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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.
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.
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