Designing interventions in local value chains for improved health and nutrition: Insights from Malawi
In: World development perspectives, Band 16, S. 100149
ISSN: 2452-2929
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In: World development perspectives, Band 16, S. 100149
ISSN: 2452-2929
Despite the strong interest on the role of agri-food value chains in advancing health and nutrition goals, guidance on how to actually design and assess related development programming has only recently emerged. This paper begins with a brief review of research on nutrition-sensitive value chains in developing countries. It then presents the Value Chains and Nutrition framework for intervention design that explores food supply and demand conditions across a portfolio of local value chains that are relevant for improving nutrition outcomes. We explore the framework in a case study on rural Malawi. Available evidence highlights the dominance of maize in diets, but also the willingness of rural households to consume other nutritious foods (e.g. leafy greens, tree fruits, dried fish) during the year. Addressing the supply constraints (e.g. low productivity, seasonality) and demand constraints (e.g. low income, preference for maize) along local value chains will require carefully sequenced interventions within and across value chains. Strategies for achieving nutrition goals in this context will require stronger collaborative ties between NGOs, government agencies and the private sector and deeper learning among stakeholders than has typically been the case. We conclude with recommendations for future work on frameworks and tools for supporting the design of value chain interventions with potential to advance health and nutrition goals. ; IFPRI3; CRP4; CRP3.2 ; A4NH; PHND ; PR ; CGIAR Research Program on Agriculture for Nutrition and Health (A4NH); CGIAR Research Program on Maize (MAIZE)
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BACKGROUND: Providing food through schools has well documented effects in terms of the education, health and nutrition of school children. However, there is limited evidence in terms of the benefits of providing a reliable market for small-holder farmers through "home-grown" school feeding approaches. This study aims to evaluate the impact of school feeding programmes sourced from small-holder farmers on small-holder food security, as well as on school children's education, health and nutrition in Mali. In addition, this study will examine the links between social accountability and programme performance. DESIGN: This is a field experiment planned around the scale-up of the national school feeding programme, involving 116 primary schools in 58 communities in food insecure areas of Mali. The randomly assigned interventions are: 1) a school feeding programme group, including schools and villages where the standard government programme is implemented; 2) a "home-grown" school feeding and social accountability group, including schools and villages where the programme is implemented in addition to training of community based organisations and local government; and 3) the control group, including schools and household from villages where the intervention will be delayed by at least two years, preferably without informing schools and households. Primary outcomes include small-holder farmer income, school participation and learning, and community involvement in the programme. Other outcomes include nutritional status and diet-diversity. The evaluation will follow a mixed method approach, including household, school and village level surveys as well as focus group discussions with small-holder farmers, school children, parents and community members. The impact evaluation will be incorporated within the national monitoring and evaluation (M&E) system strengthening activities that are currently underway in Mali. Baselines surveys are planned for 2012. A monthly process monitoring visits, spot checks and quarterly reporting will be undertaken as part of the regular programme monitoring activities. Evaluation surveys are planned for 2014. DISCUSSION: National governments in sub-Saharan Africa have demonstrated strong leadership in the response to the recent food and financial crises by scaling-up school feeding programmes. "Home-grown" school feeding programmes have the potential to link the increased demand for school feeding goods and services to community-based stakeholders, including small-holder farmers and women's groups. Alongside assessing the more traditional benefits to school children, this evaluation will be the first to examine the impact of linking school food service provision to small-holder farmer income, as well as the link between community level engagement and programme performance. TRIAL REGISTRATION: ISRCTN76705891.
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In: IFPRI Discussion Paper 1908
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In: IFPRI Discussion Paper 2095
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In: IFPRI Discussion Paper 1844
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In: SSM - Mental health, Band 2, S. 100160
ISSN: 2666-5603
In: World development: the multi-disciplinary international journal devoted to the study and promotion of world development, Band 163, S. 1-16
World Affairs Online
In: Journal of development economics, Band 155, S. 102776
ISSN: 0304-3878
In: Journal of development economics, Band 155, S. 1-13
ISSN: 0304-3878
World Affairs Online
In: The journal of development studies, Band 55, Heft sup1, S. 7-28
ISSN: 1743-9140
In: The journal of development studies, Band 55, S. 7-28
ISSN: 1743-9140
World Affairs Online
In: IFPRI Discussion Paper 1843
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We rely on a unique pre-crisis baseline and five-year follow-up to investigate the effects of emergency school feeding and general food distribution (GFD) on children's schooling during conflict in Mali. We estimate programme impact on child enrolment, absenteeism and attainment by combining difference in differences with propensity score matching. School feeding led to increases in enrolment by 11 percentage points and to about an additional half-year of completed schooling. Attendance among boys residing in households receiving GFD, however, declined by about 20 per cent over the comparison group. Disaggregating by conflict intensity showed that receipt of any programme led to rises in enrolment mostly in high-intensity conflict areas and that the negative effects of GFD on attendance were also concentrated in the most affected areas. Conversely, school feeding mostly raised attainment among children residing in areas not in the immediate vicinity of the conflict. Programme receipt triggered adjustments in child labour. Thus, school feeding led to lower participation and time spent in work among girls, while GFD raised children's labour, particularly among boys. The educational implications of food assistance should be considered in planning humanitarian responses to bridge the gap between emergency assistance and development by promoting children's education. ; IFPRI5; CRP2 ; PHND; PIM ; Non-PR ; 72 pages ; CGIAR Research Program on Policies, Institutions, and Markets (PIM)
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In: The journal of human resources, Band 58, Heft 1, S. 74-111
ISSN: 1548-8004