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Topic:Health, Nutrition, & Population
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Malawi: Nutrition and HIV/AIDS Project (PPAR)

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This report focuses on lessons learned from the International Development Association’s (IDA) support to maternal and child health and nutrition under the Malawi Nutrition and HIV/AIDS Project. At the time of project approval, Malawi had made substantial gains in reducing the prevalence of underweight children. However, chronic undernutrition remained high—47 percent of Malawi’s children under Show MoreThis report focuses on lessons learned from the International Development Association’s (IDA) support to maternal and child health and nutrition under the Malawi Nutrition and HIV/AIDS Project. At the time of project approval, Malawi had made substantial gains in reducing the prevalence of underweight children. However, chronic undernutrition remained high—47 percent of Malawi’s children under the age of five were stunted, exceeding the Sub-Saharan Africa average of 40 percent. The underlying causes of malnutrition included poverty, nutrition-deficient household behaviors, inadequate food preparation, and care practices. The government of Malawi’s response to chronic high malnutrition rates began in 2004, when it created the Department of Nutrition, HIV and AIDS (DNHA) and implemented a nutrition policy. The Nutrition and HIV/AIDS Project (the project) was approved in 2012 and financed through an International Development Association credit ($32 million) and an International Development Association grant ($26 million). The project development objective was “to increase access to and utilization of selected services known to contribute to the reduction of stunted growth, maternal and child anemia, and the prevention of HIV and AIDS in children and sexually active adults.” Ratings for the Nutrition and HIV/AIDS Project are as follows: Outcome was moderately unsatisfactory, Overall efficacy was modest, Bank performance was moderately unsatisfactory, and Quality of monitoring and evaluation were modest/negligible. This assessment offers the following five lessons and recommendations: (i) While the care group model might be a viable option for nutrition communication and potential behavior change, it is critical to focus on the conditions that can make the model successful. (ii) Developing community-based activities at a large scale takes time and continuous support and it is fundamental to adequately estimate the time and resources needed for full implementation. (iii) The care group model requires intensive stakeholder engagement and sensitivity to the social context. (iv) To track output delivery and expected change, the PDO, results framework, and indicators need to be well tailored. (v) Project structures that are sufficiently flexible to adjust to donor and government needs, help implementation and achievement of results In the HIV/AIDS component, the project adeptly responded to shifts in donor funding commitments to ensure efficient deployment of project resources in needed areas.

Comment les changements des comportements nutritionnels se produisent-ils ? Un outil pour vous aider à appliquer les enseignements

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Comment les changements des comportements nutritionnels se produisent-ils ? Un outil pour vous aider à appliquer les enseignements
Une nouvelle brochure aide les utilisateurs à planifier et à suivre les activités de changement des comportements pour améliorer les résultats nutritionnels. Une nouvelle brochure aide les utilisateurs à planifier et à suivre les activités de changement des comportements pour améliorer les résultats nutritionnels.

How Does Nutritional Behavior Change Happen? A Tool to Help You Apply the Lessons

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How Does Nutritional Behavior Change Happen? A Tool to Help You Apply the Lessons
A new booklet helps users plan and track behavior change efforts to improve nutritional outcomes. A new booklet helps users plan and track behavior change efforts to improve nutritional outcomes.

Réduire la sous-nutrition chez l'enfant: les leçons du développement international

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Un événement en parallèle avec Nutrition for GrowthUn événement en parallèle avec Nutrition for Growth

World Bank Support to Reducing Child Undernutrition

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A woman from Bamako, Mali in a colorful dress sitting on the floor in a rural village kitchen, sharing half of an egg with a child in Bamako, Mali.  Photo credit Shutterstock/ By Riccardo Mayer
This evaluation assesses the contribution of the World Bank to improve nutrition in children during 2007-2018 (FY08–FY19). This evaluation assesses the contribution of the World Bank to improve nutrition in children during 2007-2018 (FY08–FY19).

Evaluation of the World Bank Group’s early response in addressing the economic implications of COVID-19 (Approach Paper)

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The purpose of this evaluation is to foster learning and adaptive management to strengthen the Bank Group’s response to the economic dimensions of the COVID-19 crisis: protecting livelihoods. The Economic Implications of COVID-19 evaluation is part of the Independent Evaluation Group’s (IEG) efforts to conduct an early assessment of the Bank Group’s COVID-19 response to influence the design of Show MoreThe purpose of this evaluation is to foster learning and adaptive management to strengthen the Bank Group’s response to the economic dimensions of the COVID-19 crisis: protecting livelihoods. The Economic Implications of COVID-19 evaluation is part of the Independent Evaluation Group’s (IEG) efforts to conduct an early assessment of the Bank Group’s COVID-19 response to influence the design of crisis projects in the pipeline and to prepare for the restructuring and recovery phases of Bank Group support to protect livelihoods. Given that the COVID-19 response is ongoing, this evaluation is meant to be a process and learning evaluation primarily to address areas identified during stakeholder consultations in the Bank Group.

Addressing Gender Inequalities in Countries Affected by Fragility, Conflict and Violence: An Evaluation of WBG Support (Approach Paper)

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The WBG recognizes that achieving gender equality is particularly challenging in those settings, but it is critical to make progress in peace building and resilience to crisis. Addressing gender gaps is a priority in FCV-affected countries because fragility and conflict disproportionally affect women and girls and exacerbate gender inequalities. The World Bank Group recognizes that effective Show MoreThe WBG recognizes that achieving gender equality is particularly challenging in those settings, but it is critical to make progress in peace building and resilience to crisis. Addressing gender gaps is a priority in FCV-affected countries because fragility and conflict disproportionally affect women and girls and exacerbate gender inequalities. The World Bank Group recognizes that effective responses to gender inequalities in FCV-affected countries need to be context-specific, country-owned, systemic, and sustainable. The goal of this formative evaluation is to provide lessons on what worked well, less well, and why, regarding the World Bank Group’s support to FCV-affected countries to achieve transformational change towards gender equality in two areas: women’s and girls’ economic empowerment and gender-based violence.

Reducing Disaster Risk from Natural Hazards – An Evaluation of World Bank Support 2010-20 (Approach Paper)

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Disasters caused by natural hazards are a threat to development, and their costs are rising. Climate change is exacerbating the costs of disasters and putting more people at risk from more powerful, more frequent, and more severe storms, floods, and droughts. People in developing countries, and particularly the poorest and most vulnerable, are most at risk of losing their lives and livelihoods Show MoreDisasters caused by natural hazards are a threat to development, and their costs are rising. Climate change is exacerbating the costs of disasters and putting more people at risk from more powerful, more frequent, and more severe storms, floods, and droughts. People in developing countries, and particularly the poorest and most vulnerable, are most at risk of losing their lives and livelihoods from disaster-related events. Reducing disaster risk from natural hazards, the focus of this evaluation, can reduce the negative effects that disasters have on society and people’s lives. DRR is at the core of the World Bank’s approach to support green, resilient, and inclusive development. The purpose of this evaluation is to learn how the World Bank has helped client countries undertake DRR from natural hazards and how and how well it has achieved DRR outcomes. The evaluation will focus on disaster risks caused by natural hazards rather than other types of hazards or chronic stresses.

Early Evaluation of the World Bank’s COVID-19 Response to Save Lives and Protect Poor and Vulnerable People (Approach Paper)

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Disrupting billions of lives and livelihoods, the SARS-CoV-2 (COVID-19) pandemic jeopardizes countries’ development gains and goals on an unprecedented scale. Restoring human capital and maintaining progress on development priorities depends on successfully containing and mitigating the effects of the pandemic, especially its toll on poor and vulnerable people. This Independent Evaluation Group Show MoreDisrupting billions of lives and livelihoods, the SARS-CoV-2 (COVID-19) pandemic jeopardizes countries’ development gains and goals on an unprecedented scale. Restoring human capital and maintaining progress on development priorities depends on successfully containing and mitigating the effects of the pandemic, especially its toll on poor and vulnerable people. This Independent Evaluation Group evaluation will assess the World Bank’s early portfolio of COVID-19 support aimed at saving lives, protecting poor and vulnerable people, and strengthening institutions in these areas. The evaluation has one overarching question: What has been the quality of the World Bank’s early COVID-19 response in terms of saving lives and protecting poor and vulnerable people? The evaluation will conduct multilevel analyses, anchored at the country level, to triangulate evidence for early learning from the implementation of the World Bank’s support.

Early-Stage Evaluation of the International Development Association's Sustainable Development Finance Policy (Approach Paper)

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IEG is undertaking an early stage evaluation of Sustainable Development Finance Policy (SDFP) of the International Development Association (IDA), which came into effect on July 1, 2020. The SDFP, adopted in response to concern with mounting external public debt vulnerabilities in IDA-eligible countries, seeks to create incentives to strengthen country-level debt transparency, enhance fiscal Show MoreIEG is undertaking an early stage evaluation of Sustainable Development Finance Policy (SDFP) of the International Development Association (IDA), which came into effect on July 1, 2020. The SDFP, adopted in response to concern with mounting external public debt vulnerabilities in IDA-eligible countries, seeks to create incentives to strengthen country-level debt transparency, enhance fiscal sustainability, and strengthen debt management. In light of significant past efforts to restore debt sustainability to heavily indebted poor countries (HIPCs), including through large scale bilateral and multilateral debt relief, the World Bank Board’s Committee on Development Effectiveness seeks early feedback from implementation of the SFDP to identify lessons to enhance its effectiveness. IEG will assess the relevance of the SDFP in addressing the sharp rise in debt stress in many IDA-eligible countries as well as the early implementation of the policy.