03. Journals
2,963 items available
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These are journal articles published in World Bank journals as well as externally by World Bank authors.
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Publication
Pathways to Better Nutrition in South Asia: Evidence on the Effects of Food and Agricultural Interventions
(Elsevier, 2021-03)In South Asia, nearly half a billion people are malnourished. This paper examines the links of food and agriculture with nutrition in South Asia, with the goal of informing policy to reduce hunger and malnutrition in the region. We investigate pathways including public food transfer programs, agricultural diversification, and different methods of food fortification. We find that public food transfer programs, used to make food available and affordable to poor households, are often unable to significantly protect or promote nutrition. But several supply-side food and agricultural interventions show promise in improving nutrition, although their effects have yet to be well identified. These include the cultivation of home gardens, animal agriculture, and use of biofortification and post-harvest fortification. All these efforts to reduce hunger and malnutrition will be futile, however, without parallel efforts to mitigate rising challenges in the region, including those posed by climate change, urbanization, food loss and food waste, and food safety hazards. -
Publication
Joint Roles of Parenting and Nutritional Status for Child Development: Evidence from Rural Cambodia
(Wiley, 2019-05-31)Substantial work has demonstrated that early nutrition and home environments, including the degree to which children receive cognitive stimulation and emotional support from parents, play a profound role in influencing early childhood development. Yet, less work has documented the joint influences of parenting and nutritional status on child development among children in the preschool years living in low‐income countries. Using panel data from 2016 to 2017 on the parenting, nutritional status, and early developmental outcomes (executive function, language, early numeracy, and socioemotional problems) of 6,508 Cambodian children ages 3–5 years, our findings demonstrate that inequities in early development associated with family wealth are evident at age 3 and increase among children ages 4 and 5 years. Using hierarchical regression analysis, a significant share of these inequalities is explained by differences in parenting and early nutritional status, measured by stunting. Better‐educated parents engage in more stimulating and supportive parenting practices. However, the positive association between parenting and language and early numeracy outcomes is 35–54% stronger for non‐stunted children, and parental activities explain only about 8–14% of the cognitive gap between the lowest and highest wealth quintiles. The results highlight the need for additional research outlining interactions between environmental factors that link family wealth and child development. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions. https://authorservices.wiley.com/author-resources/Journal-Authors/licensing/self-archiving.html -
Publication
Dynamics of Child Development: Analysis of a Longitudinal Cohort in a Very Low Income Country
(Published by Oxford University Press on behalf of the World Bank, 2019-02)Longitudinal patterns of child development and socioeconomic status are described for a cohort of children in Madagascar surveyed when 3–6 and 7–10 years old. Substantial wealth gradients were found across multiple domains: receptive vocabulary, cognition, sustained attention, and working memory. The results are robust to the inclusion of lagged outcomes, maternal endowments, measures of child health, and home stimulation. Wealth gradients are significant at ages 3–4, widen with age, and flatten out by ages 9–10. For vocabulary and sustained attention, the gradient grows steadily between ages three and six; for cognitive composite and memory of phrases, the gradient widens later (ages 7–8) before flattening out. These gaps in cognitive outcomes translate into equally sizeable gaps in learning outcomes. 12–18% of the predicted gap in early outcomes is accounted for by differences in home stimulation, even after controlling for maternal education and endowments. -
Publication
Cities, Slums, and Child Nutrition in Bangladesh
(Wiley, 2018-11-09)This study uses novel household survey data that are representative of Bangladesh's large cities, and of slum and non-slum areas within the cities, to investigate the effects of demographic and socioeconomic factors on child nutrition status in 2013. The study also decomposes the difference in mean child nutrition status between slum and non-slum areas in 2013, and the increase in mean child nutrition status in slum and non-slum areas from 2006 to 2013. Mother's education attainment and household wealth largely explain the cross‐sectional difference and intertemporal change in mean child nutrition status. Although positive in some cases, the effects of maternal and child health services, and potential health‐protective household amenities, on child nutrition status differ by the type of health facility, household amenity, and urban area (slum or non-slum). Focusing on nutrition‐sensitive programs for slum residents and the urban poor is consistent with the results. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions. https://authorservices.wiley.com/author-resources/Journal-Authors/licensing/self-archiving.html -
Publication
WASH and Nutrition Synergies: The Case of Tunisia
(Taylor and Francis, 2018-09-18)This paper develops a simple econometric strategy to operationalize the United Nations Children’s Fund’s (UNICEF’s) conceptual framework for nutrition. It estimates the extent to which child stunting correlates with investments in water, sanitation, and hygiene (WASH) across population groups (poor and non-poor) and residence (urban and rural). Moving away from estimating single intervention marginal returns, the empirical framework of intervention packages is tested in Tunisia, a country with notable but uneven progress in reducing stunting. A successful nutritional strategy will thereby require mapping the distinctive intervention packages by residence and socioeconomic status, away from universal policies, that more strongly correlate with reduction in stunting. -
Publication
Integrating Social Protection and Early Childhood Development: Open Trial of a Family Home-Visiting Intervention, Sugira Muryango
(Taylor and Francis, 2018-04-24)A pre-post design with 6–13-month follow-up assessed the feasibility and acceptability of a home-visiting intervention to promote early childhood development, improve parenting and shared decision-making, and reduce violence in impoverished Rwandan households. Twenty vulnerable families with a child 36-months or younger enrolled in Sugira Muryango. Measures of parenting, home environment, family-violence, decision-making, and health-status were administered at pre/post and follow-up. Families reported high satisfaction post-intervention. OMCI scores improved for 4.8% of mother-child dyads at post-intervention and 19.0% at follow-up, while 9.5% of dyads showed declines at both times. HOME Inventory scores improved for 9.5% and 14.3% of dyads at post-intervention and follow-up respectively and declined for 4.8% and 0.0%. Indicators for equal decision-making and child dietary-diversity improved at post-intervention and follow-up. Fewer mothers believed physical punishment was necessary at follow-up. Sugira Muryango shows promise for improving parenting, beliefs about harsh punishment, child nutritional status, and shared decision-making among vulnerable families. -
Publication
Optima Nutrition: An Allocative Efficiency Tool to Reduce Childhood Stunting by Better Targeting of Nutrition-Related Interventions
(Springer, 2018-03-20)Child stunting due to chronic malnutrition is a major problem in low- and middle-income countries due, in part, to inadequate nutrition-related practices and insufficient access to services. Limited budgets for nutritional interventions mean that available resources must be targeted in the most cost-effective manner to have the greatest impact. Quantitative tools can help guide budget allocation decisions. -
Publication
Can Agricultural Interventions Improve Child Nutrition? Evidence from Tanzania
(Published by Oxford University Press on behalf of the World Bank, 2017-10-01)Severely reduced height-for-age due to undernutrition is widespread in young African children, with serious implications for their health and later economic productivity. It is primarily caused by growth faltering due to hunger spells in critical periods of early child development. We assess the impact on early childhood nutrition, measured as height-for-age, of an agricultural intervention that improved food security among smallholder farmers by providing them with a “basket” of new technology options. We find that height-for-age measures among children from participating households increased by about 0.9 standard deviations and the incidence of stunting among them decreased by about 18 percentage points. -
Publication
You Are What (and Where) You Eat: Capturing Food Away from Home in Welfare Measures
(Elsevier, 2017-10)Consumption of food away from home is rapidly growing across the developing world, and will continue to do so as GDP per person grows and food systems evolve. Surprisingly, the majority of household surveys have not kept up with its pace and still collect limited information on it. The implications for poverty and inequality measurement are far from clear, and the direction of the impact cannot be established a priori. This paper exploits rich data on food away from home collected as part of the National Household Survey in Peru, to shed light on the extent to which welfare measures differ depending on whether food away from home is accounted for or not. Peru is a relevant context, with the average Peruvian household spending over a quarter of their food budget on food away from home since 2010. The analysis indicates that failure to account for this consumption has important implications for poverty and inequality measures as well as the understanding of who the poor are. First, accounting for food away from home results in extreme poverty rates that are 18 percent higher and moderate poverty rates that are 16 percent lower. These results are also consistent, in fact more pronounced, with poverty gap and severity measures. Second, consumption inequality measured by the Gini coefficient decreases by 1.3 points when food away from home is included – a significant reduction. Finally, the inclusion of food away from home results in a reclassification of households across poor/non-poor status – 20 percent of the poor are different, resulting in small but significant differences in the profile of the poor in dimensions such as demographics, education, and labor market characteristics. Taken together, the results indicate that a serious rethinking of how to deal with the consumption of food away from home in measuring well-being is urgently needed to properly estimate and understand poverty around the world. -
Publication
Examining Changes in Maternal and Child Health Inequalities in Ethiopia
(Springer, 2017-08-22)Ethiopia has made considerable progress in maternal, newborn, and child health in terms of health outcomes and health services coverage. This study examined how different groups have fared in the process. It also looked at possible factors behind the inequalities. The study examined 11 maternal and child health outcomes and services: stunting, underweight, wasting, neonatal mortality, infant mortality, under-5 mortality, measles vaccination, full immunization, modern contraceptive use by currently married women, antenatal care visits, and skilled birth attendance. It explored trends in inequalities by household wealth status based on Demographic and Health Surveys conducted in 2000, 2005, 2011, and 2014. The study also investigated the dynamics of inequality, using concentration curves for different years. Decomposition analysis was used to identify the role of proximate determinants.