DesigningCCTProgramstoImproveNutritionImpact.pptVIP

Many of the programs already have many of these essential actions, or mechanisms that could promote them (such as educational workshops), in their programs. For example, through the health checkups, growth monitoring and counseling sessions, or educational workshops, mothers could learn about the importance of essential actions such as exclusive breastfeeding and high-quality complementary foods, and they could receive micronutrient supplements. But unless the program conditionalities and operations specifically address the known essential nutrition actions (and just checking off the box doesn’t tell us) it probably will not have an impact on nutrition. * So we need to make sure that actions in each of these areas actually 1) follow recommended international practice (eg., not just “program requires health checkups” but that conditionalities matches up with the international recommendation of the appropriate number of prenatal checkups or well-baby visits); and 2) beneficiaries can access the services; and 3) the services are of high quality. Keeping these in mind, what are specific actions to take to design a more effective CCT for nutrition? using the categories for strategic analysis we developed at the beginning… * INCOME: size of the transfer: 20-40% of household income to make a difference: provide an incentive, allow coverage of costs of compliance (e.g., opportunity costs of time or direct costs of undertaking co-responsibilities, such as travel costs or complementary purchases). One reason we think the CCT program in Honduras did not have a significant impact is bc the transfer size was so small, only about 4 percent of household income. * The conditionalities should focus on what the individuals need to do to achieve the essential nutrition actions. But 1. determinants of nutrition are complex and multisectoral, and multiple actors: need to see what others are doing (water / sanitation, education and early childhood development, for example):