The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh

dc.creatorThai, Giang
dc.creatorMargolies, Amy
dc.creatorGelli, Aulo
dc.creatorKumar, Neha
dc.creatorSultana, Nasrin
dc.creatorChoo, Esther
dc.creatorLevin, Carol
dc.date2023-01
dc.date2023-01-16T15:21:19Z
dc.date2023-01-16T15:21:19Z
dc.date.accessioned2026-06-27T15:37:34Z
dc.descriptionBangladesh struggles with undernutrition in women and young children. Nutrition-sensitive agriculture programmes can help address rural undernutrition. However, questions remain on the costs of multisectoral programmes. This study estimates the economic costs of the Targeting and Re-aligning Agriculture to Improve Nutrition (TRAIN) programme, which integrated nutrition behaviour change and agricultural extension with a credit platform to support women's income generation. We used the Strengthening Economic Evaluation for Multisectoral Strategies for Nutrition (SEEMS-Nutrition) approach. The approach aligns costs with a multisectoral nutrition typology, identifying inputs and costs along programme impact pathways. We measure and allocate costs for activities and inputs, combining expenditures and micro-costing. Quantitative and qualitative data were collected retrospectively from implementers and beneficiaries. Expenditure data and economic costs were combined to calculate incremental economic costs. The intervention was designed around a randomised control trial. Incremental costs are presented by treatment arm. The total incremental cost was $795,040.34 for a 3.5-year period. The annual incremental costs per household were US$65.37 (Arm 2), USD$114.15 (Arm 3) and $157.11 (Arm 4). Total costs were led by nutrition counselling (37%), agriculture extension (12%), supervision (12%), training (12%), monitoring and evaluation (9%) and community events (5%). Total input costs were led by personnel (68%), travel (12%) and supplies (7%). This study presents the total incremental costs of an agriculture-nutrition intervention implemented through a microcredit platform. Costs per household compare favourably with similar interventions. Our results illustrate the value of a standardised costing approach for comparison with other multisectoral nutrition interventions.
dc.identifierhttps://hdl.handle.net/10568/127223
dc.identifier.urihttp://hdl.handle.net/123456789/109833
dc.languageen
dc.publisherWiley
dc.rightsOpen Access
dc.sourceThai, Giang; Margolies, Amy; Gelli, Aulo; Kumar, Neha; Sultana, Nasrin; Choo, Esther; and Levin, Carol. The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh. Maternal and Child Nutrition 19(1): e13441. https://doi.org/10.1111/mcn.13441
dc.subjectnutrition
dc.subjectwomen
dc.subjectchildren
dc.subjectagricultural programs
dc.subjecteconomic costs
dc.subjectbehaviour changes
dc.subjectagricultural extension
dc.subjectcredit
dc.subjectgender
dc.subjectincome
dc.subjectimpact pathways
dc.subjectexpenditures
dc.subjectintervention
dc.subjecthouseholds
dc.subjectnutrition counselling
dc.subjectmicro-credit programs
dc.subjectlow income countries
dc.subjectpublic health
dc.subjectmaternal health
dc.subjectexpenditure
dc.subjectless favoured areas
dc.subjectmicrocredit
dc.subjectbehavioral economics
dc.subjectcapacity development
dc.titleThe economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh
dc.typeJournal Article

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