Cochrane · systematic review · CD011504

Community‐level interventions for improving access to food in low‐ and middle‐income countries

Durao, S, Visser, ME, Ramokolo, V, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Public Health2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
42
current version
GRADE rated
24
No studies
17
Included studies
NR
No studies 17 · 40.5%Ungraded 1 · 2.4%Very low 5 · 11.9%Low 10 · 23.8%Moderate 5 · 11.9%High 4 · 9.5%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Unconditional cash transfers compared to no intervention for food security

Population: children, adults, households
7 questions
OutcomeEffectEvidenceStatus / GRADE
Prevalence of undernourishment
Unconditional cash transfers vs no intervention
no estimate extractedNRNo studies
Proportion of household expenditure on food
Unconditional cash transfers vs no intervention
no estimate extracted5 studies · 11271 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Food security
Unconditional cash transfers vs no intervention
no estimate extracted6 studies · 10251 participantsHigh
Dietary diversity
Unconditional cash transfers vs no intervention
no estimate extracted10 studies · 12631 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Stunting
Unconditional cash transfers vs no intervention
no estimate extracted4 studies · 4713 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Wasting
Unconditional cash transfers vs no intervention
no estimate extracted4 studies · 6396 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Cognitive function and development
Unconditional cash transfers vs no intervention
no estimate extracted3 studies · 10813 participantsHigh

Conditional cash transfers compared to no intervention for food security

Population: children, adults, households
7 questions
OutcomeEffectEvidenceStatus / GRADE
Prevalence of undernourishment
Conditional cash transfers vs no intervention
no estimate extractedNRNo studies
Proportion of household expenditure spent on food
Conditional cash transfers vs no intervention
no estimate extracted2 studies · 4760 participantsHigh
Food security
Conditional cash transfers vs no intervention
no estimate extractedNRNo studies
Dietary diversity
Conditional cash transfers vs no intervention
no estimate extracted2 studies · 3937 participantsModerate
Downgraded: risk of bias, imprecision
Stunting
Conditional cash transfers vs no intervention
no estimate extracted4 studies · 3529 participantsLow
Downgraded: risk of bias, imprecision
Wasting
Conditional cash transfers vs no intervention
no estimate extracted2 studies · 2116 participantsLow
Downgraded: imprecision, inconsistency
Cognitive function and development
Conditional cash transfers vs no intervention
no estimate extracted2 studies · 5383 participantsHigh

Income‐generation interventions compared to no intervention for food security

Population: children, adults, households
7 questions
OutcomeEffectEvidenceStatus / GRADE
Prevalence of undernourishment
Income‐generation interventions vs no intervention
no estimate extractedNRNo studies
Proportion of household expenditure on food
Income‐generation interventions vs no intervention
no estimate extracted434 participantsUngraded
Food security
Income‐generation interventions vs no intervention
no estimate extracted1 study · 2193 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Dietary diversity
Income‐generation interventions vs no intervention
no estimate extracted4 studies · 3677 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Stunting
Income‐generation interventions vs no intervention
no estimate extracted2 studies · 3466 participantsModerate
Downgraded: imprecision
Wasting
Income‐generation interventions vs no intervention
no estimate extracted2 studies · 3500 participantsModerate
Downgraded: imprecision
Cognitive function and development
Income‐generation interventions vs no intervention
no estimate extractedNRNo studies

Food vouchers compared to no intervention for food security

Population: poor households
7 questions
OutcomeEffectEvidenceStatus / GRADE
Prevalence of undernourishment
Food vouchers vs no intervention
no estimate extractedNRNo studies
Proportion of household expenditure on food
Food vouchers vs no intervention
no estimate extractedNRNo studies
Food security
Food vouchers vs no intervention
no estimate extractedNRNo studies
Dietary diversity
Food vouchers vs no intervention
no estimate extracted2 studies · 2459 participantsLow
Downgraded: risk of bias, inconsistency
Stunting (HAZ < –2SD)
Food vouchers vs no intervention
no estimate extracted1 study · 1633 participantsModerate
Downgraded: imprecision, indirectness
Wasting (WHZ < –2SD)
Food vouchers vs no intervention
no estimate extracted1 study · 1633 participantsLow
Downgraded: imprecision, indirectness
Cognitive function and development
Food vouchers vs no intervention
no estimate extractedNRNo studies

Food and nutrition subsidies compared to no intervention for food security

Population: primary schools and households and members of healthcare plan
7 questions
OutcomeEffectEvidenceStatus / GRADE
Prevalence of undernourishment
Food and nutrition subsidies vs no intervention
no estimate extractedNRNo studies
Proportion of household expenditure on food
Food and nutrition subsidies vs no intervention
no estimate extracted169485 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Food security
Food and nutrition subsidies vs no intervention
no estimate extractedNRNo studies
Dietary diversity
Food and nutrition subsidies vs no intervention
no estimate extracted1 study · 656 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Stunting
Food and nutrition subsidies vs no intervention
no estimate extractedNRNo studies
Wasting
Food and nutrition subsidies vs no intervention
no estimate extractedNRNo studies
Cognitive function and development
Food and nutrition subsidies vs no intervention
no estimate extractedNRNo studies

Social support compared to no intervention for food security

Population: households at risk of food insecurity
7 questions
OutcomeEffectEvidenceStatus / GRADE
Prevalence of undernourishment
Social support vs no intervention
no estimate extractedNRNo studies
Proportion of household expenditure on food
Social support vs no intervention
no estimate extractedNRNo studies
Food security
Social support vs no intervention
no estimate extracted1687 participantsVery low
Downgraded: imprecision, indirectness
Dietary diversity
Social support vs no intervention
no estimate extracted1615 participantsVery low
Downgraded: imprecision, indirectness
Stunting
Social support vs no intervention
no estimate extracted1 study · 1481 participantsLow
Downgraded: imprecision, indirectness
Wasting
Social support vs no intervention
no estimate extracted1 study · 1481 participantsModerate
Downgraded: imprecision, indirectness
Cognitive function and development
Social support vs no intervention
no estimate extractedNRNo studies