This evaluation will examine the impact of DFS availability on a set of health and education outcomes, and will also explore the most effective distribution and pricing to increase take-up.
The evaluation will proceed in two phases. The first phase of the evaluation will test the effect of different distribution channels, information campaigns, and discounts on purchase of DFS in 43 randomly selected villages in one district of Bihar. While both kiranas and government-subsidized stores (PDS) have the advantage of exploiting consumers’ pre-existing habits, effective marketing schemes are needed to convey the benefits of iron fortification to potential consumers. The first phase will test the ability of basic marketing (posters); basic marketing plus campaigns designed by the manufacturer; and basic plus manufacturer plus government health worker campaigns to inform households about DFS. In addition, 99 randomly selected households in each village will receive different discount vouchers for DFS, with final sale price ranging from Rs. 8 to Rs. 17 per kg, in order to estimate price sensitivity of demand for DFS.
Using lessons from phase one, DFS will then be introduced for sale in 200 randomly selected villages, while another 200 randomly selected villages will serve as a comparison group. One year after the baseline survey, DFS take-up will be measured along with health and economic indicators including anemia status, weakness, health, cognitive health, school attendance, workforce participation, and wages.