Economic Evaluation of Nutrition-Sensitive Agricultural Interventions to Increase Maternal and Child Dietary Diversity and Nutritional Status in Rural Odisha, India.

"Notes: The UPAVAN trial was funded by the Bill & Melinda Gates Foundation and UK Aid (award number OPP1136656). Substantial cofunding was also provided by the USAID-funded project Digital Integration to Scale Gender-Sensitive Nutrition Social and Behavior Change Communication, implemented by Digital Green (Cooperative Agreement No. AID-386-A-15–00008). Additional technical inputs were provided by the SPRING project contributing funds from USAID's Bureau for Food Security (BFS) and Bureau for Global Health (GH) (under Cooperative Agreement No. AID-OAA-A-11-00031). The trial funders had no role in study design, data collection, analysis, interpretation or writing of the paper.: Author disclosures: The authors report no conflicts of interest.: Supplemental Material Tables S1–S4, Supplemental Material–data collection tools, Supplemental Material - Sensitivity and scenario analyses, and Supplemental Figure 1 are available from the “Supplementary data” link in the online posting of the article and from the same link in the online table of contents at https://academic.oup.com/jn/.: HH-B and HH-F are joint first authors.: Abbreviations used: ASHA, accredited social health activist; JSI RTI, John Snow Inc. Research and Training Institute; LSHTM, London School of Hygiene & Tropical Medicine; Mama SASHA, Sweetpotato Action for Security and Health in Africa; NEEP-IE, Nutrition Embedded Evaluation Programme Impact Evaluation; NSA, nutrition-sensitive agriculture; PLA, participatory learning and action; SHG, self-help group; UCL, University College London; UPAVAN, Upscaling Participatory Action and Videos for Agriculture and Nutrition; VARRAT, Voluntary Association for Rural Reconstruction and Appropriate Technology; DALYs, Disability-Adjusted Life Years"

"Notes: The UPAVAN trial was funded by the Bill & Melinda Gates Foundation and UK Aid (award number OPP1136656). Substantial cofunding was also provided by the USAID-funded project Digital Integration to Scale Gender-Sensitive Nutrition Social and Behavior Change Communication, implemented by Digital Green (Cooperative Agreement No. AID-386-A-15–00008). Additional technical inputs were provided by the SPRING project contributing funds from USAID's Bureau for Food Security (BFS) and Bureau for Global Health (GH) (under Cooperative Agreement No. AID-OAA-A-11-00031). The trial funders had no role in study design, data collection, analysis, interpretation or writing of the paper.: Author disclosures: The authors report no conflicts of interest.: Supplemental Material Tables S1–S4, Supplemental Material–data collection tools, Supplemental Material - Sensitivity and scenario analyses, and Supplemental Figure 1 are available from the “Supplementary data” link in the online posting of the article and from the same link in the online table of contents at https://academic.oup.com/jn/.: HH-B and HH-F are joint first authors.: Abbreviations used: ASHA, accredited social health activist; JSI RTI, John Snow Inc. Research and Training Institute; LSHTM, London School of Hygiene & Tropical Medicine; Mama SASHA, Sweetpotato Action for Security and Health in Africa; NEEP-IE, Nutrition Embedded Evaluation Programme Impact Evaluation; NSA, nutrition-sensitive agriculture; PLA, participatory learning and action; SHG, self-help group; UCL, University College London; UPAVAN, Upscaling Participatory Action and Videos for Agriculture and Nutrition; VARRAT, Voluntary Association for Rural Reconstruction and Appropriate Technology; DALYs, Disability-Adjusted Life Years"

"Conclusion: NSA videos with PLA can increase both maternal and child dietary diversity and have the lowest cost per unit increase in diet diversity. Building on investments made in developing UPAVAN, cost-efficiency at scale could be increased with less intensive monitoring, reduced startup costs, and integration within existing government programs. This trial was registered at clinicaltrials.gov as ISRCTN65922679."