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  • Reply to: Tapping the potential of Indonesia’s Village Law to increase quality of Early Childhood Education   3 weeks 11 hours ago

    you are posting such a new idea is very interesting and give updates.
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  • Reply to: The Philippines: Resurrecting Manufacturing in a Services Economy   2 months 9 hours ago

    Great to some useful information here about Philippines Economic Update.Thanks and also seen on Instant Forex Support Forum.

  • Reply to: All hands on deck: new evidence on the need for a multi-sectoral approach to reducing childhood stunting   2 months 2 weeks ago

    Dear Emmanuel - thanks for the clear response. All makes sense, and I appreciate you taking the time to reply. Best, Jack

  • Reply to: All hands on deck: new evidence on the need for a multi-sectoral approach to reducing childhood stunting   2 months 3 weeks ago

    Dear Jack,

    Thank you for your comment. We share your desire for ranking different combinations of interventions and, for any given context, choosing the best set. From our regression analysis however, we have been unable (in spite of really wanting to do that) to make the claim that “whole is greater than the sum of the parts,” and much less which specific intervention combinations work the best. The lack of positive interaction effects in the analyses may be due to the small share of children with access to the specific sets of adequacies. For more definitive answers much more detailed data would be needed.

    We do find that there are differences in the probability of stunting depending on which of the four determinants a child has access to. Specifically in Indonesia, among children with access to just one driver, access to adequate food security alone is associated with the largest increases in the average height-for-age, than access to adequate care alone which is not associated with significant gains. However, it is important to keep in mind that while the analyses describe the current state of nutritional drivers and their correlation with nutrition outcomes the models are not causal.

    Emmanuel Skoufias

  • Reply to: All hands on deck: new evidence on the need for a multi-sectoral approach to reducing childhood stunting   2 months 3 weeks ago

    This is very interesting work with substantial policy relevance. One question: while it makes sense that having access to increasing numbers of the drivers has an increasingly positive association with lower stunting rates, were you able to determine whether the whole is greater than the sum of the parts? - i.e. is their a positive interaction effect, whereby (say) having access to improved food security and improved WASH has a bigger combined impact than just the impact you get from improving each individually?

    Given limited resources and the need to scale up many different interventions in different sectors in different geographies, it would be helpful to understand if there are positive (or conceivably negative) interactions associated with scaling up some combinations in the same geography. e.g. we may not get the full benefits from improved food if we don't reduce diarrheal disease and loss of nutrients; conversely, increasing exclusive breastfeeding rates may have less marginal benefit in areas with improved water quality compared with areas with poor water quality, if part of the benefit of exclusive breastfeeding is avoiding contaminated baby formula and water-borne disease.

    Clearly the eventual goal should be strong programs across all sectors in all places, but until we get there there may be better and worse ways of deploying scarce resources for the scale up. Would love to hear any insights on this from your work.