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Principal Investigators: Dr. Nadia Akseer


This study aims to compare three different cash interventions: monthly multipurpose cash transfers (MPC), MPC plus social behaviour change communication, and MPC plus top-up cash.

The research aims to measure nutritional outcomes after 3, 6 and 9 months of treatment, using a randomised controlled trial and mixed methods approaches.

The study seeks to determine and compare the effectiveness and cost-effectiveness of each approach in preventing wasting of children under five and pregnant and lactating women in Somalia.

Dr Nadia Akseer

Johns Hopkins University

Providing cash support to children and families in emergencies is often the crux of humanitarian efforts, yet high-quality evidence on impact and cost-effectiveness of such programs is limited, typically due to the acute nature and large-scale displacement of affected populations. Building on the global evidence and approaches on Cash for Nutrition from Save the Children, this R2HC-funded research provides an invaluable opportunity to study these vulnerable groups in the long-established programmatic settings of Save the Children in Somalia, and with rigorous design and analysis support from JHU and strong engagement from local communities and cash/nutrition key stakeholders. Coupled with strong research uptake and dissemination efforts, we are excited for the reach and potential impact of study findings.

Expected Outcomes

The research will produce evidence to inform more cost-effective programmes to prevent acute malnutrition which will decrease the number of acutely malnourished children. Results aim to influence the national nutrition cluster in Somalia and cash working groups, as well as Save the Children’s own programming.

This should lead to improvements in humanitarian health policy by strengthening humanitarian responses to reach larger numbers through a decrease of costs for programmes treating acutely malnourished children and pregnant and lactating women.


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