Economic evaluation of an enhanced homestead food production intervention for undernutrition in women and children in rural Cambodia

Dragojlovic, Nick; Michaux, Kristina D.; Moumin, Najma A.; Li, Kathy H.; Talukder, Zaman; Kroeun, Hou; Mundy, Gary; Stormer, Ame; Ngik, Rem; Green, Timothy; Lynd, Larry D.

doi:10.1016/j.gfs.2019.100335

Cited by 11 publications

(9 citation statements)

References 12 publications

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“… 24 Another study estimated the costs over 10 years of delivering an enhanced homestead food production intervention in rural Cambodia to be US$929 per household. 36 In Zimbabwe, a study found that the average costs per household reached of an intervention providing community vegetable gardens for people living with HIV were US$1890 in 2010. 37 A cross-country study in Ethiopia, Nigeria, and India found that the costs per child reached of agriculture and nutrition intervention varied widely, ranging from US$2650 for a livestock transfer program to US$0.58 for a media and education campaign.…”

Section: Discussionmentioning

confidence: 99%

When Communities Pull Their Weight: The Economic Costs of an Integrated Agriculture and Nutrition Home-Grown Preschool Meal Intervention in Malawi

et al. 2021

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Background: Community-based preschool meals can provide an effective platform for implementing integrated agriculture and nutrition programs. However, there is little evidence on the costs and cost-efficiency of implementing these types of multisectoral interventions. Objectives: Assess the economic costs and cost-efficiency of implementing an effective integrated nutrition-sensitive intervention through a preschool platform in Malawi, including community-level contributions. Methods: The Strengthening Economic Evaluation for Multisectoral Strategies for Nutrition (SEEMS-Nutrition) framework and methods were applied to assess financial and economic costs of the intervention. A mixed-methods approach was used to measure and allocate costs for program activities and inputs using financial expenditure data combined with micro-costing. All costs were allocated to input and expenditure categories using the SEEMS-Nutrition framework. To facilitate comparisons with existing school meals programs, activities were also mapped against a standardized school feeding supply chain framework. Results: The total annualized cost of the program was US$197 377, inclusive of both financial and economic costs. The annual economic cost of the program ranged from US$160 per preschool child to US$41 per beneficiary. The principal drivers of cost by program activity were training (46%), school meals provision (19%), monitoring and evaluation (12%), and establishing and running community groups (6.5%). Notably, community contributions accounted for 25% and were driven by food donations and volunteer labor. Conclusions: Cost per beneficiary estimates of implementing an integrated agriculture–nutrition intervention through an early childhood development platform compare favorably with similar interventions. Further research is needed that applies a standardized economic evaluation framework to such multisectoral interventions.

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Section: Discussionmentioning

confidence: 99%

When Communities Pull Their Weight: The Economic Costs of an Integrated Agriculture and Nutrition Home-Grown Preschool Meal Intervention in Malawi

et al. 2021

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“…However, their treatment was not randomized and their baseline and endline data were collected in different seasons and over different samples of households-preventing them to apply a difference-in-difference (DD) or analysis of covariance (ANCOVA) estimator to control for selection bias. Dragojlovic et al (2020) evaluated the effect of the HKI homestead food production program in Cambodia in a pragmatic field test, which showed positive effects on the production of fruits and livestock and the micronutrient intake of children. However, the control and intervention data were collected in different years and the study had a large sample attrition in the intervention group that was not controlled for.…”

Section: Introductionmentioning

confidence: 99%

Impact and distributional effects of a home garden and nutrition intervention in Cambodia

Depenbusch¹,

Schreinemachers²,

Brown

et al. 2022

Food Sec.

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Home garden interventions combining training in agriculture and nutrition have the potential to increase vegetable production and consumption in lower-income countries, but there remains a need for better evidence for impact. This study contributes to filling this gap by evaluating the impact and distributional effects of a home garden intervention in Cambodia. We used a cluster randomized controlled trial with before and after data for a sample of 500 rural households with children under five and women 16–49 years old. Impact was estimated using analysis of covariance (ANCOVA) and conditional quantile regressions with non-parametric bounds. The results show that the intervention significantly increased the adoption of nearly all promoted gardening methods. More households (+ 35%; p < 0.01) produced vegetables, and the production period was extended by five months on average. One-month recall data show an increase in vegetables harvested (+ 25 kg; p < 0.01) and consumed (+ 10 kg; p < 0.01) from the garden. Quantile regressions confirm these findings and show that nearly all households benefitted, but households that were already doing better at baseline tended to benefit more. Seven-day recall data show an increase in the quantity of vegetables consumed (+ 61 g/day/capita; p < 0.01) and an increased quantity of vitamin A, folate, iron, and zinc contained in these vegetables. Women contributed more to the garden work than men and their time spent in the garden increased by 29 min/day on average. These results add further evidence that integrated home garden interventions can contribute to nutrition outcomes and that almost all participants can benefit.

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“…Для российских авторов экономическая безопасность региона, по своей сути, характеризует степень защищенности субъекта Российской Федерации от внешних и внутренних угроз различного свойства. Зарубежные авторы, с одной стороны, более широко определяют понятие «регион» (Среднеазиатский регион, Тихоокеанский регион), а с другой -сосредотачиваются на очень конкретных вопросах: региональной энергетической безопасности [Yuan, Luo, 2019], продовольственной безопасности домохозяйств [Dragojlovic et al, 2020], социальной защищенности пожилых людей [Mutchler et al, 2019]…”

Section: разработка методики оценки экономической безопасности регионunclassified

Economic Security Index as a Tool to Assess the Development of Agroindustrial Regions

2019

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The paper discusses a comprehensive approach to assessing regional economic security based on three main areas of regional development: the state of the region’s economy, its social sphere, and its finance. The present article is aimed, first of all, at presenting the practical possibilities of using the economic security index for tasks such as identification of regional problems and assessment of the actions of regional authorities. For this purpose, the authors introduce a definition of regional economic security, the principle of calculating the integral index, and the method of assessing economic security. The practical aspects of measuring regional economic security on the basis of the proposed integral index are considered. The mathematical apparatus for calculating the integral index of economic security allows one to study regional development in dynamics, and to build reasonable models and forecasts, which makes it possible to approach the problem of regional development much more objectively in terms of government resource distribution. In this connection, it is proposed to use the method of forming and evaluating the integral index of economic security as a key tool of regional management, namely as a method of assessing the quality of management; assessing the consequences of decisions; identifying the lagging areas of economic, social or financial spheres of a region; and forecasting socio-economic development for individual regions and federal districts.

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Economic evaluation of an enhanced homestead food production intervention for undernutrition in women and children in rural Cambodia

Cited by 11 publications

References 12 publications

When Communities Pull Their Weight: The Economic Costs of an Integrated Agriculture and Nutrition Home-Grown Preschool Meal Intervention in Malawi

When Communities Pull Their Weight: The Economic Costs of an Integrated Agriculture and Nutrition Home-Grown Preschool Meal Intervention in Malawi

Impact and distributional effects of a home garden and nutrition intervention in Cambodia

Economic Security Index as a Tool to Assess the Development of Agroindustrial Regions

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