43103-012: Reducing Child Malnutrition through Social Protection | Asian Development Bank

Nepal: Reducing Child Malnutrition through Social Protection

Sovereign (Public) Project | 43103-012 Status: Active

Project Details

Project Officer
Rana, Arun S. South Asia Department Request for information
  • Nepal
  • Grant
  • Health
Project Name Reducing Child Malnutrition through Social Protection
Project Number 43103-012
Country Nepal
Project Status Active
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Sector / Subsector

Health / Social protection initiatives

Gender Equity and Mainstreaming Some gender elements
Project Rationale and Linkage to Country/Regional Strategy
Project Outcome
Description of Outcome
Progress Toward Outcome The Project end-line survey carried out in 2015 reports about 83.7% of households in the five project districts received the child grant in the past 12 months. Further analysis reveals that the uptake of the child grant decreases rapidly for 1-12 months age group which is due to the current registration processes. The survey also revealed that 83.8% of the households responded utilizing the child grant money on food, 20.9% on education, and 26.2% on health related expenditure.
Implementation Progress
Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues) Output 1: Five social protection Officers were mobilized in the project districts, who supported the district development committees (DDCs) in coordinating the ongoing social protection programs, assisted the district information and documentation center to manage demographic and poverty profiles, and supported the management information system (MIS) consultants in digitizing the cash transfer registry. The previously cash transfer registry which was maintained manually by the VDC secretaries has now been digitized. This database is now maintained by the Department of Civil Registration. Output 2: A five-day training program was conducted in December 2012 in which 42 Local Development Officers and other staff of the district development committees of the mid- and far-western development region took part. District level workshops focusing on raising awareness on birth registration and the child grant were also conducted in all five project districts which focused on strengthening the implementation of the child grant. A total of 75 government officials and 80 female community health volunteers and VDC secretaries participated in the workshops. A 5-day training program which benefited 37 mid-level government officials from various ministries implementing social protection programs was also conducted. A draft national protection framework has been prepared under the leadership and coordination of the National Planning Commission Secretariat. As the draft was prepared some time back, it is being updated with recent data and edited before submission to the National Planning Commission for endorsement. The child grant implementation guideline and the cash transfer implementation guideline were consolidated into one document. Output 3: The Project provided two rounds of infant and young child feeding training once between 2012 and 2013 and again in 2015. A total of 848 health workers and 2,309 female community health workers were trained on infant and young child feeding practices. The mid-line and end-line survey reveals that 80% of respondents in the project districts practiced exclusive breastfeeding of children up to 6 months of age. The mid-line and end-line surveys measured meal frequency on the basis of 2 times for breastfed children between 6 8 months, 3 times for children between 9 23 months, and 4 times for non-breastfed children aged 6 23 months. The end-line survey reveals that this ranged from 83% in Dolpa to 94% in Kalikot, which is a significant improvement from around 47% in 2010 (baseline survey). Against the indicator of at least 80% of mothers wash hand with soap after defecation, the end-line survey reveals that this ranges from 65% in Humla to 92% in Jumla. And for at least 90% of children being fully immunized the mid-line survey this has improved from 83% in 2010 to 86% in 2013.
Geographical Location
Summary of Environmental and Social Aspects
Environmental Aspects No adverse environmental impacts are anticipated as a result of project implementation.
Involuntary Resettlement The project will not cause any involuntary resettlement.
Indigenous Peoples The project will pay special attention to ensuring that the delivery systems will reach the indigenous and excluded groups.
Stakeholder Communication, Participation, and Consultation
During Project Design A fact finding mission was fielded intermittently from 21 October 2009 to 18 April 2010. The mission undertook a field visit to one of the Karnali districts (Dolpa) from 23 October 2009 to 5 November 2009 to assess the ground realities of implementing cash grants in the remote mountain districts of Nepal. A workshop was organized in Kathmandu on 11 December 2009 to debrief central government officials on the mission's field visit and to brainstorm on the ideas that had been proposed by the DDC staff and local villagers in Dolpa. Consultations were also held with development partners.
During Project Implementation - Inception mission (18 May - 04 July 2011)- Review mission (12 - 17 December 2011)- Special project administration mission (6 - 9 August 2012)- Midterm review mission (1 - 5 April 2013) - Review mission (7 - 19 July 2014)- Review mission (12 - 25 January 2016)
Business Opportunities
Consulting Services

International Social Protection Specialist - 5 person-months

National Social Protection Specialist - 36 person-months

Procurement Purchase of Computer equipment.
Responsible ADB Officer Rana, Arun S.
Responsible ADB Department South Asia Department
Responsible ADB Division Nepal Resident Mission
Executing Agencies
Ministry of Federal Affairs and Local Development
[email protected]
Singha Durbar
Concept Clearance -
Fact Finding -
Approval -
Last Review Mission -
PDS Creation Date 02 Sep 2009
Last PDS Update 25 Sep 2017

Grant 9157-NEP

Approval Signing Date Effectivity Date Closing
Original Revised Actual
28 Feb 2011 08 Jun 2011 08 Jun 2011 08 Jun 2014 15 Jan 2016 -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 4.17 Cumulative Contract Awards
ADB 0.00 28 Feb 2011 0.00 1.47 92%
Counterpart 4.17 Cumulative Disbursements
Cofinancing 0.00 28 Feb 2011 0.00 1.40 88%

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Procurement Plan