Assessing Impact and Impact Pathways of a Homestead Food Production Program on Household and Child Nutrition in Cambodia

Olney, Deanna K.; Talukder, Aminuzzaman; Iannotti, Lora; Ruel, Marie T.; Quinn, Victoria J.

doi:10.1177/156482650903000407

Cited by 152 publications

(182 citation statements)

References 26 publications

(28 reference statements)

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“…A process convened by the New York Academy of Sciences and WHO for setting of research agendas in nutrition emphasises crucial gaps and a framework to undertake implementation research in nutrition. 102 Examples of such research have been emerging in the form of feasibility studies and formative research, [103][104][105][106] operations research and process evaluations, [107][108][109][110][111] and costing studies. [112][113][114] However, the scientifi c literature about implementation through delivery platforms, such as community-based or health-facility-based programmes, is more developed than is that of the use of mass media or market-based approaches to scale up interventions.…”

Section: Implementation Research: What Work Why and How?mentioning

confidence: 99%

“…Solid guidance now exists to bring rigour to evaluations of nutrition programmes. 52,100,[124][125][126] This guidance is needed to create solid ground for evaluation of the progress, and pathways to progress, of nutrition interventions, 110,127,128 with theory-driven and qualitative evaluations exploring the whys and hows of progress and the extent. 100,129 Analyses of eff ectiveness and operational evaluations of innovations that are introduced into scaled-up programmes, or of the process of scale up of innovative programmes from small-scale pilots to a large scale, are essential, but challenging.…”

Section: Programme Evaluations To Learn and Improvementioning

confidence: 99%

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The politics of reducing malnutrition: building commitment and accelerating progress

et al. 2013

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In the past 5 years, political discourse about the challenge of undernutrition has increased substantially at national and international levels and has led to stated commitments from many national governments, international organisations, and donors. The Scaling Up Nutrition movement has both driven, and been driven by, this developing momentum. Harmonisation has increased among stakeholders, with regard to their understanding of the main causes of malnutrition and to the various options for addressing it. The main challenges are to enhance and expand the quality and coverage of nutrition-specifi c interventions, and to maximise the nutrition sensitivity of more distal interventions, such as agriculture, social protection, and water and sanitation. But a crucial third level of action exists, which relates to the environments and processes that underpin and shape political and policy processes. We focus on this neglected level. We address several fundamental questions: how can enabling environments and processes be cultivated, sustained, and ultimately translated into results on the ground? How has high-level political momentum been generated? What needs to happen to turn this momentum into results? How can we ensure that high-quality, well-resourced interventions for nutrition are available to those who need them, and that agriculture, social protection, and water and sanitation systems and programmes are proactively reoriented to support nutrition goals? We use a six-cell framework to discuss the ways in which three domains (knowledge and evidence, politics and governance, and capacity and resources) are pivotal to create and sustain political momentum, and to translate momentum into results in high-burden countries.

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Section: Implementation Research: What Work Why and How?mentioning

confidence: 99%

Section: Programme Evaluations To Learn and Improvementioning

confidence: 99%

The politics of reducing malnutrition: building commitment and accelerating progress

et al. 2013

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“…This fi nding is consistent with results from an impact-pathway focused assessment of a homestead food production system in Cambodia, which showed no eff ect on child anthropometry or anaemia despite eff ects on household production, consumption, and dietary diversity. 60 Despite explicit targeting of women in many agricultural programmes, few studies have measured specifi c aspects of women's empowerment as a pathway to improved nutrition, and results are mixed. Assessments of home stead food production systems in Bangladesh and Nepal report positive eff ects on women's income, control over resources, or infl uence in decision making on a range of issues.…”

Section: Home Gardens and Homestead Food Production Systemsmentioning

confidence: 99%

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Ruel¹,

Alderman²

2013

The Lancet

1,443

1,431

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“…The impact pathway shows the links between program interventions and the series of outcomes leading ultimately to nutrition impact (Avula et al 2013;Kim et al 2011;Olney et al 2009;Rawat et al 2013). Impact pathways inform program design and implementation by ensuring that there are no gaps in the intervention logic and that all activities believed necessary to achieve the expected outcome are anticipated and included in the program.…”

Section: Monitoring Evaluating and Learning From Nutrition-sensitivementioning

confidence: 99%

“…Over several years, IFPRI has worked closely with Concern Worldwide and Helen Keller International in detailed impact and implementation evaluations of nutrition interventions Olney et al 2009;Spielman and Pandya-Lorch 2009). An important partnership question is how to extend the reach of this type of research -implementation partnership to a broader group of non-governmental and even governmental partners.…”

Section: Measures Of Women's Empowermentmentioning

confidence: 99%

Agricultural research for nutrition outcomes – rethinking the agenda

et al. 2015

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Agriculture and food are assumed to be critical determinants of stunting and micronutrient deficiency. However, agriculture research for development has not translated as expected into better nutrition outcomes. We argue that to do so, agriculture research needs to be fundamentally changed, from the current emphasis on supply-side production and productivity goals to understanding consumption and addressing factors that can improve diet quality. Some of the research will be to improve the efficiency of supply for more nutritious foods. Other research will need to focus on factors that promote diet quality rather than focus on food security goals through stocks of staple cereals. Because of its importance in low-income, high-burden countries, agriculture can also contribute more effectively to multisectoral nutrition-sensitive development strategies and programs. Critical roles for agricultural research in multisectoral actions will be better metrics, indicators and research studies for diet quality and better evaluation methodsboth randomized trials for specific interventions and contribution analysis through theories of change for more complex multisectoral system interventions to prevent stunting and micronutrient deficiencies. To achieve improvements in nutrition outcomes at scale, researchers must engage in new partnerships. In food systems, these partnerships must include more disciplines from agriculture and food science through economics and social science to business and delivery science. Food system researchers will also need to engage more with value chain actors and policy makers. Current efforts to improve nutrition outcomes at scale are severely hampered by data and evidence gaps that prevent better decisions and faster learning.

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Assessing Impact and Impact Pathways of a Homestead Food Production Program on Household and Child Nutrition in Cambodia

Cited by 152 publications

References 26 publications

The politics of reducing malnutrition: building commitment and accelerating progress

The politics of reducing malnutrition: building commitment and accelerating progress

Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

Agricultural research for nutrition outcomes – rethinking the agenda

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