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Emergency Programming
with Micronutrients in Mind
Evidence on Social Safety Nets
Daniel O. Gilligan
Deputy Director, Poverty, Health and Nutrition Division
International Food Policy Research Institute
Washington, D.C. | June 9, 2020
Why use social safety nets to protect micronutrient
status during a health crisis?
1. Increasing incomes for
vulnerable households
improves dietary diversity
2. The infrastructure of social
assistance is often already
in place
3. Research shows that this
works
Credit: Laura Zimmerman
Fortified school meals reduce anemia prevalence in
Uganda IDP camps
 Prevalence of moderate
to severe anemia was
reduced:
 18 ppt for adolescent
girls age 10-13 years
(Fig A)
 12 ppt for adult women
with take-home rations
 22 ppt for children age
6-59 months
Source: Adelman, Sarah, Daniel O. Gilligan, Joseph Konde-Lule and Harold Alderman. 2019. “School Feeding Reduces Anemia Prevalence in Adolescent
Girls and Other Vulnerable Household Members in a Cluster Randomized Controlled Trial in Uganda.” Journal of Nutrition 149(4): 659-666.
When do transfer modalities matter?
 Transfer modalities of food, vouchers or cash can all increase
household consumption and improve calorie intakes
 In Ecuador, vouchers increased dietary diversity more than
food transfers or cash
 In general, cash transfers often work best – they rely on
markets, are cheaper to deliver, can be sent electronically
 Regardless of modality, moving swiftly is critical when providing
relief during COVID-19
Source: Hidrobo, Melissa, John Hoddinott, Amber Peterman, Amy Margolies, and Vanessa Moreira. 2014. "Cash, food, or
vouchers? Evidence from a randomized experiment in northern Ecuador." Journal of Development Economics 107: 144-156.
What are priorities for designing social safety nets to
improve micronutrient status during the pandemic?
 Design social safety nets to be
gender-sensitive
 Include messaging on
nutrition, sanitation and health
 Use cash transfers to safely
support informal markets and
supply chains for nutritious
foods

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Emergency Programming with MIcronutrients in Mind: Evidence on Social Safety Nets

  • 1. Emergency Programming with Micronutrients in Mind Evidence on Social Safety Nets Daniel O. Gilligan Deputy Director, Poverty, Health and Nutrition Division International Food Policy Research Institute Washington, D.C. | June 9, 2020
  • 2. Why use social safety nets to protect micronutrient status during a health crisis? 1. Increasing incomes for vulnerable households improves dietary diversity 2. The infrastructure of social assistance is often already in place 3. Research shows that this works Credit: Laura Zimmerman
  • 3. Fortified school meals reduce anemia prevalence in Uganda IDP camps  Prevalence of moderate to severe anemia was reduced:  18 ppt for adolescent girls age 10-13 years (Fig A)  12 ppt for adult women with take-home rations  22 ppt for children age 6-59 months Source: Adelman, Sarah, Daniel O. Gilligan, Joseph Konde-Lule and Harold Alderman. 2019. “School Feeding Reduces Anemia Prevalence in Adolescent Girls and Other Vulnerable Household Members in a Cluster Randomized Controlled Trial in Uganda.” Journal of Nutrition 149(4): 659-666.
  • 4. When do transfer modalities matter?  Transfer modalities of food, vouchers or cash can all increase household consumption and improve calorie intakes  In Ecuador, vouchers increased dietary diversity more than food transfers or cash  In general, cash transfers often work best – they rely on markets, are cheaper to deliver, can be sent electronically  Regardless of modality, moving swiftly is critical when providing relief during COVID-19 Source: Hidrobo, Melissa, John Hoddinott, Amber Peterman, Amy Margolies, and Vanessa Moreira. 2014. "Cash, food, or vouchers? Evidence from a randomized experiment in northern Ecuador." Journal of Development Economics 107: 144-156.
  • 5. What are priorities for designing social safety nets to improve micronutrient status during the pandemic?  Design social safety nets to be gender-sensitive  Include messaging on nutrition, sanitation and health  Use cash transfers to safely support informal markets and supply chains for nutritious foods