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Evaluation of Nutrition-sensitive Programs

Part of the Nutrition and Health book series (NH)

Abstract

The current global evidence base regarding the nutritional impacts of nutrition-sensitive programs, including popular ones such as social safety nets and agriculture development programs, is generally limited because of poor targeting, design and implementation of programs, and equally important, sub-optimal evaluation designs. Although there is a consensus regarding the need to invest in nutrition-sensitive programs in order to address the underlying causes of undernutrition and to improve the effectiveness, reach, and scale of both nutrition-specific interventions and nutrition-sensitive programs, the evidence of what works, how and at what cost is extremely limited. Thus, building a strong body of evidence from rigorous, theory-based comprehensive evaluations of different nutrition-sensitive program models that bring together interventions from a variety of sectors (e.g., health, education, agriculture, social protection, women’s empowerment, water, and sanitation) is essential to provide the needed guidance for future investments for improving nutrition. This chapter provides this type of guidance, focusing on how to design and carry out rigorous process, cost, and impact evaluations of complex nutrition-sensitive programs; and it aims to demystify some of the perceived insurmountable challenges that have prevented investments in rigorous evaluations of such programs in the past. By doing so, we hope that the evidence gap in nutrition-sensitive programming, which has characterized the past decades of development, will quickly be filled and that future investments will benefit from a strong body of evidence on what works to improve nutrition, how it works, and at what cost.

Keywords

  • Nutrition sensitive
  • Evidence of impact
  • Program evaluation
  • Plausibility
  • Probability

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Fig. 27.1
Fig. 27.2
Fig. 27.3

Notes

  1. 1.

    The extent to which adherence can be reliably measured varies. For instance, adherence to vitamin A supplementation, which is provided twice a year under strict supervision, is considerably easier than for micronutrient powders which are consumed at home on daily basis.

  2. 2.

    Outcomes may be attributed to the program if a probability design is used to assess them.

  3. 3.

    Outcomes may be impacts in different studies, depending on the study design, objectives, and selected measures of success.

  4. 4.

    Impacts can only be assessed if a probability study design is used and a valid counterfactual has been established.

  5. 5.

    Note that difference-in-difference estimation is also used to estimate impact on experimental studies.

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Correspondence to Deanna K. Olney .

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Olney, D.K., Leroy, J.L., Ruel, M.T. (2017). Evaluation of Nutrition-sensitive Programs. In: de Pee, S., Taren, D., Bloem, M. (eds) Nutrition and Health in a Developing World . Nutrition and Health. Humana Press, Cham. https://doi.org/10.1007/978-3-319-43739-2_27

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  • DOI: https://doi.org/10.1007/978-3-319-43739-2_27

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