Baseline Study of the FIOVANA Resilience Food Security Activity in Madagascar October 2021|Volume I IMPEL | Implementer-Led Evaluation & Learning Associate Award ABOUT IMPEL The Implementer-Led Evaluation & Learning (IMPEL) Associate Award works to improve the design and implementation of Bureau for Humanitarian Assistance (BHA)-funded resilience food security activities (RFSAs) through implementer-led evaluations and knowledge sharing. Funded by the United States Agency for International Development (USAID) BHA, IMPEL will gather information and knowledge in order to measure performance of RFSAs, strengthen accountability, and improve guidance and policy. This information will help the food security community of practice and USAID to design projects and modify existing projects in ways that bolster performance, efficiency, and effectiveness. IMPEL is a seven-year activity (2019- 2026) implemented by Save the Children (lead), TANGO International, Tulane University, Causal Design, and Innovations for Poverty Action. RECOMMENDED CITATION IMPEL. (2021). Baseline Study of the FIOVANA Resilience Food Security Activity in Madagascar (Vol. 1). Washington, DC: The Implementer-Led Evaluation & Learning Associate Award PHOTO CREDITS Save the Children / Charlie Forgham-Bailey. DISCLAIMER This report is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of the Implementer-Led Evaluation & Learning (IMPEL) award and do not necessarily reflect the views of USAID or the United States Government. CONTACT INFORMATION IDEAL Activity c/o Save the Children 899 North Capitol Street NE, Suite #900 Washington, DC 20002 www.fsnnetwork.org IMPEL@savechildren.org PREPARED BY: Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Acknowledgments i ACKNOWLEDGMENTS The Causal Design research team would like to recognize several individual’s instrumental in creating and refining this document. This includes Emanuel da Costa, Tsarafidy Rasendraharison, Joseph Menakuntuala, Fahim Safi, and Jacques Zily with ADRA, and Mohamoud Ahmed, Emily Marshall, and Tom Spangler with IMPEL. Special thanks also to Mara Mordini, Justin Mupeyiwa, Benita O’Colmain, Arif Rashid, and Adam Trowbridge with USAID for their ongoing technical support. IMPEL | Implementer-Led Evaluation and Learning ii Table of Contents TABLE OF CONTENTS Acknowledgments ............................................................................................................................. i List of Tables.....................................................................................................................................iii List of Figures.....................................................................................................................................v Acronyms .........................................................................................................................................vi Executive Summary..........................................................................................................................vii 1. Introduction ................................................................................................................................1 2. Methodology and Limitations.......................................................................................................3 2.1 Evaluation Design...........................................................................................................................3 2.1.1 Randomization Strategy................................................................................................3 2.1.2 Sampling Frame.............................................................................................................4 2.1.3 Questionnaire Development.........................................................................................5 2.1.4 Field Preparation...........................................................................................................6 2.1.5 Data Collection..............................................................................................................6 2.2 Challenges and Limitations ............................................................................................................7 2.2.1 Survey Challenges.........................................................................................................7 2.2.2 Limitations.....................................................................................................................7 3. Findings.......................................................................................................................................8 3.1 Characteristics of the Study Population.........................................................................................8 3.2 Food Security................................................................................................................................10 3.3 Child Nutrition and Health ...........................................................................................................13 3.3.1 Nutrition......................................................................................................................13 3.3.2 Anthropometry ...........................................................................................................16 3.4 Women’s Health, Maternal Nutrition, and Reproductive Health................................................18 3.5 Water, Sanitation, and Hygiene Practices....................................................................................22 3.6 Agriculture....................................................................................................................................24 3.7 Poverty Measurement .................................................................................................................30 3.8 Gender Dynamics.........................................................................................................................32 3.8.1 Use of Financial Resources..........................................................................................32 3.8.2 Credit...........................................................................................................................34 3.9 Resilience......................................................................................................................................35 3.9.1 Ability to Recover from Shocks and Stresses Index ....................................................35 3.9.2 Social Capital Indices...................................................................................................37 3.9.3 Absorptive Capacity Index...........................................................................................38 3.9.4 Adaptive Capacity Index..............................................................................................39 3.9.5 Transformative Capacity Index ...................................................................................41 4. Comparison of Treatment and Control Groups............................................................................44 5. Conclusion.................................................................................................................................45 Annex A: Balance Tables ..................................................................................................................46 Annex B: Additional Tables...............................................................................................................53 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) List of Tables and Figures iii VOLUME II Annex C: Pre-Analysis Plan Annex D: Data Collection Tool LIST OF TABLES Table 1. Number of fokontany and households surveyed............................................................................5 Table 2. Individual response rate..................................................................................................................5 Table 3. Household response rate ................................................................................................................6 Table 4. Basic household-level statistics.......................................................................................................8 Table 5. Baseline individual-level demographic information .......................................................................8 Table 6. Head of household statistics.........................................................................................................10 Table 7. Prevalence of moderate and severe food insecurity in the population .......................................10 Table 8. Percentage of households responding “yes” to “During the past 30 days, was there a time when you or others in your household…” disaggregated by household type*....................................................11 Table 9. Mean scores of households with poor, borderline, and acceptable Food Consumption Score...12 Table 10. Percentage of households with poor, borderline, and acceptable Food Consumption Score ...12 Table 11. Prevalence of children 6–23 months consuming a diet of minimum diversity...........................13 Table 12. Percentage of children ages 6–23 months receiving a minimum acceptable diet.....................14 Table 13. Minimum meal frequency, breast-fed and non-breastfed children 6–23 months.....................14 Table 14. Prevalence of exclusive breastfeeding of children under 6 months of age................................15 Table 15. Percentage of children under 5 (0–59 months) years old who had diarrhea in the prior 2 weeks ....................................................................................................................................................................15 Table 16. Percentage of children under 5 (0–59 months) years old with diarrhea treated with Oral Rehydration Therapy ..................................................................................................................................15 Table 17. Percentage of children under 5 years old who had fever, diarrhea, or acute respiratory infection in the past 15 days and received treatment within 24 hours from a health facility ...................16 Table 18. Prevalence of underweight children under 5 years old..............................................................17 Table 19. Prevalence of underweight children under 5 years old, disaggregated .....................................18 Table 20. Percentage of women of reproductive age consuming a diet of minimum diversity.................19 Table 21. Percentage of births receiving at least four antenatal care visits during pregnancy..................20 Table 22. Contraceptive prevalence rate....................................................................................................20 Table 23. Percentage of women in a union who have knowledge of modern family planning methods that can be used to delay or avoid pregnancy............................................................................................21 Table 24. Percent of women in a union who made decisions alone or with their partner jointly about modern family planning methods...............................................................................................................21 Table 25. Percent of non-pregnant adolescent girls and women of reproductive age practicing a modern method of birth control ..............................................................................................................................21 Table 26. Percentage of households using basic drinking water services..................................................22 Table 27. Water use per capita...................................................................................................................23 Table 28. Percentage of households with soap and water at a handwashing station on the premises....23 Table 29. Percentage of households in target areas practicing correct use of recommended household water treatment technologies....................................................................................................................23 IMPEL | Implementer-Led Evaluation and Learning iv List of Tables and Figures Table 30. Percentage of households in target areas practicing open defecation ......................................24 Table 31. Percentage of households with access to basic sanitation services...........................................24 Table 32. Crops grown ................................................................................................................................25 Table 33. Percentage of farmers who used financial services (savings, agricultural credit, and/or agricultural insurance) in the past 12 months & percentage of farmers who practiced the value chain interventions promoted by the activity in the past 12 months..................................................................25 Table 34. Improved management practices/technologies for cassava ......................................................26 Table 35. Improved management practices/technologies for rice ............................................................26 Table 36. Improved management practices/technologies for cloves ........................................................26 Table 37. Yield of targeted agricultural commodities within target areas.................................................28 Table 38. Poultry farming............................................................................................................................28 Table 39. Beekeeping..................................................................................................................................29 Table 40. Fishing .........................................................................................................................................30 Table 41. Poverty measures........................................................................................................................31 Table 42. Disaggregated poverty measures by household types...............................................................32 Table 43. Percentage of women and men in a union who earned cash in the past 12 months ................32 Table 44. Percentage of women in a union and earning cash who report participation in decisions about the use of self-earned cash.........................................................................................................................33 Table 45. Percentage of men in union and earning cash who report spouse/partner participation in decisions about the use of self-earned cash...............................................................................................33 Table 46. Percentage of women/men in a union with access to credit .....................................................34 Table 47. Percentage of women/men in a union who make decisions alone or jointly about credit........34 Table 48. Ability to recover from shocks and stresses index......................................................................35 Table 49. Social capital indices....................................................................................................................37 Table 50. Absorptive capacity index ...........................................................................................................38 Table 51. Adaptive capacity index ..............................................................................................................40 Table 52. Transformative capacity index ....................................................................................................42 Table 53. Household roster balance table..................................................................................................44 Table 54. Food security...............................................................................................................................46 Table 55. Child nutrition and health ...........................................................................................................46 Table 56. Anthropometry............................................................................................................................47 Table 57. Women’s health, maternal nutrition, and reproductive health .................................................48 Table 58. Water, sanitation, and hygiene...................................................................................................48 Table 59. Agriculture–cassava, rice, and cloves..........................................................................................49 Table 60. Agriculture–yield.........................................................................................................................49 Table 61. Poverty measurements...............................................................................................................50 Table 62. Use of financial resources...........................................................................................................50 Table 63. Credit...........................................................................................................................................50 Table 64. Resilience.....................................................................................................................................50 Table 65. Crops grown, gender...................................................................................................................53 Table 66. Agriculture value chain practices, gender...................................................................................53 Table 67. Modern practices for cassava, gender........................................................................................54 Table 68. Modern practices for rice, gender ..............................................................................................55 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) List of Tables and Figures v Table 69. Modern practices for cloves, gender ..........................................................................................55 Table 70. Agricultural yield, gender............................................................................................................56 Table 71. Poultry farming, gender ..............................................................................................................56 Table 72. Beekeeping, gender.....................................................................................................................58 Table 73. Fishing, gender............................................................................................................................58 Table 74. Non-governmental organizations in the control areas...............................................................59 Table 75. Non-governmental organizations in the treatment areas..........................................................59 Table 76. Non-governmental organization activity ....................................................................................60 LIST OF FIGURES Figure 1. FIOVANA regions and communes..................................................................................................1 Figure 2. Age and gender composition (unweighted) of the sample ...........................................................9 Figure 3. Distribution of weight-for-age z-score.........................................................................................17 Figure 4. Dietary diversity score for women of reproductive age ..............................................................19 Figure 5. Box plot of yield estimates for target crops.................................................................................27 Figure 6. Distribution of expenditure .........................................................................................................31 Figure 7. Most common shocks reported by households...........................................................................37 IMPEL | Implementer-Led Evaluation and Learning vi Acronyms ACRONYMS ADRA Adventist Development Relief Agency ANC Antenatal care ARI Acute respiratory infection BHA Bureau for Humanitarian Assistance BL Baseline CNA Child no adult F&M Female and male adult FAO Food and Agriculture Organization FCS Food Consumption Score FIES Food Insecurity Experience Scale FNM Adult female no adult male HAZ Height-for-Age Z-Score ICC Intraclass Correlation Coefficient IE Impact evaluation IMPEL Implementer-Led Evaluation & Learning MAD Minimum acceptable diet MDD Minimum dietary diversity MDD-C Minimum dietary diversity–children MMF Minimum meal frequency MNF Adult male no adult female N Sample size NGO Non-governmental organization ORT Oral rehydration therapy PPP Purchasing power parity RFSA Resilience Food Security Activity SE Standard error USAID United States Agency for International Development WASH Water, sanitation, and hygiene WAZ Weight-for-Age Z-Score WHZ Weight-for-Height Z-Score WRA Women of reproductive age Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Executive Summary vii EXECUTIVE SUMMARY This report captures baseline round data and observations collected from May to June 2021 of the FIOVANA Resilience Food Security Activity (RFSA) that is being implemented by the Adventist Development Relief Agency (ADRA) in eastern Madagascar. This activity attempts to address and mitigate acute levels of food insecurity experienced by communities in this region of Madagascar. Apart from general demographics, study indicators include food security; child nutrition and health; women’s maternal nutrition and reproductive health; water, sanitation, and hygiene practice; agricultural practice and production; poverty measurement; gender dynamics; and resilience. A complimentary endline survey is anticipated to be conducted from May to June of 2025. Baseline Study Methodology The impact evaluation (IE) of the FIOVANA RFSA relies on a clustered randomized controlled trial design to analyze differences between treatment and control groups. In the case of the FIOVANA RFSA IE, the intervention allowed for randomization at the commune level to create a set of treatment and control communes. As a result, the analysis will focus on the effect of the full RFSA on food security and other development outcomes across treatment households. Overall, analysis at baseline suggests that the IE is well placed to estimate these differences at endline, and that treatment and control groups are similar enough on key characteristics. Study Limitations Several factors posed potential challenges that the research team will adjust for or monitor throughout the course of the IE activity, such as the presence of several other large development organizations working in the region, which could present challenges in identifying the effects of the FIOVANA RFSA. This is complicated by the challenges imposed by the coronavirus that will potentially increase the involvement of outside aid groups. The research team will work closely with implementing partners to gauge this issue and take steps ahead of endline data collection to mitigate, if necessary. Finally, safety protocols that limited contact with beneficiaries and enforced social distancing measures ruled out the possibility of collecting some baseline indicators, specifically height measurements for women of reproductive age (WRA) and children. Key Findings Demographic Profiles By the end of data collection efforts, 4,300 households had been surveyed. There were little to no observed trends of variance between the treatment and control groups on both the individual and household level, suggesting that the two groups are similar in terms of overall demographic characteristics. Self-reported household head characteristics follow a similar trend as other individual indicators in showing little difference between treatment and control households. Food Security Reported severe drought conditions in the area suggest reduced food security across the entire region of the study. Food security was estimated using two standard measurement approaches, the Food Insecurity Experience Scale (FIES) and the Food Consumption Score (FCS) index. Based on the FIES, 18% of the population is facing severe food insecurity, and over 81% are at least moderately food insecure. The FCS, which calculates overall consumption levels across food groups while accounting for cultural IMPEL | Implementer-Led Evaluation and Learning viii Executive Summary and regional weights for food preference and importance, finds that fewer than 31% of all households have an acceptable FCS, and just under 7% of households are considered to have a poor FCS. Disaggregation by household adult type shows some differences as well, with 21% of households with an adult female and no adult male having an acceptable score, compared to 33% of households with both male and female adults present. Child Nutrition and Health Overall quality of diet for children 6 to 23 months of age appears to be poor across the survey population. Only 5% of all children aged 6 to 23 months met Minimum Dietary Diversity (MDD) criteria, and only 3% met minimum acceptable diet standards. Approximately 11% of children under 5 are reported to have experienced diarrhea within the last 2 weeks. Of those that experienced diarrhea, only 22% reported the use of oral rehydration therapy to treat symptoms. Of those that experienced fever, diarrhea, or acute respiratory infection, 58% report being treated at a health facility within 24 hours of symptoms. Given the ongoing COVID-19 pandemic, weight of children under 5 years of age was the only anthropometric indicator captured in the baseline round of surveys. More than a quarter of children are classified as underweight, and approximately 8% are severely underweight. Roughly 38% of children were within normal weight ranges. Women’s Health, Maternal Nutrition, and Reproductive Health Observations around the health and reproductive decisions of women of reproductive age among surveyed households suggest poor food consumption diversity but minimally acceptable levels of access to health personnel during pregnancy. Altogether, 9% of women consumed a diet that meets the MDD criteria. Nearly 65% of women consumed three or fewer food groups. On average, 75% of women received the recommended number of antenatal care visits (at least four) during their most recent pregnancies, with the majority of these (80%) being with midwives. Additionally, 33% of women report using a modern method of birth control. Water, Sanitation, and Hygiene (WASH) Practices Based on indicator criteria, 16% of all households have access to basic drinking water services. While most water sources are available year-round and within 30 minutes of a residence, only 19% of households have access to an improved source. Regarding treatment, sanitation, and hygiene practice, only 4% of households were observed to have handwashing facilities available in the home, and half report treating water with filtering or disinfecting processes. Most households (66%) practice open defecation, and only 3% have household-level improved sanitation facilities. Among those not practicing open defecation, 84% utilize unimproved technology (uncovered pit latrine), and 48% share the facility with other households. Agriculture More than 94% of households are engaged in raising crops. Reported crops of focus include cassava, rice, and cloves. Of these, cassava and rice are grown by the large majority of farmers in the sample, 84% and 92%, respectively. A little more than a quarter (28%) grow cloves as a cash crop. The average yield for cassava is slightly over 5,000 kg/ha. Rice yield is approximately 3,900 kg/ha. Clove yield is estimated to be 670 kg/ha. Regarding other support practices, the use of credit and savings is not common among farmers, and crop insurance is almost non-existent. Value chain participation activity suggests that 32% of farmers participate in at least one value chain activity. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Executive Summary ix Livestock of focus in the baseline includes poultry, bees, and fish. In the baseline sample, 67% of farmers raised poultry, with only 27% reporting egg production in the past week. Of significant note is that 67% of poultry farmers report poultry dying in the last year, with most farmers (94%) reporting that they had not used any modern livestock raising practices such as vaccinations. Responses around beekeeping suggest that the practice is not widespread. Only 68 individuals in the survey reported raising bees, and a small number (15) utilized modern hives. Fishing was reported by 287 individuals, with the majority ((97%) indicating that fish would be consumed in the home compared to 55% indicating that at least some of the fish would be brought to market for sale. Poverty Measurement Based on daily per capita expenditures of less than $1.90 per day (2011 purchasing power parity (PPP), the poverty rate among households surveyed is approximately 72%. The depth of poverty of the poor is 33%, which means that the average poor person is 33% below the poverty line. In monetary terms, this means it would require an additional $0.63 per person per day to bring every poor person out of poverty. Gender Dynamics Gender dynamics are captured through the eight indicators in this section. Among women who are earning cash, a large majority (84%) reported that they participate in decisions about how to use the cash, whether solely or jointly with others. Women and men in a union report borrowing at similar rates across any source (36%). However, men in a union participate in decisions about credit at a much higher rate than women in a union (p-value = 0.00), with 87% of men reportedly making credit decisions, which is consistent across age groups. Resilience Resilience indicators were captured through several questions, including indices that were constructed to assess overall resilience capacities. Generally, households perceive their ability to meet their current needs as worse than the previous year and suspect that their future ability to meet these needs will deteriorate. A large share of households (80%) listed the drought as one of the shocks affecting them. Other common shocks listed included rising food prices, livestock disease, and crop pests. Out of the average of 2.3 shocks experienced across the sample, households perceived those shocks to be severe in nature, likely impacting perceived ability to recover. There does seem to be an overall trend that households with male adults both perceive a higher ability to recover from shocks and lower exposure and intensity of experienced shocks. This page is intentionally left blank. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Introduction 1 1. INTRODUCTION The primary objective of the impact evaluation is to measure the impact of the Resilience Food Security Activity (RFSA) package of interventions on improving health, nutrition, and income in the targeted communities and to determine possible attribution to changes in key indicators. The Adventist Development Relief Agency (ADRA) FIOVANA activities aim to achieve sustainable improvement of food and nutrition security and resilience of vulnerable populations in Atsimo Atsinanana and Vatovavy￾Fitovinany regions. 1 Figure 1 below shows the regions and communes where the intervention will be taking place. The activity serves a large population of households in southeastern Madagascar with interventions designed to improve maternal and infant health and nutrition, increase incomes, and improve resilience capacities. This report summarizes the results of the baseline study conducted in May–June 2021. Figure 1. FIOVANA regions and communes 2 1 https://adra.mg/our-projects/fiovana/ 2 https://adra.mg/our-projects/fiovana/ IMPEL | Implementer-Led Evaluation and Learning 2 Introduction The evaluation seeks to inform the larger conversation around the efficacy of RFSA interventions among vulnerable populations. The impact evaluation of the activity uses a randomized controlled trial design which randomized communities into both treatment and control groups. The baseline study relies on quantitative methods to measure baseline indicators collected in the RFSA target areas, as well as control areas in the same region. The survey provides baseline estimates on the status of communities and households across the United States Agency for International Development’s (USAID) Bureau for Humanitarian Affairs (BHA) standard indicators. Causal Design has worked closely with BHA and relevant stakeholders to identify key learning objectives and to ensure that the baseline survey and study are able to contribute to this learning where possible. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Methodology and Limitations 3 2. METHODOLOGY AND LIMITATIONS The impact evaluation of the FIOVANA RFSA uses a randomized controlled trial design at the commune level. A baseline survey of households was conducted in May–June 2021. The endline survey is planned for the second quarter of 2025. Below we describe an overview of the evaluation design. A more detailed description of the methodology can be found in Volume II, Annex C. 2.1 Evaluation Design After discussion with the ADRA team, researchers deemed village or fokontany (village)-level randomization infeasible because (1) there are a number of planned commune-level interventions, and (2) there are logistical and political complications that arise when excluding some fokontany from activities within a commune. The communes are large, with an average population of over 11,000, which would generally be considered too large for randomization. In this case, however, numerous communes meet ADRA’s inclusion criteria (124)—roughly double the number of communes in which ADRA had planned to work. Therefore, the best solution was to randomize at the commune level and later sample fokontany within the commune for the baseline survey. Based on our initial calculations, this commune-level randomization would be adequately powered to detect most impacts of interest. 2.1.1 Randomization Strategy Selection Criteria ADRA shared the criteria they used to determine if communes in the districts of Farafangana, Manakara, Mananjary, Vangaindrano, Vohipeno, and Vondrozo would be eligible for intervention. Based on these criteria, ADRA concluded that 124 communes of the 178 analyzed were eligible. We used these same criteria for our matching procedure. The selection criteria included population, level of poverty, length of the hungry season (“soudure”), remoteness, security, and access to a health clinic. Matched Pairs We chose a matched pair randomization approach to ensure better balance prior to baseline data collection compared to what could be achieved through stratified random sampling. In matched pair randomization, we first match units based on variables related to outcomes. In other words, we pair together communes that look “similar” based on available data. We then randomly assigned one unit from each pair to treatment and the other unit to control. Using ADRA’s selection criteria, we put 124 communes into pairs or small groups of similar communes. We made the groupings based on (1) being in the same district, (2) having similar population totals, (3) having similar distances to the district capital, and (4) having an ongoing United States Agency for International Development activity. We considered other criteria, but there was little variation in other factors such as poverty levels or soudure (hungry season) length. Three communes were unmatched due to outlier values on one or more of the characteristics. ADRA accidentally included the commune of Manakara in the list of selected communes and was not considered. We shared the groupings with ADRA during our January 2020 trip. We asked the ADRA team to review our groupings and modify them as needed based on additional knowledge, including geographic location IMPEL | Implementer-Led Evaluation and Learning 4 Methodology and Limitations (for example, coastal versus inland) or other characteristics deemed relevant for the types of interventions that might be carried out. We also suggested that they flag any communes they would not want to be considered for randomization for programmatic or logistical reasons. These would be taken out of consideration for pairing and assignment. ADRA’s revised groupings resulted in minor adjustments to the list and produced groups of two to four communes. We made one additional change before randomization; we dropped the commune of Analavory in the district of Manakara, which was an outlier within its group in terms of population. This final list gave us a maximum of 54 pairs, meaning 54 communes each in treatment and control. After further investigation, ADRA found that at least two of the treatment communes were too remote to consider for implementation. The finalized list has 50 communes in treatment and 50 in control. Sampling Calculation We used the following assumptions to calculate the needed sample size for the baseline: • We calculated sample size based on a cluster randomized design. • Intra-class correlation. We used an intra-class correlation coefficient (ICC) of 0.12. The ICC estimate comes from height-for-age Z-scores (HAZ) in the Madagascar Enquête Anthropométrique et Développement de l'Enfant 2011 household data. • Significance level of 5%. • Power level of 80%. • Expected reduction in stunting over the life of the activity of 8 percentage points. • Inflation Factor for the number of households with children under 5 years old to sample. From the aforementioned 2011 data set, 24% of the population is under 5 years old in the provinces of Toliara and Fianarantsoa. This implies an inflation factor of 1.2. • Non-response factor between baseline and endline. We used 5%. To capture sufficient children under 5 years old and to account for attrition, we would need at least 2 * 1,600 * 1.18 * 1.05 = 3,965 households total, or 20 households per cluster. 2.1.2 Sampling Frame Fokontany within each commune were sampled using the 2018 INSTAT census, which was deemed to be the most consistent and updated data source available at the time. Researchers sampled Fokontany with probabilities proportional to size. Researchers sampled two fokontany in communes with under 15,000 residents, three were sampled in communes with more than 15,000 residents, and one commune (Ambandrika) only had one fokontany. The number of communes in each category and the resulting sample size are summarized below. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Methodology and Limitations 5 Table 1. Number of fokontany and households surveyed Number of fokontany sampled in each commune Number of communes Total number of fokontany to be surveyed Number of households to be surveyed (20 per fokontany) 1 1 1 20 2 83 166 3,320 3 16 48 960 Totals 100 215 4,300 Table 2. Individual response rate Outcomes Number in roster Number surveyed Response rate Average age (years) Women of reproductive age 5,214 4,885 93.7% 28.4 Children under 5 years old 4,916 4,211 85.7% 2.0 Farmers 4,192 4,135 98.6% 43.9 Women in a union 3,342 3,078 92.1% 36.4 Three of the sampled fokontany were replaced after teams discussed the local conditions with the commune mayor. Two fokontany were replaced because of security concerns, and one was replaced because it was very remote and would have required nearly a week’s travel on foot to reach all the hamlets. Replacement fokontany were randomly sampled from the remaining fokontany. 2.1.3 Questionnaire Development The baseline survey was developed using previous baseline surveys used by BHA and refined in consultation with BHA and the implementing partners. The following survey modules were included: • Module A: Household identification. • Module B: Roster. • Module C: Food access. • Module D: Child nutrition and health. • Module E: Women’s nutrition and health. • Module F: Water, Sanitation, and Hygiene (WASH). • Module G: Agriculture. • Module H: Household expenditure. • Module J: Gender and cash use. • Module K: Gender and credit. • Module R: Resilience. In addition, we created a short commune-level survey to capture community-level variables such as public service availability, the activities of development or aid projects, and the presence of local community groups. IMPEL | Implementer-Led Evaluation and Learning 6 Methodology and Limitations 2.1.4 Field Preparation Travel restrictions during the COVID-19 pandemic prevented international travel. The team conducted training in the town of Manakara. Because most of the team had also worked on the nearly identical baseline survey for the Maharo RFSA, training was conducted over a shorter period. The team conducted full practice sessions over 3 days and conducted pilot surveys in two fokontany near Manakara. The training was interrupted by a 2-week quarantine after a possible COVID-19 case among the enumerators. Dates of training: 6–13 April 2021, and 29 April–2 May (after quarantine). Organization of teams: There were 35 enumerators, 11 controllers, and 13 supervisors. There were 11 teams, 10 of which were assigned to specific communes, and one mobile team that joined other teams as needed. The controllers verified data quality, and one person from each team was charged with collecting weights of children. 2.1.5 Data Collection Data collection began on May 4, 2021 and ended June 12, 2021. There were 4,300 households surveyed in the FIOVANA baseline. Table 3 depicts the household response rate. Table 3. Household response rate3 Total households sampled Refused or absent Total households surveyed Response rate Control 2,345 185 2,160 92.10% Treatment 2,266 126 2,140 94.40% All 4,611 311 4,300 93.30% Household sampling As household lists were not reliably available, field teams used the following method to sample households. First, working with fokontany leaders, the team would list each hamlet4 and the approximate number of households in each. The number of households to be surveyed in each hamlet was determined by a field method equivalent to sampling by probability proportional to size. Finally, at the hamlet level, random numbers were chosen, for example, 5, 7, and 19, and the 5th, 7th, and 19th homes were surveyed by following the same direction around the hamlet. Data quality control Each enumerator was introduced to a household by a supervisor or controller. The supervisor assisted at the beginning of the interview to ensure that the interview began well and that the interviewer recorded key household data (number of households, number of children, number of women of 3 Total sampled is the number of people who were contacted by the enumeration team (including replacements for refusals or absent households). Refused or absent account for people who were not available or were unable to be reached. Total surveyed are the people who were actually surveyed which aligns with our target sample. 4 Hamlets are groups of houses within the fokontany. This is not an additional level of sampling because hamlets are not sampled. Rather it is a way to randomly sample households in the absence of lists of names. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Methodology and Limitations 7 childbearing age, number of cash-earners in the household, etc.) in their notebook in addition to recording the data in the tablets. The notes confirmed that data was properly entered and that the correct numbers of people were included in the different modules. All data was collected via the mobile data collection software SurveyCTO. Two lead supervisors permanently monitored the field teams until the end of the surveys to verify the data and to solve problems promptly. Each team supervisor was asked to complete a fokontany information survey on their tablet to track the number of households sampled, number absent or refused, and number surveyed. In the case of households with unusual responses (case of 0 expenses, for example), the lead supervisors confirmed responses in person. Each team was visited by the lead supervisors at least twice during the field. This was necessary not only for the survey conduct but also to troubleshoot technical issues with the tablets, which was a collective problem for all teams. Five supervisors also listened to 5-minute recordings from the enumerators. These recordings covered the first 5 minutes of module H, household expenditures. However, most of the recordings were unusable due to various timing issues at the beginning of the module. 2.2 Challenges and Limitations 2.2.1 Survey Challenges The start of the survey was initially delayed due to potential positive COVID-19 cases among the team members. The positive COVID-19 cases necessitated last-minute replacements of a supervisor and several enumerators. Ultimately, the COVID-19 protocols established for the baseline worked. We did not detect further illnesses or potential exposures once the team was in the field, and data quality should not have been affected. Because of problems with some of the tablets and issues with uploading survey data, we found some duplicate surveys in the raw data, and initially, some surveys we did not upload. We identified and dropped duplicates, and we identified and uploaded missing surveys. One tablet did not update the survey version successfully, so an older version was used for 38 surveys. However, we made only minor updates after this version, which should not affect the validity of these surveys. 2.2.2 Limitations • There are several other large development organizations working in the region. This could present challenges in identifying the effects of the FIOVANA RFSA. We are collecting information at the commune level at both the baseline and endline. This information will help us to control for other interventions. • Yield calculations using recall data are necessarily rough estimates. • The survey was conducted during the COVID-19 pandemic, and to maintain distance between enumerators and respondents and to minimize contact, only one anthropometric measure was collected at baseline. After discussions with BHA and the implementing partner, we determined that child weight could be safely measured if the caretaker was asked to weigh the child. Thus, we can calculate the weight-for-age z-score (WAZ) for children under 5 years old. We did not collect height for adults and children. However, because of the randomized design, collecting these measures at the endline will still be informative. IMPEL | Implementer-Led Evaluation and Learning 8 Findings 3. FINDINGS 3.1 Characteristics of the Study Population This section provides the basic demographic information for the baseline sample. As mentioned previously, we surveyed 4,300 households. Table 4 shows that most households have both a male and female adult present. For the whole sample, 16% of households have only an adult female present, and nearly 2% have only an adult male present. The average household has 5.8 people, including two children under the age of 5 years old. Results are not reported for cells with less than 30 observations and are denoted with an n/a for not available. Table 4. Basic household-level statistics Control Treatment All Percent households with adult male and female 83.1% 82.7% 82.9% Percent households with adult female only 15.8% 16.7% 16.3% Percent households with adult male only 1.1% 0.6% 0.9% Household size 5.77 5.92 5.84 Percent of households engaged in farming 94.6% 93.7% 94.1% Percent responding as head of household* 48.5% 45.3% 47.0% * This is based on who responded to module F, a section that asks to speak to an adult or the head of household or a responsible adult. All other sections asked specifically for the head of household or other members of the family (e.g. farmers, caretakers of children under 2) Table 5 provides the basic individual demographic information of the sample. The household sample represents over 25,000 individuals. The average age is 21 years old, and approximately 51% of those in the sample are female. Figure 2 shows the population by age and gender.5 Among those 15 years old and over, 33% engage in some type of farming or livestock activity. For those over 10 years old, 67% worked for cash in the previous year. Slightly more than half of those school-age or older have at least some schooling. Table 5. Baseline individual-level demographic information Control Treatment All Outcome Mean Standard Error (SE) N Mean SE N Mean SE N Age 20.8 (0.19) 12,535 20.9 (0.20) 12,555 20.85 (0.14) 25,090 Percent of sample who are female 51.1% (0.52) 12,535 51.4% (0.52) 12,557 51.2% (0.37) 25,092 Percent of adults 15 years and older who are farmers 34.6% (0.70) 6,324 31.5% (0.68) 6,415 33.0% (0.49) 12,739 Percent of school age persons with at least some schooling 65.9% (0.54) 10,409 68.9% (0.52) 10,409 67.4% (0.38) 20,818 Percent of adults 15 years and older who worked for cash 63.4% (0.71) 6,253 61.7% (0.71) 6,361 62.5% (0.50) 12,614 5 The figure shows the age distribution across the full sample Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 9 Control Treatment All Outcome Mean Standard Error (SE) N Mean SE N Mean SE N Percent of sample women of reproductive age 30.4% (0.48) 12,535 30.4% (0.48) 12,557 30.4% (0.34) 25,092 Percent of sample under 5 years old 16.5% (0.38) 12,535 17.1% (0.39) 12,557 16.8% (0.27) 25,092 Percent of sample 5–14 years old 33.2% (0.49) 12,535 31.9% (0.49) 12,557 32.6% (0.34) 25,092 Percent of sample 10-24 years old 34.1% (0.00) 12535 33.6% (0.00) 12,557 33.9% (0.00) 25,092 Figure 2. Age and gender composition (unweighted) of the sample Table 6 lists the characteristics of the person self-identified as the head of household. The sample is comprised of 27% female-headed households. Roughly 32% of household heads have no formal schooling, and 35% completed primary school. IMPEL | Implementer-Led Evaluation and Learning 10 Findings Table 6. Head of household statistics Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Age of head of households 44.65 (0.38) 2,156 45.46 (0.39) 2,141 45.06 (0.27) 4,297 Percent of female head of households 25.3% (1.09) 2,157 27.9% (1.15) 2,142 26.6% (0.79) 4,299 Percent of head of households that did not attend school 33.0% (1.18) 2,157 31.9% (1.17) 2,142 32.4% (0.83) 4,299 Percent of head of households with some schooling, less than primary 34.2% (1.19) 2,157 30.2% (1.18) 2,142 32.2% (0.84) 4,299 Percent of heads of households that completed primary or more 32.8% (1.17) 2,156 37.9% (1.23) 2,141 35.4% (0.85) 4,297 3.2 Food Security The first indicator in this section is the prevalence of food insecurity, which is measured using the Food Insecurity Experience Scale (FIES) developed by the Food and Agriculture Organization (FAO). The responses to these questions are analyzed by estimating a Rasch model using tools developed by the FAO in R software.6 7 Only households responding to all questions are included in the analysis. Furthermore, extreme responses—those responding either “yes” or “no” to all questions—are excluded from the estimation but included in the final calculation of the prevalence rates. Table 7 summarizes the prevalence of moderate and severe food insecurity in the household based on the FIES. In the sample, approximately 18% of individuals are considered to be experiencing severe food insecurity, and over 81% are at least moderately food insecure. Severe food insecurity is higher in treatment areas (21%) compared to control (15%). The t-test comparing treatment and control based on the number of questions answered “yes” has a p-value of 0.00, confirming the higher food insecurity in treatment areas. The answers to the eight questions are disaggregated by household type in Table 8. Table 7 shows the percent of respondents answering “yes” to each question. Overall, 16% of households responded “yes” to all eight questions for the period of the previous 30 days. Only 2.5% (107) households answered “no” to all questions. Consistent with the assumption that each question captures a progressively more severe experience, the proportion of “yes” answers generally declines with each question. The exception is between questions 4 and 5. More households (87%) reported eating less because of lack of money or other resources than reported skipping a meal (60%). Table 7. Prevalence of moderate and severe food insecurity in the population Prevalence rate (not Moderate or Severe) Prevalence rate (Moderate + Severe) Prevalence rate (Severe) N All 18.7% 81.3% 17.9% 4,293 Treatment 15.7% 84.3% 20.9% 2,137 Control 21.8% 78.2% 15.2% 2,156 6 The model produced a reliability score of 0.86, which suggests a good model fit. 7 Cafiero et al., Methods for Estimating Comparable Prevalence Rates of Food Insecurity Experienced by Adults throughout the World, (Rome, Italy: FAO, 2016) Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 11 Table 8. Percentage of households responding “yes” to “During the past 30 days, was there a time when you or others in your household…” disaggregated by household type* Control Treatment All Outcome Percent SE N Percent SE N Percent SE N ...were worried you would not have enough food to eat because of a lack of money or other resources 91.6% (1.22) 2,115 92.5% (1.17) 2,097 92.1% (0.61) 4,212 F&M Worried 91.3% (1.26) 1,771 92.5% (1.21) 1,731 91.9% (0.67) 3,502 FNM Worried 93.0% (2.12) 319 93.4% (1.79) 354 93.2% (1.25) 673 MNF Worried n/a n/a 25 n/a n/a 12 85.2% (8.26) 37 ...were unable to eat healthy and nutritious food because of a lack of money or other resources 92.6% (1.29) 2,115 95.8% (0.86) 2,097 94.2% (0.74) 4,212 F&M Healthy 92.6% (1.14) 1,771 95.7% (0.85) 1,731 94.1% (0.66) 3,502 FNM Healthy 93.2% (2.39) 319 96.9% (1.18) 354 95.1% (1.36) 673 MNF Healthy n/a n/a 25 n/a n/a 12 80.9% (9.89) 37 ...ate only a few kinds of foods because of a lack of money or other resources? 92.6% (1.28) 2,115 95.9% (0.77) 2,097 94.3% (0.73) 4,212 F&M Few foods 92.8% (1.16) 1,771 95.8% (0.78) 1,731 94.3% (0.65) 3,502 FNM Few foods 92.4% (2.35) 319 97.0% (1.06) 354 94.8% (1.41) 673 MNF Few foods n/a n/a 25 n/a n/a 12 n/a n/a 37 ...had to skip a meal because there was not enough money or other resources to get food? 56.7% (2.43) 2,115 61.2% (2.55) 2,097 58.9% (1.59) 4,212 F&M Skipped 56.0% (2.58) 1,771 59.7% (2.55) 1,731 57.8% (1.64) 3,502 FNM Skipped 60.6% (3.68) 319 69.7% (3.92) 354 65.3% (2.71) 673 MNF Skipped n/a n/a 25 n/a n/a 12 40.6% (10.10) 37 ...ate less than you thought you should because of a lack of money or other resources? 84.9% (1.89) 2,115 88.8% (1.29) 2,097 86.9% (1.17) 4,212 F&M Ate less 83.7% (2.01) 1,771 88.1% (1.45) 1,731 85.9% (1.29) 3,502 FNM Ate less 90.6% (2.01) 319 93.4% (1.47) 354 92.0% (1.25) 673 MNF Ate less n/a n/a 25 n/a n/a 12 80.8% (9.05) 37 ...did not have food because of a lack of money or other resources? 23.7% (1.97) 2,115 29.8% (2.56) 2,097 26.7% (1.46) 4,212 F&M Runout 22.4% (2.11) 1,771 28.3% (2.66) 1,731 25.4% (1.50) 3,502 FNM Runout 30.2% (3.55) 319 37.1% (3.72) 354 33.7% (2.91) 673 MNF Runout n/a n/a 25 n/a n/a 12 n/a n/a 37 ...were hungry but did not eat because there was not enough money or other resources? 23.8% (2.73) 2,115 31.4% (3.00) 2,097 27.6% (1.73) 4,212 F&M Hungry 23.2% (2.73) 1,771 30.2% (3.09) 1,731 26.7% (1.76) 3,502 FNM Hungry 27.8% (4.05) 319 37.4% (3.49) 354 32.7% (2.63) 673 IMPEL | Implementer-Led Evaluation and Learning 12 Findings Control Treatment All Outcome Percent SE N Percent SE N Percent SE N MNF Hungry n/a n/a 25 n/a n/a 12 18.4% (7.19) 37 ...went without eating for a whole day because of a lack of money or other resources? 17.7% (1.95) 2,115 23.3% (2.84) 2,097 20.5% (1.36) 4,212 F&M Whole Day 17.1% (2.02) 1,771 22.4% (2.83) 1,731 19.7% (1.35) 3,502 FNM Whole Day 21.4% (3.01) 319 28.1% (3.78) 354 24.9% (2.25) 673 MNF Whole Day n/a n/a 25 n/a n/a 12 9.9% (5.46) 37 Not applicable (n/a) * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF). The second indicator is the Food Consumption Score (FCS). This is a weighted sum of eight food groups consumed by the household in the previous 7 days. The weights are based on the food group’s importance in the diet. For example, meat and dairy have a weight of 4, staples have a weight of 2, and sugars have a weight of 0.5. The FCS ranges from 0 to 112. Scores below 22 are considered to have a poor consumption score. Scores 22–35 are considered borderline. Acceptable scores are above 35. As shown in Table 9, the mean FCS is 33, and approximately 7% of individuals are considered to have poor FCS. Fewer than 31% of households have an acceptable FCS. The majority of households have a borderline FCS. The FCSs disaggregated by household type are in Table 10. Households with both an adult male and female present have a higher FCS than female-only households (p-value = 0.00). There are too few male-only households to detect whether the FCSs for these households differ from those of other groups. Table 9. Mean scores of households with poor, borderline, and acceptable Food Consumption Score Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Household FCS (0–112) 32.89 (0.50) 2115 32.3 (0.58) 2097 32.6 (0.32) 4212 F&M 33.25 (0.51) 1771 32.73 (0.57) 1731 32.99 (0.31) 3502 FNM 31.09 (0.62) 319 30.11 (0.85) 354 30.59 (0.51) 673 MNF n/a n/a 25 n/a n/a 12 32.9 (2.72) 37 Not applicable (n/a) * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) Table 10. Percentage of households with poor, borderline, and acceptable Food Consumption Score Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of households with poor consumption score (<22) 5.9% (0.92) 2,115 8.0% (1.44) 2,097 6.9% (0.73) 4,212 F&M poor 5.3% (0.96) 1,771 6.9% (1.37) 1,731 6.1% (0.69) 3,502 FNM poor 7.8% (1.89) 319 12.8% (2.49) 354 10.4% (1.58) 673 MNF poor n/a n/a 25 n/a n/a 12 20.3% (9.20) 37 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 13 Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of households with borderline consumption score (22–35) 62.0% (2.13) 2,115 62.3% (2.10) 2,097 62.1% (1.21) 4,212 F&M border 60.8% (2.23) 1,771 61.1% (2.28) 1,731 61.0% (1.32) 3,502 FNM border 68.8% (3.48) 319 68.%2 (3.33) 354 68.5% (2.45) 673 MNF border n/a n/a 25 n/a n/a 12 55.0% (9.13) 37 Percent of households with an acceptable consumption score (>35) 32.1% (2.63) 2,115 29.8% (2.89) 2,097 30.9% (1.52) 4,212 F&M acceptable 33.9% (2.73) 1,771 32.0% (3.05) 1,731 32.9% (1.57) 3,502 FNM acceptable 23.4% (3.17) 319 19.0% (3.46) 354 21.1% (2.21) 673 MNF acceptable n/a n/a 25 n/a n/a 12 24.7% (8.14) 37 Not applicable (n/a) * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) 3.3 Child Nutrition and Health This section presents findings on child health and nutrition. This includes quality of diet, breastfeeding practices, healthcare treatment, and incidences of diarrhea. This section also includes child anthropometric data. Due to safety concerns brought on by COVID-19, however, we were only able to capture and calculate weight at baseline. 3.3.1 Nutrition Prevalence of children 6–23 months consuming a diet of minimum dietary diversity (MDD) and percent of children 6–23 months receiving a minimum acceptable diet (MAD) are the indicators of nutrition reported for children under 2 years old. The MDD-Children (MDD-C) uses the following eight food groups: (1) breastmilk, (2) grains, roots, and tubers, (3) legumes and nuts, (4) dairy products (milk, yogurt, and cheese), (5) flesh foods (meat, fish, poultry, and liver/organ meats), (6) eggs, (7) vitamin A￾rich fruits and vegetables, and (8) other fruits and vegetables. The criteria for achieving an MDD-C is consuming at least five of the eight food groups. Table 11 shows the percentage of children meeting these criteria. Of the children sampled, 5% met these criteria. Grains are the most consumed (80%), followed by vitamin-A-rich vegetables and fruits (61%), dairy (6%), other vegetables and fruits (5%), flesh foods (4%), and legumes (2%). Eggs were consumed the least by children (1%). Table 11. Prevalence of children 6–23 months consuming a diet of minimum diversity Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Children (ages 6–23 months) 6.8% (0.012) 639 3.9% (0.011) 639 5.4% (0.007) 1,278 Male children (ages 6– 23 months) 7.4% (0.016) 304 4.4% (0.013) 317 5.9% (0.008) 621 IMPEL | Implementer-Led Evaluation and Learning 14 Findings Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Female children (ages 6– 23 months) 6.3% (0.017) 335 3.4% (0.014) 322 4.9% (0.011) 657 MAD is defined as eating a certain number of times per day (minimum meal frequency) in addition to having an MDD. The MAD uses six or seven food groups depending on whether the child is breastfed or not to define MDD.8 Table 12 shows that only 3% of children are receiving a MAD. Roughly the same percentage of boys and girls are receiving a MAD (3%). Minimum meal frequency (MMF) is used to calculate the MAD. The MMF must be calculated for both breastfed and non-breastfed children. The criteria to meet this if the child is breastfeeding is that they have to have three or more feedings of solid, semi-solid, or soft foods and be between the ages of 9 and 23 months. In total, 46.5% of breastfed children met these criteria, which is illustrated in Table 13. The criteria for non-breastfed children is that they have to be between the age of 6 and 23 months and have four or more feedings of solid, semi-solid, or soft foods in addition to two or more milk feedings. Breastfed children 6–8 months must receive at least two feedings. Table 13 shows that 4.4% of non￾breastfed children surveyed met this standard. Table 12. Percentage of children ages 6–23 months receiving a minimum acceptable diet Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Children (ages 6–23 months) 3.8% (0.009) 639 2.5% (0.007) 639 3.1% (0.005) 1,278 Male children (ages 6–23 months) 4.0% (0.013) 304 2.6% (0.010) 317 3.3% (0.008) 621 Female children (ages 6– 23 months) 3.5% (0.010) 335 2.3% (0.011) 322 2.9% (0.008) 657 Table 13. Minimum meal frequency, breast-fed and non-breastfed children 6–23 months Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Minimum meal frequency for breastfed children ages 6–23 months 48.7% (0.034) 556 44.3% (0.037) 538 46.5% (0.019) 1,094 Minimum meal frequency for non-breastfed children ages 6– 23 months 2.1% (0.021) 83 5.9% (0.027) 101 4.4% (0.019) 184 Table 14 illustrates the prevalence of exclusive breastfeeding among children under 6 months. This is defined as the children under 6 months who were exclusively breastfed during the day preceding the survey, excluding any oral rehydration solution. Overall, 64% of children under the age of 6 months were exclusively breastfed. 8 The MAD does not include breastmilk as a food group. It includes dairy products as a food group for breastfed children and excludes them for non-breastfed children Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 15 Table 14. Prevalence of exclusive breastfeeding of children under 6 months of age Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Children (under 6 months of age) 60.8% (0.047) 176 65.6% (0.042) 209 63.5% (0.030) 385 Male children (under 6 months of age) 65.4% (0.047) 88 65.9% (0.060) 97 65.6% (0.036) 185 Female children (under 6 months of age) 55.9% (0.071) 88 65.4% (0.051) 112 61.4% (0.045) 200 The next two indicators focus on the percentage of children under 5 (0–59 months) who had diarrhea in the prior 2 weeks and the percentage of children under 5 (0–59 months) with diarrhea treated with oral rehydration therapy (ORT). A positive incidence is defined as a child experiencing an episode of diarrhea any time in the 2 weeks that preceded the survey, while ORT is defined as receiving an oral rehydration solution, recommended home fluids, or increased fluids. According to the survey results, 11% of children experienced diarrhea. Both boys and girls across the control and treatment areas had diarrhea at a similar rate. The prevalence of children who had diarrhea and were treated with ORTs is about 23% overall. Table 15. Percentage of children under 5 (0–59 months) years old who had diarrhea in the prior 2 weeks Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Children (ages 0–59 months) 11.8% (0.016) 2,089 10.8% (0.011) 2,112 11.3% (0.008) 4,201 Male children (ages 0–59 months) 11.9% (0.017) 1,044 10.3% (0.011) 1,016 11.1% (0.009) 2,060 Female children (ages 0– 59 months) 11.8% (0.017) 1,045 11.2% (0.015) 1,096 11.5% (0.010) 2,141 Table 16. Percentage of children under 5 (0–59 months) years old with diarrhea treated with Oral Rehydration Therapy Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Children (ages 0–59 months) 17.4% (0.034) 243 27.8% (0.038) 234 22.5% (0.025) 477 Male children (ages 0– 59 months) 16.6% (0.041) 122 33.1% (0.068) 114 24.5% (0.039) 236 Female children (ages 0– 59 months) 18.2% (0.052) 121 23.2% (0.050) 120 20.7% (0.037) 241 Table 17 displays a custom indicator that shows the percent of children under 5 years old who have had diarrhea or acute respiratory infection (ARI) in the past 15 days and received treatment within 24 hours from a health facility. Children received treatment for fever (64%) at a higher rate than for diarrhea (44%) and for ARI (43%). However, there were more children who had a fever and received treatment over the past 15 days than those who had diarrhea or ARI. IMPEL | Implementer-Led Evaluation and Learning 16 Findings Table 17. Percentage of children under 5 years old who had fever, diarrhea, or acute respiratory infection in the past 15 days and received treatment within 24 hours from a health facility Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Children (0–59 months) who received treatment within 24 hours from a health facility 54.8% (0.030) 660 59.6% (0.029) 772 57.5% (0.020) 1,432 Children (0–59 months) who had a fever and received treatment within 24 hours from a health facility 59.8% (0.035) 473 67.8% (0.034) 541 64.2% (0.023) 1,014 Children (0–59 months) who had diarrhea and received treatment within 24 hours from a health facility 44.2% (0.041) 171 44.6% (0.059) 174 44.4% (0.033) 345 Children (0–59 months) who had ARI and received treatment within 24 hours from a health facility 40.1% (0.064) 114 45.3% (0.048) 141 43.2% (0.040) 255 3.3.2 Anthropometry Anthropometric indicators traditionally include measures of prevalence rates of wasting (weight-for￾height z-score (WHZ)), stunting (HAZ), and being underweight (WAZ). Given limitations to data collection related to COVID-19 safety protocols, only the weight of children under 5 years old was captured in the baseline round of surveys. Children without a known birth month and year were excluded. Children with WAZ scores of less than -2 standard deviations are considered underweight, and those with scores of less than -3 standard deviations are considered severely underweight. A little over a quarter of children were underweight, and 8% were severely underweight. Roughly 38% of children are considered to have a normal weight. Figure 3 shows the distribution of WAZ scores.9 9 The figure shows WAZ scores across the full sample of children under 5 years of age. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 17 Table 18. Prevalence of underweight children under 5 years old Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Weight-for-age z-score (WAZ) -1.3 (0.05) 2,049 -1.3 (0.06) 2,047 -1.3 (0.04) 4,096 Percent of children under 5 years old underweight 26.3% (1.27) 2,049 25.5% (1.76) 2,047 25.9% (1.09) 4,096 Percent of children under 5 years old severely underweight 9.1% (0.94) 2,049 6.7% (1.03) 2,047 7.9% (0.76) 4,096 Percent of children under 5 years old with a normal weight* 39.3% (1.82) 2,049 37.6% (1.62) 2,047 38.4% (1.12) 4,096 * Children with WAZ scores between -1 and 2 are considered normal weight. Figure 3. Distribution of weight-for-age z-score Table 19 illustrates the underweight statistics disaggregated by gender and age group. Boys have a lower WAZ on average (-1.41) than girls (-1.15) (p-value = 0.00). Older children (2–5 years old) also have a lower z-score than infants under 2 years old (p-value = 0.00). This is also reflected in both the underweight and severely underweight percentages. IMPEL | Implementer-Led Evaluation and Learning 18 Findings Table 19. Prevalence of underweight children under 5 years old, disaggregated Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Female WAZ -1.15 (0.07) 1,033 -1.15 (0.06) 1,072 -1.15 (0.04) 2,105 Male WAZ -1.41 (0.06) 1,016 -1.4 (0.08) 975 -1.41 (0.05) 1,991 0–23 months WAZ -0.94 (0.08) 796 -1.07 (0.11) 810 -1.01 (0.06) 1,606 24–59 months WAZ -1.5 (0.05) 1,253 -1.4 (0.06) 1,237 -1.45 (0.04) 2,490 Percent of female children under 5 who are underweight 23.4% (1.46) 1,033 22.4% (1.95) 1,072 22.9% (1.25) 2,105 Percent of male children under 5 who are underweight 29.3% (1.83) 1,016 28.8% (2.09) 975 29.0% (1.38) 1,991 Percent of children ages 0–23 months underweight 21.9% (1.75) 796 25.4% (2.67) 810 23.7% (1.67) 1,606 Percent of children ages 24–59 months underweight 29.1% (1.52) 1,253 25.5% (1.81) 1,237 27.3% (1.24) 2,490 Percent of female children under 5 years that are severely underweight 7.7% (1.30) 1,033 6.1% (1.50) 1,072 6.9% (0.91) 2,105 Percent of male children under 5 years that are severely underweight 10.5% (1.13) 1,016 7.3% (1.32) 975 8.9% (0.90) 1,991 Percent of children 0–23 months that are severely underweight 8.2% (1.31) 796 7.8% (1.59) 810 8.0% (1.08) 1,606 Percent of children 24–59 months that are severely underweight 9.7% (1.14) 1,253 6.0% (0.91) 1,237 7.8% (0.81) 2,490 Female children under 5 years with a normal weight 43.4% (1.98) 1,033 41.2% (2.13) 1,072 42.3% (1.32) 2,105 Male children under 5 with a normal weight 35.1% (2.44) 1,016 33.8% (1.98) 975 34.4% (1.61) 1,991 Percent of children 0–23 months with a normal weight 48.6% (2.66) 796 44.0% (3.05) 810 46.3% (1.93) 1,606 Percent of children 24–59 months with a normal weight 33.4% (1.87) 1,253 33.5% (1.97) 1,237 33.5% (1.06) 2,490 * Children with WAZ scores between -1 and 2 are considered normal weight. 3.4 Women’s Health, Maternal Nutrition, and Reproductive Health This section focuses on the health and reproductive decisions of women of child-bearing age. The first indicator measures the percent of women of reproductive age (WRA) consuming a diet of minimum dietary diversity (MDD-W). WRA includes all women in the household 15–49 years old. MDD is measured by counting the number of food groups a woman consumed during the previous day and night. The food groups are grains, white roots and tubers, and plantains, pulses (beans, peas, and lentils), nuts and seeds, dairy, meat, poultry and fish, eggs, dark green leafy vegetables, other vitamin A- Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 19 rich fruits and vegetables, other vegetables, and other fruits. The criteria for MDD is met when a woman eats at least five of the 10 food groups specified. Table 20 shows that about 3% of women consumed a diet that met the MDD requirements. Figure 4 illustrates the distribution of the MDD score.10 Almost 65% of women consumed three or fewer food groups, with almost 60% of women consuming three food groups. The most common food group consumed was grains (99%). The next most common food groups consumed are dark green leafy vegetables (88%), vitamin A-rich fruits and vegetables (27%), other fruit (21%), meat, poultry, and fish (17%), pulses (beans, peas, and lentils) (8%), eggs (1%), dairy (1%), and nuts (1%). Table 20. Percentage of women of reproductive age consuming a diet of minimum diversity Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Women ages 15–49 years with MDD 3.2% (0.006) 2,416 3.4% (0.008) 2,467 3.3% (0.005) 4,883 Women (ages 15–18) 3.8% (0.012) 465 3.3% (0.011) 495 3.5% (0.008) 960 Women (age 19+) 3.1% (0.006) 1,951 3.4% (0.008) 1,972 3.3% (0.005) 3923 *Minimum dietary diversity (MDD) Figure 4. Dietary diversity score for women of reproductive age 10 The figure shows the distribution of the MDD score across the full sample of women of reproductive age. 0 10 20 30 40 50 Percent -1 0 1 2 3 4 5 6 7 8 9 10 Dietary diversity score IMPEL | Implementer-Led Evaluation and Learning 20 Findings Table 21 shows the percent of women of reproductive age with a live birth in the past 5 years who received at least four antenatal care (ANC) visits from skilled health personnel during their most recent pregnancies. Skilled health personnel refers to doctors, nurses, midwives, skilled birth attendants, or clinical officers. Women qualify as having received ANC if they have had at least four ANC visits. Across both control and treatment groups, about 67% of these women met these criteria during their most recent pregnancy. More than 80% of these ANC visits were with midwives. Table 21. Percentage of births receiving at least four antenatal care visits during pregnancy Control Treatment All Outcome Percent SE N Percent SE N Percent SE N ANC for WRA who had a live birth during the last 5 years* 66.1% (0.029) 1,347 68.2% (0.024) 1,372 67.1% (0.018) 2,719 *Women of reproductive ages 15–49 *Antenatal care (ANC) The Contraceptive Prevalence Rate measures non-pregnant women of reproductive age (15–49) who are currently using or whose partners are currently using at least one contraceptive method. Table 22 displays this rate. Nearly 33% of non-pregnant women between the ages of 15–49 in a union are using birth control, with all of the women using modern birth control. Modern birth control includes female and male sterilization, injectables like Depo-Provera, intrauterine devices, contraceptive pills, implants, and female and male condoms. Traditional birth control methods include rhythm and withdrawal. Table 22. Contraceptive prevalence rate Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Non-pregnant women 15– 49 in a union using birth control 35.2% (0.027) 1,178 29.6% (0.025) 1,125 32.5% (0.014) 2,303 Non-pregnant women aged 15– 49 in a union using modern birth control 35.2% (0.027) 1,178 29.6% (0.025) 1,125 32.5% (0.014) 2,303 Non-pregnant women aged 15– 49 in a union traditional birth control 0.0% n/a 0 0.0% n/a 0 0.0% n/a 0 Table 23 depicts the percent of women in a union who have knowledge of modern family planning methods that can be used to delay or avoid pregnancy. Of the women in a union between the ages of 15 and 49, 78% reported having knowledge of modern family planning methods. The rate at which women in a union reported having knowledge of modern family planning methods is similar across age groups. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 21 Table 23. Percentage of women in a union who have knowledge of modern family planning methods that can be used to delay or avoid pregnancy Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Women in a union (ages 15–49) 78.0% (0.031) 1,302 78.2% (0.034) 1,263 78.1% (0.018) 2,565 Women in a union (15– 19) 74.3% (0.048) 125 69.4% (0.059) 119 71.8% (0.039) 244 Women in a union (ages 20–29) 83.7% (0.026) 457 78.3% (0.036) 445 81.0% (0.021) 902 Women in a union (ages 30–49) 74.9% (0.042) 720 79.7% (0.035) 699 77.3% (0.020) 1,419 Table 24 presents findings on decision-making about family planning. The questions used to calculate this indicator are the following: “Did you or your partner use any of these modern contraceptive methods in the past 12 months?” and “Who usually makes the decision on whether or not you should use contraception, you, your (husband/partner), you and your (husband/partner) jointly, or someone else?” Of the women who have used modern family planning methods in the past 12 months, almost 93% report making that decision either by themselves or with their partner jointly. Table 24. Percent of women in a union who made decisions alone or with their partner jointly about modern family planning methods Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Women in a union (ages 15–49) 92.7% (0.021) 482 93.6% (0.019) 429 93.1% (0.008) 911 Women in a union (ages 15–19) 90.8% (0.056) 34 n/a n/a 20 92.5% (0.038) 54 Women in a union (ages 20–29) 94.2% (0.026) 181 96.6% (0.016) 158 95.3% (0.013) 339 Women in a union (ages 30–49) 91.8% (0.024) 267 91.6% (0.027) 251 91.7% (0.012) 518 Table 25 is a custom indicator that shows women of reproductive age practicing at least one modern method of birth control by age regardless of whether they are in a union or not. About 24% of women are practicing a modern method of birth control, with women between the ages of 20 and 49 using modern methods more (24%) than adolescent girls (9%) (p-value = 0.00). Table 25. Percent of non-pregnant adolescent girls and women of reproductive age practicing a modern method of birth control Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Adolescent girls and women of reproductive age (ages 15–49) 26.1% (0.022) 2,191 21.9% (0.016) 2,235 24.0% (0.012) 4,426 Adolescent girls (ages 15–19) 14.7% (0.027) 513 8.9% (0.014) 529 11.8% (0.016) 1,042 Women of reproductive age (ages 20–49) 29.6% (0.022) 1,678 25.9% (0.020) 1,706 27.7% (0.013) 3,384 IMPEL | Implementer-Led Evaluation and Learning 22 Findings 3.5 Water, Sanitation, and Hygiene Practices The percent of households using basic drinking water services indicator is measured by three criteria: (1) having access to an improved water source, such as a public tap or protected well, (2) having that source within 30 minutes round-trip of the home, and (3) having that source available year-round. Fewer than 16% of all households meet all three of these criteria. While nearly all sources are available year-round, and 84% have water within 30 minutes, only 19% have access to an improved source. Table 26. Percentage of households using basic drinking water services Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of households with improved water source 16.9% (2.67) 2,159 20.7% (3.31) 2,140 18.8% (1.99) 4,299 F&M 15.9% (2.39) 1,807 19.6% (3.36) 1,769 17.7% (1.96) 3,576 FNM 22.3% (5.07) 325 25.5% (4.64) 359 24.0% (3.54) 684 MNF n/a n/a 27 n/a n/a 12 22.8% (8.35) 39 Percent of households with water source within 30 minutes 95.4% (0.85) 2,159 96.5% (0.58) 2,140 95.9% (0.59) 4,299 F&M 95.7% (0.79) 1,807 96.6% (0.60) 1,769 96.1% (0.55) 3,576 FNM 93.5% (2.18) 325 95.7% (1.24) 359 94.7% (1.34) 684 MNF n/a n/a 27 n/a n/a 12 100.0% (.) 39 Percent of households with water available year-round 86.0% (1.80) 2159 82.7% (2.34) 2140 84.3% (1.23) 4,299 F&M 85.3% (1.97) 1807 82.4% (2.44) 1769 83.9% (1.32) 3,576 FNM 89.8% (2.17) 325 83.6% (3.58) 359 86.6% (2.13) 684 MNF n/a n/a 27 n/a n/a 12 86.9% (8.37) 39 Percent of households with access to basic drinking water services 13.9% (2.23) 2159 16.1% (3.02) 2140 15.0% (1.82) 4,299 F&M 13.1% (1.94) 1807 15.3% (3.04) 1769 14.2% (1.80) 3,576 FNM 18.3% (4.74) 325 18.9% (3.72) 359 18.7% (3.02) 684 MNF n/a n/a 27 n/a n/a 12 22.8% (8.35) 39 * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) Water use was estimated for only those treating water. This was done by asking what containers were used to collect water and how often water was collected. The volume of the containers was verified by the enumerator. On average, households report using 16 liters of water per person per day. Only 23% of households use the recommended 20 liters per day. Recalculating the BL16 indicator, the percentage of households using basic drinking water services, to include water use, recognizing the smaller sample, only 3.6% of households have access to basic drinking water services. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 23 Table 27. Water use per capita Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Water use per capita per day(liters) 16.6 (0.69) 990 14.8 (0.64) 1,128 15.6 (0.42) 2,118 F&M 15.53 (0.69) 829 14.02 (0.71) 929 14.72 (0.45) 1,758 FNM 21.65 (1.89) 149 18.71 (1.13) 193 20.00 (1.07) 342 MNF n/a n/a 12 n/a n/a 6 n/a n/a 18 Percent of household with access to basic drinking water services including water use 3.6% (0.93) 1002 3.5% (0.71) 1136 3.6% (0.62) 2,138 F&M 3.0% (0.87) 838 3.1% (0.69) 934 3.0% (0.54) 1,772 FNM 5.6% (2.22) 152 5.8% (1.80) 196 5.7% (1.64) 348 MNF n/a n/a 12 n/a n/a 6 n/a n/a 18 * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) Regarding water treatment and sanitation, only 3.8% of households were observed to have handwashing facilities available on the premises (Table 28). Half of the households (50%) report treating water, and solar disinfection and flocculation are the most common methods. The majority of households (66%) practice open defecation, and less than 3% have household-level improved sanitation facilities. Among those not practicing open defecation, 84% use a pit latrine without a slab, which is considered unimproved, and 48% share the facility with other households. Table 28– Table 31 summarize the water and sanitation variables by household type. Table 28. Percentage of households with soap and water at a handwashing station on the premises Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Percent of households with handwashing available 3.5% (0.90) 1,929 4.1% (0.90) 1,863 3.8% (0.55) 3,792 F&M 3.3% (0.82) 1,605 4.2% (0.87) 1,536 3.7% (0.53) 3,141 FNM 4.5% (1.83) 301 3.3% (1.22) 316 3.9% (1.11) 617 MNF n/a n/a 23 n/a n/a 11 8.3% (6.06) 34 * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) Table 29. Percentage of households in target areas practicing correct use of recommended household water treatment technologies Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of households treating water 45.5% (4.21) 2159 53.4% (3.59) 2140 49.5% (2.37) 4,299 IMPEL | Implementer-Led Evaluation and Learning 24 Findings Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of households with treated water by adding bleach or chlorine before drinking 42.1% (3.20) 1015 37.3% (3.14) 1142 39.5% (2.24) 2,157 Percent of households with treated water by filtration before drinking 10.8% (1.96) 2,159 13.7% (2.46) 2,140 12.2% (1.38) 4,299 Percent of households with treated water by solar disinfection 35.2% (3.59) 2,159 42.2% (3.30) 2,140 38.7% (1.92) 4,299 Percent of households with treated water by boiling before drinking 0.5% (0.22) 2,159 0.9% (0.27) 2,140 0.7 (0.16) 4,299 Table 30. Percentage of households in target areas practicing open defecation Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of households practicing open defecation 63.3% (4.71) 2,159 68.0% (3.68) 2,140 65.7% (2.43) 4,299 F&M 62.8% (4.64) 1,807 68.4% (3.84) 1,769 65.6% (2.47) 3,576 FNM 65.5% (6.66) 325 66.5% (5.70) 359 66.0% (3.99) 684 MNF n/a n/a 27 n/a n/a 12 64.0% (8.64) 39 * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) Table 31. Percentage of households with access to basic sanitation services Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of households with access to basic sanitation facilities 2.8% (0.85) 2,159 2.4% (0.72) 2,140 2.6% (0.58) 4,299 F&M 3.1% (0.98) 1,807 2.8% (0.82) 1,769 2.9% (0.66) 3,576 FNM 0.9% (0.52) 325 0.3% (0.21) 359 0.6% (0.28) 684 MNF n/a n/a 27 n/a n/a 12 6.5% (4.70) 39 *Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) 3.6 Agriculture Crops More than 94% of households farm, and 33% of household members 15 years old and over are classified as farmers. The targeted crops identified by the implementing partner were cassava, rice, and cloves. As shown in Table 32, cassava and rice are grown by 84% and 92% of farmers, respectively. Approximately one-quarter of farmers (28%) grow cash crop cloves. Other crops commonly grown in the area are coffee, citrus, sweet potatoes, and bananas. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 25 Table 32. Crops grown Control Treatment All Percentage of farmers growing.... Percent SE N Percent SE N Percent SE N Cassava 84.8% (2.02) 2,008 83.0% (3.09) 1,934 83.9% (1.57) 3,942 Rice 92.6% (1.11) 2,008 91.6% (0.85) 1,934 92.1% (0.67) 3,942 Cloves 25.3% (3.47) 2,008 30.4% (3.96) 1,934 27.8% (2.04) 3,942 Coffee 39.1% (3.15) 2,008 36.1% (2.68) 1,934 37.6% (1.84) 3,942 Citrus 28.5% (3.71) 2,008 29.1% (3.51) 1,934 28.8% (2.12) 3,942 Mango 9.5% (1.74) 2,008 9.1% (2.13) 1,934 9.3% (1.31) 3,942 Sweet potatoes 40.5% (3.85) 2,008 37.0% (3.78) 1,934 38.8% (2.68) 3,942 Banana 38.8% (3.12) 2,008 35.4% (3.24) 1,934 37.1% (1.70) 3,942 Vanilla 13.8% (2.16) 2,008 14.3% (2.10) 1,934 14.1% (1.22) 3,942 The use of credit and savings is not common among farmers, and crop insurance is almost non-existent. Less than a third of farmers use at least one of the value chain participation activities. The most commonly used practices are purchase of agricultural inputs (14%), trade or sale of livestock/crops from your home/community with a buyer within your community (12%), and trade or sale of livestock/crops from primary regional markets (7%). Drying was practiced by fewer than 3% of farmers.11 None of the other practices listed, including the use of extension, contract farming, or processing produce, were used by more than 1% of farmers.12 Table 33. Percentage of farmers who used financial services (savings, agricultural credit, and/or agricultural insurance) in the past 12 months & percentage of farmers who practiced the value chain interventions promoted by the activity in the past 12 months Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of farmers using agricultural credit 5.4% (1.14) 2,103 5.1% (0.69) 2,003 5.2% (0.62) 4,106 Percent of farmers who saved 12.2% (1.51) 2,105 9.8% (0.98) 2,005 11.0% (0.90) 4,110 Percent of farmers using insurance 0.3% (0.15) 2,105 0.3% (0.16) 2,005 0.3% (0.09) 4,110 Percent of farmers reporting at least one value chain activity13 36.4% (6.40) 1,645 26.0% (4.58) 1,535 31.5% (3.09) 3,180 The agricultural module included a list of agricultural practices of interest to the implementing partner. Table 34–Table 36 summarize the most common practices used by farmers for cassava, rice, and cloves. 11 Drying refers to drying produce. Drying is a means of conservation, but this does not include processing the produce. 12 The full list of value chain activities in the survey include: Purchase inputs for crops, purchase inputs for livestock, use of training and extension services, contract farming, drying produce, processing produce, trading or marketing produce through agro-dealers and/or community associations, use of formal marketing systems for livestock, use of formal marketing systems for crops, did not practice any of these activities in the past 12 months, trade or sale of livestock/crops from your home/community with a buyer from outside of your community, trade or sale of livestock/crops from your home/community with a buyer within your community, trade or sale of livestock/crops from a primary regional market. 13 The question on participation in value chain activities had the additional inclusion criteria that the farmer sell crops or livestock for income. This excluded 930 farmers. IMPEL | Implementer-Led Evaluation and Learning 26 Findings Only those practiced by at least 5% of farmers are shown.14 The most commonly used improved management practices/technologies for cassava were sowing after significant rain (5%) and inter￾planting (12%). For rice, the most common practices were sowing after significant rain (12%) and using organic manure (6%). For cloves, intercropping was practiced by 28% of farmers and the use of soil cover by 7% of farmers. However, 80%, 77%, and 62% of cassava, rice, and cloves farmers, respectively, used none of the listed practices. Table 34. Improved management practices/technologies for cassava Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of farmers using at least one practice for cassava 21.5% (2.06) 1,705 21.0% (2.56) 1,601 21.2% (1.45) 3,306 Percent of farmers interplanting for cassava 10.9% (1.55) 1,708 12.1% (1.89) 1,604 11.5% (0.97) 3,312 Percent of farmers sowing after significant rain for cassava 5.3% (1.37) 1,708 3.9% (1.27) 1,604 4.6% (0.81) 3,312 Percent of farmers that did not use modern practices one for cassava 79.7% (2.05) 1,708 79.4% (2.53) 1,604 79.6% (1.37) 3,312 Table 35. Improved management practices/technologies for rice Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of farmers using at least one practice for rice 24.0% (3.05) 1,847 22.9% (3.51) 1,770 23.5% (2.22) 3,617 Percent of farmers sowing after significant rain for rice 12.2% (2.96) 1,853 10.8% (3.35) 1,775 11.5% (2.03) 3,628 Percent of farmers that use organic manure for rice 5.4% (1.15) 1,853 6.8% (1.59) 1,775 6.1% (0.89) 3,628 Percent of farmers that did not use modern practices one for rice 76.9% (2.96) 1,853 77.5% (3.46) 1,775 77.2% (2.19) 3,628 Table 36. Improved management practices/technologies for cloves Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of farmers using at least one practice for cloves 42.5% (6.90) 528 36.0% (5.78) 576 39.0% (4.04) 1,104 Percent of farmers using inter￾planting for cloves 31% (6.99) 528 24.9% (4.30) 576 27.7% (3.83) 1,104 Percent of farmers using soil cover for cloves 5.9% (2.14) 528 7.3% (2.70) 576 6.7% (1.68) 1,104 Percent of farmers that did not use modern practices one for cloves 59.3% (7.08) 528 64.2% (5.76) 576 61.9% (4.09) 1,104 14 Only those practiced by at least 5% of farmers are shown. The full list of practices included in the survey for all three crops is: Organic manure, compost, performing weeding, sowing after useful rain, crop association, crop rotation, use of improved seeds, use of climate information (rain forecast, disaster risks, etc.), windbreak, and soil cover. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 27 The yield estimates for the three crops are presented in Table 37. Because the yield calculation is based on farmers’ recall of production and farmers’ estimates of the area planted, these numbers should be taken as rough estimates. The survey first asks farmers about the number of plots, the area of each plot, and how much of each plot was devoted to each of the three crops. Next, farmers are asked to recall the total production of each crop across all plots in the previous year. While most farmers measure land in Ares (1/100 of a hectare), many farmers measure production in volume, not weight, and this must be converted to kilograms. The average yield for cassava is slightly over 5,000 kg/ha. Rice yield is approximately 3,900 kg/ha. Clove yield is estimated to be 670 kg/ha, although clove yield is often measured per bush and not per hectare, and the area covered by cloves may have been difficult to estimate. Figure 5 shows the distribution of yields. Despite trimming extreme values, some of the yield values, particularly for rice, are likely overestimated. Figure 5. Box plot of yield estimates for target crops 0 5,000 10,000 15,000 20,000 Yield (kg per ha) Cassava Cloves Rice IMPEL | Implementer-Led Evaluation and Learning 28 Findings Table 37. Yield of targeted agricultural commodities within target areas Control Treatment All Outcome Mean Median SE N Mean Median SE N Mean Median SE N Producers of cassava reporting yield in kg per ha* 5333.1 3000 -365.08 1389 4805.7 3000 -421.92 1315 5074.29 3000 -272.12 2704 Producers of cloves reporting yield in kg per ha 680.78 231.11 -134.96 160 665.04 220 -110.15 165 672.17 222.22 -74.69 325 Producers of rice reporting yield in kg per ha* 4315.18 2400 -358.79 1606 3459.56 2333.33 -282.73 1554 3897.38 2359.13 -247.35 3160 *Kilogram (kg) *Hectare (ha) Livestock The targeted livestock are poultry, bees, and fish. The summary statistics for poultry farmers are presented in Table 38. In our sample, 67% of farmers raised poultry, and the average number of birds raised per farmer in the last year was 28. Only 27% of farmers reported any egg production from chickens in the previous week. Farmers tend to both sell poultry (61%) and consume it (80%). Over two￾thirds of farmers (67%) reported poultry dying in the last year. Vaccinations were the only practice used by more than 3% of poultry farmers, and most farmers (94%) did not use any of the listed practices. Poultry yield, defined as the total kilograms consumed or sold divided by the number of birds kept, is estimated to be 2.4 kg/bird. Table 38. Poultry farming Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of farmers raising poultry 67.5% (2.69) 2,141 65.7% (2.52) 2,046 66.6% (1.64) 4,187 Percent of farmers using vaccinations 3.0% (0.77) 1,433 5.1% (1.40) 1,340 4.0% (0.72) 2,773 Percent of farmers not using any of the poultry practices 93.9% (1.13) 1,433 92.4% (1.56) 1,340 93.2% (0.73) 2,773 Percent of farmers reporting eggs in previous week 28.0% (2.66) 1,420 25.5% (2.08) 1,322 26.8% (1.69) 2,742 Percent of farmers selling poultry in the last year 59.8% (2.42) 1,427 63.2% (2.30) 1,327 61.5% (1.38) 2,754 Percent of farmers consuming own poultry in the last year 82.8% (1.82) 1,426 77.9% (2.03) 1,327 80.4% (1.33) 2,753 Percent of farmers experiencing poultry dying in the last year 67.3% (2.43) 1,427 66.3% (2.51) 1,327 66.8% (1.81) 2,754 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 29 Only 68 individuals in the survey raised bees. Half raised them for both food and the market. As found in Table 39, the average beekeeper had four hives. Only 15 farmers reported having modern hives; therefore, the yield was excluded in this report. However, traditional hives, which are more common, yielded less than 2 liters of honey. Table 39. Beekeeping15 Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Total number of hives owned by beekeepers 4.66 (1.35) 32 4.03 (0.42) 37 4.25 (0.54) 69 Number of modern hives owned by beekeepers 2.39 (1.55) 31 0.31 (0.22) 38 1.02 (0.73) 69 Number of traditional hives owned by beekeepers 1.93 (0.35) 31 3.68 (0.27) 38 3.08 (0.37) 69 Liters of honey produced per year- -traditional hives 1.78 (0.49) 27 1.99 (0.73) 33 1.92 (0.53) 60 Percentage using beekeeping equipment (listed below) Percent of beekeepers using beehive 87.2% (9.81) 32 92.8% (4.32) 37 90.8% (4.73) 69 Percent of beekeepers using smokers 49.0% (13.11) 32 16.7% (6.49) 37 28.1% (8.41) 69 Percent of beekeepers using frames and foundations 18.4% (9.03) 32 7.3% (5.19) 37 11.2% (5.22) 69 Percent of beekeepers using veil and gloves 13.6% (5.43) 32 9.8% (6.94) 37 11.1% (4.85) 69 Percent of beekeepers using feeders 3.8% (3.53) 32 0.0% (.) 37 1.4% (1.56) 69 Percent of beekeepers using heated knifes 29.8% (11.54) 32 22.4% (4.15) 37 25.0% (4.68) 69 Percent of beekeepers using uncapping forks 6.9% (4.40) 32 7.3% (5.19) 37 7.1% (3.47) 69 Percent of beekeepers using tub for wax/honey 3.8% (3.53) 32 1.5% (1.56) 37 2.3% (1.95) 69 Percent of beekeepers using extractors 0.0% (.) 32 1.5% (1.56) 37 1.0% (0.96) 69 Percent of beekeepers using food￾grade buckets 6.2% (4.00) 32 9.9% (6.93) 37 8.6% (4.38) 69 Percent of beekeepers using double sieves 9.2% (5.13) 32 3.0% (3.13) 37 5.2% (3.26) 69 Percent of beekeepers using containers 3.8% (3.53) 32 3.6% (3.03) 37 3.7% (2.60) 69 Percent of beekeepers using queen excluders 2.1% (2.11) 32 3.0% (3.13) 37 2.7% (2.10) 69 Percent of beekeepers using queen cages 5.9% (4.02) 32 6.9% (4.27) 37 6.6% (2.72) 69 Percent of beekeepers using beekeeper's suits 3.8% (3.53) 32 3.0% (3.13) 37 3.3% (2.64) 69 15 The sample size is small so these results may not be representative and should be interpreted with caution IMPEL | Implementer-Led Evaluation and Learning 30 Findings Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Percent of beekeepers using nylon brush 5.9% (4.02) 32 1.5% (1.56) 37 3.1% (2.20) 69 Percent of beekeepers using attracts swarms 8.2% (4.53) 32 5.8% (3.88) 37 6.6% (2.77) 69 Percent of beekeepers using filter cloths 11.3% (5.20) 32 22.5% (6.25) 37 18.6% (5.53) 69 Percent of beekeepers using knives 32.7% (13.20) 32 43.2% (10.76) 37 39.5% (8.87) 69 Percent of beekeepers using buckets 12.0% (6.29) 32 24.8% (6.04) 37 20.2% (5.53) 69 In the sample, 287 individuals report fishing. Roughly half of fishermen fish for both home consumption and market, 46% of those fishing fish for home consumption only, and fishing for the market only is not common. Table 40. Fishing Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Percent of fishers fishing for food only 56.5% (8.85) 160 33.9% (8.27) 127 45.5% (5.93) 287 Percent of fishers fishing for market only 1.2% (0.72) 160 5.0% (2.58) 127 3.03% (1.37) 287 Percent or fishers fishing for both food and market 42.4% (8.89) 160 61.1% (7.78) 127 51.5% (5.53) 287 Percent of fishers using a pirogue 29.7% (7.36) 159 27.3% (7.56) 127 28.6% (5.01) 286 Percent of fishers using nets 43.3% (7.87) 159 45.5% (6.79) 127 44.4% (5.17) 286 Percent of fishers using containers 33.6% (8.12) 159 30.6% (7.05) 127 32.1% (4.42) 286 3.7 Poverty Measurement This section presents three measures of poverty, all based on household expenditure. The measures are per capita daily expenditure, the percentage living on less than $1.90 per day (2011 purchasing power parity (PPP)), and the depth of poverty of the poor. The equivalent of $1.90 in current Malagasy Ariary was determined to be 2,443.16 17 The poverty measures are summarized in Table 41. The mean per capita expenditure is 2,070 Ariary, or about $1.61 per day. The poverty rate is approximately 72%. The depth of poverty of the poor is 33%, which means that the average poor person is 33% below the poverty line. In monetary terms, this 16 The 2011 PPP used was 700.228 Ariary/dollar. The Consumer Price Index used for 2011 was 72.11 and 132.5 for 2020. This gives us the poverty line = 1.9 * 700.228 * 132.5 / 72.18 = 2243 17 The expenditure module of the survey followed standard practices for expenditure calculation. Frequent items, primarily foods, used 7-day recall. Less frequent purchases used a 30-day or 12-month recall. A rental equivalent is used to value housing and durable goods. Enumerators reported a few extreme cases of people with essentially zero expenditures who lived on what they could collect, forage, or receive from begging. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 31 means it would require $0.63 per person per day to bring every poor person out of poverty. Figure 6 shows the distribution of expenditure values across the full sample. The poverty line is shown in dark blue. Table 41. Poverty measures Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Prevalence of Poverty: Percentage of people living on less than $1.90/day 69.5% (1.19) 2,160 74.3% (1.18) 2,140 71.9% (0.84) 4,300 Daily per capita expenditure (Ariary) 2,099.07 (23.37) 2,160 2040.82 (22.50) 2,140 2,069.51 (16.20) 4,300 Daily per capita expenditure (Dollars) 1.63 (0.02) 2,160 1.59 (0.02) 2,140 1.61 (0.01) 4,300 Depth of Poverty of the Poor: Mean percent shortfall of the poor relative to the $1.90/day 2011 PPP poverty line 32.81 (0.00) 1,404 32.41 (0.00) 1,512 32.6 (0.00) 2,916 Figure 6. Distribution of expenditure These measures are further broken down by household type (Table 42). The types are F&M, FNM, MNF, and child no adult (CNA). In the present case, there were no CNA households. There are no large IMPEL | Implementer-Led Evaluation and Learning 32 Findings differences between F&M and FNM households. There are very few MNF households, and therefore it is difficult to draw conclusions about this group. Table 42. Disaggregated poverty measures by household types Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Prevalence of Poverty: Percentage of people living on less than $1.90/day 69.5% (1.19) 2,160 74.3% (1.18) 2,140 71.9% (0.84) 4,300 F&M 69.7% (1.29) 1,808 74.1% (1.28) 1,769 71.9% (0.91) 3,577 FNM 68.6% (3.14) 325 75.3% (2.77) 359 72.1% (2.10) 684 MNF n/a n/a 27 n/a n/a 12 68.3% (8.69) 39 Daily per capita expenditure (Ariary) 2,099.07 (23.37) 2,160 2,040.82 (22.50) 2,140 2,069.51 (16.20) 4,300 F&M 2,087.56 (24.82) 1,808 2,025.98 (24.03) 1,769 2,056.39 (17.26) 3,577 FNM 2,184.62 (71.94) 325 2,151.65 (64.46) 359 2,167.27 (48.04) 684 MNF n/a n/a 27 n/a n/a 12 2,387.16 (193.13) 39 Daily per capita expenditure (Dollars) 1.63 (0.02) 2,160 1.59 (0.02) 2,140 1.61 (0.01) 4,300 F&M 1.62 (0.02) 1,808 1.58 (0.02) 1,769 1.6 (0.01) 3,577 FNM 1.7 (0.06) 325 1.67 (0.05) 359 1.69 (0.04) 684 MNF n/a n/a 27 n/a n/a 12 1.86 (0.15) 39 * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) 3.8 Gender Dynamics Gender dynamics are captured through the six indicators in this section. Because the survey targeted only men and women in a union, they are the only ones included in this section. These indicators explore male and female financial resources and access to credit. 3.8.1 Use of Financial Resources This section presents findings on participation in cash earning activities across men and women in a union. Table 43 illustrates that, of the number of women and men in a union, 74% participated in cash earning activities in the past year. According to respondents, it was more common for men in a union to be cash earners (89%) than for women in a union (59%) (p-value = 0.00). Table 43. Percentage of women and men in a union who earned cash in the past 12 months Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Cash earners in a union 74.5% (0.024) 3,220 73.9% (0.016) 3,164 74.2% (0.011) 6,384 Cash earning women in a union 58.6% (0.045) 1,560 58.7% (0.034) 1,562 58.6% (0.019) 3,122 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 33 Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Women in a union (ages 15–19) 51.6% (0.065) 120 55.9% (0.051) 110 53.7% (0.036) 230 Women in a union (ages 20–29) 62.2% (0.050) 455 55.5% (0.044) 429 59.0% (0.027) 884 Women in a union (ages 30–49) 62.1% (0.041) 682 62.9% (0.034) 696 62.5% (0.019) 1,378 Cash earning men in a union 89.6% (0.012) 1,660 88.7% (0.014) 1,602 89.2% (0.008) 3,262 Men in a union (ages 15–19) n/a n/a 20 n/a n/a 29 74.1% (0.074) 49 Men in a union (ages 20–29) 84.2% (0.022) 329 88.8% (0.021) 270 86.3% (0.016) 599 Men in a union (ages 30+) 91.2% (0.013) 1,311 89.0% (0.016) 1,303 90.1% (0.009) 2,614 Table 44 shows the percentage of cash-earning women in a union who report participation in decisions about the use of self-earned cash. The large majority of women in a union (84%) reported that they participate in decisions about how to use their cash, whether solely or jointly, with others. Table 44. Percentage of women in a union and earning cash who report participation in decisions about the use of self-earned cash Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Cash earning women in a union 86.6% (0.031) 934 82.1% (0.041) 914 84.4% (0.016) 1,848 Women in a union (ages 15–19) 86.7% (0.064) 67 63.1% (0.111) 57 74.8% (0.063) 124 Women in a union (ages 20–29) 87.1% (0.034) 286 83.8% (0.043) 242 85.6% (0.024) 528 Women in a union (ages 30–49) 84.0% (0.039) 432 82.0% (0.044) 440 83.0% (0.018) 872 Table 45 highlights the percentage of cash-earning men in a union who report that their spouse participates in decision-making about the use of self-earned cash. Approximately 82% of men perceive their wives to be involved in decision-making. There is little variation across age groups.18 Table 45. Percentage of men in union and earning cash who report spouse/partner participation in decisions about the use of self-earned cash Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Cash earning men in union 82.9% (0.024) 1,479 80.8% (0.025) 1,426 81.9% (0.015) 2,905 Men in a union (ages 15–19) n/a n/a 15 n/a n/a 20 82.7% (0.078) 35 18 The sample for baseline 34 indicator (Percentage of women in a union and earning cash who report spouse/partner participation in decisions about the use of self-earned cash) was not going to be reflective of all cash earning women in a union, so it was left out of the reporting. IMPEL | Implementer-Led Evaluation and Learning 34 Findings Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Men in a union (ages 20–29) 81.7% (0.034) 280 81.3% (0.036) 240 81.5% (0.021) 520 Men in a union (ages 30+) 83.1% (0.024) 1,184 80.8% (0.027) 1,166 82.0% (0.016) 2,350 3.8.2 Credit This section presents findings on the use of credit among men and women in a union. Table 46 shows that over a third of men and women in a union (36%) borrowed in the previous 12 months. Women and men in a union report borrowing at similar rates (36% and 35%). Table 46. Percentage of women/men in a union with access to credit Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Men and women in a union 35.6% (0.030) 3,220 35.9% (0.029) 3,164 35.8% (0.017) 6,384 Men in a union 36.0% (0.030) 1,660 36.5% (0.027) 1,602 36.2% (0.016) 3,262 Men in a union (ages 15–19) n/a n/a 20 n/a n/a 29 24.1% (0.075) 49 Men in a union (ages 20–29) 39.1% (0.041) 329 39.8% (0.043) 270 39.4% (0.026) 599 Men in a union (ages 30+) 35.4% (0.030) 1,311 36.0% (0.027) 1,303 35.7% (0.017) 2,614 Women in a union 35.2% (0.030) 1,560 35.4% (0.032) 1,562 35.3% (0.018) 3,122 Women in a union (ages 15–19) 26.2% (0.062) 120 33.1% (0.065) 110 29.5% (0.045) 230 Women in a union (ages 20–29) 41.4% (0.043) 455 36.7% (0.039) 429 39.1% (0.025) 884 Women in a union (ages 30–49) 34.0% (0.031) 682 37.3% (0.036) 696 35.7% (0.022) 1,378 Of men and women in a union who report borrowing, a majority of them (69%) participate in decisions about credit. These are decisions made by the respondents alone and with a spouse/partner or another individual. As illustrated in Table 47, men in a union participate in decisions about credit at a much higher rate than women in a union (p-value = 0.00), with 87% of men in a union reportedly making credit decisions. Table 47. Percentage of women/men in a union who make decisions alone or jointly about credit Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Men and women in a union 69.9% (0.024) 1,165 67.3% (0.020) 1,115 68.6% (0.014) 2,280 Men in a union 88.9% (0.021) 615 86.7% (0.029) 585 87.8% (0.016) 1,200 Men in a union (ages 15– 19) n/a n/a 5 n/a n/a 8 n/a n/a 13 Men in a union (ages 20– 29) 89.8% (0.029) 138 91.3% (0.032) 109 90.5% (0.024) 247 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 35 Control Treatment All Outcome Percent SE N Percent SE N Percent SE N Men in a union (ages 30+) 88.7% (0.022) 472 85.6% (0.037) 468 87.1% (0.019) 940 Women in a union 49.4% (0.046) 550 46.7% (0.065) 530 48.0% (0.035) 1,080 Women in a union (ages 15–19) 40.0% (0.106) 36 38.4% (0.116) 32 39.1% (0.082) 68 Women in a union (ages 20–29) 47.4% (0.051) 189 34.6% (0.057) 162 41.6% (0.037) 351 Women in a union (ages 30–49) 53.5% (0.058) 239 52.8% (0.062) 243 53.1% (0.037) 482 3.9 Resilience 3.9.1 Ability to Recover from Shocks and Stresses Index The ability to recover from shocks and stresses index reflects the ability to recover from negative events that have impacted the household. On average, households score 2.6 on this index. This index is composed of indices that reflect how households perceived their recovery as well as the total number and severity of shocks the household experienced over the past year. Table 48 below illustrates that there was little to no observable difference across treatment and control household responses (see Annex A for tests of significance). There is also little variation in the perceived ability to recover across the different household types (p-value = 0.30). Table 48. Ability to recover from shocks and stresses index Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Household ability to recover from shocks & stresses index 2.586 (0.062) 1,849 2.606 (0.045) 1,862 2.596 (0.033) 3,711 F&M 2.6 (0.062) 1,553 2.604 (0.047) 1,542 2.602 (0.035) 3,095 FNM 2.52 (0.099) 273 2.615 (0.068) 310 2.571 (0.050) 583 MNF n/a n/a 23 n/a n/a 10 2.441 (0.103) 33 Household ability to recover index (2–6) 2.594 (0.065) 1,884 2.612 (0.052) 1,881 2.603 (0.039) 3,765 F&M 2.598 (0.068) 1,576 2.601 (0.056) 1,560 2.599 (0.042) 3,136 FNM 2.586 (0.092) 283 2.671 (0.066) 311 2.63 (0.051) 594 MNF n/a n/a 25 n/a n/a 10 2.395 (0.111) 35 IMPEL | Implementer-Led Evaluation and Learning 36 Findings Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Household total shocks experiences (0- 22) 2.292 (0.085) 2,160 2.283 (0.091) 2,140 2.287 (0.053) 4,300 F&M 2.357 (0.087) 1,808 2.355 (0.098) 1,769 2.356 (0.057) 3,577 FNM 1.959 (0.111) 325 1.937 (0.080) 359 1.948 (0.065) 684 MNF n/a n/a 27 n/a n/a 12 2.074 (0.385) 39 Household shock exposure index (0-176) 13.664 (0.586) 2,074 13.217 (0.571) 2,077 13.439 (0.364) 4,151 F&M 14.041 (0.584) 1,745 13.616 (0.597) 1,717 13.828 (0.377) 3,462 FNM 11.442 (0.821) 305 11.191 (0.631) 350 11.311 (0.479) 655 MNF n/a n/a 24 n/a n/a 10 16.829 (2.620) 34 * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) The perceived ability to recover index reflects a household’s perspective on their ability to meet food needs now, relative to the previous year, as well as their ability to meet their future food needs. Households score an average of 2.6 (range of 2–6). In other words, households perceive their ability to meet their current needs as worse than the previous year and suspect that their ability to meet these needs will deteriorate in the future. There is variation in how different household types perceive their ability to recover (p-value = 0.00), with households with no female adult present reporting a lower ability to recover and households with no male adult present reporting a higher ability. Households experienced an average of 2.3 out of 22 possible shocks in the previous year. The most commonly reported shocks are illustrated below in Figure 7, which shows the shocks experienced by at least 10% of households. A large majority of households (80%) listed the drought as one of these shocks. Other common shocks listed included rising food prices, livestock diseases, and crop pests. In terms of the number and intensity of shocks experienced, households scored an average of 13.4 out of 176, which accounts for 22 shocks and four different levels of severity (regarding both the impact on the household economic situation and impact on household consumption). This suggests that out of the average of 2.3 shocks experienced, households perceived those shocks to be severe. The shock exposure index varies across household types (p-value = 0.00), with households with no female adult present reporting a greater number and intensity of shocks and households with no male adult present reporting the lowest. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 37 Figure 7. Most common shocks reported by households 3.9.2 Social Capital Indices These indices convey the ability of households to draw on social networks to get support to reduce the impact of shocks and stresses on their households.19 They measure both the degree of bonding—social capital among households within their own communities—and the degree of bridging—social capital between households in the area and households outside their own community. Findings suggest that households are able to draw on other households within their community slightly more (average score of 54.4) than they are able to draw on other households outside of their community (average score of 48.2). There is variation across household types in both the bonding subindex (p-value = 0.00) and the bridging subindex (p-value = 0.05). In both cases, households with both male and female adults present are more able to draw on community members for support than households with one or the other adult not present. Table 49. Social capital indices Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Household bonding subindex (0–100) 52.773 (1.892) 2,160 56.001 (2.187) 2,140 54.391 (1.093) 4,300 F&M 53.442 (2.028) 1,808 56.605 (2.166) 1,769 55.023 (1.095) 3,577 FNM 49.724 (2.451) 325 53.627 (2.810) 359 51.732 (1.805) 684 19 Two questions that are included in the social capital index were accidentally deleted from the FIOVANA survey. Specifically, these questions were “who could households turn to inside (and outside) of the village if they needed help urgently.” Due to this, we do not create the full social capital index but only report two of the subindices that form the full index. Here the bonding index focuses only on whom households would give help to within their communities, and the bridging index focuses only on whom households would give help to outside of their communities. IMPEL | Implementer-Led Evaluation and Learning 38 Findings Control Treatment All Outcome Mean SE N Mean SE N Mean SE N MNF n/a n/a 27 n/a n/a 12 43.644 (7.412) 39 Household bridging subindex (0–100) 46.348 (2.113) 2,160 49.975 (2.371) 2,140 48.165 (1.271) 4,300 F&M 46.682 (2.270) 1,808 50.392 (2.348) 1,769 48.537 (1.334) 3,577 FNM 45.488 (2.554) 325 47.952 (3.319) 359 46.756 (1.887) 684 MNF n/a n/a 27 n/a n/a 12 38.943 (7.014) 39 * Gendered Household Type: Female and Male Adults (F&M), Adult Female no Adult Male (FNM), Adult Male no Adult Female (MNF) 3.9.3 Absorptive Capacity Index The absorptive capacity index reflects the ability of households to prepare for, deal with, and mitigate the impact of shocks and stressors on well-being outcomes through preventive measures and positive coping strategies. Overall, households score 30.3 out of 100 on this index, reflecting a low ability to absorb shocks.20 As discussed below, there are few resources that households have access to that would enable them to better mitigate shocks. A key aspect of the absorptive capacity index captures financial resources that households have access to in order to absorb shocks. Overall, very few households have access to financial resources for absorbing shocks, lowering their ability to mitigate the impact of shock on well-being outcomes. Specifically, only 12% of households have cash savings, 1% have reported receiving remittances, and less than 1% have access to insurance. Households on average own 6.4 different types of household and productive assets (out of 43), although this does not necessarily mean that households have a large asset stock. Table 50. Absorptive capacity index Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Household absorptive capacity index (0–100) 27.103 (1.456) 1,904 33.376 (1.834) 1,952 30.264 (1.108) 3,856 Household access to cash savings index (0–1) 0.118 (0.017) 2,159 0.115 (0.015) 2,140 0.117 (0.009) 4,299 Household asset ownership index - total type (0–31) 6.416 (0.187) 2,102 6.398 (0.147) 2,089 6.407 (0.109) 4,191 Household remittances index (0–1) 0.01 (0.003) 2,160 0.012 (0.003) 2,140 0.011 (0.002) 4,300 Household access to insurance index (0–1) 0.003 (0.002) 1,990 0.003 (0.002) 1,966 0.003 (0.001) 3,956 Household bonding social capital index (0–6) 1.112 (0.044) 2,160 1.199 (0.055) 2,140 1.156 (0.026) 4,300 20 The three resilience indices were calculated by taking the first principal component of all of the sub-indices included in those tables. We then predicted the score for each household based on the weighted combination of the first component and the subindices. This score was rescaled to be between 0 and 100. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 39 Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Household access to informal safety nets index (0–6) 2.396 (0.169) 2,080 2.779 (0.136) 2,140 2.59 (0.100) 4,220 Household shock preparedness & responsiveness index (0–3) 0.922 (0.055) 2,160 1.098 (0.071) 2,140 1.01 (0.044) 4,300 Household access to humanitarian assistance index (0–1) 0.089 (0.026) 2,160 0.277 (0.037) 2,140 0.183 (0.025) 4,300 The absorptive capacity index also captures the level of social capital that households have access to in order to help them absorb shocks. Overall, findings suggest that most households have low social capital. The bonding social capital index reflects the number of types of individuals that households could draw on inside of their communities (out of three groups). On average, households feel able to draw on 1.2 of these types of individuals. Moreover, households reported that they have moderate access to and have been active in community organizations that typically serve as informal safety nets. On average, households have access to 2.5 of six types of safety nets. Another element of absorptive capacity is how well a household is prepared to mitigate shocks21 through the availability of disaster preparedness groups in the community, as well as other household shock mitigation strategies. On average, households score a 1.01 out of 3 on this index, suggesting a lower ability to mitigate shocks. The last dimension of absorptive capacity is the availability of humanitarian assistance in the community. Less than one-fifth of households (18%) reported that they had received emergency food or cash assistance from the government or from a non-governmental organization (NGO). 22 3.9.4 Adaptive Capacity Index The adaptive capacity index measures the ability of households to manage resources and make proactive and informed choices to better prepare for and adapt to future shocks. The index is composed of several components that reflect different resources or adaptive abilities. On average, households score 31.8 out of 100 on this index, 23 which suggests that households have a limited ability to manage resources and adapt to future shocks. Households across the treatment and control groups perform similarly on this score. 21 This index does not include whether the household reports participating in any of the following activities: soil conservation activities, flood diversion structures (i.e., protection of land/infrastructure from flooding), planting trees on communal land, or improving access to health services given available data. 22 Note that this index does not capture whether non-governmental organization/government assistance is available in their community, but they have not received it. 23 We followed precedent with TANGO and did not exclude factors that loaded negatively on the first component in the construction of this index. This is because we want the indices to be comparable across baseline and endline (where at endline, the factors that load negatively may be different). However, the two scores are comparable on average. IMPEL | Implementer-Led Evaluation and Learning 40 Findings Table 51. Adaptive capacity index Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Household adaptive capacity index (0–100) 29.73 (1.218) 1,886 33.966 (1.072) 1,863 31.846 (0.691) 3,749 Household bridging social capital index (0–6) 0.978 (0.049) 2,160 1.063 (0.060) 2,140 1.02 (0.030) 4,300 Household linking social capital (0–4) 0.041 (0.010) 2,160 0.029 (0.005) 2,140 0.035 (0.006) 4,300 Household social network index (0–6) 1.462 (0.094) 2,150 1.959 (0.092) 2,140 1.711 (0.061) 4,290 Household education/training index (0–8) 1.112 (0.053) 2,159 1.245 (0.056) 2,135 1.179 (0.038) 4,294 Household asset ownership index - total type (0–31) 6.416 (0.187) 2,102 6.398 (0.147) 2,089 6.407 (0.109) 4,191 Household access to financial resources (0–2) 0.403 (0.114) 2,160 0.787 (0.063) 2,140 0.595 (0.062) 4,300 Household livelihood diversification index (0– 20) 2.716 (0.099) 2,160 2.799 (0.105) 2,140 2.757 (0.059) 4,300 Household adoption of improved practices index (0–1) 0.07 (0.013) 1,990 0.059 (0.011) 1,966 0.064 (0.008) 3,956 Household exposure to information index (0–19) 4.215 (0.343) 2,160 4.248 (0.291) 2,140 4.232 (0.176) 4,300 Household aspirations/confidence to adapt index (0–16) 9.205 (0.100) 2,056 9.198 (0.122) 2,039 9.202 (0.059) 4,095 One aspect of the adaptive capacity index captures households’ social capital and networks, given that households that are able to leverage these networks more effectively may better prepare for and adapt to future shocks. Across these indicators, households score poorly, suggesting that households are not able to effectively leverage social capital and networks to adapt to shocks. In particular, the bridging social capital index reflects the number of types of individuals that households could draw on outside of their communities (out of three groups). On average, households feel able to draw on 1.0 of these types of individuals. The linking social capital index reflects how well-connected households are to government or NGO leaders and whether they can draw on them for help. Households score very low (0.04 out of 4) on this, suggesting that the majority of households neither know leaders nor are they able to ask leaders for help. Finally, the social network index captures household access to and participation in various support groups. Households score a 1.7 out of 6, suggesting that only a minority of households have access to and/or participate in these groups. Another aspect of the adaptive capacity index captures the human resources, assets, and financial resources available to households to mitigate shocks. Overall, households have low levels of human capital and asset resources, suggesting constraints on the overall resource pool they are able to draw on in the face of shocks. The education/training index reflects the level of human capital in the household, Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 41 specifically adult literacy, whether any adult has surpassed primary school, and the number of trainings in which household adults have participated. Households score low (1.8 out of 8) on this indicator, reflecting that overall household human capital is low. The asset ownership index illustrates the number of different types of assets a household owns (out of 43 types). On average, a household owns 6.4 different types of assets. This could mean that overall household asset stock is low, although this does not reflect the value of each asset. Finally, the access to financial resources index reflects the financial resources available in the village through credit and savings institutions. Households have, on average, 0.6 out of 2 of these institutions available to them. A third aspect of the adaptive capacity index reflects how diversified and improved household livelihood activities are. In summary, household activities are not well-diversified, and few households have adopted improved practices. The livelihood diversification index reflects the number of different livelihood activities that households were engaged in over the past year. Overall, households were engaged in an average of 2.6 out of 20 activities, indicating that activities are not well-diversified. The adoption of improved practices index24 reflects whether households adopted improved crop or livestock practices, natural resource management practices, or improved storage practices. Overall, households score 0.06 out of 1, indicating that only a minority of households have adopted improved practices. The exposure to information index captures the number of topics that households have received information on in the past year, which relates directly to a household’s ability to make informed choices in order to better prepare for shocks. On average, households have received information on 4.2 out of 19 available topics, highlighting that households have had limited exposure to information to help inform shock mitigation strategies. Finally, the aspirations/confidence to adapt index reflects a household adult’s aspirations, confidence to adapt, and a sense of control over one’s life. On average, adults score 9.2 out of 16 on this index, reflecting a moderate sense of confidence to adapt. 3.9.5 Transformative Capacity Index The transformative capacity index25 captures system-level resources, governance, and institutions that make up the enabling environment that promotes or limits a household’s capacity to respond to shocks and stressors. On average, households score 35.7 out of 100 on this index,26 indicating that there are not very strong institutions available to enhance household capacity to respond to shocks. Households across the treatment and control groups perform similarly on this score. 24 This index does not include a measure of quality for each of the service types. Instead, it only captures whether or not the service exists. Health services reflect whether NGOs are currently conducting health activities and not whether local health institutions are available. 25 Note that this index does not include the following sub-indices given data availability: access to livestock services and collective action. 26 We followed precedent with TANGO and did not exclude factors that loaded negatively on the first component in the construction of this index. This is because we want the indices to be comparable across baseline and endline (where at endline the factors that load negatively may be different). For the case of the transformative index, the index that adjusts for negative factors is 35.11 on average across the sample. The main driver between these scores is that the infrastructure factor gets more weight in the score we show here. IMPEL | Implementer-Led Evaluation and Learning 42 Findings Table 52. Transformative capacity index Control Treatment All Outcome Mean SE N Mean SE N Mean SE N Household transformative capacity index (0–100) 35.305 (2.474) 1,333 36.007 (2.655) 1,782 35.734 (1.747) 3,115 Household access to infrastructure index (0–4) 1.004 (0.104) 2,160 0.949 (0.107) 2,140 0.976 (0.068) 4,300 Household basic services index (0–4) 1.375 (0.082) 2,160 1.92 (0.074) 2,140 1.648 (0.061) 4,300 Household access to markets index (0–1) 1 (.) 2,160 1 (.) 2,140 1 (.) 4,300 Household access to communal natural resources index (0–4) 0.237 (0.070) 2,160 0.156 (0.065) 2,140 0.197 (0.036) 4,300 Household access to agricultural services index (0–1) 0.044 (0.032) 2,160 0.146 (0.065) 2,140 0.095 (0.038) 4,300 Household bridging social capital index (0–6) 0.978 (0.049) 2,160 1.063 (0.060) 2,140 1.02 (0.030) 4,300 Household linking social capital index (0-4) 0.041 (0.010) 2,160 0.029 (0.005) 2,140 0.035 (0.006) 4,300 Household social cohesion index (0–3) 0.169 (0.059) 2,160 0.16 (0.066) 2,140 0.165 (0.033) 4,300 Household local decision￾making index (0–1) 0.34 (0.027) 2,148 0.359 (0.025) 2,122 0.349 (0.015) 4,270 Household gender index (0– 3) 2.368 (0.080) 2,160 2.118 (0.047) 2,140 2.243 (0.053) 4,300 Household gender equitable decision-making index (0–2) 0.704 (0.036) 2,160 0.665 (0.048) 2,140 0.684 (0.018) 4,300 Household access to formal safety nets index (0–13) 1.787 (0.165) 1,339 1.562 (0.136) 1,800 1.649 (0.097) 3,139 Household local government responsiveness index (0–2) 0.871 (0.050) 2,160 0.951 (0.042) 2,140 0.911 (0.025) 4,300 One dimension of the transformative capacity index is the accessibility of infrastructure and services in the community. Communities have access to some basic services but even fewer key infrastructure types. The basic services index27 illustrates the number of services (police force, primary schools, health, and financial services) that are available in the community. Households have access to 1.6 out of four of these services on average. The access to infrastructure index reflects how many types of key infrastructure (electricity grid, piped water, mobile phone service, and roads) are available in the community. On average, households have access to 0.98 out of four of these types of key infrastructure. The next dimension of the transformative capacity index is the availability of economic institutions to support livelihoods. Access to these economic institutions is varied. All households report having access 27 This index does not include a measure of quality for each of the service types. Instead, it only captures whether or not the service exists. Health services reflect whether NGOs are currently conducting health activities and not whether local health institutions are available. Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Findings 43 to markets.28 Only 10%, however, report having access to agricultural extension services. 29 Few households have access to natural communal resources: on average, households have access to only 0.20 out of four natural communal resources (communal grazing land, water source, firewood, and irrigation source). Specifically, 15% of communities have communal grazing land, 3% of communities have an irrigation source, less than 1% of communities have a communal water source, and no communities report a communal firewood source. Another aspect of the transformative capacity index reflects the strength of households to support themselves through their networks. Overall, the ability of households to draw on their networks is low. In particular, the bridging social capital index reflects the number of types of individuals that households could draw on outside of their communities (out of three groups). On average, households feel able to draw on 1.0 of these types of individuals. The linking social capital index reflects how well-connected households are to government or NGO leaders and whether they can draw on them for help. Households score very low (0.04 out of 4) on this, suggesting that the majority of households either do not know leaders or they are not able to ask leaders for help. The social cohesion index30 illustrates how active households have been in various support groups in the community. On average, households report engaging in 0.17 out of three support groups, reflecting that participation in support groups is not common. Finally, the local decision-making index reflects how actively households participate in groups in their communities. About one-third of households (35%) report active participation. Another dimension captured by the transformative capacity index is the extent to which there are gender-related barriers in the community. Overall, there seem to be a moderate number of gender￾related barriers in the community. The gender index reflects constraints to gender-neutral behavior at the community level. On average, communities report 2.2 out of three gender-neutral behaviors are norms. The gender equitable decision-making index31 reflects how equitable decision-making is across male and female adults within the same household. On average, households score 0.68 out of 2 on this index, reflecting that out of two key household decisions, on average, 0.68 involve both male and female household members. A final dimension of the transformative capacity index measures how available and reliable external sources of support are. Overall, households have access to a low number of these external resources. The formal safety nets index reflects the number of external safety nets (e.g., emergency food or cash assistance, agricultural inputs) available in the community. Overall, households have access to 1.6 out of 13 formal safety nets. The government responsiveness index reflects whether households have access to a reliable police force and a peace committee.32 On average, households have access to 0.91 of two of these resources. 28 We assumed that any community in which a household reported selling crops to a local market had access to a market. 29 This index was calculated based on the percentage using agricultural extension services versus those with access, given available data. 30 This index ranges from 0–3 instead of 0–4 as we do not have data on whether community members came together for social events. 31 This index does not include measures of equitable decision-making around nutrition and child health as well as around savings. Thus, the index ranges from 0–2 instead of 0–4. 32 This indicator also corresponds to the baseline 24% of households that believe local government will respond effectively to future shocks and stresses. IMPEL | Implementer-Led Evaluation and Learning 44 Comparison of Treatment and Control Groups 4. COMPARISON OF TREATMENT AND CONTROL GROUPS Based on the data collected in the baseline, the research can evaluate the overall comparability of the treatment and control groups. This is done by comparing the mean values of a range of demographic and household-level characteristics and identifying any trends of statistically significant differences between the two groups. The table below illustrates the results of the exercise and confirms that the treatment and control group are, overall, balanced. There are no statistically significant differences in means between the two household groups at baseline. A joint test of orthogonality demonstrates that the balance characteristics are balanced (p-value = 0.976). Additional balance tables between treatment and control groups are in Annex A of this report. Table 53. Household roster balance table Control Treatment Outcome Mean N Mean N Difference P-value Average age of people in the household roster 20.795 12,535 20.904 12,555 0.109 0.823 Percent of females in the household roster 51.047% 12,535 51.358% 12,557 0.311 0.641 Percent of farmers in the household roster 34.626% 6,324 31.508% 6,415 -3.118 0.078 Percent of people with at least some schooling in the household roster 65.895% 10,409 68.879% 10,409 2.983 0.31 Percent of people who worked for cash in the roster 52.306% 7,689 51.369% 7,746 -0.936 0.728 Percent of households with adult male and female present in the roster 83.058% 2,160 82.701% 2,140 -0.357 0.852 Percent of households with adult female only present in the roster 15.825% 2,160 16.709% 2,140 0.883 0.637 Percent of households with adult male only present in the roster 1.116% 2,160 0.59% 2,140 -0.527 0.075 Household Head Average age of heads of households in the roster 44.651 2,156 45.462 2,141 0.811 0.39 Percent of female head of households in the roster 25.317 2,157 27.897 2,142 2.58 0.26 Percent that did not attend school in the roster 32.966 2,157 31.898 2,142 -1.068 0.719 Percent of people in the roster with some schooling, less than primary 34.228 2,157 30.171 2,142 -4.057 0.14 Percent of people in the roster that completed Primary or more 32.788 2,156 37.924 2,141 5.136 0.053 *Denotes significance at 10 pct., ** at 5 pct., and *** at 1 pct. The p-value for a joint test of orthogonality is 0.976 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Conclusion 45 5. CONCLUSION The FIOVANA baseline survey was conducted in southeastern Madagascar in the districts of Farafangana, Manakara Atsimo, Mananjary, Vangaindrano, Vohipeno, and Vondrozo. This area is normally characterized by abundant rainfall and favorable growing conditions for a variety of crops, but this region is also remote with rugged terrain and poor road access. The baseline survey of 4,300 households reflects an area dominated by agriculture. Over 94% of households farm and 92% of farmers grow rice. While farmers do grow cash crops, including cloves, coffee, and bananas, agriculture is limited by the lack of access to input and output markets, contract farming, credit, and extension. Poverty rates in the region are high. The percentage living on less than $1.90 per day (2011 PPP) is 72%. Furthermore, 18% of individuals are considered to be facing severe food insecurity, and over 81% are at least moderately food insecure. Only 31% of households have an adequate Food Consumption Score. Very few children are consuming a diet of minimum diversity (5%) and minimum acceptability (3%). A quarter of children under 5 years old are underweight in the region. While women have a higher minimum dietary diversity than children, the percentage (9%) is still low, with most women consuming only three diverse food groups. Households have access to few resources that would enable them to better mitigate shocks and perceive that they have a low ability to recover from future shocks. Moreover, institutions available to enable households' capacity to respond to shocks seem to be weak. These findings underscore the importance of the resilience-focused activities that FIOVANA aims to deliver. The baseline data shows a good balance between treatment and control communes. Looking ahead to the endline survey in 2025, there are several potential challenges. First, the length of time between baseline and endline implies that attrition may be an issue. Second, there are many organizations working in this region, some of which will likely have health, nutrition, or agriculture interventions in control as well as treatment communes. This may make it more difficult to identify the effects of the FIOVANA activity. To address this, the baseline survey collected information on current activities operating in each commune, and the same will be done at endline. Furthermore, the outcome monitoring study planned for 2023 will provide an opportunity to assess changes in the practices and activities of households linked to FIOVANA activities. IMPEL | Implementer-Led Evaluation and Learning 46 Annex A: Balance Tables ANNEX A: BALANCE TABLES Table 54. Food security Outcome Control Treatment Mean N Mean N Difference P-value Household FCS (0–112) 32.891 2,115 32.302 2,097 -0.589 0.507 Percent of households with poor consumption score (<22) 5.88 2,115 7.967 2,097 2.087 0.294 Percent of households with borderline consumption score (22–35) 62.01 2,115 62.269 2,097 0.258 0.941 Percent of households with acceptable consumption score (>35) 32.109 2,115 29.764 2,097 -2.345 0.615 Percent of households worried about not having enough food to eat because of a lack of money or other resources 91.566 2,115 92.54 2,097 0.974 0.639 Percent of households unable to eat healthy and nutritious food because of a lack of money or other resources 92.566 2,115 95.798 2,097 3.231 0.058 Percent of households that ate only a few kinds of foods because of a lack of money or other resources 92.589 2,115 95.914 2,097 3.325 0.045 Percent of households that skipped a meal because there was not enough money or other resources 56.686 2,115 61.165 2,097 4.479 0.254 Percent of households that ate less than you thought you should because of a lack of money or other resource 84.907 2,115 88.783 2,097 3.876 0.104 Percent of households that did not have food because of a lack of money or other resources 23.676 2,115 29.752 2,097 6.076 0.1 Percent of households that are hungry but did not eat because there was not enough money or other resource 23.786 2,115 31.39 2,097 7.604 0.115 Percent of households that went without eating for a whole day because of a lack of money or other resource 17.74 2,115 23.329 2,097 5.59 0.18 *Denotes significance at 10 pct., ** at 5 pct., and *** at 1 pct. The p-value for a joint test of orthogonality is 0.000 Table 55. Child nutrition and health Outcome Control Treatment Percent N Percent N Difference P-value MDD children ages 6–23 months 0.068 639 0.039 639 -0.029 0.127 MAD children ages 6–23 months 0.038 639 0.025 639 -0.013 0.309 Exclusively breastfed children under 6 months of age 0.608 176 0.656 209 0.048 0.469 Children under 5 who had diarrhea 0.118 2,089 0.108 2,112 -0.011 0.601 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Annex A: Balance Tables 47 Outcome Control Treatment Percent N Percent N Difference P-value Children under age 5 who had fever, diarrhea, or acute raspatory infection (ARI) in the past 15 days and received treatment within 2 hours from a health facility or health service 0.548 660 0.596 772 0.048 0.299 Children who had diarrhea and were given ORT 0.174 243 0.278 234 0.104* 0.07 *The results in this table are expressed as percentages Table 56. Anthropometry Outcome Control Treatment Mean N Mean N Difference P-value Weight-for-age Z-score (WAZ) children 0–59 months -1.28 2,049 -1.271 2,047 0.01 0.918 Female children 0–59 months WAZ -1.153 1,033 -1.15 1,072 0.003 0.976 Male children 0–59 months WAZ -1.411 1,016 -1.401 975 0.01 0.924 Children 0–23 months WAZ -0.944 796 -1.071 810 -0.127 0.407 Children 24–59 months WAZ 0.238 Percent of children 0–59 months underweight 26.301 2,049 25.462 2,047 -0.84 0.702 Percent of female children 0–59 months that are underweight 23.402 1,033 22.385 1,072 -1.017 0.673 Percent of male children 0–59 months that are underweight 29.264 1,016 28.774 975 -0.49 0.862 Percent of children 0–23 months that are underweight 21.927 796 25.407 810 3.48 0.271 Percent of children 24–59 months that are underweight 29.094 1,253 25.496 1,237 -3.598 0.123 Percent of children 0–59 months that are severely underweight 9.106 2,049 6.679 2,047 -2.427 0.07 Percent of female children 0–59 months that are severely underweight 7.733 1,033 6.131 1,072 -1.602 0.46 Percent of male children 0–59 months that are severely underweight 10.509 1,016 7.27 975 -3.239 0.077 Percent of children 0–23 months that are severely underweight 8.194 796 7.781 810 -0.414 0.834 Percent of children 24–59 months that are severely underweight 9.688 1,253 5.98 1,237 -3.708 0.012 Percent of female children 0–59 months with a normal weight 43.444 1,033 41.147 1,072 -2.298 0.477 Percent of male children 0–59 months with a normal weight 35.101 1,016 33.771 975 -1.33 0.663 Percent of children 0–23 months with a normal weight 48.622 796 44.005 810 -4.616 0.29 Percent of children 24–59 months with normal weight 33.376 1,253 33.526 1,237 0.15 0.963 IMPEL | Implementer-Led Evaluation and Learning 48 Annex A: Balance Tables Table 57. Women’s health, maternal nutrition, and reproductive health Outcome Control Treatment Percent N Percent N Difference P-value Women of reproductive age (15–49) with MDD 0.032 2416 0.034 2467 0.002 0.867 Women in a union using birth control 0.352 1176 0.297 1121 -0.055 0.233 Women of reproductive age who had a live birth during the last 5 years that received ANC during last pregnancy 0.661 1347 0.682 1372 0.021 0.61 Women of reproductive age in a union who have knowledge of modern family planning methods 0.78 1302 0.782 1263 0.002 0.964 Women of reproductive age in a union who use a modern family planning method in the last 12 months who made decisions about modern family planning methods in the past 12 months 0.927 482 0.936 429 0.009 0.801 Women of reproductive age who take at least one method of birth control 0.032 2416 0.034 2467 0.002 0.867 *Denotes significance at 10 pct., ** at 5 pct., and *** at 1 pct. The p-value for a joint test of orthogonality is 0.681 *The results in this table are expressed as percentages Table 58. Water, sanitation, and hygiene Outcome Control Treatment Mean N Mean N Difference P-value Percent of households with improved water source 16.859 2,159 20.701 2,140 3.842 0.404 Water source within 30 minutes per household 95.364 2,159 96.453 2,140 1.089 0.237 Water available year-round per household 87.594 2,159 85.044 2,140 -2.55 0.394 Households with access to basic drinking water services 14.188 2,159 16.72 2,140 2.531 0.536 Handwashing available per household 3.503 1,929 4.097 1,863 0.593 0.681 Households that treat their water 46.528 2,159 54.22 2,140 7.692 0.256 Households that treat water by adding bleach or chlorine before drinking 2.118 2,159 2.224 2,140 0.106 0.936 Households that treat water by flocculation before drinking 19.884 2,159 20.295 2,140 0.41 0.903 Households that treat water by filtration before drinking 10.765 2,159 13.656 2,140 2.891 0.415 Households that treat water by solar disinfection 35.22 2,159 42.193 2,140 6.974 0.238 Households that treat water by boiling before drinking 0.521 2,159 0.898 2,140 0.377 0.306 Households practicing open defecation 63.33 2,159 67.99 2,140 4.66 0.505 Households using improved sanitation facilities 2.764 2,159 2.407 2,140 -0.357 0.738 Household water use per capita (liters) 16.58 990 14.839 1,128 -1.741 0.108 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Annex A: Balance Tables 49 Table 59. Agriculture–cassava, rice, and cloves Outcome Control Treatment Mean N Mean N Difference P-value Cassava Percent of farmers using at least one practice for cassava 21.453 1,705 20.998 1,601 -0.455 0.901 Percent of farmers using interplanting for cassava 10.915 1,708 12.093 1,604 1.179 0.681 Percent of farmers sowing after significant rain for cassava 5.281 1,708 3.92 1,604 -1.361 0.524 Percent of farmers that did not use any of the practices for cassava 79.684 1,708 79.44 1,604 -0.243 0.947 Rice Percent of farmers using at least one practice for rice 24.036 1,847 22.917 1,770 -1.119 0.818 Percent of farmers using organic manure for rice 5.348 1,853 6.868 1,775 1.52 0.476 Percent of farmers sowing after significant rain for rice 12.238 1,853 10.746 1,775 -1.492 0.759 Percent of farmers that did not use any of the practices for rice 76.891 1,853 77.519 1,775 0.629 0.894 Cloves Percent of farmers using at least one practice for cloves 42.449 528 35.975 576 -6.474 0.513 Percent of farmers interplanting for cloves 30.982 528 24.869 576 -6.113 0.486 Percent of farmers using soil cover for cloves 5.929 528 7.303 576 1.374 0.71 Percent of farmers that did not use any of the practices for cloves 59.322 528 64.207 576 4.885 0.626 Other Practices Percent of farmers using agricultural credit 5.411 2,103 5.061 2,003 -0.35 0.808 Percent of farmers who saved 12.167 2,105 9.773 2,005 -2.394 0.215 Percent of farmers using insurance 0.312 2,105 0.251 2,005 -0.062 0.808 Percent of farmers reporting at least one value chain activity 36.423 1,645 26.035 1,535 -10.388 0.283 Table 60. Agriculture–yield Outcome Control Treatment Mean N Mean N Difference P-value Farmers reporting cassava yield in kg per ha 5,340.62 1,387 4,805.695 1,315 -534.924 0.352 Farmers reporting cloves yield in kg per ha 680.779 160 665.038 165 -15.74 0.935 Farmers reporting rice yield in kg per ha 4,317.811 1,605 3,459.563 1,554 -858.247 0.068 Farmers reporting zero rice production 1.318 1,852 1.333 1,780 0.015 0.977 IMPEL | Implementer-Led Evaluation and Learning 50 Annex A: Balance Tables Table 61. Poverty measurements Outcome Control Treatment Mean N Mean N Difference P-value Percent poor per household 69.495 2,160 74.284 2,140 4.789 0.095 Daily per capita expenditure (Ariary) 2,099.067 2,160 2,040.822 2,140 -58.245 0.435 Daily per capita expenditure (Dollars) 1.633 2,160 1.588 2,140 -0.045 0.435 *Denotes significance at 10 pct., ** at 5 pct., and *** at 1 pct. The p-value for a joint test of orthogonality is 0.028 Table 62. Use of financial resources Outcome Control Treatment Percent N Percent N Difference P-value Women and men in a union who earned cash in the past 12 months 0.745 3,220 0.739 3,164 -0.006 0.858 Men in a union and earning cash who report spouse/partner participation in decisions about the use of self-earned cash 0.829 1,479 0.808 1,426 -0.021 0.604 Women in a union and earning cash who report participation in decisions about the use of self-earned cash 0.866 934 0.821 914 -0.045 0.494 *Denotes significance at 10 pct., ** at 5 pct., and *** at 1 pct. The p-value for a joint test of orthogonality is 0.4865 *The results in this table are expressed as percentages Table 63. Credit Outcome Control Treatment Percent N Percent N Difference P-value People in a union who have access to credit 0.356 3,220 0.359 3,164 0.003 0.945 Men and women in a union who report making the borrowing decision 0.699 1,165 0.673 1,115 -0.026 0.456 * denotes significance at 10 pct., ** at 5 pct., and *** at 1 pct. The p-value for a joint test of orthogonality is 0.458 *The results in this table are expressed as percentages Table 64. Resilience Outcome Control Treatment Mean N Mean N Difference P-value Household adaptive capacity index (0–100) 29.73 1,886 33.966 1,863 4.236 0.034 Household bridging Social Capital index (0–6) 0.978 2,160 1.063 2,140 0.085 0.363 Household linking social capital (0–4) 0.041 2,160 0.029 2,140 -0.012 0.312 Household social network index (0–6) 1.462 2,150 1.959 2,140 0.497 0.003 Household education/training index (0–7) 1.112 2,159 1.245 2,135 0.133 0.11 Household asset ownership index—total type (0–31) 6.416 2,102 6.398 2,089 -0.018 0.944 Household access to financial resources (0–2) 0.403 2,160 0.787 2,140 0.384 0.011 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Annex A: Balance Tables 51 Outcome Control Treatment Mean N Mean N Difference P-value Household livelihood diversification index (0– 20) 2.716 2,160 2.799 2,140 0.084 0.619 Household adoption of improved practices index (0–1) 0.07 1,990 0.059 1,966 -0.011 0.559 Household exposure to information index (0– 19) 4.215 2,160 4.248 2,140 0.033 0.95 Household aspirations/confidence to adapt index (0–16) 9.205 2,056 9.198 2,039 -0.007 0.97 Household absorptive capacity index (0–100) 27.103 1,904 33.376 1,952 6.273 0.02 Household access to cash savings index (0–1) 0.118 2,159 0.115 2,140 -0.003 0.925 Household asset ownership index—total type (0–31) 6.416 2,102 6.398 2,089 -0.018 0.944 Household remittances index (0–1) 0.01 2,160 0.012 2,140 0.002 0.641 Household access to insurance index (0–1) 0.003 1,990 0.003 1,966 -0.001 0.769 Household bonding Social Capital index (0–6) 1.112 2,160 1.199 2,140 0.086 0.319 Household access to informal safety nets index (0–6) 2.396 2,080 2.779 2,140 0.383 0.111 Household shock preparedness & responsiveness index (0–3) 0.922 2,160 1.098 2,140 0.175 0.071 Household access to humanitarian assistance index (0–1) 0.089 2,160 0.277 2,140 0.188 0 Household transformative capacity index (0– 100) 35.296 1,333 36.04 1,782 0.744 0.851 Household access to formal safety nets index (0–13) 1.787 1,339 1.562 1,800 -0.225 0.335 Household access to markets index (0–1) 1 2,160 1 2,140 0.000 Household access to communal natural resources index (0–4) 0.237 2,160 0.156 2,140 -0.081 0.481 Household basic services index (0–4) 1.375 2,160 1.92 2,140 0.545 0 Household access to infrastructure index (0–3) 1.004 2,160 0.949 2,140 -0.056 0.731 Household access to agricultural services index (0–1) 0.044 2,160 0.146 2,140 0.102 0.154 IMPEL | Implementer-Led Evaluation and Learning 52 Annex A: Balance Tables Outcome Control Treatment Mean N Mean N Difference P-value Household bridging Social Capital index (0–6) 0.978 2,160 1.063 2140 0.085 0.363 Household linking social capital (0–4) 0.041 2,160 0.029 2140 -0.012 0.312 Household social cohesion index (0–3) 0.169 2,160 0.16 2140 -0.009 0.934 Household gender equitable decision-making index (0–2) 0.704 2,160 0.664 2140 -0.039 0.617 Household local decision-making index (0–1) 0.34 2,148 0.359 2122 0.019 0.654 Household local government responsiveness index (0–2) 0.871 2,160 0.951 2140 0.080 0.312 Household gender index (0–3) 2.368 2,160 2.118 2140 -0.250 0.01 Household ability to recover from shocks & stresses index 2.586 1,849 2.606 1862 0.020 0.813 Household index of social capital at household level (0-100) 49.56 2,160 52.988 2140 3.428 0.339 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Annex B: Additional Tables 53 ANNEX B: ADDITIONAL TABLES Table 65. Crops grown, gender Male Female All Outcome Percent SE N Percent SE N Percent SE N Percent farmers growing cassava 89.3% (1.32) 3,028 66.4% (3.14) 914 83.9% (1.57) 3,942 Percent farmers growing rice 94.6% (0.63) 3,028 84.3% (2.32) 914 92.1% (0.67) 3,942 Percent farmers growing cloves 32.7% (2.38) 3,028 12.3% (1.52) 914 27.8% (2.04) 3,942 Percent farmers growing coffee 43.4% (2.08) 3,028 19.0% (1.79) 914 37.6% (1.84) 3,942 Percent farmers growing citrus 31.8% (2.43) 3,028 19.2% (2.05) 914 28.8% (2.12) 3,942 Percent farmers growing mango 10.9% (1.63) 3,028 4.2% (0.62) 914 9.3% (1.31) 3,942 Percent farmers growing cassava 89.3% (1.32) 3,028 66.4% (3.14) 914 83.9% (1.57) 3,942 Percent farmers growing sw_pot 40.8% (2.79) 3,028 32.6% (3.28) 914 38.8% (2.68) 3,942 Percent farmers growing cloves 32.7% (2.38) 3,028 12.3% (1.52) 914 27.8% (2.04) 3,942 Percent farmers growing banana 42.0% (2.12) 3,028 21.5% (1.46) 914 37.1% (1.70) 3,942 Percent farmers growing vanilla 17.0% (1.52) 3,028 4.6% (0.73) 914 14.1% (1.22) 3,942 Table 66. Agriculture value chain practices, gender Male Female All Outcome Percent SE N Percent SE N Percent SE N Percent using agricultural credit 5.4% (0.65) 3,049 4.9% (0.81) 1,057 5.2% (0.62) 4,106 Percent of farmers who saved 11.6% (1.00) 3,051 9.2% (1.26) 1,059 11.0% (0.90) 4,110 Percent of farmers using insurance 0.3% (0.15) 3,051 0.1% (0.13) 1,059 0.3% (0.09) 4,110 Percent of farmers reporting at least one value chain activity 30.5% (2.72) 2,405 34.5% (4.67) 775 31.5% (3.09) 3,180 IMPEL | Implementer-Led Evaluation and Learning 54 Annex B: Additional Tables Table 67. Modern practices for cassava, gender Male Female All Outcome Percent SE N Percent SE N Percent SE N Percent using at least one practice for cassava 21.5% (1.52) 2,705 20.1% (2.53) 601 21.2% (1.45) 3,306 Organic manure for cassava 1.2% (0.20) 2,709 1.7% (0.65) 603 1.3% (0.24) 3,312 Compost for cassava 3.0% (0.59) 2,709 1.7% (0.73) 603 2.8% (0.51) 3,312 Performing weedings for cassava 0.03% (0.03) 2,709 0.3% (0.27) 603 0.1% (0.05) 3,312 Sowing after significant rain for cassava 4.9% (0.86) 2,709 3.6% (1.05) 603 4.6% (0.81) 3,312 Interplanting for cassava 11.5% (0.94) 2,709 11.4% (2.12) 603 11.5% (0.97) 3,312 Crop rotation for cassava 2.4% (0.54) 2,709 2.1% (0.59) 603 2.3% (0.49) 3,312 Use of improved seeds for cassava 0.2% (0.12) 2,709 0.3% (0.21) 603 0.2% (0.10) 3,312 Use of climate information for cassava 0.2% (0.15) 2,709 0.0% (.) 603 0.2% (0.12) 3,312 Wind break for cassava 0.0% (.) 2,709 0.0% (.) 603 0.0% (.) 3,312 Soil cover for cassava 0.3% (0.09) 2,709 0.0% (.) 603 0.2% (0.07) 3,312 Micro doses of fertilizer for cassava 0.0% (.) 2,709 0.7% (0.50) 603 0.1% (0.10) 3,312 Crop rotation for cassava 0.4% (0.15) 2,709 0.3% (0.30) 603 0.4% (0.13) 3,312 Intercropping and Agroforestry for cassava 0.4% (0.17) 2,709 0.3% (0.18) 603 0.4% (0.15) 3,312 land leveling for cassava 0.1% (0.07) 2,709 0.0% (.) 603 0.1% (0.05) 3,312 Did not use any of the practices for cassava 79.2% (1.42) 2,709 81.0% (2.38) 603 79.6% (1.37) 3,312 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Annex B: Additional Tables 55 Table 68. Modern practices for rice, gender Male Female All Outcome Percent SE N Percent SE N Percent SE N Percent using at least one practice for rice 23.8% (2.33) 2,853 22.4% (2.69) 764 23.5% (2.22) 3,617 Use of improved seeds for rice 0.1% (0.06) 2,860 0.4% (0.31) 768 0.2% (0.08) 3,628 Use of climate information for rice 0.2% (0.08) ,2860 0.0% (.) 768 0.2% (0.06) 3,628 Wind break for rice 0.0% (0.03) 2,860 0.0% (.) 768 0.0% (0.02) 3,628 Soil cover for rice 0.1% (0.06) 2,860 0.2% (0.20) 768 0.1% (0.06) 3,628 Micro doses of fertilizer for rice 1.3% (0.27) 2,860 0.8% (0.24) 768 1.2% (0.22) 3,628 Crop rotation for rice 0.2% (0.07) 2,860 0.2% (0.17) 768 0.2% (0.06) 3,628 Intercropping and Agroforestry for rice 0.0% (0.04) 2,860 0.1% (0.14) 768 0.1% (0.04) 3,628 land leveling for rice 0.0% (.) 2,860 0.1% (0.14) 768 0.0% (0.03) 3,628 Did not use any of the practices for rice 76.9% (2.30) 2,860 78.4% (2.66) 768 77.2% (2.19) 3,628 Table 69. Modern practices for cloves, gender Male Female All Outcome Percent SE N Percent SE N Percent SE N Percent using at least one practice for cloves 39.7% (4.02) 994 32.8% (6.03) 110 39.0% (4.04) 1,104 Compost for cloves 3.4% (0.94) 994 3.3% (2.03) 110 3.4% (0.88) 1,104 Performing weedings for cloves 0.0% (.) 994 0.0% (.) 110 0.0% (.) 1,104 Sowing after significant rain for cloves 0.5% (0.16) 994 0.5% (0.52) 110 0.5% (0.19) 1,104 Interplanting for cloves 28.2% (3.73) 994 23.7% (5.87) 110 27.7% (3.83) 1,104 Crop rotation for cloves 0.7% (0.35) 994 0.0% (.) 110 0.7% (0.31) 1,104 Use of improved seeds for cloves 0.6% (0.34) 994 0.5% (0.52) 110 0.6% (0.32) 1,104 Use of climate information for cloves 0.5% (0.34) 994 0.0% (.) 110 0.4% (0.30) 1,104 Wind break for cloves 0.1% (0.08) 994 0.0% (.) 110 0.1% (0.07) 1,104 Soil cover for cloves 6.7% (1.70) 994 6.5% (2.70) 110 6.7% (1.68) 1,104 Intercropping and Agroforestry for cloves 4.2% (1.43) 994 0.9% (0.76) 110 3.8% (1.22) 1,104 land leveling for cloves 0.1% (0.13) 994 0.0% (.) 110 0.1% (0.12) 1,104 Use of improved seeds for cloves 0.6% (0.34) 994 0.5% (0.52) 110 0.6% (0.32) 1,104 IMPEL | Implementer-Led Evaluation and Learning 56 Annex B: Additional Tables Male Female All Outcome Percent SE N Percent SE N Percent SE N Did not use any of the practices for cloves 61.3% (4.07) 994 67.2% (6.03) 110 61.9% (4.09) 1,104 Table 70. Agricultural yield, gender Male Female All Outcome Mean SE N Mean SE N Mean SE N Cassava yield in kg per ha 4,912.53 (262.89) 2,214 5,768.37 (403.90) 490 5,074.29 (272.12) 2,704 Cloves yield in kg per ha 616.48 (65.97) 276 919.8 (158.23) 49 672.17 (74.69) 325 Rice yield in kg per ha 3,858.06 (238.32) 2,503 4,046.44 (326.14) 657 3,897.38 (247.35) 3,160 Table 71. Poultry farming, gender Male Female All Outcome Percent SE N Percent SE N Percen t SE N Percent of farmers raising poultry 69.4% (1.66) 3,100 58.8% (2.30) 1,087 66.6% (1.64) 4,187 Use of improved poultry variety/breed 0.6% (0.18) 2,142 0.6% (0.41) 631 0.6% (0.17) 2,773 Use of improved feed 0.0% (0.01) 2,142 0.0% (.) 631 0.0% (0.01) 2,773 Use of improved shelters 0.4% (0.16) 2,142 0.0% (.) 631 0.3% (0.12) 2,773 Use of improved fodder production 0.1% (0.05) 2,142 0.0% (.) 631 0.1% (0.04) 2,773 Vaccinations 3.7% (0.74) 2,142 5.1% (1.31) 631 4.0% (0.72) 2,773 Use of para-veterinary services for poultry 0.2% (0.13) 2,124 0.1% (0.06) 624 0.2% (0.10) 2,748 Food preservation 0.1% (0.06) 2,124 0.2% (0.15) 624 0.1% (0.06) 2,748 Selective breeding 0.2% (0.11) 2,124 0.0% (.) 624 0.1% (0.08) 2,748 Habitat 3.2% (0.56) 2,124 1.5% (0.48) 624 2.8% (0.39) 2,748 Percent of farmers reporting eggs in previous week 27.6% (1.90) 2,124 23.4% (2.11) 630 26.6% (1.72) 2,754 Poultry yield in kg per bird 2.4% (0.02) 2,139 2.4% (0.03) 630 2.4% (0.02) 2,769 Percent selling poultry in the last year 61.6% (1.59) 2,124 60.9% (2.95) 630 61.5% (1.38) 2,754 Percent consuming own poultry in the last year 82.4% (1.42) 2,123 74.0% (2.75) 630 80.4% (1.33) 2,753 Percent of farmers experiencing poultry dying in the last year 64.9% (2.07) 2,124 73.2% (2.93) 630 66.8% (1.81) 2,754 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Annex B: Additional Tables 57 Male Female All Outcome Percent SE N Percent SE N Percen t SE N Did not use any of these practices in the past 12 months 93.8% (0.76) 2,142 94.2% (1.24) 631 93.9% (0.67) 2,773 IMPEL | Implementer-Led Evaluation and Learning 58 Annex B: Additional Tables Table 72. Beekeeping, gender Male Female All Outcome Mean SE N Mean SE N Mean SE N Total number of hives 4.15 (0.41) 65 5.92 (3.40) 4 4.25 (0.54) 69 Number of modern hives n/a n/a 13 n/a n/a 2 n/a n/a 15 Liters of honey per modern hive n/a n/a 13 n/a n/a 2 n/a n/a 15 Number of traditional hives 3.51 (0.39) 58 n/a n/a 2 3.44 (0.38) 60 Liters of honey per traditional hive 1.91 (0.55) 58 n/a n/a 2 1.92 (0.53) 60 Percentage using beekeeping equipment (listed below) Beehive 90.2% (4.93) 65 n/a n/a 4 90.8% (4.73) 69 Smoker 29.8% (8.72) 65 n/a n/a 4 28.1% (8.41) 69 Frames and Foundation 11.9% (5.58) 65 n/a n/a 4 11.2% (5.22) 69 Veil and Gloves 11.8% (5.09) 65 n/a n/a 4 11.1% (4.85) 69 Feeder 1.4% (1.69) 65 n/a n/a 4 1.4% (1.56) 69 Heated Knife 25.7% (4.90) 65 n/a n/a 4 25.0% (4.68) 69 Uncapping Fork 7.6% (3.67) 65 n/a n/a 4 7.1% (3.47) 69 Tub For Wax/Honey 2.5% (2.10) 65 n/a n/a 4 2.3% (1.95) 69 Extractor 1.0% (1.02) 65 n/a n/a 4 1.0% (0.96) 69 Food-Grade Bucket 8.2% (4.46) 65 n/a n/a 4 8.6% (4.38) 69 Double Sieve 5.5% (3.51) 65 n/a n/a 4 5.2% (3.26) 69 Containers 3.9% (2.80) 65 n/a n/a 4 3.7% (2.60) 69 Queen excluder 2.8% (2.22) 65 n/a n/a 4 2.7% (2.10) 69 Queen cage 7.0% (2.88) 65 n/a n/a 4 6.6% (2.72) 69 Beekeeper's suit 3.5% (2.84) 65 n/a n/a 4 3.3% (2.64) 69 Nylon brush 3.2% (2.38) 65 n/a n/a 4 3.1% (2.20) 69 Attracts swarm 7.0% (2.92) 65 n/a n/a 4 6.6% (2.77) 69 Filter cloth 19.7% (6.09) 65 n/a n/a 4 18.6% (5.53) 69 Knife 38.7% (8.86) 65 n/a n/a 4 39.5% (8.87) 69 Bucket 20.6% (6.14) 65 n/a n/a 4 20.2% (5.53) 69 Table 73. Fishing, gender Male Female All Outcome Percent SE N Percent SE N Percent SE N Percent fishing for food only 46.5% (6.40) 204 43.3% (10.73) 83 45.5% (5.93) 287 Percent fishing for market only 1.7% (0.86) 204 6.0% (3.64) 83 3.0% (1.37) 287 Percent fishing for both food and market 51.8% (6.24) 204 50.7% (9.27) 83 51.5% (5.53) 287 Percent of fishers using a pirogue 37.7% (6.14) 204 8.1% (5.94) 82 28.6% (5.01) 286 Percent of fishers using nets 55.6% (6.40) 204 19.2% (6.07) 82 44.4% (5.17) 286 Percent of fishers using containers 27.2% (4.88) 204 43.3% (7.20) 82 32.1% (4.42) 286 Baseline Study of the FIOVANA RFSA in Madagascar (Vol. I) Annex B: Additional Tables 59 Table 74. Non-governmental organizations in the control areas Organization/leader of the project Frequency Percent Cum. ADRA 3 2.3% 2.26 AFAFI SUD 3 2.3% 4.51 DEFIS 23 17.3% 21.8 FAO 1 0.8% 22.56 FID 8 6.0% 28.57 PAM 6 4.5% 33.08 ONN 1 0.8% 33.83 USAID ACCESS 20 15.0% 48.87 WHH (WELT HUNGER LIFE) 2 1.5% 50.38 Church 7 5.3% 55.64 Malagasy Government 3 2.3% 57.89 Individual 1 0.8% 58.65 International NGO 27 20.3% 78.95 Malagasy NGO 12 9.0% 87.97 Other bilateral organization 8 6.0% 93.98 Other international organization 8 6.0% 100 Total 133 100 Table 75. Non-governmental organizations in the treatment areas Organization/leader of the project Freq. Percent Cum. ADRA 48 26.1% 26.09 AFAFI SUD 4 2.2% 28.26 CARE 1 0.5% 28.8 CRS 4 2.2% 30.98 DEFIS 25 13.6% 44.57 FID 7 3.8% 48.37 PAM 1 0.5% 48.91 ONN 2 1.1% 50 USAID ACCESS 20 10.9% 60.87 WHH (WELT HUNGER LIFE) 5 2.7% 63.59 Church 6 3.3% 66.85 Malagasy Government 4 2.2% 69.02 International NGO 28 15.2% 84.24 Malagasy NGO 12 6.5% 90.76 Other bilateral organization 5 2.7% 93.48 Other international organization 12 6.5% 100 Total 184 100 IMPEL | Implementer-Led Evaluation and Learning 60 Annex B: Additional Tables Table 76. Non-governmental organization activity Control Treatment All Outcome Percent reporting the activity N Percent reporting the activity N Percent reporting the activity N Administrative support (conseil, finance, personnel) 0.0% 133 0.0% 184 0.0% 317 Construction, public buildings 0.0% 133 0.0% 184 0.0% 317 Construction, roads 2.3% 133 1.6% 184 1.9% 317 Construction, other (including water and irrigation services) 18.8% 133 10.3% 184 13.9% 317 Health 30.8% 133 41.9% 184 37.2% 317 Education 6.8% 133 3.8% 184 5.1% 317 Professional training 1.5% 133 1.1% 184 1.3% 317 Agriculture 43.6% 133 51.1% 184 48.0% 317 Livestock 13.5% 133 21.7% 184 18.3% 317 Fishing/fish farming 3.0% 133 7.6% 184 5.7% 317 Reforestation/environment 6.0% 133 10.9% 184 8.8% 317 Industry/crafts 0.0% 133 0.0% 184 0.0% 317 Commerce/transport 0.8% 133 1.1% 184 1.0% 317 Savings and credit 0.0% 133 1.6% 184 1.0% 317 Conservation (fauna and flora) 2.3% 133 0.0% 184 1.0% 317 Cultural 0.0% 133 0.5% 184 0.3% 317 Food aid 6.0% 133 16.9% 184 12.3% 317 Women and child services 2.3% 133 1.6% 184 1.9% 317 Disability services 0.0% 133 0.0% 184 0.0% 317 IEC support 1.5% 133 1.6% 184 1.6% 317 Support of farmers groups 15.0% 133 16.9% 184 16.1% 317 Good governance 0.0% 133 1.6% 184 1.0% 317 Market access 0.0% 133 0.5% 184 0.3% 317 *N is an organization, not commune