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Publié par | world-bank-publications |
Publié le | 27 août 2010 |
Nombre de lectures | 19 |
EAN13 | 9780821384077 |
Langue | English |
Poids de l'ouvrage | 1 Mo |
Extrait
LESSONS FROM A REVIEW OF INTERVENTIONS TO REDUCE
CHILD MALNUTRITION IN DEVELOPING COUNTRIESThe World Bank Group
WORKING FOR A WORLD FREE
OF POVERTY
he World Bank Group consists of fve institutions—Tthe International Bank for Reconstruction and De-
velopment (IBRD), the International Finance Corporation
(IFC), the International Development Association (IDA),
the Multilateral Investment Guarantee Agency (MIGA),
and the International Centre for the Settlement of Invest-
ment Disputes (ICSID). Its mission is to fght poverty for
lasting results and to help people help themselves and
their environment by providing resources, sharing knowl-
edge, building capacity, and forging partnerships in the
public and private sectors.
The Independent Evaluation Group
IMPROVING DEVELOPMENT RESULTS
THROUGH EXCELLENCE IN EVALUATION
he Independent Evaluation Group (IEG) is an indepen-Tdent, three-part unit within the World Bank Group.
IEG-World Bank is charged with evaluating the activities
of the IBRD (The World Bank) and IDA, IEG-IFC focuses on
assessment of IFC’s work toward private sector develop-
ment, and IEG-MIGA evaluates the contributions of MIGA
guarantee projects and services. IEG reports directly to the
Bank’s Board of Directors through the Director-General,
Evaluation.
The goals of evaluation are to learn from experience, to
provide an objective basis for assessing the results of the
Bank Group’s work, and to provide accountability in the
achievement of its objectives. It also improves Bank Group
work by identifying and disseminating the lessons learned
from experience and by framing recommendations drawn
from evaluation fndings.LESSONS FROM A REVIEW OF INTERVENTIONS TO REDUCE CHILD
MALNUTRITION IN DEVELOPING COUNTRIES
What Can We Learn from
Nutrition Impact Evaluations?
2010
The World Bank
Washington, D.C.
Executive Summary | iCopyright © 2010 The International Bank for Reconstruction and Development/The World Bank
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This volume is a product of the staff of the International Bank for Reconstruction and Development/The World Bank. The
findings, interpretations, and conclusions expressed in this volume do not necessarily reflect the views of the Executive
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Cover: Girl being weighed during a routine checkup at the Santa Rosa de Lima clinic in Nueva Esperanza, Honduras,
which specializes in health care for children. Photo by Alfred Srur, courtesy of the World Bank Photo Library.
ISBN-13: 978-0-8213-8406-0
e-ISBN-13: 978-0-8213-8407-7
DOI: 10.1596/978-0-8213-8406-0
Library of Congress Cataloging-in-Publication Data have been applied for.
World Bank InfoShop Independent Evaluation Group
E-mail: pic@worldbank.org Communication, Strategy, and Learning
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Printed on Recycled PaperTable of Contents
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vi
Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
The Heavy Toll of Malnutrition in Developing Countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
The World Bank Is Ramping Up Its Nutrition Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
What Do We Know about Reducing Malnutrition? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Objectives of this Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2. Findings from Recent Nutrition Impact Evaluations . . . . . . . . . . . . . . . . . . . . . . 9
Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Programmatic Impacts on Anthropometric Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Heterogeneity in Impacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Understanding the Causal Chain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Program Costs and Cost-Eff ectiveness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Accounting for the Variability in Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
3. Evaluations of World Bank Nutrition Support . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
The Programs Evaluated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
The Design and Implementation of the Evaluations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
The Impact of the Evaluations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Lessons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
4. Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Appendixes
A: The Impact Evaluations Reviewed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
B: Impact Evaluations of Height, Height for Age, and Stunting . . . . . . . . . . . . . . . . . . . . . . 53
C: Impact Evaluations of Weight, Weight for Age, and Underweight . . . . . . . . . . . . . . . . 63
D: ImpacWeight for Height and Wasting . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
E: Impact Evaluations of Birthweight and Low Birthweight . . . . . . . . . . . . . . . . . . . . . . . . . 76
F: Impact Evaluation Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Endnotes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
Executive Summary | iiiBoxes
2.1 The Impact of School-Based Feeding Interventions in Burkina Faso on School-Age
and Preschool Children . . . . . . . . . . . . . . . . . . . .