Alderman, Harold

Gilligan, Daniel

Leight, Jessica

Tambet, Heleene

Mulford, Michael

Mamo, Tigist

We explore the impact of different models of scalable nutrition services embedded within a light-touch graduation program, implemented at scale in Ethiopia. The graduation program provided poor households enrolled in Ethiopia’s national safety net, the Protective Safety Net Program (PSNP), with additional livelihood programming including savings groups, business skills training and linkages to financial services. In addition, extremely poor households received a one-time livelihood grant on an experimental basis, as cash transfers or in-kind poultry grants, at a value much smaller than lump sum transfers in other graduation model programs in recent literature. The experiment compared a core nutrition model of nutrition information and sanitation and hygiene activities to an enhanced model that added more intensive nutrition messaging, supplementary feeding of malnourished children, mental health services, and a male engagement activity. Results show that interaction with health care workers and participation in community health activities increased significantly under the enhanced nutrition model, as did maternal nutritional knowledge. Nevertheless, neither nutrition model led to significant improvements in child dietary diversity or anthropometric outcomes on average. However, cash livelihood grants combined with the enhanced nutrition model reduced childhood stunting.

Including scalable nutrition interventions in a graduation model program: Experimental evidence from Ethiopia

Taffesse, Alemayehu Seyoum

Gilligan, Daniel O.

A growing literature in economics has analyzed the effects of psychological interventions designed to boost individual aspirations as a strategy to increase investments with long-term returns and thus reduce poverty. This paper reports on a randomized controlled trial evaluating a short video-based intervention designed to increase aspirations of adults in poor rural Ethiopian households, all of whom are beneficiaries of the Productive Safety Net Program, the main government safety net program in Ethiopia. Evidence from a sample of 5258 adults from 3220 households is consistent with the hypothesis that there is no evidence that the aspirations treatment had any significant effects on self-reported aspirations for the household, educational investment in children, or savings nine months post-treatment, suggesting that the effect of light-touch aspirations treatments for extremely poor adults may be limited in this context.

Aspiring to more? New evidence on the effect of a light-touch aspirations intervention in rural Ethiopia

Hidrobo, Melissa

Ethiopia has made major strides in improving nutrition in the past two decades; the prevalence of stunting decreased considerably from 58% in 2000 to 38% in 2016 and further to 37% in 2018.1 While there is no consensus on the underlying causes of this improvement—although substantial increases in income and education surely contributed—there is consensus that more must be done to maintain the momentum. In particular, a number of infant and young child feeding (IYCF) practices can be improved. While breastfeeding initiation is nearly universal, many children are not exclusively breastfed until they are 6 months old, which is the recommended practice. Similarly, few children age 6–23 months meet the minimum acceptable dietary standards. This brief presents evidence on the impact of the SPIR project on key IYCF practices at the time of the midline survey.

The effects of SPIR Interventions on nutrition and childcare: Evidence from the SPIR midline survey

Tambet, Heleene

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