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The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh

Bangladesh struggles with undernutrition in women and young children. Nutrition‐sensitive agriculture programmes can help address rural undernutrition. However, questions remain on the costs of multisectoral programmes. This study estimates the economic costs of the Targeting and Re‐aligning Agricul...

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Autores principales: Thai, Giang, Margolies, Amy, Gelli, Aulo, Sultana, Nasrin, Choo, Esther, Kumar, Neha, Levin, Carol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9749601/
https://www.ncbi.nlm.nih.gov/pubmed/36254494
http://dx.doi.org/10.1111/mcn.13441
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author Thai, Giang
Margolies, Amy
Gelli, Aulo
Sultana, Nasrin
Choo, Esther
Kumar, Neha
Levin, Carol
author_facet Thai, Giang
Margolies, Amy
Gelli, Aulo
Sultana, Nasrin
Choo, Esther
Kumar, Neha
Levin, Carol
author_sort Thai, Giang
collection PubMed
description Bangladesh struggles with undernutrition in women and young children. Nutrition‐sensitive agriculture programmes can help address rural undernutrition. However, questions remain on the costs of multisectoral programmes. This study estimates the economic costs of the Targeting and Re‐aligning Agriculture to Improve Nutrition (TRAIN) programme, which integrated nutrition behaviour change and agricultural extension with a credit platform to support women's income generation. We used the Strengthening Economic Evaluation for Multisectoral Strategies for Nutrition (SEEMS‐Nutrition) approach. The approach aligns costs with a multisectoral nutrition typology, identifying inputs and costs along programme impact pathways. We measure and allocate costs for activities and inputs, combining expenditures and micro‐costing. Quantitative and qualitative data were collected retrospectively from implementers and beneficiaries. Expenditure data and economic costs were combined to calculate incremental economic costs. The intervention was designed around a randomised control trial. Incremental costs are presented by treatment arm. The total incremental cost was $795,040.34 for a 3.5‐year period. The annual incremental costs per household were US$65.37 (Arm 2), USD$114.15 (Arm 3) and $157.11 (Arm 4). Total costs were led by nutrition counselling (37%), agriculture extension (12%), supervision (12%), training (12%), monitoring and evaluation (9%) and community events (5%). Total input costs were led by personnel (68%), travel (12%) and supplies (7%). This study presents the total incremental costs of an agriculture‐nutrition intervention implemented through a microcredit platform. Costs per household compare favourably with similar interventions. Our results illustrate the value of a standardised costing approach for comparison with other multisectoral nutrition interventions.
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spelling pubmed-97496012022-12-15 The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh Thai, Giang Margolies, Amy Gelli, Aulo Sultana, Nasrin Choo, Esther Kumar, Neha Levin, Carol Matern Child Nutr Original Articles Bangladesh struggles with undernutrition in women and young children. Nutrition‐sensitive agriculture programmes can help address rural undernutrition. However, questions remain on the costs of multisectoral programmes. This study estimates the economic costs of the Targeting and Re‐aligning Agriculture to Improve Nutrition (TRAIN) programme, which integrated nutrition behaviour change and agricultural extension with a credit platform to support women's income generation. We used the Strengthening Economic Evaluation for Multisectoral Strategies for Nutrition (SEEMS‐Nutrition) approach. The approach aligns costs with a multisectoral nutrition typology, identifying inputs and costs along programme impact pathways. We measure and allocate costs for activities and inputs, combining expenditures and micro‐costing. Quantitative and qualitative data were collected retrospectively from implementers and beneficiaries. Expenditure data and economic costs were combined to calculate incremental economic costs. The intervention was designed around a randomised control trial. Incremental costs are presented by treatment arm. The total incremental cost was $795,040.34 for a 3.5‐year period. The annual incremental costs per household were US$65.37 (Arm 2), USD$114.15 (Arm 3) and $157.11 (Arm 4). Total costs were led by nutrition counselling (37%), agriculture extension (12%), supervision (12%), training (12%), monitoring and evaluation (9%) and community events (5%). Total input costs were led by personnel (68%), travel (12%) and supplies (7%). This study presents the total incremental costs of an agriculture‐nutrition intervention implemented through a microcredit platform. Costs per household compare favourably with similar interventions. Our results illustrate the value of a standardised costing approach for comparison with other multisectoral nutrition interventions. John Wiley and Sons Inc. 2022-10-18 /pmc/articles/PMC9749601/ /pubmed/36254494 http://dx.doi.org/10.1111/mcn.13441 Text en © 2022 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Thai, Giang
Margolies, Amy
Gelli, Aulo
Sultana, Nasrin
Choo, Esther
Kumar, Neha
Levin, Carol
The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh
title The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh
title_full The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh
title_fullStr The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh
title_full_unstemmed The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh
title_short The economic costs of a multisectoral nutrition programme implemented through a credit platform in Bangladesh
title_sort economic costs of a multisectoral nutrition programme implemented through a credit platform in bangladesh
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9749601/
https://www.ncbi.nlm.nih.gov/pubmed/36254494
http://dx.doi.org/10.1111/mcn.13441
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