Publication:
Determinants of Reductions in Childhood Stunting n Malawi's Community-based Nutrition Programs

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dc.contributor.authorOsendarp, Saskia J.M.
dc.contributor.authorShilpi, Forhad
dc.contributor.authorGondwe, Timothy
dc.contributor.authorPangapanga-Phiri, Innocent
dc.contributor.authorKalimbira, Alexander
dc.contributor.authorMtimuni, Beatrice
dc.contributor.authorKafere, Deusdedit
dc.contributor.authorChuitsi, Gabriella
dc.contributor.authorPhiri, Felix
dc.contributor.authorHyder, Ziauddin
dc.date.accessioned2019-08-21T19:54:03Z
dc.date.available2019-08-21T19:54:03Z
dc.date.issued2019-04
dc.description.abstractChildhood malnutrition is still a public health concern in Malawi. Since 2013 the government of Malawi (GoM) has been implementing a large-scale multisectoral nutrition program, which expanded to all districts of the country with the World Bank Group and other donor funding. At the start of this program a national baseline survey was conducted, and in early 2018, an endline survey was conducted. The endline survey followed a mixed-methods approach similar to the 2013 baseline survey, using both quantitative and qualitative data collection measurements. An Oaxaca-Blinder decomposition analysis was used to determine the pathways that contributed most to the program’s success. In addition, a panel dataset was constructed to compare the nutritional outcomes of children within the same household who were born before and after the program intervention. The findings of the endline survey confirm the positive trends observed in childhood malnutrition in Malawi. Between 2013 and 2018, nutrition indicators improved and the percentage of children under age five who were stunted fell from forty-two percent in 2013 to thirty-seven percent in 2018. Improvements were observed in some underlying factors: the percentage of deliveries attended by a skilled birth attendant and handwashing both improved significantly between 2013 and 2018. The findings from the decomposition analysis and cross-sectional and panel data suggest that improvements in water, sanitation, and hygiene (WASH), in particular, handwashing and antenatal care (ANC) practices, were largely responsible for the observed improvements in child nutrition. The findings of the Community-Based Nutrition (CBN) Survey further suggest that the country should consider investing in more coordination and capacity at the district and community levels and should address inequalities in program performance across districts, delivering more context-specific investments and program designs while moving forwarden
dc.identifierhttp://documents.worldbank.org/curated/en/297601565964816621/Determinants-of-Reductions-in-Childhood-Stunting-n-Malawis-Community-based-Nutrition-Programs
dc.identifier.doi10.1596/32302
dc.identifier.urihttps://hdl.handle.net/10986/32302
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition, and Population Discussion Paper;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectNUTRITION
dc.subjectSTUNTING
dc.subjectMALNUTRITION
dc.subjectCHILD FEEDING
dc.subjectINFANT NUTRITION
dc.titleDeterminants of Reductions in Childhood Stunting n Malawi's Community-based Nutrition Programsen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleDeterminants of Reductions in Childhood Stunting n Malawi's Community-based Nutrition Programs
okr.date.disclosure2019-08-16
okr.doctypePublications & Research
okr.doctypePublications & Research::Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/297601565964816621/Determinants-of-Reductions-in-Childhood-Stunting-n-Malawis-Community-based-Nutrition-Programs
okr.guid297601565964816621
okr.identifier.doi10.1596/32302
okr.identifier.externaldocumentum090224b086fe6feb_1_0
okr.identifier.internaldocumentum31340598
okr.identifier.report140797
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/297601565964816621/pdf/Determinants-of-Reductions-in-Childhood-Stunting-n-Malawis-Community-based-Nutrition-Programs.pdfen
okr.region.administrativeAfrica
okr.region.countryMalawi
okr.topicHealth, Nutrition and Population::Early Child and Children's Health
okr.topicHealth, Nutrition and Population::Nutrition
okr.topicHealth, Nutrition and Population::Reproductive Health
okr.unitHealth Nutri &Population AFR 1 (HAFH1)
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