Professional Documents
Culture Documents
World Bank (2010) What can we learn from nutrition impact evaluations?
PoSHAN Study
Policy and Science for
Process
Health, Agriculture and
Nutrition
Understand policy
Goal
Focus
and programming
processes
Natl policy makers&
District officials,
front-line workers &
program
implementers
Community
Understand
agriculture-tonutrition linkages thru
population-based
assessments
Population-based:
Communities,
Households, Mothers and
Children<5 yrs
Lead
Collaborators
VaRG, PAHS,
Tribuvan U.
IOM, NARC,
New Era,
NTAG
MSNP (n=2/6)
Suahaara (n=7/20)
Sunaula Hazar (n=5/15)
Kisan (n=4/20)
Legen
d
Mountain Districts
Hill
Terai
Districts
Level
Institution/Individual
National
Regional
District
Ilaka
VDC
Ward
Valid
Frequency Percent
76
46
89
46
26
103
386
19.7
11.9
23.1
11.9
6.7
26.7
100
Respondent type/function
Government
official
283
73.3
NGO official
97
25.1
INGO official
1.6
386
100
Total
Worms
Lack of
awareness of
supplementary
foods,
micronutrient
deficiencies
13.8
3.2
High workload
and lack of
N=2
care of children N=29 0 78
15.1
0.002
N= 369 more
22.8
N=79 Source: PoSHAN0.014
data 2013
13
%
%
%
p value
Support
13.8
7.2
7.6
0.449
Shared ownership of
goals
20.7
33.8
24.1
0.119
Mandatory
mechanism
17.2
41.0
15.2
0.000
Training
13.8
15.8
10.1
0.444
Shared resources
62.1
51.1
50.6
0.515
Allowance/fiscal
benefits
55.2
20.9
17.7
0.000
No incentive
3.4
1.8
25.3
0.000
Don't know
0
0
1.3
0.143
Source: Own data 2013
14
Yes
Yes, but
need
refreshers
p=0.000
No
Local
Developm
ent and
Social
Agriculture
Developm
and
Educatio Water
ent
Health Livestock n
Supply NGOs
33% 59%
34%
50% 65% 70%
21%
46%
22%
20%
27%
39%
24%
26%
23%
12%
11%
20%
Yes
Yes but
need
P=0.002
refreshers
No
Local
Developm
ent and
Social
Agricultur
Developm Healt e and
Educati Water
ent
h
Livestock on
Supply
NGOs
22% 33%
33%
35%
42%
34%
8%
54%
6%
26%
20%
29%
11%
26%
8%
23%
11%
43%
32%
49%
Source: PoSHAN data 2013
18
19
Source: Swart et al. (2008) Nutrition: Primary Health Care Perspective
(Du
So many questions
Appropriate sample frames and RCT
approach to
policy research?
Analytical approach connecting date on
policy
fidelity outcomes at field level?
What is the counterfactual in policy and
implementation process enhancement?
Determining significance in policy
20
Many collaborators: