Renegotiating the Food Aid Convention: Background, context, and issues

"The current global agreement governing food aid—the Food Aid Convention (FAC)—will expire in 2007. It has come under heavy criticism as has the diffuse set of broader food aid governance institutions that has emerged in the last 50 years. These institutions are characterized by overlapping mandates, differing degrees of authority and legitimacy, varied levels of transparency in decisionmaking, and problematic representation of the major stakeholders. A number of issues are likely to arise during the course of negotiations over a new FAC. These include its objectives; the nature of commitments—whether to express them in tonnage, value, or nutritional terms; the level of commitments and their distribution among donor countries; monitoring and enforcement of commitments; representation on the FAC governing body among food aid donor- and recipient-country governments and civil society organizations; and the institutional “home” of the FAC. More specifically, there is debate over such questions as whether the new FAC should have an “instrument focus”—food aid—or a “problem focus” such as “food security” or “hunger.” If the focus is on addressing hunger, should food aid under the FAC be restricted to emergencies only or should it pertain to broader food security issues? Should the FAC be a low-key forum for exchange of information or should it have some meaningful ways of monitoring commitments and encouraging compliance by both donors and recipients? Debates such as these will reflect views on the purposes of food aid itself. Conversely, debates regarding these broader questions carry consequences for the formation of views on the issues involved in the FAC negotiations. This paper's purpose is solely to outline issues and options; hence it does not advocate for particular positions." Authors' AbstractFood aid, International agreements, International organizations, Humanitarian assistance, Human rights, Local purchase, Triangular transaction, Development assistance, Trade agreements, Grain trade, Code of conduct, Needs assessment,

Comparing village characteristics derived from rapid appraisals and household surveys

This paper investigates whether inferences drawn about a population are sensitive to the manner by which those data are obtained. It compares information obtained using participatory appraisal techniques with a survey of households randomly drawn from a locally administered census that had been carefully revised. The community map tends to include household members who do not, in fact, reside in the enumerated locality. By contrast, the revised official census is slightly more likely to exclude household members who actually lived in the surveyed area. Controlling for the survey technique, we find that the revised official census produces higher estimates of average household size and wealth but lower estimates of total village size or wealth, than the community map. Pairwise comparison of the survey techniques, holding the households constant, shows that the community map leads, on average, to higher estimates of household size and lower estimates of wealth.FCND ,Population Statistics. ,Surveys Methodology. ,Mali. ,

Redefining the role of food aid

"The principal objective of food aid, besides responding to needs created by conflict, and other disasters, should be to provide an insurance function for those events for which existing insurance mechanisms function poorly" "From TextHunger Prevention ,Poverty alleviation ,Insurance, Food supply ,

Validating operational food insecurity indicators against a dynamic benchmark : evidence from Mali

The authors develop an explicitly forward-looking indicator of food insecurity that takes into account both current dietary inadequacy and vulnerability to dietary inadequacy in the future. Application of this measure to data from northern Mali shows that neglecting the future dimension of food insecurity causes serious underestimation of food insecurity in this area. The authors evaluate the performance, relative to their dynamic bemchmark, of three readily available alternative indicators: an agricultural production index, a dietary diversity index, and a coping strategy index. Despite the uneven performance of these indexes relative to the individual components of the dynamic food insecurity indicator developed in the paper, they all demonstrate strong associations with that indicator. This is a promising result, given the urgent demand for reliable indicators of food insecurity.Livestock&Animal Husbandry,Poverty Assessment,Food&Beverage Industry,Food&Nutrition Policy,Poverty Lines

Sickness certification system in the United Kingdom: qualitative study of views of general practitioners in Scotland

Objectives: To explore how general practitioners operate the sickness certification system, their views on the system, and suggestions for change. Design: Qualitative focus group study consisting of 11 focus groups with 67 participants. Setting: General practitioners in practices in Glasgow, Tayside, and Highland regions, Scotland. Sample: Purposive sample of general practitioners, with further theoretical sampling of key informant general practitioners to examine emerging themes. Results: General practitioners believed that the sickness certification system failed to address complex, chronic, or doubtful cases. They seemed to develop various operational strategies for its implementation. There appeared to be important deliberate misuse of the system by general practitioners, possibly related to conflicts about roles and incongruities in the system. The doctor-patient relationship was perceived to conflict with the current role of general practitioners in sickness certification. When making decisions about certification, the general practitioners considered a wide variety of factors. They experienced contradictory demands from other system stakeholders and felt blamed for failing to make impossible reconciliations. They clearly identified the difficulties of operating the system when there was no continuity of patient care. Many wished either to relinquish their gatekeeper role or to continue only with major changes. Conclusions: Policy makers need to recognise and accommodate the range and complexity of factors that influence the behaviour of general practitioners operating as gatekeepers to the sickness certification system, before making changes. Such changes are otherwise unlikely to result in improvement. Models other than the primary care gatekeeper model should be considered

Validity of rapid estimates of household wealth and income for health surveys in rural Africa

Drawing data from four different integrated household surveys in rural areas of Mali, Malawi, and two national surveys in Côte d'Ivoire, this paper tests the validity of proxy measures of household wealth and income that can be readily implemented in health surveys in rural Africa. The assumptions underlying the choice of wealth proxy are described, and correlations with the true value are assessed in two different settings. The expenditure proxy is developed and then tested for replicability in two independent data sets representing the same population. The study found that in both Mali and Malawi, the wealth proxy correlated highly (r $ 0.74) with the more complex monetary value method. For rural areas of Côte d'Ivoire, it was possible to generate a list of just 10 expenditure items, the values of which, when summed, correlated highly with expenditures on all items combined (r = 0.74, development data set; r = 0.72, validation data set). Total household expenditure is an accepted alternative measure of household wealth and income in developing country settings. This paper thus shows that it can be feasible to approximate both household wealth and expenditures in rural African settings without dramatically lengthening questionnaires whose primary focus is on health.Africa Rural conditions. ,Household surveys. ,Income Rural areas Africa. ,Health surveys. ,

Group interventions to improve health outcomes : a framework for their design and delivery

Peer reviewedPublisher PD

Understanding Achievement in Numeracy Among Primary School Children in Ethiopia: Evidence from RISE Ethiopia Study

Ethiopia has succeeded in rapidly expanding access to primary education over the past two decades. However, learning outcomes remain low among primary school children and particularly among girls and children from disadvantaged backgrounds. Starting with a systematic review of quantitative studies on the determinants of learning outcomes among primary school children in Ethiopia, this study then examined key determinants of students’ numeracy achievement over the 2018-19 school year. The study focused on Grade 4 children (N= 3,353) who are part of an on-going longitudinal study. The two questions that guided this study are: what are the key determinants of numeracy achievement at Grade 4 in primary schools in Ethiopia, and how does our current empirical study contribute to understanding achievement differences in numeracy among primary school children in Ethiopia? We employed descriptive and inferential statistics to examine factors that determine differences in numeracy scores at the start and end of the school year, as well as determinants of numeracy scores at the end of the school year conditional on achievement at the start of the school year. We examined differences across gender, region, and rural-urban localities. We also used ordinary least squares and school ‘fixed effects’ approaches to estimate the key child, household and school characteristics that determine numeracy scores in Grade 4. The findings revealed that boys significantly outperformed girls in numeracy both at the start and end of the 2018/19 school year, but the progress in numeracy scores over the school year by boys was similar to that of girl

Linear Growth through 12 Years is Weakly but Consistently Associated with Language and Math Achievement Scores at Age 12 Years in 4 Low- or Middle-Income Countries.

BackgroundWhether linear growth through age 12 y is associated with language and math achievement at age 12 y remains unclear.ObjectiveOur objective was to investigate associations of linear growth through age 12 y with reading skill, receptive vocabulary, and mathematics performance at age 12 y in 4 low- or middle-income countries (LMICs).MethodsWe analyzed data from the Young Lives Younger Cohort study in Ethiopia (n = 1275), India (n = 1350), Peru (n = 1402), and Vietnam (n = 1594). Age 1, 5, 8, and 12 y height-for-age z scores (HAZ) were calculated. Language and math achievement at age 12 y was assessed with the use of country-specific adaptations of the Peabody Picture Vocabulary Test, the Early Grades Reading Assessment, and a mathematics test; all test scores were standardized by age within country. We used path analysis to examine associations of HAZ with achievement scores. Twelve models were examined at each age (3 tests across 4 countries).ResultsMean HAZ in each country was <-1.00 at all ages. Overall, linear growth through age 12 y was associated with 0.4-3.4% of the variance in achievement scores. HAZ at 1 y was positively and significantly associated with the test score in 11 of the 12 models. This association was significantly mediated through HAZ at 5, 8, and 12 y in 9 of the models. HAZ at 5, 8, and 12 y was positively and significantly associated with test scores in 8, 8, and 6 models, respectively. These associations were mediated through HAZ at older ages in 6 of the HAZ at 5-y models and in 6 of the HAZ at 8-y models.ConclusionChild relative linear growth between ages 1 and 12 y was weakly but consistently associated with language and math achievement at age 12 y in 4 LMICs