Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh

Many cash transfer programs include complementary nutrition training, with the aim of encouraging households to use transfer resources toward improving child nutrition. Evidence indicates that these bundled programs, if intensive and well-implemented, can be effective in improving child nutritional...

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Main Authors: Ahmed, Akhter, Hoddinott, John F., Roy, Shalini, Sraboni, Esha
Format: Journal Article
Language:Inglés
Published: Elsevier 2024
Subjects:
Online Access:https://hdl.handle.net/10568/132862
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author Ahmed, Akhter
Hoddinott, John F.
Roy, Shalini
Sraboni, Esha
author_browse Ahmed, Akhter
Hoddinott, John F.
Roy, Shalini
Sraboni, Esha
author_facet Ahmed, Akhter
Hoddinott, John F.
Roy, Shalini
Sraboni, Esha
author_sort Ahmed, Akhter
collection Repository of Agricultural Research Outputs (CGSpace)
description Many cash transfer programs include complementary nutrition training, with the aim of encouraging households to use transfer resources toward improving child nutrition. Evidence indicates that these bundled programs, if intensive and well-implemented, can be effective in improving child nutritional status. However, little is known about how adding nutrition training to transfer programs affects their economic impacts. In particular, few studies have assessed whether nutrition programming may induce reallocation of transfer resources from physical capital to human capital. Scarce evidence also exists as to whether these tradeoffs depend on the transfer modality. We study a pilot program called the Transfer Modality Research Initiative in Bangladesh (TMRI), designed as a randomized controlled trial. TMRI provided cash or food transfers, with or without intensive group-based nutrition behavior change communication (BCC), to mothers of young children in poor rural households. We find that adding nutrition BCC to cash or food transfers leads to larger impacts on both consumption and assets – potentially surprising, given that the transfer value is unchanged. Analysis of mechanisms suggests that these effects occur through the BCC inducing increases in income generation, through investments in livelihoods. Suggestive evidence indicates that the effects of TMRI’s BCC are plausibly due to the intensive group-based format, which increased social capital for participant women and their household members, as well as improved participant women’s agency and self-confidence, knowledge, and input into household decisions. Results indicate that adding nutrition BCC to cash or food transfer programs do not necessarily induce a tradeoff between investing in human capital versus physical capital, but can rather strengthen impacts on both if appropriately designed.
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spelling CGSpace1328622025-10-26T12:52:17Z Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh Ahmed, Akhter Hoddinott, John F. Roy, Shalini Sraboni, Esha cash transfers child nutrition economic impact food security households livelihoods nutrition Many cash transfer programs include complementary nutrition training, with the aim of encouraging households to use transfer resources toward improving child nutrition. Evidence indicates that these bundled programs, if intensive and well-implemented, can be effective in improving child nutritional status. However, little is known about how adding nutrition training to transfer programs affects their economic impacts. In particular, few studies have assessed whether nutrition programming may induce reallocation of transfer resources from physical capital to human capital. Scarce evidence also exists as to whether these tradeoffs depend on the transfer modality. We study a pilot program called the Transfer Modality Research Initiative in Bangladesh (TMRI), designed as a randomized controlled trial. TMRI provided cash or food transfers, with or without intensive group-based nutrition behavior change communication (BCC), to mothers of young children in poor rural households. We find that adding nutrition BCC to cash or food transfers leads to larger impacts on both consumption and assets – potentially surprising, given that the transfer value is unchanged. Analysis of mechanisms suggests that these effects occur through the BCC inducing increases in income generation, through investments in livelihoods. Suggestive evidence indicates that the effects of TMRI’s BCC are plausibly due to the intensive group-based format, which increased social capital for participant women and their household members, as well as improved participant women’s agency and self-confidence, knowledge, and input into household decisions. Results indicate that adding nutrition BCC to cash or food transfer programs do not necessarily induce a tradeoff between investing in human capital versus physical capital, but can rather strengthen impacts on both if appropriately designed. 2024-01 2023-11-08T21:56:54Z 2023-11-08T21:56:54Z Journal Article https://hdl.handle.net/10568/132862 en https://doi.org/10.2499/p15738coll2.133450 Open Access Elsevier Ahmed, Akhter U.; Hoddinott, John; Roy, Shalini; and Sraboni, Esha. Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh. World Development 173(January 2024): 106414. https://doi.org/10.1016/j.worlddev.2023.106414
spellingShingle cash transfers
child nutrition
economic impact
food security
households
livelihoods
nutrition
Ahmed, Akhter
Hoddinott, John F.
Roy, Shalini
Sraboni, Esha
Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh
title Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh
title_full Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh
title_fullStr Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh
title_full_unstemmed Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh
title_short Transfers, nutrition programming, and economic well-being: Experimental evidence from Bangladesh
title_sort transfers nutrition programming and economic well being experimental evidence from bangladesh
topic cash transfers
child nutrition
economic impact
food security
households
livelihoods
nutrition
url https://hdl.handle.net/10568/132862
work_keys_str_mv AT ahmedakhter transfersnutritionprogrammingandeconomicwellbeingexperimentalevidencefrombangladesh
AT hoddinottjohnf transfersnutritionprogrammingandeconomicwellbeingexperimentalevidencefrombangladesh
AT royshalini transfersnutritionprogrammingandeconomicwellbeingexperimentalevidencefrombangladesh
AT sraboniesha transfersnutritionprogrammingandeconomicwellbeingexperimentalevidencefrombangladesh