C. Das & Farzana A. Misha, 2012. "Can ultra-poverty be sustainably improved? Evidence from BRAC in Bangladesh," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 4(2), pages 257-276, June.
    14. Chambers, Robert, 1994. "Participatory rural appraisal (PRA): Challenges, potentials and paradigm," World Development, Elsevier, vol. 22(10), pages 1437-1454, October.
    15. Handa, Sudhanshu & Huerta, Mari-Carmen & Perez, Raul & Straffon, Beatriz, 2001. "Poverty, inequality, and spillover in Mexico's education, health, and nutrition program," FCND briefs 101, International Food Policy Research Institute (IFPRI).
    16. repec:oup:qjecon:v:129:y:2014:i:2:p:697-752. is not listed on IDEAS
    17. David Roodman & James G. MacKinnon & Morten Ørregaard Nielsen & Matthew D. Webb, 2019. "Fast and wild: Bootstrap inference in Stata using boottest," Stata Journal, StataCorp LP, vol. 19(1), pages 4-60, March.
    18. McKenzie, David, 2012. "Beyond baseline and follow-up: The case for more T in experiments," Journal of Development Economics, Elsevier, vol. 99(2), pages 210-221.
    19. Gustavo J. Bobonis & Frederico Finan, 2009. "Neighborhood Peer Effects in Secondary School Enrollment Decisions," The Review of Economics and Statistics, MIT Press, vol. 91(4), pages 695-716, November.
    20. Manuela Angelucci & Giacomo De Giorgi, 2009. "Indirect Effects of an Aid Program: How Do Cash Transfers Affect Ineligibles' Consumption?," American Economic Review, American Economic Association, vol. 99(1), pages 486-508, March.
    21. Johannes Haushofer & Jeremy Shapiro, 2016. "The Short-term Impact of Unconditional Cash Transfers to the Poor: ExperimentalEvidence from Kenya," The Quarterly Journal of Economics, Oxford University Press, vol. 131(4), pages 1973-2042.
    22. Armando Barrientos & Rachel Sabates-Wheeler, 2011. "Strategic complementarities and social transfers: how do PROGRESA payments impact nonbeneficiaries?," Applied Economics, Taylor & Francis Journals, vol. 43(23), pages 3175-3185.
    23. A. Colin Cameron & Douglas L. Miller, 2015. "A Practitioner’s Guide to Cluster-Robust Inference," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 317-372.
    24. Vilas J. Gobin & Paulo Santos & Russell Toth, 2017. "No Longer Trapped? Promoting Entrepreneurship Through Cash Transfers to Ultra-Poor Women in Northern Kenya," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 99(5), pages 1362-1383.
    25. Berger, Marguerite, 1989. "Giving women credit: The strengths and limitations of credit as a tool for alleviating poverty," World Development, Elsevier, vol. 17(7), pages 1017-1032, July.
    26. Misha, F.A. & Raza, W.A. & Ara, J. & Van de Poel, E., 2014. "How far does a big push really push?," ISS Working Papers - General Series 77199, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
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    Cited by:

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    4. Kang, Yunhee & Cho, Mokryeon & Rahman, Md.Mezanur & Cho, Yoonho & Han, Seungheon & Dutta, Makhan L., 2021. "Design of a collaborative monitoring and evaluation system for a community-based nutrition project in rural Bangladesh," Evaluation and Program Planning, Elsevier, vol. 84(C).

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    More about this item

    Keywords

    Child nutrition; Cash-transfer program; Randomized control trial; Spill-over effects; Ultra-poverty; Bangladesh; Graduation approach;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty

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