Dillon Andrew, Bliznashka Lilia, Olney Deanna
Northwestern University, 2211 CAMPUS DRIVE, Evanston, 60208, United States.
Harvard University, 665 Huntington Ave Building I, Floor 11 Boston MA, USA 02115.
Econ Hum Biol. 2020 Jan;36:100820. doi: 10.1016/j.ehb.2019.100820. Epub 2019 Sep 26.
Integrated agricultural-nutrition programs are often implemented under the premise that program effects are durable and spillover. This paper estimates one year post-program effects, three-year aggregate program effects and spillover effects using treated and untreated household cohorts. Two treatment interventions implemented agricultural interventions with behavior change communication strategies varying implementers using either village health committees or older female leaders. In the post-program period, program effects deteriorated relative to program period impacts documented in Olney et al. (2015), but the three-year agricultural, nutrition knowledge, health care practices and severe anemia impacts remained statistically significant. Despite the non-rival nature of nutrition education and promoted production techniques, there is little evidence of agricultural technology or health knowledge spillovers to non-treated households within treatment communities. Spillover effects measured for appropriate treatment of diarrhea (10 pp increase in giving rehydration salts rather than traditional medicine), wasting (20 pp lower probability of wasting) and children's anemia status (7 pp reduction in severe anemia) significantly improve in later cohorts. The aggregate program effects and spillovers are generally robust to multiple hypothesis testing.
综合农业营养项目通常在项目效果具有持久性和溢出效应的前提下实施。本文使用接受治疗和未接受治疗的家庭队列估计了项目实施一年后的效果、三年的总体项目效果和溢出效应。两项治疗干预措施采用行为改变沟通策略实施农业干预,实施者不同,分别使用村卫生委员会或年长女性领导人。在项目实施后的时期,与奥尔尼等人(2015年)记录的项目实施期间的影响相比,项目效果有所恶化,但三年的农业、营养知识、医疗保健实践和严重贫血影响在统计上仍然显著。尽管营养教育和推广的生产技术具有非竞争性,但几乎没有证据表明农业技术或健康知识会溢出到治疗社区内未接受治疗的家庭。在后来的队列中,针对腹泻的适当治疗(使用补液盐而非传统药物的比例增加10个百分点)、消瘦(消瘦概率降低20个百分点)和儿童贫血状况(严重贫血减少7个百分点)的溢出效应显著改善。总体项目效果和溢出效应通常对多重假设检验具有稳健性。