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Impact of productive safety net program on food security of beneficiary households in western Ethiopia: A matching estimator approach.

ABSTRACT: From various Ethiopian government food security strategies, the Productive Safety Net Program (PSNP) is one of the strategies to improve households' consumption. As a result, the government needs to know the outcome of the program intervention for further decisions in similar poverty reduction strategies. This study examined the impact of Productive Safety Net Program intervention on food security of rural households in rural western Ethiopia. A cross-sectional survey data were gathered from a total of randomly selected 188 beneficiary and non-beneficiary sample households. Key informants interviews and focus group discussions were employed to triangulate household survey results. A Chi-square test was employed to compare the households' food security status. The propensity score matching method was used to evaluate the impact of a Productive safety net on beneficiary households' food security status. In this study, the Productive Safety net program has significantly increased households' calorie intake. The beneficiaries' households were more food secure than non-beneficiary households by 68% and54% respectively. The mean energy available for the beneficiary and non-beneficiary households is 2488.500 and 2153.394 kcal, respectively. Estimates of the average treatment effect of the treated indicated that a Productive safety net program can impact households food security by 2519.29348 kilocalories, higher in the kernel matching method. This is an encouraging indicator for Programme implementers and funding agents. Therefore, channeling further efforts on this indicator is important for a more pronounced impact of the Programme. Given a certain level of variations of different program impact studies, this study recommends further research with greater scope and at different locations on the impact of PSNP and related Food Security Programs on households' food security status.

SUBMITTER: Hailu AG

PROVIDER: S-EPMC8782465 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundMeasuring household food insecurity in specific geographic areas provides vital information that enables appropriate and effective intervention measures to be taken. To that end, this study aimed to assess the prevalence of food insecurity and associated factors among Urban Productive Safety Net Program (UPSNP) beneficiary households in Addis Ababa, Ethiopia's capital city.MethodsA community-based cross-sectional study was conducted among 624 UPSNP beneficiary households in nine districts of Addis Ababa from June to July 2019. A multi-stage sampling method was used; study participants were selected using a simple random sampling technique after establishing the proportionally allocated sample size for 9 districts. Data were collected by trained personnel using a pretested, structured questionnaire. The outcome variable was food insecurity as measured by Household Food Insecurity Access Scale (HFIAS), a tool developed by the Food and Nutrition Technical Assistance Scale (FANTA) and validated for developing countries, including Ethiopia. A binary (crude odds ratio [COR]) and multivariable (adjusted odds ratio [AOR]) logistic regression analysis were employed at 95% CI (confidence interval). From the bivariate analysis, factors having a p-value<0.25 were included in the multivariable analysis. From the multivariable analysis, any variable at p-value < 0.05 at 95% CI was declared significantly associated with household food insecurity. Model fitness was also checked using the Hosmer-Lemeshow test with p-value>0.05.ResultsThe prevalence of household food insecurity was 77.1% [95%CI:73.8-80.7] during the month prior to the survey. Illiteracy of household head [AOR: 2.56; 95%CI:1.08-6.07], family size of 4 or more [AOR: 1.87, 95%CI:1.08-3.23], high dependency ratio [AOR: 3.95; 95%CI:1.31-11.90], household lack of access to credit [AOR:2.85; 95%CI:1.25-6.49], low household income [AOR: 4.72; 95%CI:2.32-9.60] and medium household income [AOR: 9.78; 95%CI:4.29-22.35] were significantly associated with household food insecurity.ConclusionWe found that three in four of Addis Ababa's UPSNP beneficiary households were food-insecure. Implementation of measures to improve household income, minimize the dependency ratio of households, and arrange access to credit services are paramount ways to tackle food insecurity problems in Addis Ababa.

Project description:BackgroundThe impact of Productive Safety Net Programs (PSNPs) on food security, poverty, and livelihoods has been examined in several studies. While some studies found positive impacts on food security and agricultural productivity, there are still gaps in understanding the long-term effects of these programs on poverty reduction and food security. This study aims to investigate the impact of PSNP on the livelihood of beneficiaries based on indicators including access to basic services, income, expenditure on food, adaptive capacity, and dietary diversity.MethodologyThis article used quasi-experimental design and treatment effects model taking into account access to basic services, income, food expenditure, assets, adaptive capacity, and household dietary diversity as outcome variables of interest. 300 respondents were randomly selected from the population of safety net beneficiaries and non-beneficiaries in the study area. Out of the 300 respondents, 150 were selected as the treatment group, who were beneficiaries of the safety net program. The algorithms used in analysis include regression adjustment, inverse probability weighing and propensity score matching.ResultsThe study's results reveal that the PSNP has no statistically significant impact on access to basic services and income based on all three algorithms, yet it does show a significant and negative effect on food expenditure and assets. The coefficients across all three models consistently demonstrate this negative impact, underscoring its statistical significance at the conventional significance level (p = 0.05). This suggests that the PSNP leads to a reduction in food expenditure. Furthermore, the analysis highlights substantial differences between PSNP members and non-members across all three variables, with non-members having higher mean values for assets. This difference is statistically significant at the 1% level, suggesting that membership in the PSNP has a tangible impact on asset ownership. The study's mixed findings emphasize the complexities of designing effective social protection programs that can adequately address the multifaceted nature of poverty.

Project description:BACKGROUND: Ownership of insecticidal mosquito nets has dramatically increased in Ethiopia since 2006, but the proportion of persons with access to such nets who use them has declined. It is important to understand individual level net use factors in the context of the home to modify programmes so as to maximize net use. METHODS: Generalized linear latent and mixed models (GLLAMM) were used to investigate net use using individual level data from people living in net-owning households from two surveys in Ethiopia: baseline 2006 included 12,678 individuals from 2,468 households and a sub-sample of the Malaria Indicator Survey (MIS) in 2007 included 14,663 individuals from 3,353 households. Individual factors (age, sex, pregnancy); net factors (condition, age, net density); household factors (number of rooms [2006] or sleeping spaces [2007], IRS, women's knowledge and school attendance [2007 only], wealth, altitude); and cluster level factors (rural or urban) were investigated in univariate and multi-variable models for each survey. RESULTS: In 2006, increased net use was associated with: age 25-49 years (adjusted (a) OR = 1.4, 95% confidence interval (CI) 1.2-1.7) compared to children U5; female gender (aOR = 1.4; 95% CI 1.2-1.5); fewer nets with holes (Ptrend = 0.002); and increasing net density (Ptrend < 0.001). Reduced net use was associated with: age 5-24 years (aOR = 0.2; 95% CI 0.2-0.3). In 2007, increased net use was associated with: female gender (aOR = 1.3; 95% CI 1.1-1.6); fewer nets with holes (aOR [all nets in HH good] = 1.6; 95% CI 1.2-2.1); increasing net density (Ptrend < 0.001); increased women's malaria knowledge (Ptrend < 0.001); and urban clusters (aOR = 2.5; 95% CI 1.5-4.1). Reduced net use was associated with: age 5-24 years (aOR = 0.3; 95% CI 0.2-0.4); number of sleeping spaces (aOR [per additional space] = 0.6, 95% CI 0.5-0.7); more old nets (aOR [all nets in HH older than 12 months] = 0.5; 95% CI 0.3-0.7); and increasing household altitude (Ptrend < 0.001). CONCLUSION: In both surveys, net use was more likely by women, if nets had fewer holes and were at higher net per person density within households. School-age children and young adults were much less likely to use a net. Increasing availability of nets within households (i.e. increasing net density), and improving net condition while focusing on education and promotion of net use, especially in school-age children and young adults in rural areas, are crucial areas for intervention to ensure maximum net use and consequent reduction of malaria transmission.

Project description:The purpose of this research was to examine the impact of outgrowers' programs on the food security of smallholder poultry farming households in Osun State. Using multi-stage sampling technique, a structured questionnaire was designed to collect information from beneficiaries and non-beneficiaries of outgrowers' programs in the study area. Descriptive statistics, food security index, and Heckman's selection model were used to analyze the data. The results revealed that outgrowers and non-outgrowers were on the average, 49 and 45 years old, with about 12 and 8 years of experience in poultry farming, respectively. The Poultry Farmers' Association was represented by 97% of outgrowers and 47% of non-outgrowers. There were four major broiler outgrowers' programs existing in the area. The Anchor-Borrower Outgrowers' program and Osun Broiler Outgrowers' program adopted a fixed contract model, whereas, the Dayntee Farm and GS Farm outgrowers' programs employed a semi-fixed contract model. The incidence of food insecurity was 18% for outgrowers and 35% for non-outgrowers, with food insecurity depth and severity being 0.025 and 0.033 for outgrowers and 0.134 and 0.52 for non-outgrowers, respectively. The study found a significant difference in outgrowers' perceptions of food insecurity as well as their coping strategies. The major perceived indicators of food insecurity were inadequate resource endowment (MD = 0.758, p<0.01) and consumption of low-cost food (MD = 0.0658, p<0.01). Food acquisition on credit (WMS = 1.700), meals adjustment (WMS = 1.425), and cooking methods' modification (WMS = 1.875) strategies were adopted to cope with food insecurity. Participation in the outgrowers' program was influenced by membership of Poultry Farmers' Association, credit access and flock sizes and the significant predictors of food security among the poultry farming households were outgrowers' participation, household size, gender, marital status and credit access. It was therefore inferred that outgrowers were considerably more food secure than the non-outgrowers, encouraging the need to scale up the program in the poultry industry. Introduction of flexible regulations and reproductive education would make the program more rewarding to the poultry farming households.

Project description:The quality of drinking water is a powerful environmental determinant of health. Water becomes contaminated with faecal material due to inadequate protection of the source, unhygienic practices of the community at the source, and poor household handling practices. The objective of this study was to assess the level of bacteriological contamination of drinking water supply from protected water sources to point of use and water handling practices among beneficiary households of Boloso Sore woreda, Wolaita zone, Ethiopia. A cross-sectional survey and bacteriological analysis of water were conducted in January 2019. The study included 545 households for water handling practices, and 75 samples from stored water from households and eighteen water sources were included for faecal coliform test. Data were analyzed using SPSS v21.0. Descriptive and logistic regression statistical models were used. Sixty percent of shallow wells, 60% of protected hand-dug wells, and 25% of protected on-spot springs were found positive for faecal coliform. In general, 44% of water source samples and 91% of household water samples were positive for faecal coliform. In general, 38% of households were practicing unsafe water handling practices. High school and above level of education (AOR?=?3.37, 95% CI: 1.03, 11.57), getting higher monthly income (AOR?=?2.37, 95%CI: 1.96, 5.85), households with small family size (AOR?=?1.81, 95% CI: 1.15, 2.83), frequency of water collection twice a day (AOR?=?2.88, 95% CI:1.56, 5.33), and presence of water payments (AOR?=?0.42, 95% CI: 0.24, 0.72) were significantly associated with water handling practice. Unsafe water handling was a common practice in the study area, and water sources and household water storage were not free of faecal coliform, indicating noncompliance with the World Health Organization water quality guideline. Hence, capacity building is mandatory for the protection and management of water sources and safe water handling practices in the household and community.

Project description:Background Children with severe acute malnutrition (SAM) without complication are treated in the outpatient therapeutic program (OTP) and the program has been reported to be effective. However, relapse post-discharge from the program is poorly defined, and scarcely evaluated across programs and research. The objective of this study is to assess the prevalence of SAM among children post-discharge from the OTP and to identify factors associated with SAM relapse in Gambella Region, Western Ethiopia. Methods We conducted a facility-based cross-sectional study among 208 children aged 6–59 months who have been discharged from the OTP as cured. Baseline data were collected from caregivers using structured questionnaire. Child anthropometry and oedema was measured. The association between SAM relapse and the risk factors were assessed using bivariate and multivariable logistic regression models. Results The prevalence of SAM relapse was 10.1% (95% CI: 5.8–14.0%). The odds of SAM relapse was significantly higher in children with mothers who had no exposure to education and promotion about infant and young child feeding (IYCF) practices (OR = 5.7; 95% CI: 1.3–12.6), children who were not fully immunized for their age (OR = 8.0; 95% CI: 3.8–23.4), and children with mid-upper arm circumference (MUAC) at discharge of < 12.5 cm (OR = 4.4; 95% CI: 2.1–12.8) than their counterparts. Conclusions To reduce SAM relapse, the OTP programs should avoid premature discharge and consider provision of supplementary food for children with low MUAC at discharge. Further, the OTP discharge criteria should consider both the anthropometric indicators – weight-for-height/length z-score (WHZ) and MUAC – and the absence of bilateral pitting oedema irrespective of the anthropometric indicator that is used during admission. Promotion of nutrition education and improving child immunization services and coverage would help reduce SAM relapse. Supplementary Information The online version contains supplementary material available at 10.1186/s12887-023-04269-7.

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Impact of productive safety net program on food security of beneficiary households in western Ethiopia: A matching estimator approach.

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