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      The Impact of Nutritional Interventions on Child Health and Cognitive Development

      1 , 2 , 1 , 1
      Annual Review of Resource Economics
      Annual Reviews

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          Abstract

          Despite growing policy commitment and decades of extensive research, nutritional deficiencies remain a key challenge for health systems worldwide. In addition to causing significant personal costs for those affected, indirect effects, such as reduced overall human capital accumulation or losses in labor productivity, can impose substantial obstacles for the achievement of economic development goals. This review provides an overview of the impact of key interventions aiming to improve nutritional intake in order to reach better physical health and cognitive outcomes among children in developing countries. We argue that, although promising interventions exist, malnutrition is a complex problem, likely requiring a stronger focus on multifactorial approaches. Moreover, more research is necessary to maximize compliance and sustainability if interventions are to successfully transform into large-scale policy programs. We further discuss the emerging double burden of malnutrition as a key challenge for policy makers in resource-poor settings.

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          Most cited references91

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          Maternal and child undernutrition and overweight in low-income and middle-income countries

          The Lancet, 382(9890), 427-451
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            Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?

            The Lancet, 382(9890), 452-477
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              Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?

              Acceleration of progress in nutrition will require effective, large-scale nutrition-sensitive programmes that address key underlying determinants of nutrition and enhance the coverage and effectiveness of nutrition-specific interventions. We reviewed evidence of nutritional effects of programmes in four sectors--agriculture, social safety nets, early child development, and schooling. The need for investments to boost agricultural production, keep prices low, and increase incomes is undisputable; targeted agricultural programmes can complement these investments by supporting livelihoods, enhancing access to diverse diets in poor populations, and fostering women's empowerment. However, evidence of the nutritional effect of agricultural programmes is inconclusive--except for vitamin A from biofortification of orange sweet potatoes--largely because of poor quality evaluations. Social safety nets currently provide cash or food transfers to a billion poor people and victims of shocks (eg, natural disasters). Individual studies show some effects on younger children exposed for longer durations, but weaknesses in nutrition goals and actions, and poor service quality probably explain the scarcity of overall nutritional benefits. Combined early child development and nutrition interventions show promising additive or synergistic effects on child development--and in some cases nutrition--and could lead to substantial gains in cost, efficiency, and effectiveness, but these programmes have yet to be tested at scale. Parental schooling is strongly associated with child nutrition, and the effectiveness of emerging school nutrition education programmes needs to be tested. Many of the programmes reviewed were not originally designed to improve nutrition yet have great potential to do so. Ways to enhance programme nutrition-sensitivity include: improve targeting; use conditions to stimulate participation; strengthen nutrition goals and actions; and optimise women's nutrition, time, physical and mental health, and empowerment. Nutrition-sensitive programmes can help scale up nutrition-specific interventions and create a stimulating environment in which young children can grow and develop to their full potential. Copyright © 2013 Elsevier Ltd. All rights reserved.
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                Author and article information

                Journal
                Annual Review of Resource Economics
                Annu. Rev. Resour. Econ.
                Annual Reviews
                1941-1340
                1941-1359
                October 06 2020
                October 06 2020
                : 12
                : 1
                : 345-366
                Affiliations
                [1 ]Centre for Modern Indian Studies (CeMIS), University of Goettingen, 37073 Goettingen, Germany;, ,
                [2 ]Heidelberg Institute of Global Health (HIGH), University of Heidelberg, 69120 Heidelberg, Germany
                Article
                10.1146/annurev-resource-110519-093256
                712930fd-3689-4fed-9a70-c6da57a43058
                © 2020
                History

                Sociology,Education,Social policy & Welfare,Psychology,General behavioral science,Family & Child studies

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