1.14 Maziko example 1

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1. Example QuIP Evaluation (1) Maziko, Malawi
2. • The project name is Maziko, meaning “Foundation” in Chichewa. • It is a five-year initiative integrating cash transfers for maternal and child support with government-endorsed interventions targeting social and behavioural change and capacity building. • Launched in November 2021, it serves nearly 42,000 households with pregnant women and children under five years old in Malawi’s Ntcheu and Balaka districts. • The project includes a large research component, featuring a cluster randomised trial to evaluate the impact, cost- effectiveness, and scalability of maternal and child grants alongside a holistic multi-sector intervention addressing key malnutrition drivers. • These findings will help to inform further enhancements to Malawi’s National Social Protection system and multi-sector nutrition strategy implementation. The Background Sam Vox/Save the Children
3. Maziko seeks to address economic, social, cultural, and environmental drivers of malnutrition and poor child development through a unique combination of maternal and child cash transfers (delivered by Give Directly) and government-endorsed multi-sector social and behavioural change interventions – referred to as “Plus” interventions. The programme aims to strengthen existing government and community structures, enhance coordination, data utilisation, and effective planning and budgeting for nutrition, early child development, nutrition-sensitive livelihoods, and social protection. The Aims Sam Vox/Save the Children
4. Theory of Change
5. Since Maziko’s launch the following activities have been delivered: 1.Cash transfers: 5,730 pregnant women and carers of children under 2 years receive either a small ($17) or larger ($43) unconditional cash transfer monthly for 30 months via mobile phones. 2.Care Group is a community outreach approach to improve maternal, infant and young child nutrition. 468 Care Groups were established, via training of 233 promoters and 4,629 cluster leaders. 3.Caring for the Carer (CFC) aims to strengthen capacity of Care Group promoters, cluster leaders, and male champions to support maternal mental health during home visits. Male Champions is a widely used approach to engage fathers and husbands to improve gender equality in the household. Male champions train cluster husbands to facilitate group and couple sessions to improve relationships, improve the sharing of chores, decision making and resources, and to reduce gender-based violence. 4.Agriculture and Village Savings and Loans (AgVSL) aims to increase production of climate-resilient nutritious crops, benefiting 8,000 households with groundnut and vegetable seeds, and a further 30,000 with agriculture training. Village Savings and Loans were established or revamped to help women save and borrow to invest income generating activities. Programme Delivery
6. The RCT (run by IFPRI) collects comprehensive data about the activities taking place and about key measurable outcomes (e.g. participation in Care Group activities). Save the Children wanted to use a qualitative component to complement this data by unpacking the causal mechanisms participants reported about why and how changes were taking place, and to what extent these changes were impacting the beneficiaries’ lives. Why QuIP? The QuIP was commissioned to validate whether changes to knowledge and behaviour on nutrition and parenting had occurred and to understand the causal mechanisms underpinning any changes – including identifying whether they attributed changes to the programme.