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Discussion: Targeting is making trade-offs
Jean-Pierre Habicht1, Edward A Frongillo
1Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.
The Journal of Nutrition
|May 5, 2005
Summary
This study reviews targeting strategies, highlighting the trade-off between excluding beneficiaries and including non-beneficiaries. It also examines the less recognized choice between using risk versus benefit indicators for program targeting.
Area of Science:
- Social Sciences
- Public Policy Analysis
- Program Evaluation
Background:
- Previous research explored political, stakeholder, and frontline worker aspects of program targeting.
- A technical review focused on selecting appropriate scales for effective targeting.
- Understanding targeting mechanisms is crucial for equitable resource distribution.
Discussion:
- Targeting inherently involves a trade-off between undercoverage (excluding eligible individuals) and leakage (including ineligible individuals).
- A critical, yet less discussed, trade-off exists between using indicators of risk versus indicators that predict benefit.
- The choice of targeting indicators significantly impacts program effectiveness and equity.
Key Insights:
- The implicit political dimensions and stakeholder power dynamics in targeting decisions require careful consideration.
- Frontline workers' perceptions are vital for successful program implementation and identifying practical targeting challenges.
- Selecting the right measurement scale is a technical prerequisite for accurate and efficient targeting.
Outlook:
- Further research should investigate the nuanced consequences of choosing between risk and benefit indicators in diverse program contexts.
- Developing frameworks to balance the trade-offs in targeting is essential for optimizing social program outcomes.
- Future work could explore innovative methods for improving targeting accuracy while minimizing exclusion and inclusion errors.