Studies on social learning and technology adoption often only consider the networks of a single individual in a household as a source of information influencing agricultural production decisions. We test the validity of this assumption by examining the role of men's and women's social networks in the adoption of a novel water-saving technology, laser land leveling (LLL), in India. Using network data from men and women in the same household, we test the influence of being connected to an adopter on demand for LLL. We identify the causal gender-specific network effects using a field experiment that combines an auction with a lottery for the technology, making the presence of adopters in networks exogenous. The data reveal that men's and women's networks vary in size and show little overlap. We find that whereas household demand for LLL increases when men are linked to an LLL-adopting household, it decreases when the network linkages run through women. These gender-differentiated effects are concentrated in households where the woman's opinion about the technology is valued by the man and in non-poor households. The results highlight that social learning may interact with the socio-demographic characteristics of households in myriad ways to influence household technology adoption decisions, and that agricultural-based information interventions ought to also consider how information gets used in the household.

The pathway linking contraceptive access and use to women's economic empowerment is explored in this narrative review. Contraception can have a direct effect on women's economic empowerment through supporting bodily autonomy, but the main way in which the pathway links is through fertility. Contraception impacts the timing, spacing, and number of births, and these elements of fertility each impact the process of women's economic empowerment. These pathways are explored with a focus on sub-Saharan Africa. With access to contraception, girls and women can plan their reproductive lives and this enables them to plan their education and economic lives. With access to contraception, girls are more likely to complete school and go on to higher-paying jobs and livelihoods. Contraception enables women to plan their birth intervals and manage the joint roles of childrearing and labor force participation. Contraception enables women to realize their desired number of children and make their own choice regarding their time use in work and child-rearing. Investing in adolescents brings the highest long-term gains to women's economic empowerment. Policies that dismantle gender-discriminating social norms will bolster the positive effects of contraception on women's economic empowerment. While the context of the evidence reviewed here shaped the interpretation of results and how these successes are adapted to other environs, this narrative review contributes to a growing compendium of evidence that suggests that investing in programs that support women in their access and use of contraception is an effective way to support women in their economic empowerment process.

Despite rapid increases in global access to primary school, average learning outcomes in many low and middle income countries remain low. International actors are increasingly focused on a policy agenda prioritizing foundational learning, measured by test scores in primary school. However, international actors have limited capacity to impose this agenda, which ultimately depends on national decision-makers. In this paper we present new evidence on the priorities and views of these national decision-makers. We report on a new survey of 931 senior government officials working on education in 35 low- and middle-income countries. We show with survey experiments that national policymakers place relatively low value on action to address foundational skills. We explain variation in preferences among policymakers as a function of three possible factors: different objectives for education (e.g., learning versus socialization), different beliefs about the state of the world (e.g., enrollment and learning levels), and different beliefs about the effectiveness of specific interventions. Misalignment with donor agendas is evident in all three dimensions. We also show experimentally that beliefs do respond to new evidence on the effectiveness of interventions.

We evaluate the effectiveness of a sanitation marketing intervention aimed at increasing the supply of improved toilet products by local businesses and the household demand for toilets in rural Nigeria. Results from a randomized controlled trial show that treated businesses were more likely to produce and market the new toilet model and to engage in the sales of sanitation products more generally. However, we find no discernible impact on household toilet ownership rates. Evidence from interviews with sales agents employed by the business and responsible for about half of the sales suggest that inadequate incentives for sales agents and household affordability constraints may explain these results.

Experts argue that the adoption of healthy sanitation practices, such as hand washing and latrine use, requires focusing on the entire community rather than individual behaviors. According to this view, one limiting factor in ending open defecation lies in the capacity of the community to collectively act toward this goal. Each member of a community bears the private cost of contributing by washing hands and using latrines, but the benefits through better health outcomes depend on whether other community members also opt out of open defecation. We rely on a community-based intervention carried out in Mali as an illustrative example (Community-Led Total Sanitation or CLTS). Using a series of experiments conducted in 121 villages and designed to measure the willingness of community members to contribute to a local public good, we investigate the process of participation in a collective action problem setting. Our focus is on two types of activities: (1) gathering of community members to encourage public discussion of the collective action problem, and (2) facilitation by a community champion of the adoption of individual actions to attain the socially preferred outcome. In games, communication helps raise public good provision, and both open discussion and facilitated ones have the same impact. When a community member facilitates a discussion after an open discussion session, public good contributions increase, but there are no gains from opening up the discussion after a facilitated session. Community members who choose to contribute in the no-communication treatment are not better facilitators than those who choose not to contribute.

Women face a disproportionate burden of malnutrition and food insecurity. Research has shown that women's empowerment can buffer women against nutritional problems. This paper contributes to ongoing efforts to measure women's empowerment that are both context-sensitive and universal, focusing on the recently developed Women's Empowerment in Nutrition Index (WENI). Earlier research has shown it is both a valid construct and positively related to dietary and nutritional outcomes of women in South Asia. We establish that WENI is generalizable to agropastoral and pastoral Kenya, an area with substantially different livelihoods, food system, norms, and institutions than South Asia. We find that a locally contextualized WENI is strongly associated with women's body mass index and dietary diversity as well as household level food insecurity. We also present findings for two shorter variations of WENI: an abbreviated WENI (A-WENI) and a cross context WENI (CC-WENI). A-WENI contains a small subset of WENI indicators identified using machine learning with South Asian data and therefore is context-specific. CC-WENI does not contain indicators specific to the validation context. We find that they perform comparably well with caveats. Thus, as use of WENI expands we recommend adapting WENI for in-depth analyses of women's nutritional empowerment; using CC-WENI for cross-context comparisons; and using A-WENI for rapid appraisals of community level progress in a given context.

Social protection programming can help address gender- and lifecycle-specific vulnerabilities, particularly in humanitarian contexts. Although adolescents are disproportionately affected by crises, there remains limited evidence about how such programming can mitigate risks they face, including social isolation. This article explores how a 'cash-plus' social protection response enhances refugee adolescents' social connectedness and contributes to broader social cohesion and sustainable peace. Mixed-methods data collected during the Covid-19 pandemic with 996 Syrian adolescents living in Jordanian host communities involved beneficiaries and non-beneficiaries of UNICEF's unconditional cash transfer. Explicitly labelled to promote adolescent education, Hajati also encourages enrolment in an adolescent empowerment programme, (My Space), designed to foster resilience and social connectedness. Survey results were mixed, finding evidence of modest improvements among beneficiaries on a subset of social connectedness and resilience outcomes. beneficiaries (particularly girls and older adolescents, aged 15-18) report higher levels of family support and better coping with pandemic stressors. Among younger adolescents (12-14) and girls, beneficiaries were more likely to report having a trusted adult, and greater social support from non-family adults. Beneficiary status was not associated with measures of peer connectedness or perceived social cohesion. Qualitative interview findings, however, indicate beneficiaries enjoy stronger peer networks, partly due to participating in group-based programming. Overall, programme participation helped girls (and, less so, boys) cope with pandemic stressors, while strengthening adolescent social connectedness through opportunities for in-person and online interaction. We conclude with suggestions on how to strengthen programming to promote social cohesion and sustainable peace.

We conduct a systematic re-analysis of intervention-based studies that promote hygienic latrines and evaluate via experimental methods. We impose systematic inclusion criteria to identify such studies and compile their microdata to harmonize outcome measures, covariates, and estimands across studies. We then re-analyze their data to report metrics that are consistently defined and measured across studies. We compare the relative effectiveness of different classes of interventions implemented in overlapping ways across four countries: community-level demand encouragement, sanitation subsidies, product information campaigns, and microcredit to finance product purchases. In the sample of studies meeting our inclusion criteria, interventions that offer financial benefits generally outperform information and education campaigns in increasing adoption of improved sanitation. Contrary to a policy concern about sustainability, financial incentives do not undermine usage of adopted latrines. Effects vary by share of women in the household, in both positive and negative directions, and differ little by poverty status.

Women's empowerment and poverty alleviation are two key factors for successful and equitable international development. Norms surrounding women's economic participation and economic agency change over time, with some individuals achieving economic empowerment earlier than others. These "vanguard" women represent the leading edge of change. The objective of this study is to discuss and compare methodological strategies for creating a measure that captures the extent to which a woman's actions exceed community norms regarding economic participation and agency. We refer to this measure as the "Vanguard Women's Economic Empowerment (WEE) Index." The Demographic and Health Surveys for 49 countries were used to capture community-level WEE norms using 8 WEE measures. To identify whether a community is non-normative for a WEE item, we explore four strategies, inclusive of two thresholds and two approaches for middle-prevalence communities. Using the community assignment, we construct the individual-level Vanguard WEE Index that captures the number of WEE items a woman has that are non-normative, i.e. vanguard, in her community. We validate this index through associating it with a validated index on women's financial discrimination. Subsequently, the characteristics of "vanguard" women were assessed through mixed effects modeling. Women who register higher on the Vanguard WEE Index are likely to be older, poorer, and live in rural communities. This study is the first to offer a valid method for measuring the extent that a woman goes against the community norm on economic participation and agency in low- and middle-income settings. The results outline a strategy for contextualizing women's economic empowerment within that setting's normative context. Practitioners and policy-makers can use this index when implementing economic empowerment programs to identify those who are pushing the needle in their community, as these women may be critical changemakers for gender equity broadly.

In developing contexts, where formal health services are still expanding, understanding what factors discourage individuals from using health services is critical to advance population health. A long theorized, but rarely investigated, conjecture is that in high-mortality contexts, exposure to death can beget fatalism, or even foster distrust of formal healthcare, locking families into cycles of low use of health services. A counter perspective, however, suggests exposure to death can encourage individuals' health vigilance, corresponding with their higher use of health services. We test these competing ideas by analyzing the associations between women's intimate exposure to death in the context of pregnancy and delivery via (1) a sister's maternal death and (2) an infant child's neonatal death, and their subsequent use of maternal health services. We focus on the context of Malawi, a setting that features high maternal and infant mortality rates, similar to those observed across much of sub-Saharan Africa, as well as persistent gaps in service use. Specifically, we use Malawi Demographic and Health Survey (2015-16) data to examine if a sister's maternal death or a child's neonatal death corresponds with a woman's odds of attending full antenatal care during a subsequent pregnancy or delivering the pregnancy at a formal health facility. Given the qualitatively distinct nature of losing one's only or first child, we also assess if the effect of a child's neonatal death varies by birth order. The results show that maternal and neonate death exposures correspond generally with women's higher use of maternal health services, challenging the notion that exposure to death fosters fatalism or distrust. Although the results vary in significance, the nuanced findings highlight women's vigilance in the face of health threats, emphasizing their resilience amid a high burden of familial loss.

Global food prices rose substantially after the start of the COVID-19 pandemic. This paper examines the impact of rising food prices during the pandemic on food security in Burkina Faso. We aim to answer two primary questions. First, how do food price shocks affect household food insecurity? Second, what coping strategies do households adopt in response to these price shocks? Leveraging country-wide high-frequency longitudinal data, we employ household fixed effect models to examine the effects. In the absence of direct information on local food prices, we use household-reported price shocks to capture province-level price increases and show that the results are consistent with national-level price increases. We find significant and immediate increases in food insecurity following the price shocks, and this effect persists for at least two months. The price shocks most acutely affected the poorest households. Furthermore, food insecurity increased more in rural areas than in urban areas. The higher proportion of poorer households in rural areas explains part of this difference. We find that households primarily cope with the shock by relying on increased assistance from relatives in Burkina Faso and abroad. This study is the first to use panel data with household fixed effects to examine the repercussions of the rise in food prices during the pandemic on food insecurity in a developing country and to examine the coping mechanisms employed by households. Given that food prices are likely to remain high globally for an extended period, our findings carry implications for the broader developing world. Furthermore, given the disproportionate effect on the poorest and those living in rural areas, the findings highlight the need for policies to mitigate the negative impacts of the price shocks and enhance overall food security in countries like Burkina Faso.

Starting in 2017, Ecuador gradually expanded its primary healthcare access program nationwide using mobile traveling healthcare teams through the (EMB) [or Neighborhood Doctor Strategy]. EMB teams, composed of a primary care physician, a nurse, and a community health worker, made home visits in marginalized areas. We estimate the impact of the EMB on health and utilization outcomes using nationally representative household surveys for 2006 (N=55,666), 2012-13 (N=92,500) and 2018-19 (N=168,747). The treatment variable at the extensive margin is any exposure to EMB at the level. At the intensive margin, we use exposure in terms of weeks covered by EMB and the number and composition of EMB personnel per 1000 population. We identify outcomes of treated vs. non- or partially-treated cantons based on the random combination of the timing of the start of the program's implementation and the timing of the survey interview, which varied across cantons. We use difference-in-difference (DD) and difference-in-difference-in-difference (DDD) frameworks, the latter for cantons with high indigenous concentration. We find significant effects on the reported health problem and preventive care, but mixed results in terms of curative healthcare. The DDD specification shows that EMB improved health problem diagnoses and preventive healthcare utilization, including in highly indigenous cantons, yet it seemed to have had mixed results in terms of curative care use in Ecuador. Various alternative specifications and robustness tests do not qualitatively alter the main findings.

Women's economic empowerment is recognized as a fundamental component of gender equality and global development. Despite a significant body of evidence highlighting the positive effects of women's labor force participation in low- and middle-income countries, relatively few studies have explored how caregivers of young children perceive women's economic empowerment in relation to childcare and family responsibilities. The objective of this study was to examine how mothers and fathers viewed the links between maternal employment and family caregiving dynamics specifically in terms of couples' relationships and parenting. We conducted in-depth interviews with 23 mothers and 29 fathers of young children under aged 2 years and 9 focus group discussions with mothers and fathers across 4 communities in Mwanza, Tanzania. Data were analyzed through both deductive and inductive approaches. Results revealed distinct gender differences in maternal versus paternal perceptions regarding women's engagement in income-generating activities. Mothers held favorable views towards employment and largely perceived positive effects on parenting, child, and family outcomes. On the other hand, most fathers were unsupportive of women's employment and held restrictive gender attitudes. Men feared a loss of power and perceived various negative consequences in terms of increased marital conflict, poorer maternal parenting, and worse child outcomes. Overall, this study revealed differences in maternal versus paternal perceptions about women's economic empowerment and its links with couples' relationships and parenting that were strongly shaped by gender attitudes. Women's economic empowerment programs that engage men to transform gender norms while incorporating program components to strengthen couples' relationships and promote positive parenting have potential for achieving family-wide benefits among mothers, fathers, and young children.

Despite ambitions in development and global health policy to transform communities into supportive environments for women facing risks of violence, our understanding of how to best engage communities remains incomplete. In particular, there is little evidence on the types of strategies that communities employ to address violence against women (VAW). We aimed to describe and analyse the processes involved in community responses to incidents of VAW in a non-governmental organisation (NGO) violence prevention programme in Mumbai, India. We conducted a grounded theory study involving 30 focus group discussions and 36 semi-structured interviews with 113 community members and 9 NGO staff, as well as over 170 h of field observation. Informed by comparative case study methods, we compared community actions across six informal settlement neighbourhoods. We found considerable variation in the type of action taken across neighbourhoods. This variation was not arbitrary, but reflected systematic cost-benefit considerations in heterogeneous environments, accounting for factors such as trust in neighbours, violent (armed or gang-related) crime, and corruption in state institutions. We found that institutional action was only favoured in neighbourhoods with strong state capacity and high social capital, whilst remedial action-resolving violence through 'private' talks in the family and community-and radical action involving extra-judicial violence-became favourable under conditions of weak social capital or low state capacity. Institutional action was, however, sometimes as violent as radical action, as police were reported, sometimes even relied upon, by residents to use force against perpetrators of VAW. We argue that these contextual features oblige policymakers and prevention researchers to grapple with contentious issues such as the legitimate use of force by the state. We caution against maximising community action without a clear vision of the of action hoped for.

Economists use micro-based and macro-based approaches to assess the macroeconomic return to population health. The macro-based approach tends to yield estimates that are either negative and close to zero or positive and an order of magnitude larger than the range of estimates derived from the micro-based approach. This presents a micro-macro puzzle regarding the macroeconomic return to health. We reconcile the two approaches by controlling for the indirect effects of health on income per capita, which macro-based approaches usually include but micro-based approaches deliberately omit when isolating the direct income effects of health. Our results show that the macroeconomic return to health lies in the range of plausible microeconomic estimates, demonstrating that both approaches are in fact consistent with one another.

The dynamics in intra-household decision-making are often neglected in literature on the adoption of agricultural innovations. However, households' farm management decisions are often made following negotiations between female and male farmers. These may differ in terms of individual bargaining power and personal preferences. A better understanding of the links between gender roles in household decision-making and the adoption of technologies is postulated to enhance the uptake of innovations in smallholder farming systems. In this study, we use survey data from 1,088 wheat-producing households in Ethiopia to analyze the links between women's role in household decisions concerning crop production and the adoption and turnover rates of rust-resistant wheat varieties. We interviewed female and male respondents from the same households, but separately, which facilitated capturing individual perceptions and the intra-household dynamics in decision-making. To account for observed heterogeneity that may simultaneously determine the level of women's agency and varietal adoption by households, we employed Inverse Probability-Weighted Regression Adjustment (IPWRA). A positive association was found between women's role in decision-making concerning choice of wheat seed and household adoption of rust-resistant wheat varieties and wheat varietal turnover. Spouses may be in agreement or have different opinions regarding their decision-making roles. The disagreement scenario in which the wife claims to have a role in decision-making is associated with lower adoption rates of rust-resistant wheat varieties and less frequent testing of new varties in recent growing seasons, compared to a scenario where both spouses agree that wives do not have a role. We conclude that gender-disaggregated data and the examination of intra-household decision-making can offer novel and valuable insights for designing and implementing strategies to enhance the uptake of agricultural technologies among smallholders. The results emphasize the need to include complementary perspectives on the intra-household decision-making process.

Recent use of least-cost diets as a measure of global food security revealed that over 3 billion people are unable to afford sufficient nutritious food for an active and healthy life, driving demand for policy changes to improve access and affordability. This study quantifies the role of imports in consumer prices, matching retail prices in 144 countries to imports by origin of the item or its main ingredient, resulting in a total of 13,846 pairs of a retail price and its import cost in 2017. We find that 55% of retail items had some active imports supplementing domestic production, and of those around 48% have nonzero tariffs whose average effective rate is around 6.7% of the imported commodity price. Over all countries for which data are available, the share of consumer prices for least-cost healthy diets that is attributable to tariffs and non-tariff measures averages 0.67% and 2.45% globally. The highest restrictions are on nutrient-rich vegetables, fruits and animal-sourced foods. Access to bulk commodities from diverse origins is essential for food and nutrition security, providing a greater diversity of foods and food ingredients at lower and more stable prices than can be grown at any one location. On average over all food products that are imported, 83% of the retail price is domestic value added after arrival. We conclude that food imports are best understood as inputs to the domestic production and distribution of retail items, with consumer prices and growth of the food sector dependent on the cost levels, infrastructure and institutions underlying each product's entire value chain.

The existing evidence linking early undernutrition to educational outcomes in developing countries is largely focused on assessing its impacts on grade attainment and achievement test scores, with limited evidence on the foundational cognitive skills required to perform well at school. We use unique data collected in Ethiopia and Peru as part of the Young Lives Study to investigate the relationship between early undernutrition and four foundational cognitive skills measured later in childhood, the first two of which measure executive functioning: working memory, inhibitory control, long-term memory, and implicit learning. We exploit the rich longitudinal data available to control for potential confounders at the household and individual level and for time-invariant community characteristics. We also take advantage of the availability of data for paired-siblings to obtain household fixed-effects estimates. In the latter specification, we find robust evidence that stunting at ~ age 5 is negatively related with executive functions measured years later, predicting reductions in working memory and inhibitory control by 12.6% and 5.8% of a standard deviation. Although the main cohort of Young Lives was around 12 years old when executive functions were measured, complementary results and analysis of the data available for the younger siblings suggest that the impact of stunting on executive functions-specifically, on working memory-starts at an earlier age. Our results shed light on the mechanisms that explain the relationship between early nutrition and school achievement tests suggesting that good nutrition is an important determinant of children's learning capacities.

This study examines household welfare dynamics during the COVID-19 pandemic, using harmonized data from over 300 phone surveys in 80 countries during 2020 and 2021, representing more than 2.5 billion people. The analysis traces out the evolution of employment and income across and within countries as restrictions on economic activity were relaxed. We show some groups initially experiencing higher rates of employment loss - including women, informal workers, and those with less education - also recovered jobs at a slower pace. Based on panel regressions, changes in policy stringency were associated with unequal employment outcomes. Labor market transitions were toward jobs of inferior quality on average, especially for workers with less education. Household income dynamics suggest uneven impacts in the intensive margin of employment consistent with these transitions. Lower wages were not offset by additional social assistance. Taken together, these dynamics may amplify the inequality impacts of the pandemic over the medium to long term.

Community health workers (CHW) are individuals with no formal health training who perform various roles to address health disparities. There are long-sustained debates over how different forms of incentives shape CHW programs, which are often staffed with volunteer or minimally remunerated women. These debates are complicated by the diversity of CHW roles and contexts in which they work. Evidence is particularly scant around "change-agent" style CHWs, who shape health knowledge and norms within their community. This paper addresses this gap through an analysis of a change agent-staffed program that provided nutrition participatory education through women's groups in three eastern Indian sites. We examine how contextual factors across sites shaped change-agent management, and analyze the implications of each approach for efficacy, empowerment, and equity. Analyzing 68 interviews and 10 focus groups this study advances a typology of 'varieties' of voluntarism that we name laissez faire, active-cultivation, and honorarium-accountability, and uses comparative analysis to examine the equity and empowerment effects within selection, management, and payment. First, we find tensions in the community-based selection of volunteers because rather than selecting highly motivated women, groups selected women in the most favorable socioeconomic position to volunteer. Second, there is a tension around responsibility and expectations in that greater training and responsibility leads women to see more psychosocial empowerment (e.g., knowledge, confidence), but also may create more 'costs' to participation and leads to wider economic inequities in change-agent ranks. Third, we observe a misplaced focus on payments as central to change-agent motivation. While the two volunteer-only sites see payment as 'the answer' to motivation problems, the honorarium site sees payments as 'the problem' because they attract less intrinsically motivated individuals. We conclude that while payments may not make an unmotivated volunteer into a motivated one, this analysis suggests payments would potentially allow more marginalized women to participate, which may be key to making more equitable and efficacious impacts.

Communities with higher levels of social capital perform better than communities with lower social capital in community-level water and sanitation interventions and have better health outcomes. Although research recommends bolstering social capital to improve intervention outcomes, few studies provide empirical evidence on the effect of intervention activities on social capital. This study aimed to evaluate the effect of participatory design and community engagement activities on social capital among urban informal settlements in Suva, Fiji and Makassar, Indonesia enrolled in the Revitalizing Informal Settlements and their Environments trial using the Short Adapted Social Capital Assessment Tool. We performed confirmatory factor analyses (CFA) to test tool performance and built structural equation models to assess intervention effect on CFA-informed, sub-scale scores for cognitive and structural social capital. Qualitative in-depth interviews in Fiji and Indonesia and focus group discussions in Fiji provided nuanced understanding of intervention effects on social capital from residents' perspectives. Results confirmed the hypothesized two-factor solution but revealed differences by country and by gender in Indonesia. The intervention appeared positively related to cognitive social capital among men and women in Indonesia and negatively related to cognitive and structural social capital among men and women in Fiji. While effect sizes were small and cluster-adjustment for a small number of settlements yielded non-significant effects, trends were consistent across models and bivariate analyses and were corroborated by qualitative findings. Several contextual factors may explain these results, including timing and duration of intervention activities and influence of COVID-19. Qualitative data suggested that the relationship between participatory design and social capital may be bidirectional, helping to explain why certain settlements appeared to be better equipped to benefit from intervention activities. Practitioners and program designers should carefully consider the social pre-conditions of communities in which they intend to work to optimize program outcomes and avoid unintended consequences.