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A Conditional Cash Transfer Program in the Philippines Reduces Severe Stunting.

Eeshani Kandpal¹, Harold Alderman², Jed Friedman³

¹Development Research Group and ekandpal@worldbank.org.

The Journal of Nutrition

|July 29, 2016

Summary

The Pantawid conditional cash transfer program significantly reduced severe stunting in young children. This public health initiative also saw concurrent improvements in child health-seeking behaviors and dietary practices.

Keywords:

Philippines child nutrition conditional cash transfers stunting transfers

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Area of Science:

Public Health
Nutrition
Development Economics

Background:

The Pantawid program in the Philippines is a conditional cash transfer (CCT) initiative.
It provides grants linked to health and education requirements for children.

Purpose of the Study:

To assess the impact of the Pantawid program on the anthropometric measurements of children aged 6-36 months.
To investigate improvements in health service utilization and dietary intake concurrently.

Main Methods:

A cluster-randomized trial was conducted across 130 villages over 31 months.
Intention-to-treat effects were estimated using anthropometric data from 485 children.
Health service use, dietary intake, and various health indicators were also measured.

Main Results:

Pantawid was associated with a significant reduction in severe stunting (<-3 SD) by 10.2 percentage points.
A marginally significant increase in height-for-age z scores (HAZs) was observed.
No significant changes were found in weight-for-age z scores (WAZs), stunting, or underweight status, but health-seeking behaviors improved.

Conclusions:

Pantawid is one of the few CCT programs globally to demonstrate a significant reduction in severe childhood stunting.
The program's success was concurrent with observed improvements in parenting practices, dietary intake, and care-seeking behaviors.