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

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dc.creatorHirvonen, Kalle
dc.creatorLeight, Jessica
dc.creatorGilligan, Daniel O.
dc.creatorMesfin, Hiwot Mekonnen
dc.creatorMulford, Michael
dc.creatorTesfaye, Haleluya
dc.date2025-12-22
dc.date2025-12-22T21:47:40Z
dc.date2025-12-22T21:47:40Z
dc.date.accessioned2026-06-27T15:44:45Z
dc.descriptionMultifaceted graduation models are a promising strategy to sustainably reduce poverty, yet evidence on their effects on child undernutrition remains limited. This randomized controlled trial evaluated a nutrition-sensitive graduation model combining village economic and savings associations, peer-led behavior change communication, and maternal cash transfers (and for a subset, lump-sum livelihoods transfers) implemented among ultra-poor households in rural Ethiopia. The model without maternal cash transfers improved maternal nutrition knowledge and financial inclusion but did not generate meaningful changes in children’s diets or growth. Supplementing the pro-gram with maternal cash transfers produced at least moderate improvements in child diet quality, early childhood development, household consumption, and assets. The largest improvements in child growth occurred among households receiving both the livelihoods grant and maternal cash transfers. Overall, the results suggest that coupling behavior change communication and livelihoods support with sufficient financial support is critical for achieving meaningful progress in both economic well-being and child nutrition.
dc.formatapplication/pdf
dc.identifierhttps://hdl.handle.net/10568/179205
dc.identifier.urihttp://hdl.handle.net/123456789/113424
dc.languageen
dc.publisherInternational Food Policy Research Institute
dc.relationhttps://doi.org/10.2499/p15738coll2.137009
dc.relationhttps://doi.org/10.2499/p15738coll2.137000
dc.relationhttps://hdl.handle.net/10568/140194
dc.relationhttps://hdl.handle.net/10568/176897
dc.rightsOpen Access
dc.sourceHirvonen, Kalle; Leight, Jessica; Gilligan, Daniel O.; Mesfin, Hiwot Mekonnen; Mulford, Michael; and Tesfaye, Haleluya. 2025. The impact of a nutrition-sensitive graduation model program on child nutrition: Experimental evidence from Ethiopia. IFPRI Discussion Paper 2391. Washington, DC: International Food Policy Research Institute. https://hdl.handle.net/10568/179205
dc.subjectmodels
dc.subjectnutrition
dc.subjectchildren
dc.subjectlivelihoods
dc.subjectpoverty
dc.subjectchild nutrition
dc.titleThe impact of a nutrition-sensitive graduation model program on child nutrition: Experimental evidence from Ethiopia
dc.typeWorking Paper

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Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)