Academic Journal
Economic evaluation of nutrition-sensitive agricultural interventions to increase maternal and child dietary diversity and nutritional status in rural Odisha, India
العنوان: | Economic evaluation of nutrition-sensitive agricultural interventions to increase maternal and child dietary diversity and nutritional status in rural Odisha, India |
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المؤلفون: | Haghparast-Bidgoli, Hassan, Harris-Fry, Helen, Kumar, Abhinav, Pradhan, Ronali, Mishra, Naba Kishore, Padhan, Shibananth, Ojha, Amit Kumar, Mishra, Sailendra Narayan, Fivian, Emily, James, Philip, Ferguson, Sarah, Krishnan, Sneha, O'Hearn, Meghan, Palmer, Tom, Koniz-Booher, Peggy, Danton, Heather, Minovi, Sandee, Mohanty, Satyanarayan, Rath, Shibanand, Rath, Suchitra, Nair, Nirmala, Tripathy, Prasanta, Prost, Audrey, Allen, Elizabeth, Skordis, Jolene, Kadiyala, Suneetha |
المصدر: | The Journal of Nutrition , 152 (10) pp. 2255-2268. (2022) |
بيانات النشر: | Oxford University Press (OUP) |
سنة النشر: | 2022 |
المجموعة: | University College London: UCL Discovery |
مصطلحات موضوعية: | Nutrition-sensitive agriculture, Cost–consequence analysis, Participatory learning and action, Women’s groups, Dietary diversity, Maternal and child nutritionIndia |
الوصف: | BACKGROUND: Economic evaluations of nutrition-sensitive agriculture (NSA) interventions are scarce, limiting assessment of their potential affordability and scalability. OBJECTIVES: We conducted cost–consequence analyses of 3 participatory video-based interventions of fortnightly women’s group meetings using the following platforms: 1) NSA videos; 2) NSA and nutrition-specific videos; or 3) NSA videos with a nutrition-specific participatory learning and action (PLA) cycle. METHODS: Interventions were tested in a 32-mo, 4-arm cluster-randomized controlled trial, Upscaling Participatory Action and Videos for Agriculture and Nutrition (UPAVAN) in the Keonjhar district, Odisha, India. Impacts were evaluated in children aged 0–23 mo and their mothers. We estimated program costs using data collected prospectively from expenditure records of implementing and technical partners and societal costs using expenditure assessment data collected from households with a child aged 0–23 mo and key informant interviews. Costs were adjusted for inflation, discounted, and converted to 2019 US$. RESULTS: Total program costs of each intervention ranged from US$272,121 to US$386,907. Program costs per pregnant woman or mother of a child aged 0–23 mo were US$62 for NSA videos, US$84 for NSA and nutrition-specific videos, and US$78 for NSA videos with PLA (societal costs: US$125, US$143, and US$122, respectively). Substantial shares of total costs were attributable to development and delivery of the videos and PLA (52–69%) and quality assurance (25–41%). Relative to control, minimum dietary diversity was higher in the children who underwent the interventions incorporating nutrition-specific videos and PLA (adjusted RRs: 1.19 and 1.27; 95% CIs: 1.03–1.37 and 1.11, 1.46, respectively). Relative to control, minimum dietary diversity in mothers was higher in those who underwent NSA video (1.21 [1.01, 1.45]) and NSA with PLA (1.30 [1.10, 1.53]) interventions. CONCLUSIONS: NSA videos with PLA can increase both maternal and child dietary ... |
نوع الوثيقة: | article in journal/newspaper |
وصف الملف: | text |
اللغة: | English |
Relation: | https://discovery.ucl.ac.uk/id/eprint/10150261/7/Haghparast-Bidgoli_Economic%20Evaluation%20of%20Nutrition-Sensitive%20Agricultural%20Interventions%20to%20Increase%20Maternal%20and%20Child%20Dietary%20Diversity%20and%20Nutritional%20Status%20in%20Rural%20Odisha,%20India_VoR.pdf; https://discovery.ucl.ac.uk/id/eprint/10150261/ |
الاتاحة: | https://discovery.ucl.ac.uk/id/eprint/10150261/7/Haghparast-Bidgoli_Economic%20Evaluation%20of%20Nutrition-Sensitive%20Agricultural%20Interventions%20to%20Increase%20Maternal%20and%20Child%20Dietary%20Diversity%20and%20Nutritional%20Status%20in%20Rural%20Odisha,%20India_VoR.pdf https://discovery.ucl.ac.uk/id/eprint/10150261/ |
Rights: | open |
رقم الانضمام: | edsbas.7FB8A800 |
قاعدة البيانات: | BASE |
الوصف غير متاح. |