Economic evaluation of an early childhood development center–based agriculture and nutrition intervention in Malawi

Simple item page
cg.authorship.typesCGIAR and developing country instituteen
cg.authorship.typesCGIAR single centreen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.crpAgriculture for Nutrition and Health
cg.contributor.donorStrengthening Economic Evaluation for Multisectoral Strategies for Nutrition (SEEMS-Nutrition)en
cg.contributor.donorBill & Melinda Gates Foundationen
cg.contributor.donorForeign, Commonwealth and Development Office, United Kingdomen
cg.contributor.donorProgram for Appropriate Technology in Healthen
cg.contributor.donorIMMANAen
cg.coverage.countryMalawi
cg.coverage.iso3166-alpha2MW
cg.coverage.regionSouthern Africa
cg.coverage.regionSub-Saharan Africa
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.creator.identifierAulo Gelli: 0000-0003-4977-2549
cg.creator.identifierAmy Margolies: 0000-0003-3194-5632
cg.identifier.doihttps://doi.org/10.1007/s12571-021-01203-6en
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Division
cg.identifier.projectIFPRI - Strengthening the Economic Evaluation of Strategies for Nutrition
cg.identifier.publicationRankB
cg.isijournalISI Journalen
cg.issn1876-4517en
cg.issue1en
cg.journalFood Securityen
cg.reviewStatusPeer Reviewen
cg.volume14en
dc.contributor.authorGelli, Auloen
dc.contributor.authorKemp, C. G.en
dc.contributor.authorMargolies, Amyen
dc.contributor.authorTwalibu, Aishaen
dc.contributor.authorKatundu, Manganien
dc.contributor.authorLevin, Carol E.en
dc.date.accessioned2024-04-12T13:37:46Zen
dc.date.available2024-04-12T13:37:46Zen
dc.identifier.urihttps://hdl.handle.net/10568/141365
dc.titleEconomic evaluation of an early childhood development center–based agriculture and nutrition intervention in Malawien
dcterms.abstractMalnutrition is a leading cause of death and disability among children in low-income countries. Nutrition-sensitive interventions show promise in increasing food access and improving diets. There are possible synergies of integrating these programs with other sectors, improving effectiveness by leveraging resources. However, economic evaluations of these multi-sectoral programs are limited. We aimed to estimate the cost efficiency, cost-effectiveness, benefit-cost ratio, and net benefit of using community-based early childhood development (ECD) centers as platforms for an intervention promoting agricultural production and nutrition among households with young children in Malawi. The intervention was costed using bottom-up micro-costing and top-down expenditure analysis with a societal perspective and a 12-month horizon. Effectiveness estimates were derived from a cluster-randomized control trial. Premature deaths and stunting cases averted were estimated using the Lived Saved Tool. We calculated DALYs averted, and the value of three benefits streams resulting from reductions in premature mortality, increases in lifetime productivity and household agricultural productivity. We transferred the US value of a statistical life (VSL) to Malawi using an income elasticity of 1.5, and a 10% discount rate. Probabilistic sensitivity analysis was conducted using a Monte Carlo model. The intervention cost $197,377, reaching 4,806 beneficiaries at $41 per beneficiary, $595 per case of stunting, $18,310 per death, and $516 per DALY averted. Net benefit estimates ranged from $507,589 to $4,678,258, and benefit-cost ratios from 3.57 to 24.70. Sensitivity analyses confirmed a positive return on investment. Implementing agriculture-nutrition interventions through ECD platforms may be an efficient use of resources in Malawi and similar contexts.en
dcterms.accessRightsOpen Access
dcterms.bibliographicCitationGelli, Aulo; Kemp, C. G.; Margolies, Amy; Twalibu, Aisha; Katundu, Mangani; and Levin, Carol E. 2022. Economic evaluation of an early childhood development center–based agriculture and nutrition intervention in Malawi. Food Security 14: 67-80. https://doi.org/10.1007/s12571-021-01203-6en
dcterms.extentpp. 67-80en
dcterms.issued2022-02-28
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherSpringer Nature Limiteden
dcterms.relationhttps://doi.org/10.1093/jn/nxy148en
dcterms.relationhttps://doi.org/10.1093/jn/nxz245en
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/7897en
dcterms.subjectchild nutritionen
dcterms.subjectchild developmenten
dcterms.subjectagricultureen
dcterms.subjectmalnutritionen
dcterms.subjectnutritionen
dcterms.subjectchildrenen
dcterms.subjecteconomic evaluationen
dcterms.typeJournal Article

Files

Collections

IFPRI Journal Articles
CRP A4NH outputs