Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India

Optimal child growth requires a combination of nutrition-specific and sensitive interventions in the first 1,000 days. There is limited guidance on how to measure the population-level coverage of nutrition-sensitive social protection (NSSP), which is designed with explicit nutrition goals and often...

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Main Authors: Nguyen, Phuong Hong, Avula, Rasmi, Neupane, Sumanta, Akseer, Nadia, Heidkamp, Rebecca
Format: Journal Article
Language:Inglés
Published: Wiley 2024
Subjects:
Online Access:https://hdl.handle.net/10568/145286
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author Nguyen, Phuong Hong
Avula, Rasmi
Neupane, Sumanta
Akseer, Nadia
Heidkamp, Rebecca
author_browse Akseer, Nadia
Avula, Rasmi
Heidkamp, Rebecca
Neupane, Sumanta
Nguyen, Phuong Hong
author_facet Nguyen, Phuong Hong
Avula, Rasmi
Neupane, Sumanta
Akseer, Nadia
Heidkamp, Rebecca
author_sort Nguyen, Phuong Hong
collection Repository of Agricultural Research Outputs (CGSpace)
description Optimal child growth requires a combination of nutrition-specific and sensitive interventions in the first 1,000 days. There is limited guidance on how to measure the population-level coverage of nutrition-sensitive social protection (NSSP), which is designed with explicit nutrition goals and often provides food or cash transfers and co-coverage with nutrition and health intervention. In this study in India, we designed a questionnaire that captures seven core NSSP program elements (transfer type, size, modality, population, timing, provider, conditionalities), then used cognitive testing to refine the questionnaire, and then implemented the questions as part of a telephone survey. Cognitive testing indicated variability in understanding the terms used to specify NSSP programs, including the need to use regional program names. Respondents also had difficulty recalling the timing of the benefit receipt. We included the refined NSSP coverage questions in a phone-based survey with 6,627 mothers with children <2 years across six states. Coverage of subsidized food was 73% across all households. Women were more likely to report receiving food than cash transfers during pregnancy (89% vs. 60%) and during lactation (75% vs. 13%). Co-coverage of NSSP with nutrition and health interventions during pregnancy (16%) and early childhood (3%) was low. It was feasible to measure coverage of NSSP investments in these populations; however, further research is needed to comprehensively assess all the dimensions of the NSSP benefits, including benefit adequacy and the validity of these questions when administered in person and by phone.
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spelling CGSpace1452862025-10-26T12:54:41Z Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India Nguyen, Phuong Hong Avula, Rasmi Neupane, Sumanta Akseer, Nadia Heidkamp, Rebecca child growth measurement nutrition social protection Optimal child growth requires a combination of nutrition-specific and sensitive interventions in the first 1,000 days. There is limited guidance on how to measure the population-level coverage of nutrition-sensitive social protection (NSSP), which is designed with explicit nutrition goals and often provides food or cash transfers and co-coverage with nutrition and health intervention. In this study in India, we designed a questionnaire that captures seven core NSSP program elements (transfer type, size, modality, population, timing, provider, conditionalities), then used cognitive testing to refine the questionnaire, and then implemented the questions as part of a telephone survey. Cognitive testing indicated variability in understanding the terms used to specify NSSP programs, including the need to use regional program names. Respondents also had difficulty recalling the timing of the benefit receipt. We included the refined NSSP coverage questions in a phone-based survey with 6,627 mothers with children <2 years across six states. Coverage of subsidized food was 73% across all households. Women were more likely to report receiving food than cash transfers during pregnancy (89% vs. 60%) and during lactation (75% vs. 13%). Co-coverage of NSSP with nutrition and health interventions during pregnancy (16%) and early childhood (3%) was low. It was feasible to measure coverage of NSSP investments in these populations; however, further research is needed to comprehensively assess all the dimensions of the NSSP benefits, including benefit adequacy and the validity of these questions when administered in person and by phone. 2024-10 2024-06-15T02:56:18Z 2024-06-15T02:56:18Z Journal Article https://hdl.handle.net/10568/145286 en Open Access Wiley Nguyen, Phuong; Avula, Rasmi; Neupane, Sumanta; Akseer, Nadia; and Heidkamp, Rebecca. 2024. Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India. Maternal and Child Nutrition 20(4): e13661. https://doi.org/10.1111/mcn.13661
spellingShingle child growth
measurement
nutrition
social protection
Nguyen, Phuong Hong
Avula, Rasmi
Neupane, Sumanta
Akseer, Nadia
Heidkamp, Rebecca
Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India
title Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India
title_full Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India
title_fullStr Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India
title_full_unstemmed Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India
title_short Identifying measures for coverage of nutrition-sensitive social protection programs: Learnings from India
title_sort identifying measures for coverage of nutrition sensitive social protection programs learnings from india
topic child growth
measurement
nutrition
social protection
url https://hdl.handle.net/10568/145286
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