Improving Nutritional Status through Behavioral Change : Lessons from Madagascar
No hay miniatura disponible
Fecha
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
World Bank, Washington, DC
Resumen
Descripción
This paper provides evidence of the
effects of a large-scale intervention that focuses on the
quality of nutritional and child care inputs during the
early stages of life. The empirical strategy uses a
combination of double-difference and weighting estimators in
a longitudinal survey to address the purposive placement of
participating communities and estimate the effect of the
availability of the program at the community level on
nutritional outcomes. The authors find that the program
helped 0-5 year old children in the participating
communities to bridge the gap in weight for age z-scores and
the incidence of underweight. The program also had
significant effects in protecting long-term nutritional
outcomes (height for age z-scores and incidence of stunting)
against an underlying negative trend in the absence of the
program. Importantly, the effect of the program exhibits
substantial heterogeneity: gains in nutritional outcomes are
larger for more educated mothers and for villages with
better infrastructure. The program enables the analysis to
isolate responsiveness to information provision and
disentangle the effect of knowledge in the education effect
on nutritional outcomes. The results are suggestive of
important complementarities among child care, maternal
education, and community infrastructure.
Palabras clave
APPLIED NUTRITION, BEHAVIOR CHANGE, BEHAVIORAL CHANGES, BREASTFEEDING, CENTRAL AMERICA, CHILD CARE, CHILD DEVELOPMENT, CHILD FEEDING, CHILD FEEDING PRACTICES, CHILD GROWTH, CHILD HEALTH, CHILD NUTRITION, CHILD-CARE, CHILDHOOD MALNUTRITION, COMMUNES, COMMUNITIES, COMMUNITY NUTRITION WORKERS, COMPLEMENTARY FOOD, COOKING, DEMOGRAPHIC FACTORS, DESCRIPTION, DEVELOPING COUNTRIES, DIARRHEA, DIET, DISEASES, DISSEMINATION, DISTRICTS, EARLY CHILD DEVELOPMENT, EARLY CHILDHOOD, ECONOMIC DEVELOPMENT, ECONOMIC GROWTH, ECONOMIC RESOURCES, EDUCATED MOTHERS, FEMALE, FEMALES, FOOD INTAKE, FOOD SECURITY, GENDER, GROWTH MONITORING, GROWTH PROMOTION, GROWTH RETARDATION, HEALTH OUTCOMES, HEALTH PRODUCTION, HEALTH SERVICES, HEALTH STATUS, HOME VISITS, HOSPITAL, HOSPITALS, HOUSEHOLDS, HOUSING, HUMAN DEVELOPMENT, HYGIENE, HYGIENE PRACTICES, ILLNESS, ILLNESSES, INFANT, INTERVENTION, LABOR MARKET, LACTATING MOTHERS, LARGE CITIES, LESS EDUCATED MOTHERS, LIVING CONDITIONS, LOCAL INFRASTRUCTURE, LOW BIRTH WEIGHT, MALNUTRITION, MALNUTRITION RATES, MICRONUTRIENT SUPPLEMENTATION, MODERATE MALNUTRITION, MORTALITY, MORTALITY RATES, MOTHER, NUTRIENTS, NUTRITION, NUTRITION EDUCATION, NUTRITION INTERVENTIONS, NUTRITION KNOWLEDGE, NUTRITION POLICY, NUTRITION PROGRAMS, NUTRITION PROJECTS, NUTRITION STATUS, NUTRITIONAL OUTCOMES, NUTRITIONAL STATUS, NUTRITIONAL STATUS OF INFANTS, OCCUPATION, OLD CHILDREN, PEDIATRICS, PERSONAL COMMUNICATION, PNC, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, POPULATION CENSUS, POPULATION SIZE, PREGNANCY, PREGNANT WOMAN, PRIMARY EDUCATION, PRODUCTIVITY, PROGRESS, PROTEIN, PROTEIN-ENERGY MALNUTRITION, PROVISION OF INFORMATION, PUBLIC HEALTH, PUBLIC SERVICES, QUALITY SERVICES, RADIO, RESPECT, RURAL AREAS, SAFE WATER, SECONDARY EDUCATION, SECONDARY SCHOOL, SECONDARY SCHOOLS, SERVICE DELIVERY, SEVERE MALNUTRITION, SOCIAL PROGRAMS, SPILLOVER, STAGES OF LIFE, STUNTING, TETANUS, TRADITIONAL PRACTICES, UNDERNUTRITION, URBAN AREAS, URBAN CENTER, URBAN POPULATIONS, VILLAGE LEVEL, VILLAGES, VITAMIN, VITAMIN A, VITAMIN A SUPPLEMENTATION, VULNERABILITY, WASTING, WOMAN, WORKERS, WORLD HEALTH ORGANIZATION, YOUNG AGES, YOUNG CHILD, YOUNG CHILDREN