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Learning together: Experimental evidence on the impact of group-based nutrition interventions in rural Bihar

Author

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  • Raghunathan, Kalyani
  • Kumar, Neha
  • Gupta, Shivani
  • Chauhan, Tarana
  • Kathuria, Ashi Kohli
  • Menon, Purnima

Abstract

India accounts for a large proportion of the global prevalence of maternal and child undernutrition, and recent trends have renewed the call for large-scale concerted efforts to improve outcomes. With their reach to millions of rural Indian women, self-help groups (SHGs) offer a possible solution. We provide evidence from a cluster-randomized controlled trial in the state of Bihar of the impact of a health and nutrition intervention that provided behavior change communication to SHG members and worked to strengthen utilization of services. Over the course of 2.5 years, the intervention resulted in a 7% increase in the number of food groups consumed by children and a 30% increase in the proportion of women achieving minimum dietary diversity but had no impact on women’s body mass index or child underweight and wasting. Both knowledge and adoption of key behaviors along the impact pathway improved as a result of the treatment. SHGs certainly have the potential to effect social change and accelerate improvements in maternal and child health and nutrition outcomes, but in resource-constrained settings such as these, information-only interventions delivered through these platforms will likely have limited impact.

Suggested Citation

  • Raghunathan, Kalyani & Kumar, Neha & Gupta, Shivani & Chauhan, Tarana & Kathuria, Ashi Kohli & Menon, Purnima, 2023. "Learning together: Experimental evidence on the impact of group-based nutrition interventions in rural Bihar," World Development, Elsevier, vol. 168(C).
    • Handle: RePEc:eee:wdevel:v:168:y:2023:i:c:s0305750x23000852
    DOI: 10.1016/j.worlddev.2023.106267
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    1. Menon, Purnima & Ruel, Marie T. & Nguyen, Phuong H. & Kim, Sunny S. & Lapping, Karin & Frongillo, Edward A. & Alayon, Silvia, 2020. "Lessons from using cluster-randomized evaluations to build evidence on large-scale nutrition behavior change interventions," World Development, Elsevier, vol. 127(C).
    2. Datta, Upamanyu, 2015. "Socio-Economic Impacts of JEEViKA: A Large-Scale Self-Help Group Project in Bihar, India," World Development, Elsevier, vol. 68(C), pages 1-18.
    3. Quisumbing, Agnes R. & Ahmed, Akhter & Gilligan, Daniel O. & Hoddinott, John & Kumar, Neha & Leroy, Jef L. & Menon, Purnima & Olney, Deanna K. & Roy, Shalini & Ruel, Marie, 2020. "Randomized controlled trials of multi-sectoral programs: Lessons from development research," World Development, Elsevier, vol. 127(C).
    4. David Roodman & James G. MacKinnon & Morten Ørregaard Nielsen & Matthew D. Webb, 2019. "Fast and wild: Bootstrap inference in Stata using boottest," Stata Journal, StataCorp LP, vol. 19(1), pages 4-60, March.
    5. Alan de Brauw & Tomoko Harigaya, 2007. "Seasonal Migration and Improving Living Standards in Vietnam," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 89(2), pages 430-447.
    6. Siwach, Garima & Paul, Sohini & de Hoop, Thomas, 2022. "Economies of scale of large-scale international development interventions: Evidence from self-help groups in India," World Development, Elsevier, vol. 153(C).
    7. Majumdar,Shruti & Rao,Vijayendra & Sanyal,Paromita, 2017. "On the frontlines of scaling-up : a qualitative analysis of implementation challenges in a CDD project in rural India," Policy Research Working Paper Series 8039, The World Bank.
    8. Derek Headey & Kalle Hirvonen & John Hoddinott, 2018. "Animal Sourced Foods and Child Stunting," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 100(5), pages 1302-1319.
    9. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, December.
    10. Sanyal,Paromita & Rao,Vijayendra & Majumdar,Shruti, 2015. "Recasting culture to undo gender : a sociological analysis of Jeevika in rural Bihar, India," Policy Research Working Paper Series 7411, The World Bank.
    11. Deininger, Klaus & Liu, Yanyan, 2013. "Economic and Social Impacts of an Innovative Self-Help Group Model in India," World Development, Elsevier, vol. 43(C), pages 149-163.
    12. Hoffmann, Vivian & Rao, Vijayendra & Surendra, Vaishnavi & Datta, Upamanyu, 2021. "Relief from usury: Impact of a self-help group lending program in rural India," Journal of Development Economics, Elsevier, vol. 148(C).
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    More about this item

    Keywords

    Maternal nutrition; India; Self-help groups; Behavior change communication; Randomized controlled trial;
    All these keywords.

    JEL classification:

    • D1 - Microeconomics - - Household Behavior
    • O0 - Economic Development, Innovation, Technological Change, and Growth - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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