Do agricultural support and cash transfer programmes improve nutritional status?

Author(s):  
Seth R. Gitter ◽  
James Manley ◽  
Jill Bernstein ◽  
Paul Winters
Author(s):  
Titus Priyo Harjatmo ◽  
Maria Poppy Herlianty ◽  
Antonius Sri Hartono

Background: The nutritional status of infants and toddlers is one indicator of public nutrition, and even has developed into one of the indicators of health and welfare. Basic Health Research (Riskesdas) in 2013 showed that 37,2% children under five suffering from nutritional status is stunting. One of the efforts that have been made by the Indonesian government to reduce malnutrition in infants and toddlers is through a program that is integrated with the health sector namely Conditional Cash Transfer Program (Program Keluarga Harapan). The specific objectives were to identify the characteristics of families recieve Conditional Cash Transfer Program and analysis stunting children under five years in families receiving Conditional Cash Transfer Program in Baturetno subdistric, Wonogiri district.Methods: The study was conducted in the subdistrict of Baturetno, Wonogiri district and has collected a total of 112 infants of families Conditional Cash Transfer Program participants. Sampling of children under five years was done purposively. This study was conducted from July to August 2017.Results: The proportion of children who stunting quite high at 33.0% higher than the results of the Nutritional Status Monitoring in 2016 amounted to 27.5%. If stunting is associated with the age group of stunting problems occur in all age groups in the amount of 31.3% in under 23 months and 34.3% at 23 months upwards of 31.3% children under five short, as much as 25.0% children under five are overweight according to height (weight for height) is normal and thus potentially becoming obese.Conclusions: The implementation of weight monitoring should be monitored the height of children under five in the hope family program.


2014 ◽  
Vol 15 (2) ◽  
Author(s):  
Mônica Viegas Andrade ◽  
Flávia Chein ◽  
Rafael Perez Ribas ◽  
Jaume Puig-Junoy

This paper investigates the impact of the Bolsa Familia program, a conditional cash transfer program focused on Brazilian poor families, on children‘s nutritional status in a context of low monitoring of conditionalities. The analysis is carried out using data from a baseline survey conducted in 2005, the “Bolsa Família” Impact Evaluation Research. The evaluation is made using the Propensity Score Matchingtechnique. Besides considering observational differences between beneficiaries and non-beneficiaries of Bolsa Família Program, our empirical strategy also addresses some concerns about informational issues in order to take into account potential endogeneity of the decision to participate in the Program. Our final results show a positive effect of Bolsa Família Program on children nutritional status only whencontrolling for the informational bias and for those children fulfilling educational requirements; however, this positive impact on nutritional status is restricted to BMIfor-age but does not affect height-for-age.


2017 ◽  
Vol 27 (1) ◽  
pp. 35
Author(s):  
Anderson Gonçalves Freitas ◽  
Diego Gonçalves de Lima ◽  
Miguel Junior Sordi Bortolini ◽  
Dionatas Ulises De Oliveira Meneguetti ◽  
Edigê Felipe De Sousa Santos ◽  
...  

Introduction: In recent years, there has been a reduction in cases of malnutrition in Brazil but this has been accompanied with an increase in the overweight and obesity rates. These changes, together with others, such as changes in eating patterns and lifestyle, characterise the process of nutritional transition. Objective: We aimed to compare the prevalence of nutritional status of beneficiary children of the Bolsa Família Program (PBF) in the states of Acre and Rio Grande do Sul, Brazil, and to analyse the changes in the anthropometric profile of these children during 5 years. Methods: This is an ecological study using secondary data from the Food and Nutrition Surveillance System (SISVAN) and Bolsa Família Department of SUS (DATASUS), which assessed the nutritional status of children over 5 years and under 10 years benefiting from the PBF in the years 2011 to 2015 in the states of Acre and Rio Grande do Sul. The sample consisted of 94,865 children from Acre and 342,462 children from Rio Grande do Sul. The Body Mass Index was used to classify the nutritional status. Results: The mean prevalence of eutrophic children aged 5 to 10 years in Acre was 70.42% and was 61.28% in Rio Grande do Sul. Overweight was 13.06% in Acre and 19.48% in Rio Grande do Sul. Obesity was 5.08% in Acre and 9.36% in Rio Grande do Sul. Severe obesity was 4.02% in Acre and 6.92% in Rio Grande do Sul. Conclusion: Overweight and obesity in children benefiting from the PBF has been growing in the last 5 years, notably in the state of Rio Grande do Sul. This is possibly due to the fact that the nutritional transition is at a more advanced stage here than in Acre State.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028314 ◽  
Author(s):  
Hilary J Floate ◽  
Geoffrey C Marks ◽  
Jo Durham

IntroductionChild malnutrition continues to be a significant global public health concern. Nutrition-related interventions have changed and diversified over the last two decades, with increasing emphasis on nutrition-sensitive programmes that address underlying determinants of child malnutrition. Cash transfer programmes (CTPs) are used with increasing popularity in lower-income and middle-income countries to improve both food/nutrition insecurity and resilience. Available studies, however, provide mixed findings on the outcomes of CTPs for child nutritional status. This review is the first stage of a research project to develop evidence-informed theories of how CTPs affect child malnutrition. These will be empirically tested in the field and contribute to a better understanding of how, why, for whom and in what circumstances CTPs can be implemented to optimise impacts on child nutritional status.Methods and analysisThis realist review is informed by available standards for realist reviews and follows a five-step process. In step 1, an initial scoping of literature identified potential contextual factors and underlying mechanisms that influence nutritional outcomes, and potential theories developed to address our research question. In step 2, a systematic literature search using multiple databases will be undertaken with papers screened using defined inclusion/exclusion criteria. In step 3, included studies will be appraised, data extracted into a bespoke data extraction tool and used to test and further refine our explanatory framework. The fourth step will synthesise, using a mix of inductive and deductive analytical processes to identify patterns, link chains of inference and tracking and linking of articles. The final step involves dissemination of a preliminary theory for feedback prior to empirically testing it in Kenya and Ethiopia where large-scale CTPs are being implemented.Ethics and disseminationThis review will not involve primary data collection. Findings will be presented in accordance with Realist and Meta-Narrative Evidence Synthesis: Evolving Standards guidelines and published in a peer-reviewed journal.Trial registration numberCRD42018110735.


2017 ◽  
Vol 27 (1) ◽  
pp. 35 ◽  
Author(s):  
Anderson Gonçalves Freitas ◽  
Diego Gonçalves de Lima ◽  
Miguel Junior Sordi Bortolini ◽  
Dionatas Ulises De Oliveira Meneguetti ◽  
Edigê Felipe De Sousa Santos ◽  
...  

Introduction: In recent years, there has been a reduction in cases of malnutrition in Brazil but this has been accompanied with an increase in the overweight and obesity rates. These changes, together with others, such as changes in eating patterns and lifestyle, characterise the process of nutritional transition. Objective: We aimed to compare the prevalence of nutritional status of beneficiary children of the Bolsa Família Program (PBF) in the states of Acre and Rio Grande do Sul, Brazil, and to analyse the changes in the anthropometric profile of these children during 5 years. Methods: This is an ecological study using secondary data from the Food and Nutrition Surveillance System (SISVAN) and Bolsa Família Department of SUS (DATASUS), which assessed the nutritional status of children over 5 years and under 10 years benefiting from the PBF in the years 2011 to 2015 in the states of Acre and Rio Grande do Sul. The sample consisted of 94,865 children from Acre and 342,462 children from Rio Grande do Sul. The Body Mass Index was used to classify the nutritional status. Results: The mean prevalence of eutrophic children aged 5 to 10 years in Acre was 70.42% and was 61.28% in Rio Grande do Sul. Overweight was 13.06% in Acre and 19.48% in Rio Grande do Sul. Obesity was 5.08% in Acre and 9.36% in Rio Grande do Sul. Severe obesity was 4.02% in Acre and 6.92% in Rio Grande do Sul. Conclusion: Overweight and obesity in children benefiting from the PBF has been growing in the last 5 years, notably in the state of Rio Grande do Sul. This is possibly due to the fact that the nutritional transition is at a more advanced stage here than in Acre State.  


2019 ◽  
Vol 14 (2) ◽  
pp. 136
Author(s):  
Shella Putri Permadani Hardi Antono ◽  
Dewi Rokhmah ◽  
Iken Nafikadini

Background:  Family Hope Program (PKH) as referred to as conditional cash transfer is a government poverty alleviation program by providing conditional cash money to induces healthy behavior especially pregnant, lactating mother and children under 5 years nutritional status in poor families.  This program is assisted by field staff to facilitate PKH participants to comply antenatal care visits of pregnant mothers and improving nutritional status of children under five years. This study aims to explore the perception of PKH participants regarding the role of field staffs as a motivator, facilitator, educator, and mediator in assisting participants.Method:This is a qualitative study using  in-depth interviews to nine pregnant mothers (as PKH participants) who lived in Sumbermalang, Situbondo District. The informants were selected purposively with inclusion criteria is pregnant mothers as well as their husbands who have been participating in PKH program for more than 2 years. In-depth interviews were also conducted to health providers (village midwives) and field staffs of PKH. Data were analyzed using thematic content analysis.Results: The characteristics of informants were mostly around 20-25 years old, 7-9 months of pregnancy, as housewive and husbands’ occupation was a building construction. Most informants say that the field staffs have facilitated them to improve their behavior to visit health center or village midwives to control their pregnancy, and also provided health education including motivated pregnant mother to consume ferrum tablet completely as well as other medicine. There were no obstacles arising in visiting health center to control their pregnancy and children. PKH field staff roles were necessary as a facilitator, motivator, mediator, and educator of PKH participants in order to help participants to change their behavior. Increase coordination among PKH field staffs and health workers including village midwives is needed to run this program smoothly.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Eric Chee How Tan ◽  
Marilyn Maluda ◽  
Mohd Yusof Ibrahim ◽  
Kai Joo Lim ◽  
Aza Sherin Mohd Yusuff ◽  
...  

  Introduction: Childhood undernutrition while being a preventable condition remains a major public health issue because it contributes to the mortality and morbidity of children globally. Intervention strategies to improve the nutritional status of children include therapeutic food, cash transfers, antibiotics and nutritional education. The objective is to review the effects of various nutritional interventions in addressing undernutrition in children. Methods: Comprehensive search of literature in electronic databases were conducted in PubMed, Science Direct, and Scopus containing the Medical Subject Headings (MeSH) and the title terms ‘Undernutrition’ OR ‘Malnutrition AND ‘Intervention’ OR ‘Management’ AND ‘Children’ OR ‘Childhood’ between January 2000 and August 2019. Of the 4358 studies that were identified, 17 studies matched the inclusion criteria and were reviewed. Results: Therapeutic food is an integral part of nutritional interventions in majority of the studies along with cash transfers and nutritional education. The most consistent outcome in most of the studies was improvement in the nutritional status which subsequently reduces the undernutrition in children. Conclusion: Therapeutic food, conditional cash transfer and nutritional education yielded the best outcome in alleviating undernutrition in developing countries.


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