The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh

Dados Bibliográficos

ID15535495
AutoresGiang Thai (International Food Policy Research Institute), Amy Margolies (0000-0003-3194-5632, International Food Policy Research Institute, autor correspondente), Aulo Gelli (0000-0003-4977-2549, International Food Policy Research Institute), Nasrin Sultana (0009-0009-2495-5921, Independent University), Esther M Choo (0000-0001-6564-7962, University of Washington), Esther Choo (Department of Global Health University of Washington Seattle Washington USA), Neha Kumar (0000-0001-7982-3277, International Food Policy Research Institute), Chynna Levin (0000-0001-7691-0172, University of Washington)
Ano2022
Volume19
Fascículo1
Páginase13441-e13441
Data de publicação2022-10-18
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/mcn.13441
PMID36254494
OpenAlexW4306681192
IdiomaEN
Citações recebidas5
Referências citadas24

Bangladesh struggles with undernutrition in women and young children. Nutrition-sensitive agriculture programmes can help address rural undernutrition. However, questions remain on the costs of multisectoral programmes. This study estimates the economic costs of the Targeting and Re-aligning Agriculture to Improve Nutrition (TRAIN) programme, which integrated nutrition behaviour change and agricultural extension with a credit platform to support women's income generation. We used the Strengthening Economic Evaluation for Multisectoral Strategies for Nutrition (SEEMS-Nutrition) approach. The approach aligns costs with a multisectoral nutrition typology, identifying inputs and costs along programme impact pathways. We measure and allocate costs for activities and inputs, combining expenditures and micro-costing. Quantitative and qualitative data were collected retrospectively from implementers and beneficiaries. Expenditure data and economic costs were combined to calculate incremental economic costs. The intervention was designed around a randomised control trial. Incremental costs are presented by treatment arm. The total incremental cost was $795,040.34 for a 3.5-year period. The annual incremental costs per household were US$65.37 (Arm 2), USD$114.15 (Arm 3) and $157.11 (Arm 4). Total costs were led by nutrition counselling (37%), agriculture extension (12%), supervision (12%), training (12%), monitoring and evaluation (9%) and community events (5%). Total input costs were led by personnel (68%), travel (12%) and supplies (7%). This study presents the total incremental costs of an agriculture-nutrition intervention implemented through a microcredit platform. Costs per household compare favourably with similar interventions. Our results illustrate the value of a standardised costing approach for comparison with other multisectoral nutrition interventions

Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare