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Interest has grown in leveraging cash transfer programs with nutrition interventions to improve child nutrition at scale. However, little is known about how doing so affects household economic well-being. We study a program providing cash or food transfers, with or without nutrition behavior change communication (BCC), to poor women in rural Bangladesh. We find that adding BCC to cash or food transfers leads to larger impacts on both consumption and assets - an apparent puzzle, given the transfer value is unchanged. Evidence suggests this occurs through the BCC inducing increases in income generation - plausibly by improving households’ social capital and empowerment.
Interest has grown in leveraging cash transfer programs with nutrition interventions to improve child nutrition at scale. However, little is known about how doing so affects household economic well-being. We study a program providing cash or food transfers, with or without nutrition behavior change communication (BCC), to poor women in rural Bangladesh. We find that adding BCC to cash or food transfers leads to larger impacts on both consumption and assets - an apparent puzzle, given the transfer value is unchanged. Evidence suggests this occurs through the BCC inducing increases in income generation - plausibly by improving households' social capital and empowerment.
The importance of children’s nutritional status for subsequent human capital formation, the limited evidence of the effectiveness of social protection interventions on child nutrition, and the absence of knowledge on the intra-household impacts of cash and food transfers or how they are shaped by complementary programming motivate this paper. We implemented two, linked randomized control trials in rural Bangladesh, with treatment arms including cash transfers, a food ration, or a mixed food and cash transfer, as well as treatments where cash and nutrition behavior change communication (BCC) or where food and nutrition BCC were provided. Only cash plus nutrition BCC had a significant impact on nutritional status, but its effect on height-forage z scores (HAZ) was large, 0.25SD. We explore the mechanisms underlying this impact. Improved diets – including increased intake of animal source foods – along with reductions in illness in the cash plus BCC treatment arm are consistent with the improvement we observe in children’s HAZ.
Evidence shows social protection can improve diets, but little is understood about how effects vary within a household or what factors determine how food is allocated across different household members. We use individual food intake data from two randomized control trials to estimate intrahousehold dietary impacts of cash or food transfers, with or without nutrition behavior change communication (BCC), in two regions of Bangladesh. We assess whether intrahousehold impacts 1) are consistent with different allocation "rules" hypothesized in the literature, 2) differ by transfer modality, provision of BCC, or regional context. Results indicate that households distribute food equally among their members (men, women, boys, and girls), both in absolute terms and in proportion to individual-specific requirements and deficits. Patterns are similar across regions and do not depend on transfer modality or whether BCC is provided. Findings have implications for designing nutrition-sensitive social protection with different target groups prioritized.
This evaluation of Yemen’s Cash for Nutrition intervention, a cash transfer program combined with nutritional trainings implemented by the Yemen Social Fund for Development (YSF), examines the program’s impacts on child nutrition indicators and related intermediate variables during a period of conflict. The decline in several indicators of welfare for the sample population that occurred after the beginning of the civil conflict in Yemen is also traced. Overall, the program decreased the share of children diagnosed with moderate or severe malnutrition and improved anthropometric indicators of nutritional status in children in the poorest third of households. The Cash for Nutrition program was funded by the World Bank through the United Nations Development Programme as part of the Yemen Emergency Crisis Response Project.
Transfer programs have been shown to reduce intimate partner violence (IPV), but little evidence exists on how activities linked to transfers affect IPV or what happens when programs end. We assess postprogram impacts on IPV of randomly assigning women in Bangladesh to receive cash or food, with or without nutrition behavior change communication (BCC). Six to 10 months postprogram, IPV did not differ between women receiving transfers and a control group; however, women receiving transfers with BCC experienced 26 percent less physical violence. Evidence on mechanisms suggests sustained effects of BCC on women’s threat points, men’s social costs of violence, and household well-being.
Food systems and diets underpin many critical challenges to public health and environmental sustainability, including malnutrition, noncommunicable diseases, and climate change, but sustainable healthy diets have the unique potential to reshape the future for both human and planetary well-being. The 2024 Global Food Policy Report draws on recent evidence to examine the role of food systems in driving nutrition outcomes and opportunities for transforming food systems to ensure healthy diets for all. Chapters by IFPRI researchers and partners evaluate proven and innovative ways to sustainably improve diet quality and reduce malnutrition, including ways to make healthy diets more affordable, accessible, and desirable, how to improve food environments, the role of both agricultural crops and animal-source foods, and governance for better diets and nutrition, all with a major focus on the most vulnerable populations in low- and middle-income countries. Regional sections explore the diverse challenges countries face and promising policy responses for transforming food systems for sustainable healthy diets.
In 2020, PIM findings contributed to seed policies in Nepal and Uganda, Malawi’s extension strategy and approval of insect-resistant cotton, a nationwide program aimed at improving the effectiveness of public service delivery in Uganda, social protection programs in Egypt, and school gardens for better nutrition in Papua New Guinea. At the global level, PIM research was used to shape strategic decisions of organizations such as the Bill & Melinda Gates Foundation, GIZ, the Inter-American Development Bank, the UK Government's Foreign, Commonwealth & Development Office, the World Bank and the World Health Organization. PIM tools were incorporated in universities’ curricula in India and South Africa. Examples of PIM innovations scaled up by partners in 2020 are private sector seed marketing in Ethiopia, picture-based insurance in Ethiopia, India and Kenya, and tools for inclusive governance of natural resources in India and Peru.