Nutrition Programs

Learners - Policy Lever

Essence

This lever captures a sense of the availability and quality of programs that support early childhood nutrition during the mothers pregnancy as well as during the first 5 years of life.

Indicator

 

A score ranging from 1 to 5, calculated based on 4 questions relating to availability of programs and 4 de facto elements to capture quality of the programs. Responses to each set of 4 questions are scored according to a rubric that considers the factors associated with good nutrition programs for children and mothers. Two scores are reported: one for de jure policy existence and one for de facto policy implementation.

Background

Malnutrition can severely undermine early childhood learning (Lupien et al. 2000; McCoy et al. 2016; Walker et al. 2007). Children in developing countries, particularly those at the bottom end of the income distribution, are subject to nutrient deprivation, infectious diseases, and chemically toxic or physically dangerous environments, which affect them not only after birth, but also in the womb. Just to illustrate the magnitude of these deprivations, 30% of children under 5 in developing countries are physically stunted, which is typically due to chronic malnutrition (Black et al. 2017). This lever measures the existence of social programs aimed at supporting mothers and their children in achieving proper nutrition in the early years, especially during the first 1,000 days of life. Examples of such social programs and supports include breastfeeding interventions and protections to micronutrient supplements. Many of these interventions have been linked to greater cognitive ability, leading to better educational outcomes in developing countries (Eilander et al. 2010; Horta et al. 2015).

Existing Data Source
Policy Survey
School Survey

Instrument Used for Measurement

  • Survey of Public Officials
  • Existing Data Source
  • Policy Survey
  • School Survey

Measurement Approach

This indicator is based on 4 de jure questions asked through the Policy Survey on the availability of nutrition programs. For each of those de jure questions, an element of program quality will be captured by the inclusion of de facto information on coverage, coming either from the School Survey (for school feeding) or from external data sources (for the remaining three).  For example:

(de jure) Does a national policy to encourage salt iodization exist?

(de facto) Percentage of households with salt testing positive for any iodide among households

(de jure) Does a national policy exist to encourage iron fortification of staples like wheat, maize, or rice?

(de facto) Percentage of children age 6–23 months who had at least the minimum dietary diversity and the minimum meal frequency during the previous day

(de jure) Is there a publicly funded school feeding program?

(de facto) Percentage of schools reporting having publicly funded school feeding program

Instrument Sources

System Approach for Better Education Results – Early Childhood Education (SABER-ECE)

Demographic and Health Surveys (DHS)/ Multiple Indicator Cluster Surveys (MICS)