The impact of food assistance on weight gain and disease progression among HIV-infected individuals accessing AIDS care and treatment services in Uganda

Raj, Rahul; Kadiyala, Suneetha; McNamara, Paul E.

doi:10.1186/1471-2458-10-316

Cited by 61 publications

(79 citation statements)

References 21 publications

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“…To discourage this practice among Malawian food-insecure households, several authors have suggested considering counselling activities in health-care facilities and/or integrating HIV care in safety net programmes (7) . The importance of integrating nutrition programming in the standard care of PLHIV to relieve food insecurity, improve their nutritional status and overall health has been also underscored by other authors (7,33,34) . In addition, the combination of distribution of the special nutritious food for PLHIV together with household food assistance (e.g.…”

Section: Discussionmentioning

confidence: 99%

Preferences for food and nutritional supplements among adult people living with HIV in Malawi

Rodas-Moya

Kodish²,

Manary³

et al. 2015

Public Health Nutr.

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Section: Discussionmentioning

confidence: 99%

Preferences for food and nutritional supplements among adult people living with HIV in Malawi

Rodas-Moya

Kodish²,

Manary³

et al. 2015

Public Health Nutr.

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“…21 The goal is to find out whether combining MCHN and sanitation interventions, for example, results in greater impact than could be achieved by introducing either intervention set alone. To do so, a reference case of no participation in either intervention is compared with three alternatives: (1) participation in 16 See Rawat, Kadiyala and McNamara (2010) for an example of another study that relies on sub-groups of project participants for intervention-specific control groups to evaluate a multi-intervention project.…”

Section: Methods For Investigating Why the Project Impacted Stuntingmentioning

confidence: 99%

Admissible Evidence in the Court of Development Evaluation? The Impact of CARE's SHOUHARDO Project on Child Stunting in Bangladesh

Smith¹,

Kahn²,

Frankenberger³

et al. 2011

IDS Working Papers

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Summary Along with the rise of the development effectiveness movement of the last few decades, experimental impact evaluation methods – randomised controlled trials and quasi‐experimental techniques – have emerged as a dominant force. While the increased use of these methods has contributed to improved understanding of what works and whether specific projects have been successful, their ‘gold standard’ status threatens to exclude a large body of evidence from the development effectiveness dialogue. In this paper we conduct an evaluation of the impact on child stunting of CARE's SHOUHARDO project in Bangladesh, the first large‐scale project to use the rights‐based, livelihoods approach to address malnutrition. In line with calls for a more balanced view of what constitutes rigor and scientific evidence, and for the use of more diversified and holistic methods in impact evaluations, we employ a mixed‐methods approach. The results from multiple data sources and methods, including both non‐experimental and quasi‐experimental, are triangulated to arrive at the conclusions. We find that the project had an extraordinarily large impact on stunting among children 6–24 months old – on the order of a 4.5 percentage point reduction per year. We demonstrate that one reason the project reduced stunting by so much was because, consistent with the rights‐based, livelihoods approach, it relied on both direct nutrition interventions and those that addressed underlying structural causes including poor sanitation, poverty, and deeply‐entrenched inequalities in power between women and men. These findings have important policy implications given the slow progress in reducing malnutrition globally and that the widely‐supported Scaling Up Nutrition initiative aimed at stepping up efforts to do so is in urgent need of guidance on how to integrate structural cause interventions with the direct nutrition interventions that are the initiative's main focus. The evaluation also adds to the evidence that targeting the poor, rather than employing universal coverage, can help to accelerate reductions in child malnutrition. The paper concludes that, given the valuable policy lessons generated, the experience of the SHOUHARDO project merits solid standing in the knowledge bank of development effectiveness. More broadly, it illustrates how rigorous and informative evaluation of complex, multi‐intervention projects can be undertaken even in the absence of the randomisation, non‐project control groups and/or panel data required by the experimental methods.

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“…[31][32][33][34][35][36] The model begins with propensity score matching, which ensures that the observed characteristics of the intervention and matched control group are comparable, consequently eliminating as much observed heterogeneity as possible. 37 Because the matched control group provides a counterfactual for the intervention group had there been no intervention, the difference-in-differences part of the model removes unobserved heterogeneity that was fixed over time or that followed parallel time trends between groups, thus providing a robust estimator.…”

Section: Discussionmentioning

confidence: 99%

Impact of the National Health Service Health Check on cardiovascular disease risk: a difference-in-differences matching analysis

Chang

Lee

Vámos

et al. 2016

CMAJ

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The impact of food assistance on weight gain and disease progression among HIV-infected individuals accessing AIDS care and treatment services in Uganda

Cited by 61 publications

References 21 publications

Preferences for food and nutritional supplements among adult people living with HIV in Malawi

Preferences for food and nutritional supplements among adult people living with HIV in Malawi

Admissible Evidence in the Court of Development Evaluation? The Impact of CARE's SHOUHARDO Project on Child Stunting in Bangladesh

Impact of the National Health Service Health Check on cardiovascular disease risk: a difference-in-differences matching analysis

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