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Author : Jan Hoorweg
Publisher : Walter de Gruyter GmbH & Co KG
Page : 160 pages
File Size : 43,8 Mb
Release : 2019-07-08
Category : Language Arts & Disciplines
ISBN : 9783111416380
No detailed description available for "Evaluation of Nutrition Education in Africa".
Author : Jan Hoorweg
Publisher : Unknown
Page : 158 pages
File Size : 42,6 Mb
Release : 1979
Category : Electronic
ISBN : 3112147723
Author : Ann Burgess
Publisher : Food & Agriculture Org.
Page : 204 pages
File Size : 48,7 Mb
Release : 1982
Category : Medical
ISBN : 9251012288
Author : Jan Hoorweg,Rudio Niemeijer
Publisher : Routledge
Page : 155 pages
File Size : 55,6 Mb
Release : 2013-10-28
Category : Medical
ISBN : 9781136147227
First published in 1989. The studies that form the basis for this monograph were carried out between 1976 and 1979. The African Studies Centre in Leiden has a standing interest in child nutrition and provided the funds and resources for what was ambitiously termed the 'Nutrition Intervention Research Project'.
Author : Jan Hoorweg
Publisher : Unknown
Page : 200 pages
File Size : 40,6 Mb
Release : 1991
Category : Children
ISBN : UVA:X002309562
Author : Eileen T. Kennedy
Publisher : World Bank Publications
Page : 47 pages
File Size : 54,6 Mb
Release : 1991
Category : Africa
ISBN : 8210379456XXX
The seven factors associated with successful nutrition programs in Africa. And a call for evaluations that focus on process as well as outcomes.
Author : The World Bank
Publisher : World Bank Publications
Page : 168 pages
File Size : 52,6 Mb
Release : 2010-08-27
Category : Medical
ISBN : 0821384074
Evaluation Summary What Can We Learn from Nutrition Impact Evaluations? High levels of child malnutrition in developing countries contribute to mortality and have long-term consequences for children s cognitive development and earnings as adults. Recent impact evaluations show that many different interventions have had an impact on children s anthropometric outcomes (height, weight, and birth weight), but there is no simple answer to the question What works? to address the problem. Similar interventions have widely different results in different settings, owing to differences in local context, the causes and severity of malnutrition, and the capacity for program implementation. Impact evaluations of programs supported by the Bank, which are generally large-scale, complex inter-ventions in low-capacity settings, show equally variable results. The findings confirm that it should not be assumed that an intervention found effective in a randomized medical setting will have the same effects when implemented under field conditions. There are many robust experimental and quasi-experimental methods for assessing impact under difficult circumstances often found in field settings. The relevance and impact of nutrition impact evaluations could be enhanced by collecting data on service delivery, demand-side behavioral outcomes, and implementation processes to better understand the causal chain and what part of the chain is weak, in parallel with impact evaluations. It is also important to understand better the distribution of impacts, particularly among the poor, and to document better the costs and effectiveness of interventions. High levels of child malnutrition in developing countries are contributing to mortality and present long-term consequences for the survivors. An estimated 178 million children under age 5 in developing countries are stunted (low height for age) and 55 million are wasted (low weight for height). Malnutrition makes children more susceptible to illness and strongly affects child mortality. Beyond the mortality risk in the short run, the developmental delays caused by undernutrition affect children s cognitive outcomes and productive potential as adults. Micronutrient deficiencies vitamin A, iron, zinc, iodine, for example are also common and have significant consequences. Progress in reducing malnutrition has been slow: More than half of countries are not on track to achieve the Millennium Development Goal of halving the share of children who are malnou-rished (low weight for age) by 2015. The food price and financial crises are making achievement of this goal even more elusive. The World Bank has recently taken steps to ex-pand its support for nutrition in response to the underlying need and the increased urgency due to the crises. WHAT DO WE KNOW ABOUT REDUCING MALNUTRITION? The increased interest and resources focused on the problem of high and potentially increasing rates of undernutrition raises the question, what do we know about the causes of malnutrition and the in-terventions most likely to reduce it? The medical literature points to the need to inter-vene during gestation and the first two years of life to prevent child malnutrition and its consequences. It suggests that investments in interventions during this window of opportunity among children under 2 are likely to have the greatest benefits. Recently published meta-analyses of the impact evaluation literature point to several interventions found effective for reducing undernutrition in spe-cific settings. However, there are limitations to the generalizability of those reviews findings, particularly in the context of large-scale government programs most likely to be supported by the World Bank. The reviews tend to disproportionately draw on the findings of smaller, controlled experiments; there are few examples of evaluations of large-scale programs, over which there is less control in implementation. In reviewing a large number of studies, interventions, and outcomes, they tend to focus on average impacts. They generally do not explain the magnitude or variability of impacts across or within studies. Very few address the programmatic reasons why some interventions work or don t work, nor do they assess the cost-effectiveness of interventions. Objectives of the Review This paper reviews recent impact evaluations of interventions and programs to improve child anth-ropometric outcomes height, weight, and birth weight with an emphasis on both the findings and limitations of the literature and on understanding what might happen in a non-research setting. It further reviews in greater detail the experience and lessons from evaluations of the impact of World Bank-supported programs on nutrition outcomes. Specifically, the review addresses four questions. First, what can be said about the impact of different interventions on children s anthropometric outcomes? Second, how do these findings vary across settings and within target groups, and what accounts for this variability? Third, what is the evidence of the cost-effectiveness of these interventions? Finally, what have been the lessons from implementing impact evaluations of Bank-supported programs with anthropometric impacts? While there are different dimensions of child nutri-tion that could be explored, the report focuses on child anthropometric outcomes -- weight, height, and birth weight. These are the most common nutrition outcome indicators in the literature and the most frequently monitored by national nutrition programs supported by the World Bank. Low weight for age (underweight) is also the indicator for one of the MDGs. Methodology and Scope Forty-six nutrition impact evaluations published since 2000 were systematically reviewed. These evaluations assessed the impact of diverse interven-tions community nutrition programs, conditional and unconditional cash transfers, early child devel-opment programs, food aid, integrated health and nutrition services, and de-worming. All of the evaluations used research designs that compared the outcomes among those affected by the project to the counterfactual that is, what would have happened to a similar group of people in the absence of the intervention. About half used randomized assignment to create treatment and control groups, while the remainder used matching and various econometric techniques to construct a counterfactual. Among the 46 evaluations, twelve assessed the im-pact of World Bank-supported programs on nutri-tion outcomes in eight countries. While the broader review relies on the analysis of the published impact evaluations as the main source of data, for these twelve evaluations project documents and research outputs were reviewed and World Bank staff, country officials and the evaluators and re-searchers who conducted the studies were interviewed. Findings A wide range of interventions had a positive impact on indicators related to height, weight, wasting, and low birth weight. There were a total of 10 different outcome indica-tors for the four main anthropometric outcomes. A little more than half of the evaluations addressing a height-related indicator found program impacts on at least one group of children, and this was true for about the same share of interventions aimed at improving weight-related and wasting (low weight for height)-related indicators. About three-quarters of the 11 evaluations of interventions that aimed at improving birth weight indicators registered an impact in at least one specification, including five out of seven micronutrient interven-tions. There was no clear pattern of impacts across interventions in every intervention group there were examples of programs that did and did not have an impact on a given indicator, and with varying magnitude. Evaluations of the nutritional impact of programs supported by the World Bank, which are generally large-scale, complex, and implemented in low-capacity settings, show equally variable results. Even controlling for the specific outcome indicator, studies often targeted children of different age groups that might be more or less susceptible to the interventions. It is thus difficult to point to inter-ventions that are systematically more effective than others in reducing malnutrition across diverse set-tings and age groups. Differences in local context, variation in the age of the children studied, the length of exposure to the intervention, and differing methodologies of the studies account for much of the variability in results. Context includes factors like the level and local determinants of malnutrition, differences in the characteristics of beneficiaries (including their age), the availability of service infrastructure, and the implementation capacity of government. Outside of a research setting in the context of a large government program there are many things that can go wrong in either service delivery or the demand response that can compromise impact. Beyond this, there are social factors like the status of women or the presence of civil unrest that can affect outcomes. These findings underscore the conclusion that it should not be assumed that an intervention found effective in a randomized controlled trial in a re-search setting will have the same effects when im-plemented under field conditions in a different set-ting. They also point to the need to understand the prevailing underlying causes of malnutrition in a given setting and the age groups most likely to benefit in selecting an intervention. Further, impact evaluations need to supplement data measuring impact with data on service delivery and demand-side behavioral outcomes to demonstrate the plausibility of the findings, to understand what part of a program works, and to address weak links in the results chain to improve performance. There is scant evidence on the distribution of nutrition impacts who is benefiting and who is not or on the cost-effectiveness of interventions Just because malnutrition is more common among the poor does not mean that they will disproportio-nately benefit from an intervention, particularly if acting on new knowledge or different incentives relies on access to education or quality services. Only a third of the 46 evaluations looked at the distribution of impacts by gender, mother s education, poverty status, or availability of complementary health services. Only nine assessed the impacts on nutritional outcomes of the poor compared with the non-poor. Among the evaluations that did examine variation in results, several found that the children of more educated mothers or in better-off communities are be-nefitting the most. Bank-supported cash transfers, community nutrition, and early child development programs in six of eight countries had some impact on child anthropometric outcomes. Of the 12 impact evaluations of Bank support, all but one were of large-scale government programs with multiple interventions and a long results chain. Three-quarters found a positive impact on anthro-pometric outcomes of children in at least one age group, although the magnitude was in some cases not large or applied to a narrow age group. Most of the impact evaluations involved assessment of completely new programs and involved World Bank researchers. Most used quasi-experimental evaluation designs and two-thirds assessed impact after at most 3 years of program implementation. Only half of the evaluations documented the distribution of impacts and only a third presented information on the costs of the intervention (falling short of cost-effectiveness analysis). In two of the countries (Colombia and the Philippines) the evaluations likely had an impact on government policy or programs. Lessons A number of lessons for development practi-tioners and evaluators arose from the review of impact evaluations of World Bank nutrition support. For task managers: Impact evaluations of interventions that are clearly beyond the means of the government to sustain are of limited relevance. The complexity, costs, and fiscal sustainability of the intervention should figure into the decision as to whether an impact evaluation is warranted. Impact evaluations are often launched for the purpose of evaluating completely new pro-grams, but they may be equally or even more useful in improving the effectiveness of ongo-ing programs. There are methods for obtaining reliable impact evaluation results when randomized assignment of interventions is not possible for political, ethical, or practical reasons. For evaluators: In light of the challenges of evaluating large-scale programs with a long results chain, it is well worth the effort to assess the risks to disruption of the impact evaluation ahead of time and identify mitigation measures. The design and analysis of nutrition impact evaluations need to take into account the likely sensitivity of children of different ages to the intervention. For the purposes of correctly gauging im-pact, it is important to know exactly when delivery of an intervention took place in the field (as opposed to the official start of the program). Evaluations need to be designed to provide evidence for timely decision-making, but with sufficient elapsed time for a plausible impact to have occurred. The relevance of impact evaluations for po-licymakers would be greatly enhanced if im-pact evaluations were to document both the
Author : Beat Schürch,Nestlé Foundation
Publisher : Unknown
Page : 244 pages
File Size : 47,6 Mb
Release : 1983
Category : Diet
ISBN : CORNELL:31924002795205
Author : Hugh Macdonald Sinclair,G. R. Howat,Unesco
Publisher : Unknown
Page : 256 pages
File Size : 47,5 Mb
Release : 1980
Category : Nutrition
ISBN : UCAL:B4338834
Abstract: Nutrition education solutions to worldwide nutrition problems are presented in proceedings of the Oxford Conference on Nutrition Education (Sept. 1977), jointly organized by UNESCO and the International Union of Nutrition Societies. Conferees represented a broad base of interests, indicating that nutrition education covers a very wide spectrum of educational activities. Papers discussed these aspects of the current nature and status of nutrition education in the world: how nutrition education should best be implemented; to which target populations should nutrition education be directed; what educational methods are most useful; and what information should be included. Section I examines the nutritional background of individuals, the family, the community, and developing and industrialized nations. Section II describes influences on nutrition education and training, and section III explores nutrition education in practice in various parts of the world.
Author : Vanderkooy, A.,Verstraeten, Roos,Diatta, Ampa Dogui,Diop, Loty,Touré, Mariama
Publisher : Intl Food Policy Res Inst
Page : 12 pages
File Size : 40,7 Mb
Release : 2020-03-16
Category : Political Science
ISBN : 8210379456XXX
This brief summarizes nutrition-relevant policies, strategies, and action plans (all referred to as ‘policies’ in this brief) in West Africa. With a focus on the six nutrition challenges that make up the World Health Assembly (WHA) global targets, we examine i) nutrition context, policy objectives, indicators, budget, and activities, ii) key beneficiaries, actors and coordination, iii) monitoring, evaluation, and accountability, and iv) the extent to which current policies are aligned with the WHA targets.
Author : Anonim
Publisher : Unknown
Page : 464 pages
File Size : 51,9 Mb
Release : 1997
Category : Technology & Engineering
ISBN : IND:30000064976305
Author : Gary A. Griffin,Luise Light
Publisher : Unknown
Page : 60 pages
File Size : 52,7 Mb
Release : 1975
Category : Medical
ISBN : UOM:39015001783227
Author : Food and Agriculture Organization of the United Nations
Publisher : Food & Agriculture Org.
Page : 322 pages
File Size : 40,5 Mb
Release : 2020-12-10
Category : Health & Fitness
ISBN : 9789251336168
School-based food and nutrition education (SFNE) helps schoolchildren and the school community to achieve lasting improvements in their food practices and outlooks; build the capacity to change and to adapt to external change; and pass on their learning to others. SFNE has also an important role in complementing efforts that are being made globally to improve food environments, and in empowering children and adolescents to become active participants in shaping the food system to be better able to deliver healthy and sustainable diets. Despite increasing interest for SFNE, the evidence that supports it and its potential, much of traditional SFNE, particularly in LMICs, is largely underfunded, not delivering results, and disconnected from other key interventions that aim to support the food, nutrition, environment, and education nexus. SFNE is under-resourced, with capacity development opportunities lacking throughout the school system.This White Paper is the first document of its kind, and it is based on the evidence, professional expertise, and field experience, lessons learned, and documented challenges of SFNE work in a variety of contexts. It presents the case for raising the profile and transforming the vision and learning model of SFNE. This document is directed firstly to a technical audience working in governmental organizations that deal with schoolchildren and adolescents and is also of interest to researchers, technical advisors, decision-makers, donors and investors, civil society, and UN organizations.
Author : Lesley Drake,Alice Woolnough,Carmen Burbano,Donald Bundy
Publisher : World Scientific
Page : 504 pages
File Size : 48,5 Mb
Release : 2016-04-08
Category : Medical
ISBN : 9781783269136
Compiled by the Partnership for Child Development at Imperial College London, the World Food Programme, the World Bank and the African Union's New Partnership for Africa's Development, this is the first sourcebook of its kind to document government-led school feeding programmes in low and middle income countries. It includes a compilation of concise but comprehensive chapters about national programmes in 14 countries from sub-Saharan Africa, Asia and Latin America. The sourcebook highlights the trade-offs associated with alternative school feeding models and analyses the overarching themes, trends and challenges which run across these programmes. This sourcebook supports learning and knowledge exchange among countries looking to strengthen and scale-up national school feeding programmes. The evidence presented here sheds light on identified global good practices which can be employed to improve the quality and effectiveness of programmes that positively impact on millions of children and communities worldwide. Contents:ForewordAcknowledgementsAbbreviations and AcronymsBoxes, Figures and TablesGlossaryExecutive SummaryIntroduction to the SourcebookAnalysis of the Case Studies:Design and ImplementationPolicy and Legal FrameworksInstitutional ArrangementsFunding and BudgetingCommunity ParticipationThe Case Studies:Botswana — National School Feeding ProgrammeBrazil — Programa Nacional de Alimentação Escolar (PNAE)Cape Verde — National School Nutrition ProgrammeChile — Programa de Alimentacion Escolar (PAE)Côte d'Ivoire — Programme Intégré de Pérennisation des Cantines Scolaires (PIP/CS)Ecuador — School Food ProgrammeGhana — The Ghana School Feeding ProgrammeIndia — Mid-Day Meal SchemeKenya — Home Grown School Meals ProgrammeMali — Programme National d'Alimentation ScolaireMexico — Desayunos EscolaresNamibia — The Namibia School Feeding ProgrammeNigeria — Osun State Elementary School Feeding and Health Programme (O'Meals Programme)South Africa — National School Nutrition Programme Readership: Programme managers, policy makers and academics from governmental, multilateral and bi-lateral organisations, NGOs and academic institutions in the fields of education, public health, nutrition and agriculture.
Author : Anonim
Publisher : Unknown
Page : 1032 pages
File Size : 48,6 Mb
Release : 2024-06-28
Category : Evaluation research (Social action programs)
ISBN : STANFORD:36105219354524
Contains an inventory of evaluation reports produced by and for selected Federal agencies, including GAO evaluation reports that relate to the programs of those agencies.
