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 n...

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Main Authors:	Galasso, Emanuela, Yau, Jeffrey
Format:	Policy Research Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2012
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 http://hdl.handle.net/10986/8995

id	okr-10986-8995
recordtype	oai_dc
spelling	okr-10986-89952021-04-23T14:02:41Z Learning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar Galasso, Emanuela Yau, Jeffrey 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 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. 2012-06-26T13:41:01Z 2012-06-26T13:41:01Z 2006-11 http://documents.worldbank.org/curated/en/2006/11/7186255/learning-through-monitoring-lessons-large-scale-nutrition-program-madagascar http://hdl.handle.net/10986/8995 English en_US Policy Research Working Paper; No. 4058 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Africa Madagascar
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	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
spellingShingle	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 Galasso, Emanuela Yau, Jeffrey Learning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar
geographic_facet	Africa Madagascar
relation	Policy Research Working Paper; No. 4058
description	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.
format	Publications & Research :: Policy Research Working Paper
author	Galasso, Emanuela Yau, Jeffrey
author_facet	Galasso, Emanuela Yau, Jeffrey
author_sort	Galasso, Emanuela
title	Learning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar
title_short	Learning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar
title_full	Learning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar
title_fullStr	Learning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar
title_full_unstemmed	Learning through Monitoring : Lessons from a Large Scale Nutrition Program in Madagascar
title_sort	learning through monitoring : lessons from a large scale nutrition program in madagascar
publisher	World Bank, Washington, DC
publishDate	2012
url	http://documents.worldbank.org/curated/en/2006/11/7186255/learning-through-monitoring-lessons-large-scale-nutrition-program-madagascar http://hdl.handle.net/10986/8995
_version_	1764406726079021056

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

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