The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh
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 Agricul...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
Wiley
2023
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/127223 |
| _version_ | 1855537858628026368 |
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| author | Thai, Giang Margolies, Amy Gelli, Aulo Kumar, Neha Sultana, Nasrin Choo, Esther Levin, Carol |
| author_browse | Choo, Esther Gelli, Aulo Kumar, Neha Levin, Carol Margolies, Amy Sultana, Nasrin Thai, Giang |
| author_facet | Thai, Giang Margolies, Amy Gelli, Aulo Kumar, Neha Sultana, Nasrin Choo, Esther Levin, Carol |
| author_sort | Thai, Giang |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | 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. |
| format | Journal Article |
| id | CGSpace127223 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1272232025-10-26T12:56:18Z The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh Thai, Giang Margolies, Amy Gelli, Aulo Kumar, Neha Sultana, Nasrin Choo, Esther Levin, Carol nutrition women children agricultural programs economic costs behaviour changes agricultural extension credit gender income impact pathways expenditures intervention households nutrition counselling micro-credit programs low income countries public health maternal health expenditure less favoured areas microcredit behavioral economics capacity development 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. 2023-01 2023-01-16T15:21:19Z 2023-01-16T15:21:19Z Journal Article https://hdl.handle.net/10568/127223 en Open Access Wiley Thai, Giang; Margolies, Amy; Gelli, Aulo; Kumar, Neha; Sultana, Nasrin; Choo, Esther; and Levin, Carol. The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh. Maternal and Child Nutrition 19(1): e13441. https://doi.org/10.1111/mcn.13441 |
| spellingShingle | nutrition women children agricultural programs economic costs behaviour changes agricultural extension credit gender income impact pathways expenditures intervention households nutrition counselling micro-credit programs low income countries public health maternal health expenditure less favoured areas microcredit behavioral economics capacity development Thai, Giang Margolies, Amy Gelli, Aulo Kumar, Neha Sultana, Nasrin Choo, Esther Levin, Carol The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh |
| title | The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh |
| title_full | The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh |
| title_fullStr | The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh |
| title_full_unstemmed | The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh |
| title_short | The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh |
| title_sort | economic costs of a multisectoral nutrition programme implemented through a credit platform in bangladesh |
| topic | nutrition women children agricultural programs economic costs behaviour changes agricultural extension credit gender income impact pathways expenditures intervention households nutrition counselling micro-credit programs low income countries public health maternal health expenditure less favoured areas microcredit behavioral economics capacity development |
| url | https://hdl.handle.net/10568/127223 |
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