Learning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar

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dc.creatorGalasso, Emanuela
dc.creatorYau, Jeffrey
dc.date2012-06-26T13:41:01Z
dc.date2012-06-26T13:41:01Z
dc.date2006-11
dc.date.accessioned2026-07-01T00:35:21Z
dc.descriptionMonitoring 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2006/11/7186255/learning-through-monitoring-lessons-large-scale-nutrition-program-madagascar
dc.identifierhttps://hdl.handle.net/10986/8995
dc.identifier10.1596/1813-9450-4058
dc.identifier.urihttp://hdl.handle.net/123456789/406770
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper; No. 4058
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectACCESS TO INFRASTRUCTURE
dc.subjectAGE GROUPS
dc.subjectAGRICULTURAL RESEARCH
dc.subjectANEMIA
dc.subjectANTI-POVERTY
dc.subjectANTI-POVERTY PROGRAM
dc.subjectBREASTFEEDING
dc.subjectCHILD CARE
dc.subjectCOGNITIVE DEVELOPMENT
dc.subjectCOMMUNITY NUTRITION
dc.subjectCOMPLEMENTARY FEEDING
dc.subjectCOOKING
dc.subjectCOUNTERFACTUAL
dc.subjectDESCRIPTIVE STATISTICS
dc.subjectDISEASES
dc.subjectEARLY CHILDHOOD DEVELOPMENT
dc.subjectFOOD SECURITY
dc.subjectFOOD SUPPLEMENTATION
dc.subjectGROWTH MONITORING
dc.subjectGROWTH RETARDATION
dc.subjectHEALTH STATUS
dc.subjectHYGIENE
dc.subjectHYGIENE PRACTICES
dc.subjectIMPACT EVALUATION
dc.subjectINFANTS
dc.subjectINTERVENTION
dc.subjectINTERVENTIONS
dc.subjectLACTATING MOTHERS
dc.subjectLEARNING
dc.subjectMALNOURISHED CHILDREN
dc.subjectMALNUTRITION
dc.subjectMALNUTRITION RATES
dc.subjectMICRONUTRIENT SUPPLEMENTATION
dc.subjectMONITORING DATA
dc.subjectNGO
dc.subjectNUTRIENT
dc.subjectNUTRITION
dc.subjectNUTRITION EDUCATION
dc.subjectNUTRITION MONITORING
dc.subjectNUTRITION OUTCOMES
dc.subjectNUTRITION PROGRAMS
dc.subjectNUTRITION STATUS
dc.subjectNUTRITIONAL OUTCOMES
dc.subjectNUTRITIONAL PRACTICES
dc.subjectNUTRITIONAL PROGRAMS
dc.subjectNUTRITIONAL STATUS
dc.subjectOLD CHILDREN
dc.subjectOUTCOME INDICATORS
dc.subjectPARTICIPATION RATES
dc.subjectPOORER AREAS
dc.subjectPOVERTY MAP
dc.subjectPOVERTY RATE
dc.subjectPREGNANT WOMEN
dc.subjectPRENATAL CARE
dc.subjectPRODUCTIVITY
dc.subjectPROGRAM IMPACTS
dc.subjectPROGRAM IMPLEMENTATION
dc.subjectPROGRAMS
dc.subjectPROJECT MANAGEMENT
dc.subjectPROJECT MANAGEMENT UNIT
dc.subjectREFLEXIVE COMPARISONS
dc.subjectRURAL DISTRICTS
dc.subjectSAMPLE SIZE
dc.subjectSCHOOLING
dc.subjectSCHOOLS
dc.subjectSELECTION BIAS
dc.subjectSERVICE DELIVERY
dc.subjectSUPPLEMENTARY FEEDING
dc.subjectTARGETING
dc.subjectTREATMENT GROUPS
dc.subjectUNDERWEIGHT CHILDREN
dc.subjectVITAMIN
dc.subjectVITAMIN A
dc.subjectVITAMIN A SUPPLEMENTATION
dc.subjectWELFARE IMPROVEMENTS
dc.titleLearning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar

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