Suchergebnisse

The World Health Assembly called for a 50% global anaemia reduction in women of reproductive age (15–49 years of age) from 2012 to 2025. India accounts for the most cases of anaemia in the world, and half of all pregnant Indian women are anaemic. In India, the government implemented a 4‐year food‐based safety net programme from 2008 to 2012 involving the provision of fortified wheat flour through its public distribution system. We assessed programme impact on anaemia among pregnant women (n = 10,186) using data from the 2002–2004 and 2012–2013 Indian District Level Health Surveys. The difference‐in‐differences method was used to estimate the impact on haemoglobin (Hb) and anaemia in pregnant women living in northern India (Punjab) and southern India (Tamil Nadu), with pregnant women in neighbouring states without wheat fortification programmes serving as controls. In northern India, we found no impact on Hb (β = −0.184, P = 0.793) or anaemia reduction (β = −0.01, P = 0.859), as expected, given that the intervention targeted only nonpoor households and demand for fortified wheat was low. In southern India, where intervention coverage was high, we found no impact on Hb (β = −0.001, P = 0.998) but did see an impact on anaemia reduction (β = −0.08, P = 0.042), which was unexpected given low consumption of wheat in this predominantly rice‐eating region. India's wheat fortification programmes were largely ineffective in terms of reducing anaemia among pregnant women. As policymakers expand fortification programs, it is critical to ensure that the fortified food is universally available and distributed widely through well‐functioning and popular outlets. ; IFPRI3; ISI; CRP4; IFPRIOA ; PHND; SAR; A4NH ; PR ; 11 pages ; CGIAR Research Program on Agriculture for Nutrition and Health (A4NH)

AbstractNumerous structural vulnerabilities put developing regions at a disadvantage as they confront the prospect of increasingly frequent extreme shocks. Typical of these regions, South Asia had several characteristics that suggested it would be badly hit by COVID‐19: a sizeable informal sector, growing inequalities in access to health services and social protection, and high levels of hunger and malnutrition. This Special Issue focuses on the South Asian experience through COVID‐19 and distills forward‐looking lessons for the developing world. Included papers point to the importance of strengthening individual resilience, building basic infrastructure and institutional capacity, and implementing inclusive social protection measures.

Group-based interventions are fast gaining traction in developing countries, often bolstering existing government service delivery systems. Such groups provide development programs with a means of extending their reach to households and individuals that might otherwise not seek public goods and services. However, the very reliance on the notion of "community" in these programs can constrain participation to those with a shared identity. In India, shared caste identity remains a central, and often controversial, element in many community-based programs. We explore the salience of caste identity with a field experiment conducted among women's self-help groups in an eastern state of India. The experiment focused on the provision of information on nutrition, diet, and kitchen gardens. Specifically, we test the interplay between (a) the provision of information to self-help groups and (b) the caste identity of the information provider relative to the group's caste identity, to assess what matters more –the message or the messenger. We randomize two treatments – an information treatment and ahomophily treatment – and measure the effect of these treatments on two outcomes: group members'willingness to contribute to a group-owned club good (a collectively managed kitchen garden), andindividual members' retention of the information they received. We find that (1) information is veryimportant, (2) homophily, or shared caste identity with the information provider, is not that important,but (3) higher-caste information providers elicit greater willingness to contribute. These findings haveseveral implications for the design of public programs that rely on community-based organizations andagents as implementing partners and may thus be susceptible to identity issues, such as the exclusionof lower castes from certain occupations, public spaces or public goods. ; Non-PR ; IFPRI1; 1 Fostering Climate-Resilient and Sustainable Food Supply; 2 Promoting Healthy Diets and Nutrition for all; 5 Strengthening Institutions and Governance; G Cross-cutting gender theme; Women Improving Nutrition through Group-based Strategies (WINGS) ; EPTD; PHND

The World Health Assembly called for a 50% global anaemia reduction in women of reproductive age (15–49 years of age) from 2012 to 2025. India accounts for the most cases of anaemia in the world, and half of all pregnant Indian women are anaemic. In India, the government implemented a 4‐year food‐based safety net programme from 2008 to 2012 involving the provision of fortified wheat flour through its public distribution system. We assessed programme impact on anaemia among pregnant women (n = 10,186) using data from the 2002–2004 and 2012–2013 Indian District Level Health Surveys. The difference‐in‐differences method was used to estimate the impact on haemoglobin (Hb) and anaemia in pregnant women living in northern India (Punjab) and southern India (Tamil Nadu), with pregnant women in neighbouring states without wheat fortification programmes serving as controls. In northern India, we found no impact on Hb (β = −0.184, P = 0.793) or anaemia reduction (β = −0.01, P = 0.859), as expected, given that the intervention targeted only nonpoor households and demand for fortified wheat was low. In southern India, where intervention coverage was high, we found no impact on Hb (β = −0.001, P = 0.998) but did see an impact on anaemia reduction (β = −0.08, P = 0.042), which was unexpected given low consumption of wheat in this predominantly rice‐eating region. India's wheat fortification programmes were largely ineffective in terms of reducing anaemia among pregnant women. As policymakers expand fortification programs, it is critical to ensure that the fortified food is universally available and distributed widely through well‐functioning and popular outlets.