Abstract
Child undernutrition is highly prevalent around the world, particularly in low-income countries where economies are largely driven by the agricultural sector. Agricultural policies have the potential to impact total food production as well as food quality and diversity, thereby shaping nutritional status. In this study, we first corroborate evidence that Malawi’s Farm Input Subsidy Program (FISP), which provides subsidized vouchers for farm inputs to targeted rural households, boosts child nutritional status. Our analysis includes recent years during which the program’s nutrition impacts have not been previously examined. We then investigate three broad categories of agriculture-child nutrition linkages in the context of this program: (1) farm production and diversity, (2) crop sales, non-farm enterprises, and food consumption from different sources (purchases and own production), and (3) women’s empowerment and the health environment. In order to identify plausibly causal estimates, we employ a fixed effects-instrumental variable (FE-IV) approach. Our results demonstrate that FISP is associated with an increase in use of agricultural inputs (fertilizer) and boosts crop production. In addition, there are positive impacts on the likelihood that households sell maize, the crop targeted specifically by the program, and operate non-farm enterprises. Recipient households also purchase more vegetables on the market and consume more cereals from the crops they produce themselves. The evidence from this study highlights the main pathways through which an agricultural policy shapes short-term hunger and child nutritional outcomes.
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Notes
The study also shows that FISP households, both those with and without children, consume cereals, nuts, vegetables, meat and fruits on more days of the week than non-FISP households.
The program is implemented by Malawi’s National Statistical Office with assistance from the Living Standards Measurement Study–Integrated Surveys on Agriculture, a World Bank household survey program.
These follow-up samples were selected such that reliable estimates could be obtained for rural and urban Malawi (Republic of Malawi National Statistical Office, 2017).
Data is available from https://microdata.worldbank.org/index.php/catalog/3819.
We drop 214 household-wave level observations because there are missing data for the control variables that we use (described later in the Section 5).
A fourth questionnaire, a community survey, was administered to community representatives. The 2016–17 survey round also administered an individual questionnaire to collect information on assets and food security.
Among fertilizer inputs, we restrict our attention to inorganic fertilizer which is the most commonly used fertilizer—78 percent of farming household used this input. In contrast, 28 percent used organic fertilizer and six percent used pesticides/herbicides.
Fertilizer and seed quantities are in kilogram (kg) and are transformed using the inverse hyperbolic sine transformation since these variables are positively skewed. Crop production is measured in kilogram (kg) and we log the positive production values to normalize the distribution (production estimates are positively skewed).
It would have been ideal to use the Women’s Empowerment in Agriculture Index (Malapit et al., 2019) to investigate the impact of FISP on women’s role in the household. However, we do not have the data for all the indicators used to construct this composite measure. Note, though that the WEAI does incorporate the information we examine—women’s input in productive decisions, and their ownership of land and assets.
Note that all households stemming or splitting off from a household at baseline are still compared to outcomes for the original household in previous rounds.
An IV approach requires a variable, known as the instrument that shapes the potentially endogenous covariate of interest and that influences the outcome(s) only through this variable (Wooldridge, 2010). The instrument carves out the plausibly exogenous variation in the covariate of interest and allows for the identification of plausibly causal effects.
Results are essentially the same when we conduct the estimation using the leave-one-out instrument - that is, when we instrument for household receipt of FISP with the average proportion of households benefiting from FISP after excluding that household from this average. These results are available upon request.
One way in which the LATE might be different from the average treatment effect (ATE) is if the instrument pushes a select group into the treatment. As discussed above, FISP might largely benefit wealthier households, but when the scope of the program in a region expands, less wealthy households might come to be enrolled. If this is the case, the marginal household whose treatment status would be affected by the instrument might have a high potential to benefit from the subsidy and therefore experience higher impacts (the LATE would then be larger than the ATE). Note though that we are unable to conclusively determine the characteristics of those whose treatment status is determined by the instrument and indicate how the LATE might compare to the ATE.
Since farm input subsidies can plausibly shape a wide range of household characteristics (for example, by boosting income), we use only a sparse list of household-level controls so as to not introduce bias into the estimates we identify. Note, however, that the household fixed effects account for all time-invariant household characteristics. Dependency ratio is the ratio of number of household members 0–14 years and 65 years and above to the number of household members aged 15–64 years. When examining child nutritional outcomes, we also include the following controls: child gender and age indicators, as well as mother’s characteristics—age, marital status, literacy and school attendance. Note, we use a linear model to reduce potential bias from having a low number of time periods and high number of fixed effects (what is known as the “incidental parameters problem”) (Neyman & Scott, 1948; Lancaster, 2000).
We implement the Simes multiple hypothesis test adjustment procedure using the STATA command qqvalue (Newson, 2010).
The only exception is the F-statistic in Panel A, column 4 of Table 5.
As we show in Table 11 in the Appendix, estimates obtained for the quantity of fertilizers used and quantity of harvests are similar when we measure these quantities in kg per acre.
We use the World Food Programme’s (WFP) methodology to construct this variable, one that summarizes the frequency of consumption of different food groups and weights the report for each group with the nutritional value of that group (WFP, 2008).
References
Ajefu, J., Efobi, U., & Beecroft, I. (2021). Coping with negative shocks and the role of the farm input subsidy programme in Malawi. Environment and Development Economics, 26, 561–581.
Bhagowalia, P., Headey, D., & Kadiyala, S. (2012). Agriculture, income, and nutrition linkages in India: insights from a nationally representative surey. IFPRI Discussion Paper 01195. Washington DC: International Food Policy Research Insitute.
Block, S., Kiess, L., Webb, P., Kosen, S., Moench-Pfanner, R., Blowem, M., & Timmer, P. (2004). Macro shocks and micro outcomes: Child nutrition during Indonesia’s crisis. Economics and Human Biology, 2(1), 21–44.
Bound, J., Jaeger, D. A., & Baker, R. M. (1995). Problems with instrumental variables estimation when the correlation between the instruments and the endogenous explanatory variable is weak. Journal of the American Statistical Association, 90(430), 443–450.
Brainerd, E., & Menon, N. (2014). Seasonal effects of water quality: The hidden costs of the Green Revolution to infant and child health in India. Journal of Development Economics, 107, 49–64.
Burke, M., Bergquist, L., & Miguel, E. (2018). Sell low and buy high: arbitrage and local price effects in Kenyan markets. Quarterly Journal of Economics, 785–842.
Carter, M., Laajaj, R., & Yang, D. (2013). The impact of voucher coupons on the uptake of fertilizer and improved sees: Evidence from a randomized trial in Mozambique. American Journal of Agricultural Economics, 95(5), 1345–1351.
Chege, C., Andersson, C., & Qaim, M. (2015). Impacts of supermarkets on farm household nutrition in Kenya. World Development, 72, 394–407.
Chibwana, C., Fisher, M., & Shively, G. (2012). Cropland allocation effects of agricultural input subsidies in Malawi. World Development, 40(1), 124–133.
Chibwana, C., Shively, G., Fisher, M., Jumbe, C., & Masters, W. (2014). Measuring the impacts of Malawi’s farm input subsidy programme. African Journal of Agriculture and Resource Economics, 9(2), 132–147.
Chirwa, E., & Dorward, A. (2013). Agricultural input subsidies: The recent Malawi experience. Oxford University Press.
Cunningham, K., Ploubidis, G., Menon, P., Ruel, M., Kadiyala, S., Uauy, R., & Ferguson, E. (2015). Women’s empowerment in agriculture and child nutritional status in rural Nepal. Public Health Nutrition, 18(17), 3134–3145.
Daniel, R. M., De Stavola, B. L., Cousens, S. N., & Vansteelandt, S. (2015). Causal mediation analysis with multiple mediators. Biometrics, 71(1), 1–14.
Denning, G., Kabambe, P., Sanchez, P., Malik, A., Flor, R., Harawa, R., & Keating, M. (2009). Input subsidies to improve smallholder maize productivity in Malawi: Toward an African green revolution. PLoS Biology, 7(1).
Euler, M., Krishna, V., Schwarze, S., Siregar, H., & Qaim, M. (2017). Oil palm adoption, household welfare, and nutrition among smallholder farmers in Indonesia. World Development, 93, 219–235.
Fisher, M., & Kandiwa, V. (2014). Can agricultural input subsidies reduce the gender gap in modern maize adoption? Evidence from Malawi. Food Policy, 45, 101–111.
Food and Agriculture Organization of the United Nations. (2015). Country fact sheet on food and agriculture policy trends. Retrieved May 3, 2020, from http://www.fao.org/3/a-i4491e.pdf
Frempong, R. (2022). Do subsidies on seed and fertilizer lead to child labour? Evidence from Malawi. Development Policy Review, 1–23.
Global Nutrition Report. (2020). Country Nutrition Profiles: Malawi. Retrieved November 14, 2023, from https://globalnutritionreport.org/resources/nutrition-profiles/africa/eastern-africa/malawi/
Gomez, M., & Ricketts, K. (2013). Food value chain transformations in developing countries: Selected hypotheses on nutritional implications. Food Policy, 42, 139–150.
Haddad, L. (2013). From nutrition plus to nutrition driven: How to realize the elusive potential of agriculture for nutrition? Food and Nutrition Bulletin, 34(1), 39–44.
Harou, A. P. (2018). Unraveling the effect of targeted input subsidies on dietary diversity in household consumption and child nutrition: The case of Malawi. World Development, 106, 124–135.
Headey, D. (2013). Developmental drivers of nutritional change: A cross-country analysis. World Development, 42, 76–88.
Headey, D., & Alderman, H. (2019). The relative caloric prices of healthy and unhealthy foods differ systematically across income levels and continents. The Journal of Nutrition, 149(11), 2020–2033.
Headey, D., Chiu, A., & Kadiyala. (2012). Agriculture’s role in the Indian enigma: Help or hindrance to the crisis of undernutrition? Food Security, 4, 87–102.
Headey, D., Hirvonen, K., Hoddinott, J., & Stifel, D. (2019). Rural food markets and child nutrition. American Journal of Agricultural Economics, 101(5), 1311–1327.
Headey, D., & Hoddinott, J. (2016). Agriculture, nutrition and the green revolution in Bangladesh. Agricultural Systems, 149, 122–131.
Headey, D., & Masters, W. A. (2019). Agriculture and undernutrition through the lens of economics (Vol. 1876). Intl Food Policy Res Inst.
Higgins, P., & Alderman, H. (1997). Labor and women’s nutrition: The impact of work effort and fertility on nutritional status in Ghana. The Journal of Human Resources, 32, 577–595.
Hoddinott, J. (2012). Agriculture, health, and nutrition: toward conceptualizing the linkages (Chapter 2). In S. Fan & R. Pandya-Lorch (Eds.), Reshaping agriculture for nutrition and health. Washington, DC: International Food Policy Research Institute.
Holden, S., & Lunduka, R. (2012). Do fertilizer subsidies crowd out organic manures? The Case of Malawi. Agricultural Economics, 43(3), 303–314.
Imbens, G. W., & Angrist, J. D. (1994). Identification and estimation of local average treatment effects. Econometrica: Journal of the Econometric Society, 467–475.
Jayne, T. S., & Rashid, S. (2013). Input subsidy programs in sub-Saharan Africa: A synthesis of recent evidence. Agricultural Economics, 44(6), 547–562.
Kadiyala, S., Harris, J., Headey, D., Yosef, S., & Gillespie, S. (2014). Agriculture and nutrition in India: Mapping evidence to pathways. Annals of the New York Academy of Sciences, 1331, 43–56.
Kankwamba, H., Kadzamira, M., & Pauw, K. (2018). How diversified is cropping in Malawi? Patterns, determinants and policy implications. Food Security, 10(2), 323–338.
Katengeza, S., Holden, S., & Lunduka, R. (2019). Adoption of drought tolerant maize varieties under rainfall stress in Malawi. Journal of Agricultural Economics, 70(1), 198–214.
Kelly, V. A., Crawford, E. W., & Ricker-Gilbert, J. (2011). The new generation of African fertilizer subsidies: Panacea or Pandora’s Box?
Kenamu, E., & Thunde, J. (2020). Op-ed: How to make the AIP more cost-effective. IFPRI. Retrieved August 11, 2021, from https://massp.ifpri.info/2020/09/14/op-ed-how-to-make-the-aip-more-cost-effective/
Kilic, T., Whitney, E., & Winters, P. (2014). Decentralised beneficiary targeting in large-scale development programmes: Insights from the Malawi Farm Input Subsidy Programme. Journal of African Economies, 24(1), 26–56.
Koppmair, S., Kassie, M., & Qaim, M. (2017). The influence of farm input subsidies on the adoption of natural resource management technologies. Australian Journal of Agricultural and Resource Economics, 61(4), 539–556.
Lancaster, T. (2000). The incidental parameter problem since 1948. Journal of Econometrics, 95, 391–413.
Leroy, J., & Frongillo, E. (2019). What does stunting really mean? A critical review of the evidence. Advances in Nutrition, 10(2), 196–204.
Leroy, J. L., Ruel, M. T., & Olney, D. K. (2020). Measuring the impact of agriculture programs on diets and nutrition. Intl Food Policy Res Inst.
Lunduka, R., Ricker-Gilbert, J., & Fisher, M. (2013). What are the farm-level impacts of Malawi’s farm input subsidy program? A critical review. Agricultural Economics, 44(6), 563–579.
Malapit, H., Quisumbing, A., Meinzen-Dick, R., Seymour, G., Martinez, E. M., Heckert, J., & Team, S. (2019). Development of the project-level Women’s Empowerment in Agriculture Index (pro-WEAI). World Development, 122, 675–692.
Mary, S., Shaw, K., Colen, L., & y Paloma, S.G. (2020). Does agricultural aid reduce child stunting? World Development, 130, 104951.
Mason, N., & Ricker-Gilbert, J. (2013). Disrupting demand for commercial seed: Input subsidies in Malawi and Zambia. World Development, 54, 75–91.
Matita, M., Chiwaula, L., Chirwa, E. W., Mazalale, J., & Walls, H. (2022). Subsidizing improved legume seeds for increased household dietary diversity: Evidence from Malawi’s Farm Input Subsidy Programme with implications for addressing malnutrition in all its forms. Food Policy, 113. https://doi.org/10.1016/j.foodpol.2022.102309
Messina, J., Peter, B., & Snapp, S. (2017). Re-evaluating the Malawian Farm Input Subsidy Programme. Nature Plants, 3, 17013.
Mwale, M., Kamninga, T., & Cassim, L. (2022). The effects of the Malawi Farm Input Subsidy Peogram on household per-capita consumption convergence. Development in Practice, 32(3), 336–348.
Newson, R. B. (2010). Frequentist q-values for multiple-test procedures. The Stata Journal, 10(4), 568–584.
Neyman, J., & Scott, E. (1948). Consistent estimates based on partially consistent observations. Econometrica, 16(1), 1–32.
Nkhoma, P. (2018). The evolution of agricultural input subsidy programs: Contextualizing policy debats in Malawi’s FISP. World Development Perspectives, 9, 12–17.
O'Donnell, O., Van Doorslaer, E., Wagstaff, A., & Lindelow, M. (2007). Analyzing health equity using household survey data: a guide to techniques and their implementation. The World Bank.
Pace, N., Daidone, S., David, B., Handa, S., Knowles, M., & Pickmans, R. (2018). One plus one can be greater than two: Evaluating synergies of development programmes in Malawi. Journal of Development Studies, 54(11), 2023–2060.
Passarelli, S., Ambikapathi, R., Gunaratna, N. S., Madzorera, I., Canavan, C. R., Noor, A. R., Worku, A., Berhane, Y., Abdelmenan, S., Sibanda, S., & Munthali, B. (2020). A chicken production intervention and additional nutrition behavior change component increased child growth in Ethiopia: A cluster-randomized trial. The Journal of Nutrition, 150(10), 2806–2817.
Pauw, K., & Thurlow, J. (2011). Agricultural growth, poverty, and nutrition in Tanzania. Food Policy, 36, 795–804.
Pinstrup-Anderson, P. (2012). Food systems and human health and nutrition: an economic policy perspective with a focus on Africa. In Stanford symposium series on global food policy and food security in the 21st century. Center on food security and the environment.
Republic of Malawi National Statistical Office. (2017). Integrated household panel survey 2016: Household socio-economic characteristics report.
Ricker-Gilbert, J., & Jayne, T. S. (2011). What are the enduring effects of fertilizer subsidy programs on recipient farm households? Michigan State University Staff Paper.
Ricker-Gilbert, J., Jayne, T. S., & Chirwa, E. (2011). Subsidies and crowding out: A double-hurdle model of fertilizer demand in Malawi. American Journal of Agricultural Economics, 93(1), 26–42.
Ricker-Gilbert, J., Mason, N., Darko, F., & Tembo, S. (2013). What are the effects of input subsidy programs on maize prices? Evidence from Malawi and Zambia. Agricultural Economics, 44, 1–16.
Ruel, M. T., Quisumbing, A. R., & Balagamwala, M. (2018). Nutrition-sensitive agriculture: What have we learned so far? Global Food Security, 17, 128–153.
Sibhatu, K., & Qaim, M. (2018). Review: Meta-analysis of the association between production diversity, diets and nutrition in smallholder farm households. Food Policy, 77, 1–18.
Sraboni, E., Malapit, H., Quisumbing, A., & Ahmend, A. (2014). Women’s empowerment in agriculture: What role for food security in Bangladesh? World Development, 61, 11–52.
Staiger, D., & Stock, J. H. (1997). Instrumental variables regression with weak instruments. Econometrica: Journal of the Econometric Society, 557–586.
Timler, C., Alvarez, S., DeClerck, F., Remans, R., Raneri, J., Carmona, N. E., Mashingaidze, N., Chatterjee, S. A., Chiang, T. W., Termote, C., & Yang, R. Y. (2020). Exploring solution spaces for nutrition-sensitive agriculture in Kenya and Vietnam. Agricultural Systems, 180, 102774.
Tione, G., Gondwe, E., Maonga, B., Machira, K., & Katengeza, S. (2022). Improving wasting among children under 5 years in Malawi: The role of farm input subsidies. Frontiers in Public Health, 10, 862461.
van den Bold, M., Bliznashka, L., Ramani, G., Olney, D., Quisumbing, A., Pedehombga, A., & Ouedraogo, M. (2021). Nutrition-sensitive agriculture programme impacts on time use and associations with nutrition outcomes. Maternal & Child Nutrition, 17(2), e13104.
Walls, H., Johnston, D., Matita, M., Chirwa, E., Mazalale, J., Quaife, M., Kamwanja, T., & Smith, R. (2023). How effectively might agricultral input subsidies improve nutrition? A case study of Malawi’s Farm Input Subsidy Programme (FISP). Food Security, 15, 21–39.
Wooldridge, J. M. (2010). Econometric analysis of cross section and panel data. MIT press.
World Bank. (2007). From agriculture to nutrition: Pathways, synergies and outcomes.
World Bank. (2017). Agricultural support and fiscal management development policy financing. Retrieved July 20, 2021, from https://documents1.worldbank.org/curated/en/704341575082941558/pdf/Guinea-First-Fiscal-Management-Competitiveness-and-Energy-Reform-Development-Policy-Financing.pdf
World Food Programms (WFP). (2008). Food consumption analysis: Calculation and use of the food consumption score in food security analysis. Rome: WFP. Retrieved November 14, 2023, from https://documents.wfp.org/stellent/groups/public/documents/manual_guide_proced/wfp197216.pdf
World Health Organization. (2006). WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. World Health Organization.
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Chakrabarti, A., Harou, A.P., Fanzo, J. et al. Exploring agriculture-child nutrition pathways: Evidence from Malawi’s Farm Input Subsidy Program. Food Sec. 16, 201–221 (2024). https://doi.org/10.1007/s12571-023-01416-x
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DOI: https://doi.org/10.1007/s12571-023-01416-x