Improving Child Nutrition Outcomes in India: Can the Integrated Child Development Services Be More Effective?

27 Pages Posted: 10 Jan 2017

See all articles by Monica Das Gupta

Monica Das Gupta

World Bank - Development Research Group (DECRG)

Michael Lokshin

World Bank - Development Research Group (DECRG); National Research University Higher School of Economics

Michele Gragnolati

World Bank - Latin America and Caribbean Region

Oleksiy Ivaschenko

World Bank

Date Written: June 1, 2005

Abstract

Levels of child malnutrition in India fell only slowly during the 1990s, despite significant economic growth and large public spending on the Integrated Child Development Services (ICDS) program, of which the major component is supplementary feeding for malnourished children. To unravel this puzzle, the authors assess the program's placement and its outcomes using National Family Health Survey data from 1992 and 1998. They find that program placement is clearly regressive across states. The states with the greatest need for the program - the poor northern states with high levels of child malnutrition and nearly half of India's population - have the lowest program coverage and the lowest budgetary allocations from the central government. Program placement within a state is more progressive: poorer and larger villages have a higher probability of having an ICDS center, as do those with other development programs or community associations. The authors also find little evidence of program impact on child nutrition status in villages with ICDS centers.

Keywords: Health Monitoring & Evaluation, Early Child and Children's Health, Youth and Governance, Primary Education, Adolescent Health

Suggested Citation

Das Gupta, Monica and Lokshin, Michael and Gragnolati, Michele and Ivaschenko, Oleksiy, Improving Child Nutrition Outcomes in India: Can the Integrated Child Development Services Be More Effective? (June 1, 2005). World Bank Policy Research Working Paper No. 3647. Available at SSRN: https://ssrn.com/abstract=2894724

Monica Das Gupta (Contact Author)

World Bank - Development Research Group (DECRG) ( email )

1818 H. Street, N.W.
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Washington, DC 20433
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HOME PAGE: http://econ.worldbank.org/staff/mdasgupta

Michael Lokshin

World Bank - Development Research Group (DECRG) ( email )

1818 H. Street, N.W.
MSN3-311
Washington, DC 20433
United States
202-473-1772 (Phone)
202-522-1153 (Fax)

HOME PAGE: http://econ.worldbank.org/staff/mlokshin

National Research University Higher School of Economics

Myasnitskaya street, 20
Moscow, Moscow 119017
Russia

Michele Gragnolati

World Bank - Latin America and Caribbean Region ( email )

1818 H Street NW
Washington, DC 20433
United States

Oleksiy Ivaschenko

World Bank ( email )

1818 H Street, N.W.
Washington, DC 20433
United States

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