Maternal and Child Health and Nutrition Global Program

Event: NEEP Brown Bag with PopCouncil

NEEP presents “Enhanced evaluation of an educational nutritional curriculum among adolescent girls in Zambia”

Wednesday, 25 January 2017 | 12:00pm – 1:00pm

PATH DC Office

Please join us in welcoming Paul Hewett as he gives an informal presentation of The Population Council’s NEEP-funded evaluation, “Enhanced evaluation of an educational nutritional curriculum among adolescent girls in Zambia.” This study—a randomized cluster evaluation of the Adolescent Girls Empowerment Programme in Zambia—includes weekly “safe-spaces” meetings in which girls interact with each other and work through guided lessons with a mentor. Embedded within the program is a nutritional curriculum that focuses on key issues in adolescent and nutrition health. The enhanced evaluation will add critical elements to improve outcomes for adolescents and their children, strengthen the impact evaluation, and increase the research dissemination of the nutritional component.

RSVP required by Sunday, 22 January.

Please contact Brianna Musselman at bmusselman@path.org for more information or to RSVP.

Download the invitation.

Boosting Nutrition through Crops and Community

Zambia - May 2014 - Gareth Bentley

Photo: Gareth Bentley, 2014. Training of smallholder model farmers in Shikatende village, Milandu ward, Mumbwa Zambia.

Realigning Agriculture to Improve Nutrition (RAIN) is a project designed and implemented by Concern Worldwide, Mumbwa Child Development Agency, and the International Food Policy Research Institute to promote agricultural productivity through farming and cooking different vegetables in the Central Province of Zambia. Though it was created to address chronic malnutrition in communities in Zambia, the project ended up having a much wider influence by also establishing a massive, sustainable social impact in their communities.

Malnutrition, an unhealthy condition that is caused by a lack of proper nutrients or having enough to eat, has been established as one of the leading causes of death in the world, especially for children under five years of age. Zambia has been particularly susceptible to malnutrition—almost half the children of Zambia are malnourished, adding up to about one million children. This has serious implications for their future health and well-being. According to the UN’s Standing Committee on Nutrition, malnutrition is the largest contributor of susceptibility to disease, leading to poor physical and mental development in later years. Multiple attempts have been made to decrease the impacts of malnutrition through nutrition programs, prioritization of the 1,000-day window, or the promotion of food banks. What RAIN aims to accomplish compared to those other options, however, is to provide a more sustainable and effective solution.

RAIN works by emphasizing the importance of nutritious diets in families in the District of Mumbwa and the methods—farming, husbandry, and cooking—to achieve improved infant and young child feeding and greater gender equality. While the project was intended for infants and pregnant or new mothers, its reach was much wider: it has had a profound and lasting effect on the rural communities in Zambia. This is because RAIN uses different methods to tackle malnutrition at its core, such as planting and maintaining gardens, teaching women how to cook and preserve nutrient-packed crops and vegetables using well-covered solar driers provided by the project, and community health outreach programs that teach new mothers about proper nutrition practices for themselves and their children. The result is not only female empowerment, but also a revitalization of the local economy.

PATH spoke to Richard Mwape, Concern Worldwide’s District Program Coordinator in Mumbwa, and he explained in detail about the crops that were promoted through the project. Maize is commonly grown and cooked by Zambians, and in order to reduce malnutrition and to give the community members the necessary “diversification of micronutrients,” it was crucial to introduce new vegetables. By showing the Mumbwa community the different kinds of vegetables that offer exceptional nutritional value, along with how to best cook these nutrient-rich foods, they were given options to incorporate these vegetables into their diets on a daily basis. Vegetables such as amaranth, often regarded as a weed, are nutritious and can grow on their own. Eggplants, referred to as impua, have also been successfully grown in communities. Farmers grew pumpkins as well, which have been especially beneficial because their leaves are also edible. Other successfully grown vegetables and crops include carrots, okra, sweet potato vines, soybeans, and groundnuts.

By tending to and selling these vegetables, the rural communities of Zambia were able to experience not only the monetary success of their hard work, but also experience the rich satisfaction of self-sustainability. Richard discussed how people sold their vegetables not just in their district, but also in places outside their localities, thereby increasing their businesses. By doing so, they could afford to buy additional products for themselves and their farms, such as watering cans and pesticides, to take special care of their crops. They could also then afford school fees for their children, and purchase other household necessities that increased their quality of life.

A key success of the RAIN project is increase of women empowerment in Zambia, and the promotion of gender equity, which seemed to come naturally through the implementation and growth of the project. Concern Worldwide developed an extension of RAIN, called RAIN+, which focuses primarily on social accountability in addition to gender equality. RAIN+ has given women in RAIN the opportunity to educate, advise, and present the skills and methods they learned about farming and crop tending to women who are new to the program. These women are also called upon to facilitate training, to talk about how they work with the government through the project’s services, and to discuss their successes and challenges. By doing so, their confidence and pride in their work has increased, and they have become leaders in their communities.

The involvement of the men in the community is also regarded as a noteworthy success of the project. Richard described the husbands of the farmer women as “critical partners in the success of RAIN.” Men who were initially uninterested in the project grew to participate and care about farming and cooking the crops, and their involvement created a strong sense of community, unity, and respect.

This project has impacted the Zambian community in every facet of life and has ultimately created a sustainable lifestyle for families who otherwise would have seen the effects of malnutrition trickle into their future. Instead, RAIN provides hope by establishing not only the resources for a better future, but also the tools for the community to keep it going. RAIN represents that which the idea of community health stands for: not only the revitalization of physical well-being through proper public health practices, but also creating a sense of economic and social sustainability that increases the spirit of community.

 

The final report of the RAIN project is available here.

 

Sources consulted:

http://www.wfp.org/countries/Zambia/overview

https://www.wfp.org/hunger/malnutrition

http://www.concernusa.org/story/realigning-agriculture-to-improve-nutrition/


Article by PATH intern Sara Mannan.

For more information, please contact neep@path.org

NEEP Learning Center at the Micronutrient Forum 2016

neep-mnf-graphic

NEEP will be hosting a learning center at the Micronutrient Forum 2016 in Cancún, Mexico, titled “Contributions of CSOs in generating evidence for nutrition-specific and nutrition-sensitive interventions: What it takes to conduct an impact evaluation in local settings, challenges, and lessons learned.”

Date: 26 October 2016

Time: 12pm-2pm

Venue: Tulum 1 & 2

The primary objective of this session is to share the challenges of designing and implementing nutrition impact evaluations conducted by CSOs, going beyond the theoretical concepts to learn from the real life case studies.

The secondary objectives of this session are:

  • To provide a broad overview to the participants on what it takes to conduct a nutrition impact evaluation.
  • To hold an in-depth discussion on the key elements of nutrition impact evaluations.
  • To build participants’ capacity on how to design a nutrition impact evaluation if they are not a research institution.
  • To learn about the opportunities and challenges of conducting cost-effectiveness analyses of evaluations.

Agenda

Time

Presenter

Welcome and introductions

Nutrition Evaluation Bingo

12:00 – 12:10 Monica Kothari
NEEP impact evaluation study summaries 12:10 – 12:35 Monica Kothari
Observations from the ground 12:35 – 1:00 NEEP grantees:

Concern Worldwide/IFPRI

Helen Keller International

Micronutrient Initiative

Impact Evaluation Jeopardy 1:00 – 1:15
Open Discussion / Q&A 1:15 – 2:00

 

We hope you can join us for this exciting session! Please contact Brianna Musselman (bmusselman@path.org) with any questions.

Download flyer here.

 

Cost-effectiveness analysis for nutrition and food security: pros, cons, and lessons learned within Action Against Hunger

By Chloe Puett, Action Against Hunger USA, Research Group Leader, Cost-Effectiveness Analysis

Download this article here.

Introduction

Combining information on program costs and outcomes, as is done in a cost-effectiveness analysis (CEA), tells us more than looking at either of these components separately. Focusing on effectiveness alone will limit the use of data in strategic decision-making. Focusing on costs alone may detract from program quality. While traditionally cost-effectiveness methods have been used in health interventions, there is growing evidence on the specific benefits and drawbacks of applying them to interventions focusing on nutrition and food security outcomes.

Since 2012, Action Against Hunger | ACF International (ACF) has been engaged in developing capacity on CEA methods, through conducting CEAs on our nutrition and food security and livelihood (FSL) programs implemented in several ACF country offices. In this article we summarize the experiences and perspectives on the pros and cons of CEA reported by various ACF staff conducting these analyses, both research staff at HQ and staff working at country level to facilitate the studies. These pros and cons relate both to the CEA method in general, and to its application to nutrition and food security specifically.

Pros of CEAs

Evidence for advocacy and decision-making

Among the general benefits of the CEA method is its usefulness in policy and advocacy efforts. Costs speak for themselves and can be used for objective decision-making. Results from these studies can be used for priority-setting and advocating to a wide variety of stakeholders.

“Knowing the cost vs benefits is an excellent way to advocate for the intervention to partners, donors but also within the team.” (Nepal)

The evidence generated by a CEA has a variety of uses. Evidence on resource use and efficiency can aid in improving programs. Information on costs can also be used for future budgeting.

“The cost-effectiveness can give a real idea about resources needed for implementation and it can be used to make a budget about expanding or scaling up this strategy.” (Mali)

“The CEA can provide a very useful additional degree of analysis on the comparison of different intervention modules and their cost-effectiveness – this is a key element to ensure that not only our beneficiaries receive the best possible service, but also that we can plan to provide such services in the most efficient way thus also reaching a higher number of people in need.” (Pakistan)

Acknowledging contributions of partners, communities, and households

ACF CEAs employ a societal perspective where possible to understand the broader program resource use beyond institutional expense records. This involves engaging with partners and beneficiaries, bringing awareness of the “hidden inputs provided by the community and society” (HQ). Provided that all stakeholders are willing to share their cost information, discussing with different implementing partners also can allow triangulation of information, helping ensure that cost data is accurate and complete.

Discussing with partners about their costs can “highlight the full value of the service provided by partners (e.g. banks for cash distribution) and what that would cost the NGO if they had to provide this service themselves… [along with] a realization that the commission [the fee charged by financial service providers to transfer payments to beneficiaries in cash transfer programs] is not pure profit” (HQ). Discussing with communities about their time and costs dedicated to program participation “is important, in order to make our programs better with lower costs for beneficiaries” (HQ).

A novel angle for program evaluation and learning

As ACF builds experience in conducting CEAs, we are learning ways to improve our methods and practices. Field staff are often involved in compiling data needed for these analyses, and implementing staff are key actors consulted during data collection. While this is an additional task for field staff, they can also benefit from the experience.

“Often as field teams we do not realise all the costs that go into making a program function – logistics, support HR, etc. When I did the exercise of costs identification with the team, it was interesting for them to realise the costs involved. This definitely has an impact on motivation and accountability as a team.” (Nepal)

There are also fears associated with a cost-effectiveness analysis, as implementing staff may perceive that their own performance or efficiency is being evaluated or audited. To alleviate these concerns, ACF researchers sensitize country office staff to reassure them that the exercise is not an audit or performance appraisal.

“As soon as they learn the objective and understand the importance of the study and their participation, almost everyone shows great support for the analysis. In fact, many expressed interest in learning more about the methodology.” (HQ)

Quantifying costs for nutrition scale-up and integration

According to the Global Nutrition Report 2015, more evidence is needed on the cost of nutrition strategies.[1] This is an important limitation in the current evidence base, given that nutrition and medical supplies can be costly, particularly therapeutic foods, milks, and their related logistical requirements.[2] High costs can limit the coverage and sustainability of these activities.

In this sense, a benefit of the cost data in nutrition CEAs is in helping to clarify—for both MoH and NGO partners—the costs of scaling up services and handing them over to local partners, and in aiding partners in “planning and budget development of different activities and projects around nutrition and nutrition-sensitive approaches, where they otherwise lack evidence to guide their decisions in a field where previously little money used to be spent” (Pakistan).

Moving beyond cost-efficiency in food security and livelihoods

Field staff perceived that compared to nutrition programs, FSL programs have a stronger focus on economic analysis. However, the typical indicators used in existing analyses are outputs—number of beneficiaries reached, cost per unit of currency distributed—rather than outcome indicators. The shift to assessing cost per outcome of FSL programs, particularly nutrition-related outcomes, is a positive step to understanding these interventions’ potential.

“The shift to looking at outcomes, rather than just outputs, is particularly important for cash and food distribution programs; historically the focus of evaluations of these programs has been on cost-efficiency: cost per beneficiary, cost per kilocalorie, cost-transfer ratios. In this sense, it is good to incorporate information on, and begin to better understand, the impact of these programs.” (HQ)

Cons of CEAs

Dangers of reductive interpretation

Despite their many benefits, CEAs are also limited in that they contribute just one piece of information to evaluate programs, and should be considered along with other criteria. For example, a food distribution program “may be the most cost-effective, but if it seriously undermines local markets and livelihoods it is not the best option” (HQ). Additionally, in the humanitarian field there has been historical resistance to judging programs based on cost-effectiveness, in part because of value placed on general effectiveness and speed of response in humanitarian crises.[3]

There is a risk that decision-makers may simply compare final unit costs or ratios across programs without considering contextual aspects influencing cost-effectiveness in different settings.

“The information gained on the relative cost-effectiveness of an intervention in one place may not be generalizable to other settings. For instance, differences in infrastructure available may make the same intervention cost-effective in one setting but not in another.” (Pakistan)

Confusion between cost-efficiency and cost-effectiveness analysis

Further, some decision-makers may focus on cost information to identify the cheapest approach, ignoring the connection between level of investment and quality achieved, which cost-effectiveness results provide. This is because “the pressure to obtain more funds causes government officials to be more focused on cost results rather than on the CEA as a whole. This could potentially be a risk in creating sustainability and create some issues when the government takes over projects” (HQ).

Challenge of quantifying diverse outcomes in nutrition and food security

CEA methods can be used to estimate the cost per any outcome of importance for an intervention. However, selecting an optimal outcome is not always a straightforward process. In the health field, where interventions often aim to prevent, reduce, or eradicate a particular disease, the choice of outcome indicator for a CEA is relatively unambiguous.

For FSL and nutrition programs, the process of selecting an outcome variable for a CEA may be more complicated. For one thing, many such programs have multiple objectives; this presents a challenge in either choosing one primary outcome, or trying to quantify diverse outcomes and benefits in a comprehensive way. An example of this challenge comes from a CEA conducted by ACF on a program in Zimbabwe using community vegetable gardens to improve nutrition-related outcomes of people living with HIV. While tangible outcomes were measured in terms of changes in household dietary diversity and food consumption, many other intangible benefits were also identified, including community cohesion and participants’ mental health.[4] These important contextual benefits of the program could not be quantified as part of the CEA per se.

In the health economics field, comprehensive outcome indicators, such as disability adjusted life years (DALYs) and quality adjusted life years (QALYs) have been developed to address this challenge. These indicators quantify life quality, death, and disability attributable to a disease using a standard measure that can be compared across different disease states, and used as outcomes in CEAs. Having estimates of (e.g.) cost per DALY allows decision-makers to prioritize investments based on which interventions give the most value for money in reducing disease in general.

To some extent nutrition programs can use these methods since many anthropometric measurements are quantifiable health outcomes. However, while not every intervention will have an impact on health outcomes, many FSL and nutrition programs may improve non-health outcomes such as dietary diversity and access to and consumption of nutritious foods. One drawback to using these non-health outcomes for CEA is that other researchers or policy makers might be unfamiliar with them, which could limit uptake of study findings. Additionally, there is currently no comprehensive measure for non-health outcomes. While there may be interest in developing a comprehensive standard indicator for dietary diversity and food security outcomes, this approach may still be considered too limited to capture the full scope of benefits from such programs.

Finally, dietary diversity and food security indictors are often indicated as secondary or intermediate outcomes for nutrition programs, and potentially for FSL programs, rather than the primary objective for which the program was designed. Assessing the cost-effectiveness of these programs using secondary outcomes may not always produce the most relevant or convincing evidence of cost-effectiveness.

Conclusions

ACF will continue working to build the evidence base on the cost-effectiveness of nutrition and FSL interventions. In doing so, we will strive to ensure a balance between standardization of methods and appreciation of context: both the geographic setting in which the activity takes place and the potentials and limitations of specific interventions. In this way we aim to build a rich inventory of evidence on cost-effectiveness of nutrition and FSL interventions, to increase our understanding of program efficiency and find ways forward to improve their effectiveness.


Thanks to the following Action Against Hunger staff for sharing their experiences for this article: Franck Ale (Mali), Freddy Houngbé (Chad, Burkina Faso), Karen Martínez (HQ, Research Officer, PUR and C Project), Riccardo Mioli (Pakistan), Prathama Raghavan (Nepal), and Lani Trenouth (HQ, Research Officer, REFANI).


[1] Haddad, LJ, Hawkes C, Achadi E, Ahuja A, et al. 2015. Global Nutrition Report 2015: Actions and accountability to advance nutrition and sustainable development. International Food Policy Research Institute.

[2] Puett C, Salpéteur C, Lacroix E, Houngbé F, Aït-Aïssa M and Israël AD. 2013. Protecting child health and nutrition status with ready-to-use food in addition to food assistance in urban Chad: a cost-effectiveness analysis. Cost Effectiveness and Resource Allocation, 11(1):27. (link)

[3] Goyet CDV, Marti RZ, Osorio C, Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P and Mills A. 2006. Natural disaster mitigation and relief. In: Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, Jha P, Mills A and Musgrove P. (eds.) Disease Control Priorities in Developing Countries. Second Edition. Washington, D.C.: The World Bank.

[4] Puett C, Salpéteur C, Lacroix E, Zimunya SD, Israël AD and Aït-Aïssa M. 2014. Cost-effectiveness of community nutrition gardens for people living with HIV in Zimbabwe. Cost Effectiveness and Resource Allocation, 12(1):11. (link)

Improving Child Nutrition and Development in Southern Malawi: One Meal at a Time

Photo: Luzayo Nyirongo, Save the Children.

Photo: Luzayo Nyirongo, Save the Children.

Malawi has had a long history of poor child nutrition, which has stunted the growth and development of around 47% of children aged 6 to 59 months. Poor nutrition, after all, has severe long-term health effects on children, including, but not limited to, developmental delays, stunted height, and memory deficiencies. Malnutrition and micronutrient deficiencies are common in Malawi because of food insecurity, low agricultural production due to the lack of rainfall, and the excessive burdens of poverty. To help combat these issues in children, PATH supports IFPRI‘s evaluation study being implemented by Save the Children  in  Zomba District in the Southern Region of Malawi, which works to improve agricultural and nutrition practices in homes and families. To prevent slow development in children, which is a common effect of malnutrition, Save the Children and their early childhood development (ECD) program aim to provide nutritious food and learning environments to children and families in community-based childcare centers (CBCCs), serving around 40% of 3- to 5-year-olds in Malawi.

With thousands of CBCCs spread across the country, this project works to increase community and parental involvement by creating wholesome environments with access to health and nutrition services for children and intends to leave a lasting effect on the behaviors and practices of the families that participate.

Save the Children_Malawi_SCUK Engagement Visit_23May to 27May 2016-101

Photo: Luzayo Nyirongo, Save the Children.

PATH spoke to Aisha Twalibu, the NEEP research coordinator in Malawi. She discussed the NEEP study’s progress to date and mentioned that one of the main reasons the project is thriving is because it is aimed toward improving practices and behaviors not only in the CBCCs, but also in people’s households and daily lives. For instance, nutritious meals are cooked and provided in the CBCCs, which are then replicated by parents in their own homes. Parents learn how to cook healthy, easy meals that are loaded with nutrients and can thereby keep their children’s nutrient intake consistent by making the meals often at home. Aisha discussed food insecurity in the CBCCs as a problem that has resulted in a decreased attendance rate, because often it is hard to provide daily meals, such as porridge. However, one of the goals of the project is to give people the tools and skills they need to produce food independently, so that households can contribute by producing the food that is distributed at CCBCs. The program  appears to be a success because of just that: its sustainability.

Because approximately 91% of the population in Malawi lives in rural areas, farming is an essential aspect of people’s livelihoods. This project focuses heavily on agricultural interventions. Particularly,  agricultural extension and development officers (AEDOs) train  households/farmers to plant and harvest seeds and vegetables such as sweet potatoes, which are particularly useful for boosting nutrition: they are a great source of vitamins A and C and have edible leaves. According to Aisha, one of the most successful parts of the project so far is farming and crop-tending because of how beneficial they are to families for food production. Farmers are taught how to harvest crops in accordance with the rainfall, which is necessary for healthy crops. Aisha discussed a lack of rainfall being one of the biggest challenges of the project, and how it sometimes slowed down the harvesting process. Because rainfall is so unpredictable in Malawi, especially in recent years, food storage and preservation is crucial, so Save the Children also focuses on teaching people how to store different types of foods.

Save the Children_Malawi_SCUK Engagement Visit_23May to 27May 2016-98

Photo: Luzayo Nyirongo, Save the Children.

Another life-changing intervention that the project introduced is that of nutrition and hygiene, particularly regarding meal preparation. CBCC management committees, caregivers,  and parents were trained to prepare meals that included food from all the different food groups, to wash their hands properly before cooking and before eating, and to instill these practices in children, both at the CBCCs and at home. It is expected that these practices will eventually become routine, and as a result, nutrition and hygiene can become embedded in daily life.

Early indicators of the project show a significant amount of success and progress because of its long-term vision; rather than simply providing information to an audience, this project combines informative teaching and hands-on activities to give families the most out of the resources they have and to equip them with skills, practices, and values that will last a lifetime.

Sources:

http://www.unicef.org/malawi/children.html

http://borgenproject.org/child-malnutrition-malawi/

https://www.usaid.gov/sites/default/files/documents/1864/USAID-Malawi-Profile.pdf


Article by PATH intern Sara Mannan.

For more information, please contact neep@path.org

NEEP on the ground: Jasmine and the Adolescent Girls Empowerment Programme

Jasmine Kabungo, self portrait.

Jasmine Kabungo, self portrait. March 2016.

Jasmine, age 19, is a participant in the Population Council’s Adolescent Girls Empowerment Programme (AGEP) in Zambia.

As part of the program, Jasmine attends safe-space meetings every Saturday with a group of about 15 to 20 other young ladies. These meetings give Jasmine and others the opportunity to meet, hang out, and learn from each other. They also get to share their opinions and bounce ideas off each other in a secure and nurturing environment.

AGEP includes a nutrition curriculum developed jointly by the Population Council and PATH. The Nutrition Embedding Evaluation Program (NEEP), funded by the UK Department for International Development and managed by PATH, funds an evaluation of this nutritional curriculum. The curriculum includes six sessions on nutrition:

  1. Nutrition Needs for Adolescent Girls
  2. The Role of Food in the Body
  3. Anemia in Adolescent Girls
  4. Nutrition for Pregnant Adolescents
  5. Infant Feeding from Birth Through Six Months
  6. Young Child Feeding and Growth Monitoring

Jasmine said she learned things about reproductive health and nutrition that she never knew before. For example, through AGEP, Jasmine learned the difference between good foods—those that provide energy—and bad foods—those that contain too much fat or are otherwise lacking in nutrients.

Jasmine’s favorite thing about AGEP is that she and the other girls get to meet to share their knowledge and learn from each other. They often face similar problems, and during safe-space meetings, the girls can work out possible solutions. Of course, the social aspects are fun, too. Safe-space meetings are an opportunity for Jasmine and the other girls to build interpersonal skills in addition to learning important health information. Jasmine said that AGEP has helped her build self-esteem.

Recently, Jasmine had a friend who didn’t come to safe-space meetings, but Jasmine shared all of the information that she learned through AGEP with her. Jasmine encouraged her friend to come to the meetings to get even more information. Soon, Jasmine’s friend joined AGEP and has enjoyed the same benefits from it as Jasmine.

Jasmine’s advice for other young ladies like her is to learn how to communicate with each other and share whatever knowledge they have so that everyone can learn and grow. AGEP helps girls develop the self-confidence to speak out on important issues that affect girls in every community in Zambia.

For more information, please email neep@path.org.

Event: NEEP Brown Bag with Evidence Action

NEEP presents “Leveraging an existing large-scale safe water program to deliver nutrition messages at a low marginal cost”

Evidence Action promoter training 4

Photo: Evidence Action.

Thursday, 28 January 2016 | 1:00-2:00pm

PATH DC Office

Please join us in welcoming Samantha Bastian and Chris Austin of Evidence Action as they give an informal presentation of Evidence Action’s NEEP-funded evaluation, “Leveraging an existing large-scale safe water program to deliver nutrition messages at low marginal cost.” Through this project, Evidence Action is providing information on complementary feeding to households with children aged 6 through 24 months, and will then estimate the impacts of home visits and the salience of informational posters on children’s anthropometric indicators, as well as on nutrition knowledge and practices and consumption decisions.

RSVP required by Tuesday, 26 January.

Please contact Brianna Musselman at bmusselman@path.org for more information or to RSVP.

Download the invitation.

Rescheduled: NEEP Brown Bag with BRAC

NEEP presents “Impact Evaluation of BRAC’s Nutrition and Early Childhood Development Program”

Photo: BRAC.

Photo: BRAC.

Monday, 22 February | 1pm-2pm

PATH DC Office

Please join us in welcoming Dr. Thomas de Hoop of American Institutes for Research (AIR) as he gives an informal presentation of BRAC’s NEEP‑funded evaluation, “Impact Evaluation of BRAC’s Nutrition and Early Childhood Development Program.” The goal of BRAC’s nutrition program is to reduce malnutrition, mortality, and morbidity among young children and pregnant and lactating women in poor and socially excluded populations. In some areas, the nutrition intervention is complemented by a comprehensive early childhood development (ECD) intervention to improve knowledge of caregivers on how to stimulate the cognitive and physical development of children. BRAC’s research partner, AIR, has developed a mixed-methods research design that uses a combination of experimental, quasi-experimental, and qualitative methods to assess the effects of BRAC’s nutrition and ECD programs.

RSVP required by Thursday, 18 February.

Please contact Brianna Musselman at bmusselman@path.org for more information or to RSVP.

Download the invitation.

Event: NEEP Brown Bag with Cameroon Baptist Convention

NEEP presents “The effectiveness and acceptability of the Nutrition Improvement Programme on infant and young child feeding and nutritional status”

— EVENT RESCHEDULED — 

CBC2 - credit Kate Reinsma

Photo: Kate Reinsma

Tuesday, 2 February 2016 | 12:00-1:00pm

PATH DC Office

Please join us in welcoming Kate Reinsma of Liberty University as she gives an informal presentation of Cameroon Baptist Convention’s NEEP‑funded evaluation, “The effectiveness and acceptability of the Nutrition Improvement Programme on infant and young child feeding and nutritional status.” This study evaluated the effectiveness of integrating the Nutrition Improvement Programme into maternity, antenatal, infant welfare, and HIV clinical services through quantitative measurements of infant feeding practices and children’s nutritional status. The team also evaluated the acceptability of infant feeding counseling among caregivers and nutrition counselors through focus group discussions. Furthermore, the team analyzed the cost of scaling up the Nutrition Improvement Programme.

RSVP required by Sunday, 31 January.

Please contact Brianna Musselman at bmusselman@path.org for more information or to RSVP.

Download the invitation.

Event: NEEP Brown Bag with Save the Children and IFPRI

NEEP presents “Improving child nutrition and development through community based childcare centers in Malawi”

Tuesday, 8 December 2015 | 1:00-2:00pm

PATH DC Office

Please join us in welcoming Natalie Roschnik of Save the Children and Dr. Aulo Gelli of the International Food Policy Research Institute as they give an informal presentation of their NEEP-funded evaluation, “Improving child nutrition and development through community based childcare centers in Malawi.”

RSVP required by Sunday, 6 December.

Please contact Brianna Musselman at bmusselman@path.org for more information or to RSVP.