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The impact of a nutrition-sensitive graduation model on child nutrition: Experimental evidence from Ethiopia

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  • Gilligan, Daniel O.
  • Hirvonen, Kalle
  • Leight, Jessica
  • Mesfin, Hiwot
  • Mulford, Michael
  • Tesfaye, Haleluya

Abstract

This brief reports on a three-arm cluster randomized controlled trial of 3,015 households evaluating the effectiveness of SPIR II, a nutrition-sensitive graduation model implemented in Ethiopia. The full treatment package—combining nutrition-focused behavior change communication (BCC), village economics and savings associations, monthly maternal cash transfers of US$20, and a one-time livelihood grant of US$300—generates large, sustained improvements in child diet quality, household consumption, livestock holdings, and formal savings. A substantial reduction in childhood stunting (7 percentage points) is observed in the same sub-arm; BCC alone improves caregiver nutrition knowledge but does not lead to improved child feeding or growth. The benefit-cost ratio is nearly two, suggesting the program more than pays for itself.

Suggested Citation

  • Gilligan, Daniel O. & Hirvonen, Kalle & Leight, Jessica & Mesfin, Hiwot & Mulford, Michael & Tesfaye, Haleluya, 2026. "The impact of a nutrition-sensitive graduation model on child nutrition: Experimental evidence from Ethiopia," Project notes 182850, International Food Policy Research Institute (IFPRI).
    • Handle: RePEc:fpr:prnote:182850
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