Public-private partnerships and the reduction of undernutrition in developing countries

Public-private partnerships and the reduction of undernutrition in developing countries
Author: Hoddinott, John F.
Publisher: Intl Food Policy Res Inst
Total Pages: 60
Release: 2015-12-09
Genre: Health & Fitness
ISBN:

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This paper brings structure to the discussion of private-sector engagement in nutrition by clarifying different models of engagement, reviews the evidence base on public-private partnerships (PPPs) for the reduction of undernutrition, and outlines some potential ways forward. We find that there are few independent, rigorous assessments of the impact of commercial-sector engagement in nutrition. Considerable caution is thus warranted when assessing PPPs in nutrition. Looking forward, future progress requires that the private sector recognize that past and current actions by some firms have created an environment of mistrust. It requires that the public sector accept that sustainable PPPs are those which permit private firms to generate profits. There is significant scope for the private sector to drive innovations that could reduce undernutrition, and, more speculatively, there may be scope for the private sector to act as a financier. Underpinning all these efforts must lie open discussions of the objectives, roles, and expectations of all parties along with potential conflicts of interest; an open space or platform where issues and challenges can be discussed and addressed; incentives for the private sector to take on pro-nutrition roles; strong, transparent, and well-enforced monitoring processes; and serious, independent evaluations of these activities.

Scaling Up Scaling Down

Scaling Up Scaling Down
Author: Thomas J. Marchione
Publisher: Routledge
Total Pages: 324
Release: 2013-12-19
Genre: Political Science
ISBN: 1134390971

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The individual and institutional capacities required for the prevention and reduction of nutritional insecurity and hunger in lesser-developed countries as the twenty-first century approaches are identified in this book. Household nutritional "security" can be defined as the successful The essays in this book champion the idea of increasing, or scaling up, grass roots operations to provide nutritional security, while scaling down the efforts of national and international institutions. Scaling up involves strengthening local capacities to improve and expand upon current successful programs by building upon existing local culture and organizations. This, in turn, enables the programs to strengthen relationships with national governments, international bilateral/multilateral donors, as well as non-governmental organizations. Scaling down concerns the ways and means by which these various organizations encourage and complement the local development. Therefore, as local capacities are scaled up, the national/international control over decisions and functions is, ideally, scaled down. The volume also directly addresses the resultant complication: how to create programs that are both culturally specific and that will flourish well into the future.

Optimal tariffs with smuggling

Optimal tariffs with smuggling
Author: Johnson, Michael E.
Publisher: Intl Food Policy Res Inst
Total Pages: 32
Release: 2015-12-25
Genre: Social Science
ISBN:

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Utilizing a spatial multi-market model for rice in Nigeria that explicitly takes into account the potential for smuggling, in this paper we analyze the welfare implications of alternative rice tariff rates given the government’s goals of spurring domestic production and reducing imports. Because smuggling occurs through the diversion of imports from Lagos, the official port of entry in the south, to the north, our modeling framework also captures the spatial effects of higher tariffs on changes in rural and urban prices, production and consumption, the flow of trade in rice, and welfare across different parts of the country. Results show that tariff rates that exceed about 40 percent introduce some smuggling of rice through the north when smuggling becomes more profitable than importing through official channels in the south. It is also at this tipping point that government tariff revenues are maximized. At higher tariff rates with smuggling, the south experiences greater welfare losses, especially in urban areas.

Stories of change in nutrition

Stories of change in nutrition
Author: Gillespie, Stuart
Publisher: Intl Food Policy Res Inst
Total Pages: 48
Release: 2015-12-25
Genre: Social Science
ISBN:

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This paper—which draws on inputs to, and discussions at, a methods development workshop—highlights the various concepts, methods, and tools that SoC researchers are considering to measure nutrition-relevant change in their respective countries. The focus is on nutrition-relevant policy and practice. These tools apply to 11 subthemes, which are to some extent sequential within policy/programming cycles: (1) assessing the nutrition problem, (2) stakeholder and institutional analysis/mapping, (3) understanding enabling environments for nutrition, (4) agenda setting and political commitment for nutrition, (5) policy formulation and policy processes, (6) multisectoral coordination, (7) implementation and vertical coherence, (8) scaling up, (9) assessing capacity, (10) assessing finance, and (11) monitoring, evaluation, and accountability. Examining these various methods and tools together allows for a holistic consideration of the processes that—while challenging to document and measure—play a key role in improving nutrition-relevant policy and practice, which, in turn, drives national achievement in reducing malnutrition.

The effect of insurance enrollment on maternal and child health care utilization

The effect of insurance enrollment on maternal and child health care utilization
Author: Gajate-Garrido, Gissele
Publisher: Intl Food Policy Res Inst
Total Pages: 40
Release: 2015-12-30
Genre: Social Science
ISBN:

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Access to and use of health services are concerns in poor countries. If implemented correctly, health insurance may help solve these concerns. Due to selection and omitted variable bias, however, it is difficult to determine whether joining an insurance scheme improves medical care–seeking behaviors. This paper uses representative data for the whole country of Ghana and an instrumental variable approach to estimate the causal impact on healthcare use of participating in Ghana’s National Health Insurance Scheme. Idiosyncratic variations in membership rules at the district level provide exogenous variation in enrollment. The instrument is the existence of nonstandard verification methods to allow enrollment of children. Using the 2008 Ghana Demographic and Health Survey and a census of all district insurance offices, this paper finds that insurance membership increases the probability of (1) seeking higher-quality (but no greater quantity of) maternal services and (2) parents’ becoming more active users of child curative care. Instrumental variable estimates are larger than ordinary least squares ones, indicating that “compliers” have much higher returns to being insured than the average participant. Results are robust to several validity checks; this paper shows that the instrument is indeed idiosyncratic and proves that government officials did not establish less-cumbersome membership rules in districts with worse initial indicators.

Ghana’s macroeconomic crisis

Ghana’s macroeconomic crisis
Author: Younger, Stephen D.
Publisher: Intl Food Policy Res Inst
Total Pages: 32
Release: 2016-01-08
Genre: Social Science
ISBN:

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Ghana is in the midst of a severe but not unprecedented macroeconomic crisis. This paper helps to evaluate the government’s policy options by (1) explaining the crisis’ causes, and (2) comparing it to previous macroeconomic crises and the policies that corrected them. Two large shocks are to blame for the crisis: an increase in the fiscal deficit of about 6 percent of GDP and a reduction in hydroelectric production that has not been replaced with thermal generation. This latter is more difficult to quantify, but may be as large as 4 percent of GDP. While large, Ghana has recovered from similar shocks in the past, and with luck, should be able to do so now. But this will require reversal of the large increases in the public sector wage bill that drove much of the fiscal shock.

Temporary and permanent migrant selection

Temporary and permanent migrant selection
Author: Chen, Joyce J.
Publisher: Intl Food Policy Res Inst
Total Pages: 45
Release: 2015-12-30
Genre: Social Science
ISBN:

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The migrant selection literature concentrates primarily on spatial patterns. We integrate two workhorses of the labor literature, the Roy and search models, to illustrate the implications of migration duration for patterns of selection. Theory and empirics show that temporary migrants are intermediately selected on education, with weaker selection on cognitive ability. Longer migration episodes lead to stronger positive selection on both education and ability because the associated jobs involve finer employee-employer matching and offer greater returns to experience. Networks are more valuable for permanent migration, where search costs are higher. Labor market frictions explain observed complex network-skill interactions. When considering migrant selection, the economics literature has largely focused on patterns by area of origin. However, the duration of migration episodes–temporary versus permanent–is another important determinant of selection. We integrate two workhorses of the labor literature, the Roy model and a search model, to illustrate the implications of migration duration for patterns of self-selection. We provide theoretical and empirical evidence showing that, because short-term migration episodes have less scope for skill-based matching and greater need for screening, temporary migrants are more likely to display intermediate selection on education, with weaker selection on underlying cognitive ability. Longer term migration episodes, in contrast, allow for finer employee-employer matching and greater returns to experience, leading to stronger positive selection on both education and cognitive ability among permanent migrants. Networks are also found to be more valuable for permanent migration, where search costs tend to be higher. However, we also provide evidence of complex network-skill interactions, driven primarily by labor market frictions.

The impact of agricultural extension services in the context of a heavily subsidized input system

The impact of agricultural extension services in the context of a heavily subsidized input system
Author: Ragasa, Catherine
Publisher: Intl Food Policy Res Inst
Total Pages: 44
Release: 2016-01-08
Genre: Social Science
ISBN:

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This paper aims to test this hypothesis and to contribute to better understanding of strategies to revitalize the agricultural extension system in Malawi. Specifically, it examines the interplay between the fertilizer subsidy and access to extension services, and their impact on farm productivity and food security in Malawi. Results show that the fertilizer subsidy has inconsistent impact on farm productivity and food security; at the same time, access to agricultural advice was consistently insignificant in explaining farm productivity and food security. Further analysis, however, shows that when access to extension services is unpacked to include indicators of usefulness and farmers’ satisfaction, these indicators were statistically significant. Households who reported that they received very useful agricultural advice had greater productivity and greater food security than those who reported receiving advice that they considered not useful. This result implies the need to ensure the provision of relevant and useful agricultural advice to increase the likelihood of achieving agricultural development outcomes

Farm transition and indigenous growth

Farm transition and indigenous growth
Author: Houssou, Nazaire
Publisher: Intl Food Policy Res Inst
Total Pages: 48
Release: 2016-01-15
Genre: Social Science
ISBN:

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This paper characterizes the transition from small-scale farming and the drivers of farm size growth among medium- and large-scale farmers in Ghana. The research was designed to better understand the dynamics of change in Ghana’s farm structure and contribute to the debate on whether Africa should pursue a smallholder-based or large-scale oriented agricultural development strategy. The results suggest a rising number of medium-scale farmers and a declining number of smallholder farmers in the country, a pattern that is consistent with a changing farm structure in the country’s agricultural sector. More important, findings show that the rise to medium- and large-scale farming is significantly associated with successful transition of small-scale farmers rather than entry of medium or large farms into agriculture, reflecting small-scale farmers successfully breaking through the barriers of subsistence agriculture into more commercialized production systems. The findings in this paper also suggest that some of the factors thought to be important for change in farm structure are no obstacle to farm size growth, even though they may foster transition. Notably, the results here diverge from the patterns observed in Zambia and Kenya, which indicate that the emergent farmers came mostly from the urban elite. Unfortunately, past and current policy discussions have not featured these emergent farmers sufficiently in the quest to transform agriculture in Ghana. Government should capitalize on these emergent farmers who have a demonstrated ability to graduate productively as it strives to address challenges in the smallholder sector.

Challenges in implementing a small-scale farmers’ capacity-building program

Challenges in implementing a small-scale farmers’ capacity-building program
Author: Ragasa, Catherine
Publisher: Intl Food Policy Res Inst
Total Pages: 48
Release: 2016-01-20
Genre: Social Science
ISBN:

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In 2011, in collaboration with the United States Agency for International Development (USAID), the Democratic Republic of Congo’s government launched the Food Production, Processing, and Marketing project—which aimed to raise incomes and improve food security in the target areas by improving agricultural productivity, market efficiency, and the capacity of producers to respond to market signals. In August–October 2013 and February–March 2014, halfway through the project’s implementation, a midline survey was conducted to assess progress with respect to intermediate outcomes. The present paper highlights the results of that assessment survey. We pay close attention to accurate attribution of observed changes to the project and employ a double-difference method that compares the changes in indicators before the project and at the time of the survey (project midline) between the beneficiaries and comparable control groups. Overall, the survey results suggest weak impact on most of the outcome indicators, and they highlight challenges in implementing small-scale farmers’ capacity building within the context of weak institutions and a fragile political context.