Unintended effects of a targeted maternal and child nutrition intervention on household expenditures, labor income, and the nutritional status of non-targeted siblings in Ghana

Adams, Katherine; Lybbert, Travis J.; Vosti, Stephen A.; Ayifah, Emmanuel; Arimond, Mary; Adu‐Afarwuah, Seth; Dewey, Kathryn G.

doi:10.1016/j.worlddev.2018.02.025

“…This causes pregnant women to not have a fixed income every month, which can help their husbands to find additional sources of income. If the source of income in the family is low, it will affect the fulfilment of primary needs, one of which is nutritious food which will later have an impact on the family's health status (Adams et al, 2018) There is an equal number of pregnant women with poor nutritional status categories with low education and pregnant women with good nutritional status categories with higher education. There is a relationship between maternal education and nutritional status in pregnant women.…”

Section: Similar Research Conducted Bymentioning

confidence: 99%

Determinants of Nutritional Status Among Pregnant Women: a Transcultural Nursing Approach

Armini¹,

Hidayati²,

Kusumaningrum³

2020

J. Ners

View full text Add to dashboard Cite

Introduction: Pregnant women experiencing poor nutritional status remains a problem which is still commonly found in Surabaya. Poor nutritional status is one of the causes of increased mortality in pregnant women. The mother's education and occupation, family income, number of children, and family shape are associated with the incidence of nutritional status in pregnant women. The purpose of this study was to explain the factors related to the nutritional status of pregnant women based on transcultural nursing theory.Methods: his study uses a cross-sectional design. The population were pregnant women at the Public Health Center Tanah Kali Kedinding Surabaya Indonesia, 104 respondents were selected using a consecutive sampling technique. The independent variables were technological, religious, family support, cultural values, political & legal, economic, and educational, while the dependent variable was the incidence of nutritional status in pregnant women. The data was obtained using questionnaires and mid upper arm circumstance (MUAC) measurements. The data was analyzed using the Spearman rho test.Results: There was a relationship between technological (p=0.001 ; r=0.332), family support (p=0.000 ; r=0.379), cultural values (p=0.000 ; r=0.702), political & legal (p=0.000 ; r=0.387), economic (p=0.031 ; r=0.212), and educational (p=0.020 ; r=0.228) factors with nutritional status in pregnant women.Discussion: Technological, family support, cultural values, political & legal, economic, and educational factors influenced the nutritional status of pregnant women. The cultural factor was the most dominant in influencing the nutritional status of pregnant women.

show abstract

“…For instance, providing iodine supplementation to children in Tanzania can increase parental investment in their siblings (Adhvaryu & Nyshadham, 2016). Similarly, supplying nutrient supplements to mothers of infants in Ghana may improve the height of untargeted children (Adams et al, 2018).…”

Section: Spill Over Effectsmentioning

confidence: 99%

“…This is consistent with the notion that fathers tend to work more to accommodate the increase in food expenditure. Although the increase in household food consumption can benefit untargeted children, the spill over effects on children's height are significant only among those with taller mothers (Adams et al, 2018).…”

Section: Spill Over Effectsmentioning

confidence: 99%

The Impacts Of A Free Health Insurance Policy In Vietnam

Nguyen¹

0

View full text Add to dashboard Cite

<p>Social Health Insurance (SHI) is promoted as a policy that tackles the impoverishing effects of catastrophic spending that results from unexpected health shocks. This thesis contributes to the literature on the impact of social health insurance by examining the impact of a policy introduced in Vietnam in 2005. The new policy provided free health insurance for all children under six years. Using a difference-in-difference estimation strategy and eight national household surveys conducted between 2002 and 2016, I examine a variety of direct, indirect, and spill over effects of the policy. The direct effects of the policy are on insurance coverage, health care use, health care expenses, and self-reported morbidity of targeted children. The indirect effects are the persistent effects of the policy on the same set of health outcomes (and education outcomes) beyond the period of exposure to the policy. A third set of impacts cover spill over effects of the policy - on the health and education outcomes of older children living with targeted children, and a variety of household-level outcomes that reflect various dimensions of the wellbeing of household members. The results show that a free health insurance policy for young children has significant impacts on the health outcomes of children while they are covered by the policy and these persist, and also extend to educational outcomes beyond the age of eligibility. The policy also has positive spill over effects on older (untargeted) children living in targeted households, and positive effects on household wage income, and income per capita. On the other hand, the policy has no effects on the standard of living, household health expenditure, caloric consumption, and the likelihood of household spending on catastrophic healthcare.</p>

show abstract

“…At the household level, SHI can have spill over effects on various outcomes such as living standard, assets, employment, expenditure on healthcare and education, housing conditions and nutritional status (Adams et al, 2018;Fitzsimons et al, 2016;Le et al, 2019;Leininger, Levy, & Schanzenbach, 2010;Wagstaff & Pradhan, 2005). Not only can SHI benefit the targeted households via budget constraints, but it might also relieve stress related to illness and its financial burden or even boost the confidence of the decision-makers of families.…”

Section: The Potential Impacts Of Social Health Insurancementioning

confidence: 99%

“…Alternatively, or additionally, this can increase parental labour supply in time and effort that would have been used for sick children (Adams et al, 2018;Fitzsimons et al, 2016).…”

Section: Spill Over Effectsmentioning

confidence: 99%

The Impacts Of A Free Health Insurance Policy In Vietnam

Nguyen¹

0

View full text Add to dashboard Cite

<p>Social Health Insurance (SHI) is promoted as a policy that tackles the impoverishing effects of catastrophic spending that results from unexpected health shocks. This thesis contributes to the literature on the impact of social health insurance by examining the impact of a policy introduced in Vietnam in 2005. The new policy provided free health insurance for all children under six years. Using a difference-in-difference estimation strategy and eight national household surveys conducted between 2002 and 2016, I examine a variety of direct, indirect, and spill over effects of the policy. The direct effects of the policy are on insurance coverage, health care use, health care expenses, and self-reported morbidity of targeted children. The indirect effects are the persistent effects of the policy on the same set of health outcomes (and education outcomes) beyond the period of exposure to the policy. A third set of impacts cover spill over effects of the policy - on the health and education outcomes of older children living with targeted children, and a variety of household-level outcomes that reflect various dimensions of the wellbeing of household members. The results show that a free health insurance policy for young children has significant impacts on the health outcomes of children while they are covered by the policy and these persist, and also extend to educational outcomes beyond the age of eligibility. The policy also has positive spill over effects on older (untargeted) children living in targeted households, and positive effects on household wage income, and income per capita. On the other hand, the policy has no effects on the standard of living, household health expenditure, caloric consumption, and the likelihood of household spending on catastrophic healthcare.</p>

show abstract

Unintended effects of a targeted maternal and child nutrition intervention on household expenditures, labor income, and the nutritional status of non-targeted siblings in Ghana

Cited by 16 publications

References 31 publications

Determinants of Nutritional Status Among Pregnant Women: a Transcultural Nursing Approach

Determinants of Nutritional Status Among Pregnant Women: a Transcultural Nursing Approach

The Impacts Of A Free Health Insurance Policy In Vietnam

The Impacts Of A Free Health Insurance Policy In Vietnam

Contact Info

Product

Resources

About