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

Monitoring 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.

Bibliographic Details

Main Authors:	Galasso, Emanuela, Yau, Jeffrey
Language:	English en_US
Published:	World Bank, Washington, DC 2006-11
Subjects:	ACCESS TO INFRASTRUCTURE, AGE GROUPS, AGRICULTURAL RESEARCH, ANEMIA, ANTI-POVERTY, ANTI-POVERTY PROGRAM, BREASTFEEDING, CHILD CARE, COGNITIVE DEVELOPMENT, COMMUNITY NUTRITION, COMPLEMENTARY FEEDING, COOKING, COUNTERFACTUAL, DESCRIPTIVE STATISTICS, DISEASES, EARLY CHILDHOOD DEVELOPMENT, FOOD SECURITY, FOOD SUPPLEMENTATION, GROWTH MONITORING, GROWTH RETARDATION, HEALTH STATUS, HYGIENE, HYGIENE PRACTICES, IMPACT EVALUATION, INFANTS, INTERVENTION, INTERVENTIONS, LACTATING MOTHERS, LEARNING, MALNOURISHED CHILDREN, MALNUTRITION, MALNUTRITION RATES, MICRONUTRIENT SUPPLEMENTATION, MONITORING DATA, NGO, NUTRIENT, NUTRITION, NUTRITION EDUCATION, NUTRITION MONITORING, NUTRITION OUTCOMES, NUTRITION PROGRAMS, NUTRITION STATUS, NUTRITIONAL OUTCOMES, NUTRITIONAL PRACTICES, NUTRITIONAL PROGRAMS, NUTRITIONAL STATUS, OLD CHILDREN, OUTCOME INDICATORS, PARTICIPATION RATES, POORER AREAS, POVERTY MAP, POVERTY RATE, PREGNANT WOMEN, PRENATAL CARE, PRODUCTIVITY, PROGRAM IMPACTS, PROGRAM IMPLEMENTATION, PROGRAMS, PROJECT MANAGEMENT, PROJECT MANAGEMENT UNIT, REFLEXIVE COMPARISONS, RURAL DISTRICTS, SAMPLE SIZE, SCHOOLING, SCHOOLS, SELECTION BIAS, SERVICE DELIVERY, SUPPLEMENTARY FEEDING, TARGETING, TREATMENT GROUPS, UNDERWEIGHT CHILDREN, VITAMIN, VITAMIN A, VITAMIN A SUPPLEMENTATION, WELFARE IMPROVEMENTS,
Online Access:	http://documents.worldbank.org/curated/en/2006/11/7186255/learning-through-monitoring-lessons-large-scale-nutrition-program-madagascar https://hdl.handle.net/10986/8995
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