IDEAS home Printed from https://ideas.repec.org/p/cwl/cwldpp/2145.html
   My bibliography  Save this paper

Early Stimulation and Nutrition: The Impacts of a Scalable Intervention

Author

Listed:
  • Orazio P. Attanasio

    (University College in London)

  • Helen Baker-Henningham

    (Bangor University)

  • Raquel Bernal

    (Universidad de los Andes)

  • Costas Meghir

    (Cowles Foundation, Yale University)

  • Diana Pineda

    (Fundaci'n 'xito)

  • Marta Rubio-Codina

    (Inter-American Development Bank)

Abstract

This paper evaluates the effects of the implementation of a structured early stimulation curriculum combined with a nutritional intervention through public large-scale parenting support services for vulnerable families in rural Colombia, known as FAMI, using a clustered randomized controlled trial. We randomly assigned 87 towns in rural areas to treatment and control and 1,460 children younger than 1 year of age were assessed at baseline. The interventions were also complemented with training, supervision and coaching of FAMI program facilitators. We assessed program effects on children's nutritional status, and on cognitive and socio-emotional development; as well as on parental practices. The interventions had a positive and significant effect on a cognitive development factor based on the Bayley-III of 0.15 standard deviations. We also report a reduction of 5.8 percentage points in the fraction of children whose height-for-age is below -1 standard deviation. We do not find any effects on socio-emotional development. We report positive and statistically significant effects on the quality of the home environment (0.34 SD).

Suggested Citation

  • Orazio P. Attanasio & Helen Baker-Henningham & Raquel Bernal & Costas Meghir & Diana Pineda & Marta Rubio-Codina, 2018. "Early Stimulation and Nutrition: The Impacts of a Scalable Intervention," Cowles Foundation Discussion Papers 2145, Cowles Foundation for Research in Economics, Yale University.
    • Handle: RePEc:cwl:cwldpp:2145
    as

    Download full text from publisher

    File URL: https://cowles.yale.edu/sites/default/files/files/pub/d21/d2145.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Joseph P. Romano & Michael Wolf, 2005. "Stepwise Multiple Testing as Formalized Data Snooping," Econometrica, Econometric Society, vol. 73(4), pages 1237-1282, July.
    2. James Heckman & Rodrigo Pinto & Peter Savelyev, 2013. "Understanding the Mechanisms through Which an Influential Early Childhood Program Boosted Adult Outcomes," American Economic Review, American Economic Association, vol. 103(6), pages 2052-2086, October.
    3. Marta Rubio-Codina & Orazio Attanasio & Costas Meghir & Natalia Varela & Sally Grantham-McGregor, 2015. "The Socioeconomic Gradient of Child Development: Cross-Sectional Evidence from Children 6–42 Months in Bogota," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 464-483.
    4. Heckman, James J. & Moon, Seong Hyeok & Pinto, Rodrigo & Savelyev, Peter A. & Yavitz, Adam, 2010. "The rate of return to the HighScope Perry Preschool Program," Journal of Public Economics, Elsevier, vol. 94(1-2), pages 114-128, February.
    5. Marianne P. Bitler & Hilary W. Hoynes & Thurston Domina, 2014. "Experimental Evidence on Distributional Effects of Head Start," NBER Working Papers 20434, National Bureau of Economic Research, Inc.
    6. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    7. Patrick Kline & Christopher R. Walters, 2016. "Evaluating Public Programs with Close Substitutes: The Case of HeadStart," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1795-1848.
    8. James J. Heckman & Margaret L. Holland & Kevin K. Makino & Rodrigo Pinto & Maria Rosales-Rueda, 2017. "An Analysis of the Memphis Nurse-Family Partnership Program," NBER Working Papers 23610, National Bureau of Economic Research, Inc.
    9. Raquel Bernal & Michael P. Keane, 2011. "Child Care Choices and Children's Cognitive Achievement: The Case of Single Mothers," Journal of Labor Economics, University of Chicago Press, vol. 29(3), pages 459-512.
    10. Pedro Carneiro & Rita Ginja, 2014. "Long-Term Impacts of Compensatory Preschool on Health and Behavior: Evidence from Head Start," American Economic Journal: Economic Policy, American Economic Association, vol. 6(4), pages 135-173, November.
    11. Hanan G. Jacoby, 2002. "Is There an Intrahousehold "Flypaper Effect"? Evidence From a School Feeding Programme," Economic Journal, Royal Economic Society, vol. 112(476), pages 196-221, January.
    12. Hilary Hoynes & Diane Whitmore Schanzenbach & Douglas Almond, 2016. "Long-Run Impacts of Childhood Access to the Safety Net," American Economic Review, American Economic Association, vol. 106(4), pages 903-934, April.
    13. Bernal, Raquel, 2015. "The impact of a vocational education program for childcare providers on children's well-being," Economics of Education Review, Elsevier, vol. 48(C), pages 165-183.
    14. Lia C. H. Fernald & Elizabeth Prado & Patricia Kariger & Abbie Raikes, 2017. "A Toolkit for Measuring Early Childhood Development in Low and Middle-Income Countries," World Bank Publications - Books, The World Bank Group, number 29000.
    15. Romano, Joseph P. & Wolf, Michael, 2016. "Efficient computation of adjusted p-values for resampling-based stepdown multiple testing," Statistics & Probability Letters, Elsevier, vol. 113(C), pages 38-40.
    16. Flávio Cunha & Irma Elo & Jennifer Culhane, 2013. "Eliciting Maternal Expectations about the Technology of Cognitive Skill Formation," NBER Working Papers 19144, National Bureau of Economic Research, Inc.
    17. Clive R Belfield & Milagros Nores & Steve Barnett & Lawrence Schweinhart, 2006. "The High/Scope Perry Preschool Program: Cost–Benefit Analysis Using Data from the Age-40 Followup," Journal of Human Resources, University of Wisconsin Press, vol. 41(1).
    18. Orazio P. Attanasio & Camila Fernández & Emla O. A. Fitzsimons & Sally M. Grantham-McGregor & Costas Meghir & Marta Rubio-Codina, "undated". "Using the Infrastructure of a Conditional Cash Transfer Program to Deliver a Scalable Integrated Early Child Development Program in Colombia: Cluster Randomized Controlled Trial," Mathematica Policy Research Reports 62cf429ea5b74678a945aa87b, Mathematica Policy Research.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rossin-Slater, Maya & Wüst, Miriam, 2016. "What is the Added Value of Preschool? Long-Term Impacts and Interactions with a Health Intervention," IZA Discussion Papers 10254, Institute of Labor Economics (IZA).
    2. Sneha Elango & Jorge Luis García & James J. Heckman & Andrés Hojman, 2015. "Early Childhood Education," NBER Chapters, in: Economics of Means-Tested Transfer Programs in the United States, Volume 2, pages 235-297, National Bureau of Economic Research, Inc.
    3. Maya Rossin-Slater & Miriam Wüst, 2016. "What is the Added Value of Preschool for Poor Children? Long-Term and Intergenerational Impacts and Interactions with an Infant Health Intervention," NBER Working Papers 22700, National Bureau of Economic Research, Inc.
    4. Orazio Attanasio & Sarah Cattan & Emla Fitzsimons & Costas Meghir & Marta Rubio-Codina, 2020. "Estimating the Production Function for Human Capital: Results from a Randomized Controlled Trial in Colombia," American Economic Review, American Economic Association, vol. 110(1), pages 48-85, January.
    5. Orazio Attanasio & Sarah Cattan & Emla Fitzsimons & Costas Meghir & Marta Rubio-Codina, 2015. "Estimating the Production Function for Human Capital: Results from a Randomized Control Trial in Colombia," Cowles Foundation Discussion Papers 1987, Cowles Foundation for Research in Economics, Yale University.
    6. Morabito, Christian & Van de gaer, Dirk & Figueroa, José Luis & Vandenbroeck, Michel, 2018. "Effects of high versus low-quality preschool education: A longitudinal study in Mauritius," Economics of Education Review, Elsevier, vol. 65(C), pages 126-137.
    7. Nores, Milagros & Bernal, Raquel & Barnett, W. Steven, 2019. "Center-based care for infants and toddlers: The aeioTU randomized trial," Economics of Education Review, Elsevier, vol. 72(C), pages 30-43.
    8. Holla,Alaka & Bendini,Maria Magdalena & Dinarte Diaz,Lelys Ileana & Trako,Iva, 2021. "Is Investment in Preprimary Education Too Low ? Lessons from (Quasi) ExperimentalEvidence across Countries," Policy Research Working Paper Series 9723, The World Bank.
    9. Henning Hermes & Philipp Lergetporer & Frauke Peter & Simon Wiederhold, 2024. "Application Barriers and the Socioeconomic Gap in Child Care Enrollment," Working Papers 2024-022, Human Capital and Economic Opportunity Working Group.
    10. Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen & Miriam Wüst & Johannes Wohlfart, 2020. "Missing a Nurse Visit," Discussion Papers 20-09, University of Copenhagen. Department of Economics.
    11. M. Caridad Araujo & Marta Dormal & Norbert Schady, 2019. "Childcare Quality and Child Development," Journal of Human Resources, University of Wisconsin Press, vol. 54(3), pages 656-682.
    12. Jorge Rodriguez, 2017. "Understanding the Effects of Income and Child Care Subsidies on Children's Academic Achievement," 2017 Papers pro1077, Job Market Papers.
    13. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    14. Henning Hermes & Philipp Lergetporer & Frauke Peter & Simon Wiederhold, 2021. "Application Barriers and the Socioeconomic Gap in Child Care Enrollment," CESifo Working Paper Series 9282, CESifo.
    15. Hermes, Henning & Lergetporer, Philipp & Peter, Frauke & Wiederhold, Simon, 2021. "Behavioral Barriers and the Socioeconomic Gap in Child Care Enrollment," IZA Discussion Papers 14698, Institute of Labor Economics (IZA).
    16. Elizabeth U. Cascio, 2023. "Does Universal Preschool Hit the Target?: Program Access and Preschool Impacts," Journal of Human Resources, University of Wisconsin Press, vol. 58(1), pages 1-42.
    17. Akabayashi, Hideo & Ruberg, Tim & Shikishima, Chizuru & Yamashita, Jun, 2023. "Education-oriented and care-oriented preschools: Implications on child development," Labour Economics, Elsevier, vol. 84(C).
    18. Hirani, Jonas Cuzulan & Sievertsen, Hans Henrik & Wüst, Miriam, 2020. "Missing a Nurse Visit," IZA Discussion Papers 13485, Institute of Labor Economics (IZA).
      • Miriam Wüst & Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen, 2021. "Missing a Nurse Visit," CEBI working paper series 20-09, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    19. Pierre Lefebvre & Claude Felteau, 2023. "Can universal preschool education intensities counterbalance parental socioeconomic gradients? Repeated international evidence from Fourth graders skills achievement," Working Papers 23-01, Research Group on Human Capital, University of Quebec in Montreal's School of Management.
    20. Elizabeth M. Caucutt & Lance Lochner & Youngmin Park, 2017. "Correlation, Consumption, Confusion, or Constraints: Why Do Poor Children Perform so Poorly?," Scandinavian Journal of Economics, Wiley Blackwell, vol. 119(1), pages 102-147, January.

    More about this item

    Keywords

    Early childhood development; Parenting; Early stimulation; Program scale-up;
    All these keywords.

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I20 - Health, Education, and Welfare - - Education - - - General
    • H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cwl:cwldpp:2145. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Brittany Ladd (email available below). General contact details of provider: https://edirc.repec.org/data/cowleus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.