Reaching the poor: What works? A health equity analysis of the MICAH (Micronutrient and Health) initiative in Malawi

Type Thesis

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Summary

This graduate thesis has been associated with a research initiative funded by the World Bank called “Reaching the Poor” which examines how well “Health, Nutrition and Population (programs) are reaching disadvantaged population groups, and (explores) ways of reaching those groups more effectively” (PAHO/WHO, 2002, p. 1). The MICAH initiative in Malawi, the case study for this research, is part of an integrated nutrition and health program managed by World Vision Canada that targets 4 million people in five African countries (Malawi, Ethiopia, Ghana, Senegal and Tanzania). This research examines how well program benefits of the MICAH in Malawi reached disadvantaged groups through a health equity analysis of secondary data from MICAH (2000) household surveys. Further, field work carried out in Malawi, used participatory methodology to explore ‘what worked’, ‘what didn't work’ and ‘what could work better’ at reaching disadvantaged groups with the health and nutrition efforts of MICAH.