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Learning through monitoring : lessons from a large-scale nutrition program in Madagascar

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  • Galasso, Emanuela
  • Yau, Jeffrey

Abstract

Monitoring data are generally collected as a by-product of the process of monitoring program implementation. Yet this rich source of data have not been exploited to assess the effectiveness of the program. In this paper the authors use detailed administered data from a large-scale, community-based nutrition program in Madagascar to argue that this data can be used to estimate the differential effect of increased exposure to the program and study how these returns to exposure evolve over time. They find that the returns to exposure are positive: communities exposed for an additional one or two years display on average lower malnutrition rates of around 7-9 percentage points. And they find that the returns decrease as time and duration increase, although they do not dissipate to zero. These results are consistent with the hypothesis that the returns to the program reflect learning effects from the intervention. Finally, the results show higher differential returns to the program in poorer areas and areas more vulnerable to diseases. These findings have important implications for how such programs should be scaled-up within a country.

Suggested Citation

  • 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.
  • Handle: RePEc:wbk:wbrwps:4058
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    References listed on IDEAS

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    1. Harold Alderman & John Hoddinott & Bill Kinsey, 2006. "Long term consequences of early childhood malnutrition," Oxford Economic Papers, Oxford University Press, vol. 58(3), pages 450-474, July.
    2. Anne Morrison Piehl & Suzanne J. Cooper & Anthony A. Braga & David M. Kennedy, 2003. "Testing for Structural Breaks in the Evaluation of Programs," The Review of Economics and Statistics, MIT Press, vol. 85(3), pages 550-558, August.
    3. Currie, Janet & Thomas, Duncan, 1995. "Does Head Start Make a Difference?," American Economic Review, American Economic Association, vol. 85(3), pages 341-364, June.
    4. Ravallion, Martin, 2000. "Monitoring Targeting Performance When Decentralized Allocations to the Poor Are Unobserved," World Bank Economic Review, World Bank Group, vol. 14(2), pages 331-345, May.
    5. Jere R. Behrman & Yingmei Cheng & Petra E. Todd, 2004. "Evaluating Preschool Programs When Length of Exposure to the Program Varies: A Nonparametric Approach," The Review of Economics and Statistics, MIT Press, vol. 86(1), pages 108-132, February.
    6. Cebu Study Team, 1992. "A child health production function estimated from longitudinal data," Journal of Development Economics, Elsevier, vol. 38(2), pages 323-351, April.
    7. Behrman, Jere R, 1996. "The Impact of Health and Nutrition on Education," World Bank Research Observer, World Bank Group, vol. 11(1), pages 23-37, February.
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    Cited by:

    1. Elizabeth M. King & Jere R. Behrman, 2009. "Timing and Duration of Exposure in Evaluations of Social Programs," World Bank Research Observer, World Bank Group, vol. 24(1), pages 55-82, February.
    2. Santiago Garriga, 2014. "Impacto del Plan Nacer sobre la Mortalidad Infantil en Argentina," CEDLAS, Working Papers 0168, CEDLAS, Universidad Nacional de La Plata.
    3. Emanuela Galasso & Nithin Umapathi, 2009. "Improving nutritional status through behavioural change: lessons from Madagascar," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 1(1), pages 60-85.
    4. World Bank, 2007. "Healthy Development : The World Bank Strategy for Health, Nutrition, and Population Results," World Bank Publications, The World Bank, number 6843, April.

    More about this item

    Keywords

    Poverty Monitoring&Analysis; Early Child and Children's Health; Nutrition; Rural Poverty Reduction; Primary Education;

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