scholarly journals Intervention to Address Childhood Undernutrition: A Systematic Review

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Eric Chee How Tan ◽  
Marilyn Maluda ◽  
Mohd Yusof Ibrahim ◽  
Kai Joo Lim ◽  
Aza Sherin Mohd Yusuff ◽  
...  

  Introduction: Childhood undernutrition while being a preventable condition remains a major public health issue because it contributes to the mortality and morbidity of children globally. Intervention strategies to improve the nutritional status of children include therapeutic food, cash transfers, antibiotics and nutritional education. The objective is to review the effects of various nutritional interventions in addressing undernutrition in children. Methods: Comprehensive search of literature in electronic databases were conducted in PubMed, Science Direct, and Scopus containing the Medical Subject Headings (MeSH) and the title terms ‘Undernutrition’ OR ‘Malnutrition AND ‘Intervention’ OR ‘Management’ AND ‘Children’ OR ‘Childhood’ between January 2000 and August 2019. Of the 4358 studies that were identified, 17 studies matched the inclusion criteria and were reviewed. Results: Therapeutic food is an integral part of nutritional interventions in majority of the studies along with cash transfers and nutritional education. The most consistent outcome in most of the studies was improvement in the nutritional status which subsequently reduces the undernutrition in children. Conclusion: Therapeutic food, conditional cash transfer and nutritional education yielded the best outcome in alleviating undernutrition in developing countries.

2016 ◽  
Vol 58 (1) ◽  
pp. 49-71 ◽  
Author(s):  
Diego Sanches Corrêa ◽  
José Antonio Cheibub

AbstractScholars concur that conditional cash transfer (CCT) programs have a strong proincumbent effect among beneficiaries. Although no study has properly focused on the overall effect of cash transfers on incumbents' national vote shares, most scholars have deduced that this effect is positive; i.e., that cash transfers lead to the expansion of incumbents' electoral bases. This article analyzes survey data from nearly all Latin American countries and confirms that beneficiaries of CCT programs are more likely to support incumbents. However, it also shows that CCT programs may induce many voters who were previously incumbent supporters to vote for the opposition. As a consequence, the overall impact of cash transfers on incumbents' vote shares is indeterminate; it depends on the balance between both patterns of behavioral changes among voters. This study is the first to report evidence that cash transfer programs may have significant anti-incumbent effects.


Author(s):  
Titus Priyo Harjatmo ◽  
Maria Poppy Herlianty ◽  
Antonius Sri Hartono

Background: The nutritional status of infants and toddlers is one indicator of public nutrition, and even has developed into one of the indicators of health and welfare. Basic Health Research (Riskesdas) in 2013 showed that 37,2% children under five suffering from nutritional status is stunting. One of the efforts that have been made by the Indonesian government to reduce malnutrition in infants and toddlers is through a program that is integrated with the health sector namely Conditional Cash Transfer Program (Program Keluarga Harapan). The specific objectives were to identify the characteristics of families recieve Conditional Cash Transfer Program and analysis stunting children under five years in families receiving Conditional Cash Transfer Program in Baturetno subdistric, Wonogiri district.Methods: The study was conducted in the subdistrict of Baturetno, Wonogiri district and has collected a total of 112 infants of families Conditional Cash Transfer Program participants. Sampling of children under five years was done purposively. This study was conducted from July to August 2017.Results: The proportion of children who stunting quite high at 33.0% higher than the results of the Nutritional Status Monitoring in 2016 amounted to 27.5%. If stunting is associated with the age group of stunting problems occur in all age groups in the amount of 31.3% in under 23 months and 34.3% at 23 months upwards of 31.3% children under five short, as much as 25.0% children under five are overweight according to height (weight for height) is normal and thus potentially becoming obese.Conclusions: The implementation of weight monitoring should be monitored the height of children under five in the hope family program.


2020 ◽  
Vol 62 (2) ◽  
pp. 53-74
Author(s):  
Natasha Borges Sugiyama ◽  
Wendy Hunter

ABSTRACTConditional cash transfer programs (CCTs) have emerged as an important social welfare innovation across the Global South in the last two decades. That poor mothers are typically the primary recipients of the grants renders easy, but not necessarily correct, the notion that CCTs empower women. This article assesses the relationship between the world’s largest CCT, Brazil’s Bolsa Família, and women’s empowerment. To systematize and interpret existing research, including our own, it puts forth a three-part framework that examines the program’s effects on economic independence, physical health, and psychosocial well-being. Findings suggest that women experience some improved status along all three dimensions, but that improvements are far from universal. A core conclusion is that the broader institutional context in which the Bolsa Família is embedded—that is, ancillary services in health and social assistance—is crucial for conditioning the degree of empowerment obtained.


2019 ◽  
Vol 6 ◽  
pp. 233339281987655 ◽  
Author(s):  
Moriam Khanam ◽  
Shafiun N. Shimul ◽  
Abdur Razzaque Sarker

Introduction: Childhood undernutrition is a crucial public health problem globally. The objective of this study is to measure the prevalence of childhood undernutrition and assess the distinct role of various factors on childhood undernutrition in Bangladesh. Methods: This study utilized the latest cross-sectional data from Bangladesh Demographic and Health Survey 2014. A total of 7256 data on children younger than 5 years old were analyzed. The undernutrition status of children was assessed by stunting (height-for-age), wasting (weight-for-height), and underweight (weight-for-age), while bivariate and multivariate analyses were performed to identify various individual-, household-, and community-level factors of childhood undernutrition. Results: The prevalence of stunting, wasting, and underweight were 36.5%, 14.6%, and 32.5%, respectively. Along with various individual- and household-level factors (eg, age, recent diarrheal disease, fever, number of under-5 children in the household, mother’s education and nutritional status, and wealth status), community index, particularly regional and geographic variation of community, had significant role for childhood undernutrition in Bangladesh. Conclusion: Childhood undernutrition is an overwhelming public health issue in Bangladesh. In order to improve the nutritional status of under-5 children, interventions should take into account the various predictors discussed in this study. Indeed, a joint effort by the government, nongovernmental organizations, and the community is necessary to improve the childhood nutritional status in Bangladesh.


2014 ◽  
Vol 56 (01) ◽  
pp. 55-72 ◽  
Author(s):  
Justin Earl Lance

Abstract This article examines whether conditional cash transfer (CCT) programs have had a significant effect on reducing murder rates in Mexico and Brazil, using time-series municipal-level data on murders in both countries. The findings, over the period 2005–8, show that the greater the proportion of beneficiaries enrolled in a CCT program in each municipality, the lower the number of murders. There are, however, important differences between the two countries, with a much larger effect in Brazil than in Mexico. This holds even when controlling for GDP and levels of development.


2019 ◽  
Vol 11 (3) ◽  
pp. 232-260 ◽  
Author(s):  
Sebastian Galiani ◽  
Nadya Hajj ◽  
Patrick J. McEwan ◽  
Pablo Ibarrarán ◽  
Nandita Krishnaswamy

In a Honduran field experiment, sequences of cash transfers to poor households varied in amount of the largest (peak) and last (end) transfers. Larger peak-end transfers increased voter turnout and the incumbent party’s vote share in the 2013 presidential election, independently of cumulative transfers. A plausible explanation is that voters succumbed to a common cognitive bias by applying peak-end heuristics. Another is that voters deliberately used peak-end transfers to update beliefs about the incumbent party. In either case, the results provide experimental evidence on the classic non-experimental finding that voters are especially sensitive to recent economic activity. (JEL C93, D72, I32, O15, O17)


2021 ◽  
Author(s):  
Mark G Shrime ◽  
Elizabeth A Harter ◽  
Becky Handforth ◽  
Christine L Phillips ◽  
Hendrika W C Bos ◽  
...  

Background: Over two-thirds of the world's population cannot access surgery when needed. Interventions to address this gap have primarily focused on surgical training and ministry-level surgical planning. However, patients more commonly cite cost--rather than governance or surgeon availability--as their primary access barrier. We undertook a randomized, controlled trial (RCT) to evaluate the effect on compliance with scheduled surgical appointments of addressing this barrier through a cash transfer. Methods: 453 patients who were deemed surgical candidates by a nursing screening team in Guinea, West Africa, were randomized into three study arms: control, conditional cash transfer, and labeled unconditional cash transfer. Arrival to a scheduled surgical appointment was the primary outcome. The study was performed in conjunction with Mercy Ships. Results: The overall no-show rate was five-fold lower in Guinea than previously published estimates, leading to an underpowered study. In a post-hoc analysis, which included non-randomized patients, patients in the control group and the conditional cash transfer group demonstrated no effect from the cash transfer. Patients in the unconditional cash transfer group were significantly less likely to arrive for their scheduled appointment. Subgroup analysis suggested that actual receipt of the unconditional cash transfer, instead of a lapse in the transfer mechanism, was associated with failure to show. Conclusion: We find that cash transfers are feasible for surgical patients in a low-resource setting, but that unconditional transfers may have negative effects on compliance. Although demand-side barriers are large for surgical patients in low-resource settings, interventions to address them must be designed with care.


2021 ◽  
Vol 19 (3) ◽  
pp. 88-97
Author(s):  
Rini Astuti ◽  
Uum Mukaromah

Bantuan Langsung Tunai (cash transfers) atau disingkat BLT adalah program bantuan pemerintah berjenis pemberian uang tunai atau beragam bantuan lainnya, baik bersyarat (conditional cash transfer) maupun tak bersyarat (unconditional cash transfer) untuk masyarakat miskin. BLT di Desa Luwungbata tidak luput dari berbagai kendala seperti kurangnya evaluasi teradap warga sehingga mengakibatkan penyaluran dana bantuan langsung tunai tidak tepat sasaran. Penelitian ini menggunakan model manajemen metode Simple Additive Weighting (SAW) dengan menentukan kriteria-kriteria yang di jadikan acuan dalam pengambilan keputusan yaitu luas bangunan, jenis dinding, jenis lantai, fasilitas buang air, sumber penerangan, bahan bakar, makanan sehari-hari, pakaian, pengobatan dan pendidikan. Hasil proses analisis berupa data keluarga miskin yang berhak menerima BLT. Untuk mengatasi masalah yang ada, diperlukan sebuah sistem yang dapat membantu pengambil keputusan untuk memntukan keluarga yang berhak menerima BLT dengan tepat oleh karena itu di penelitian ini dibangun sistem pendukung keputusan untuk pemberian BLT. Model manajemen sistem pendukung keputusan yang dipakai menggunakan metode SAW dengan bahasa pemrograman PHP dan database MySQL. Pendekatan proses pengembangan yang digunakan adalah pendekatan berorientasi objek dengan tool UML dengan model proses prototyping. Dengan adanya sistem pendukung keputusan ini, dapat mempermudah dan mempercepat pengolahan data serta mempengaruhi kinerja sehingga menjadi lebih optimal. Hasil yang diharapkan adalah tersedianya sistem pendukung keputusan menggunakan metode SAW yang dapat menentukan keluarga miskin yang berhak menerima Bantuan Langsung Tunai sehingga dana bantuan langsung tunai jatuh kepada keluarga yang benar-benar membutuhkan.


2019 ◽  
Vol 12 (4) ◽  
pp. 339-343
Author(s):  
Rajan Srinivasan ◽  
Santhosh K Ganesan ◽  
Prasanna S Premkumar ◽  
Gagandeep Kang

Abstract Background Conditional cash transfers are widespread and effective for utilization of targeted health services, but there is little evidence of their influence on the utilization of non-targeted or extended general healthcare services. Using data from a population-based health utilization survey, we evaluated the influence of conditional cash transfers for maternal and immunization services on the utilization of healthcare services for acute childhood illnesses. Methods Participants included mothers or primary caretakers of children <2 y of age residing in 2407 households in urban Vellore, Tamil Nadu, India. Mothers of children with illness in the preceding month were interviewed on presenting symptoms, provider choice and beneficiary status of maternal and immunization-based conditional cash transfer programs. Results Of 2407 children <2 y of age, about 48% reported being beneficiaries of maternal and immunization-based conditional cash transfers. Beneficiary status was associated with an increased use of public services (adjusted relative risk [aRR] 3.14 [95% confidence interval {CI} 1.96 – 5.02]) but not the use of private services (aRR 1.42 [95% CI 0.97 – 2.08]) relative to home or informal care. Conclusions Our findings indicate financial incentives for use of maternal and immunization services could have an indirect, non-targeted effect on utilization of formal healthcare for acute childhood illnesses.


2014 ◽  
Vol 15 (2) ◽  
Author(s):  
Mônica Viegas Andrade ◽  
Flávia Chein ◽  
Rafael Perez Ribas ◽  
Jaume Puig-Junoy

This paper investigates the impact of the Bolsa Familia program, a conditional cash transfer program focused on Brazilian poor families, on children‘s nutritional status in a context of low monitoring of conditionalities. The analysis is carried out using data from a baseline survey conducted in 2005, the “Bolsa Família” Impact Evaluation Research. The evaluation is made using the Propensity Score Matchingtechnique. Besides considering observational differences between beneficiaries and non-beneficiaries of Bolsa Família Program, our empirical strategy also addresses some concerns about informational issues in order to take into account potential endogeneity of the decision to participate in the Program. Our final results show a positive effect of Bolsa Família Program on children nutritional status only whencontrolling for the informational bias and for those children fulfilling educational requirements; however, this positive impact on nutritional status is restricted to BMIfor-age but does not affect height-for-age.


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