Perils of scaling up: Effects of expanding a nutrition programme in Madagascar.

ABSTRACT: Scaling up integrated nutrition programmes from small, targeted interventions or pilot studies to large-scale government-run programmes can be challenging, with risks of changing the nature and quality of the interventions such that effectiveness is not sustained. In 1999, the Government of Madagascar introduced a nationwide, community-based, growth-monitoring and nutrition education programme, which was gradually scaled up throughout the country until 2011. Data from three nationally representative surveys, administered pre- and post-programme implementation, in participating and non-participating communities, were used to evaluate the effectiveness of the programme to reduce malnutrition in children under 5 after two phases of expansion (1999-2004 and 2004-2011). In our analyses, we comp

SUBMITTER: Weber AM 

PROVIDER: S-EPMC7199089 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature