Impact and Cost-Effectiveness of the Preventing Malnutrition in Children under 2 Approach

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The Preventing Malnutrition in Children under 2 Approach (PM2A) is a food-assisted approach that targets health and nutrition interventions to all pregnant women, mothers of children 0–23 months, and children under 2 years—during the critical 1,000-day window of opportunity—in areas that are food-insecure. To study the impact and cost-effectiveness of PM2A for preventing chronic malnutrition, FANTA partner IFPRI is conducting two cluster-randomized trials, one in Guatemala and one in Burundi, each in the context of an ongoing USAID Office of Food for Peace Title II development food assistance project. These studies are seeking to answer questions such as: Do food rations have an effect on a child`s nutritional status? What types and quantities are most effective? and How long should they be provided for?

Collaborating Organizations: CRS, Mercy Corps

Burundi Trial

The study in Burundi is evaluating the implementation of PM2A in the Tubaramure project. FANTA conducted and published a baseline survey, a process evaluation of the implementation of the project, and a follow-up survey. The follow-up survey, which was conducted 2 years into the project, found that PM2A, so far, has had a positive effect on household access to food, child feeding practices, and child morbidity. A second follow-up survey is currently being conducted, in addition to a cost-effectiveness study.

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Strengthening and Evaluating the Preventing Malnutrition in Children under 2 Years of Age Approach—Burundi Follow-Up Report: Children 0–23 Months (2014) 

PDF icon A Process Evaluation of the Tubaramure Program for Preventing Malnutrition in Children under 2 Approach (PM2A) in Burundi (2013)

PDF icon Strengthening and Evaluating the Preventing Malnutrition in Children under 2 Approach (PM2A) in Burundi: Baseline Report (2012)

PDF icon Renforcement et évaluation de l’approche Prévention de la Malnutrition chez les enfants de moins de 2 ans (PM2A) au Burundi : Rapport initial (2012)

Guatemala Trial

The study in Guatemala is evaluating the implementation of PM2A in the PROCOMIDA project. FANTA conducted and published formative research to inform the health-strengthening activities and social and behavior change strategy of the project, a process evaluation of the project, and an enrollment survey. Data collection for a longitudinal study and a cost-effectiveness study is ongoing.

PDF icon Strengthening and Evaluating the PM2A in Guatemala: Report of the Enrollment Survey (2013)

PDF icon A Process Evaluation of the PROCOMIDA “Preventing Malnutrition in Children under 2 Approach” in Guatemala (2013)

PDF icon Report of Formative Research Conducted in Alta Verapaz, Guatemala, to Help Inform the Health-Strengthening Activities and the Social and Behavior Change Communication Strategy That Will Be Implemented through the Mercy Corps PM2A Program – PROCOMIDA (2012)

PDF icon Strengthening and Evaluating the Preventing Malnutrition in Children Under Two Years of Age Approach (PM2A) in Guatemala: Cross-Sectional Baseline Report (2011)

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