利用社会保护计划改善营养:为2015年营养敏感型社会保护计划全球论坛准备的证据摘要

H. Alderman
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引用次数: 27

摘要

由安全营养和俄罗斯联邦召集的营养敏感型社会保护计划全球论坛汇集了150名捐助者、实施者和国家领导人,以确定将营养和社会保护议程联系起来的切实可行的方法。本文作为全球论坛讨论的跳板,代表了来自近120个参考文献的综合证据,重点关注项目评估。自20世纪80年代以来,社会保障项目的覆盖范围广泛扩大。世界银行最近的估计显示,有条件现金转移支付的国家从1997年的两个增加到64个,非洲实施无条件现金转移支付的国家迅速增加了一倍,在过去五年中从20个增加到40个。本文发现,社会保护转移支付往往会增加家庭用于食品的预算——往往超过其他收入来源——并强调了转移支付可以改变饮食组成和质量的证据。与此同时,收入对营养结果的总体影响尚不明确,并因国家经验和不同研究而异。有证据表明,正确的卫生知识和喂养习惯并不一定会随着购买力的增加而增加,因此,有必要特别鼓励或规划行为改变沟通。
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Leveraging Social Protection Programs for Improved Nutrition: Summary of Evidence Prepared for the Global Forum on Nutrition-Sensitive Social Protection Programs, 2015
The global forum on nutrition-sensitive social protection programs, convened by securenutrition and the Russian Federation, brought together 150 donors, implementers, and country leaders to identify practical ways to link the nutrition and social protection agendas. This paper served as a springboard for discussion at the global forum, and represents a synthesis of evidence from nearly 120 references with a heavy focus on program evaluations. The reach of social protection programs has grown extensively since the 1980s. Recent World Bank estimates show 64 countries running conditional cash transfers as opposed to only two in 1997 and the rapid doubling of countries in Africa implementing unconditional cash transfers - from 20 to 40 in just the last five years. This paper finds that social protection transfers tend to increase household budget devoted to food - often more than other income sources - and highlights evidence that transfers can change diet composition and quality. At the same time, the overall effects of income on nutrition outcomes are not clear and vary by country experience and across studies. Evidence indicates that knowledge of proper hygiene and feeding practices does not necessarily increase alongside purchasing power, hence the rationale to specifically encourage or program behavioral change communication.
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