Hi,
I need to suggestions on non-monetary incentives ( eg- Agri) that can be used to improve both nutrition related behaviours among tribal parents as well as serve to increase duration (days) in hospital for treating SAM. If there is any work on this, please suggest reports.
Hi Marian,
I presume you are talking about Severe Acute Malnutrition, but I think you need to be more specific about the behavioural problems you are encountering and why financial incentives are unavailable/inappropiate. As for reports that might be useful, you might start with
Collins, S., Sadler, K., Dent, N., Khara, T., Guerrero, S., Myatt, M., Saboya, M. and Walsh, A., 2006. Key issues in the success of community-based management of severe malnutrition. Food and nutrition bulletin, 27(3_suppl3), pp.S49-S82. and the papers that cite it.
In terms of behavioural economics (my area) then you can think in terms of creating clear reference points for treatment and discharge. E.g. A Seven days rule or a weight /height / arm circumference rule . It helps also if you can establish social norms by getting respected figures in the community to back rules and take responsibility for enforcing messages. Small tokens of reward (bags with a message on them, badges, bags of food etc. may also motivate. Ultimately, though I feel you need to understand why people are departing from the treatment protocol.
Hi Marian,
A RCT in India had used non-financial incentives like lentils and a set of metal meal plates for improving immunization rates. This might be helpful,
Banerjee, Abhijit Vinayak, Esther Duflo, Rachel Glennerster, and Dhruva Kothari. 2010. "Improving Immunisation Coverage in Rural India: Clustered Randomised Controlled Evaluation of Immunisation Campaigns with and without Incentives." BMJ 340-222.
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