AFramework For Analysing Participation In Development

2y ago
27 Views
2 Downloads
588.72 KB
67 Pages
Last View : Today
Last Download : 3m ago
Upload by : Kairi Hasson
Transcription

Evaluation DepartmentA Framework for AnalysingParticipation in DevelopmentReport 1/2013

NoradNorwegian Agency forDevelopment CooperationP.O.Box 8034 Dep, NO-0030 OsloRuseløkkveien 26, Oslo, NorwayTel: 47 23 98 00 00Fax: 47 23 98 00 99Photo: Sheena KapachikaDesign: Siste Skrik KommunikasjonPrint: Network Broking/Bjerch TrykkeriISBN: 978-82-7548-773-3

A Framework for AnalysingParticipation in DevelopmentMay 2013Oxford Policy ManagementThe report is the product of its authors, and responsibility for the accuracy of data included in this report rests with the authors.The findings, interpretations and conclusions presented do not necessarily reflect the views of Norad Evaluation Department.

Note on layout and languageThe layout of the document has tried to conform to guidelines for accessibility andease of reading, which require Arial font and left (not full) justification of the text.The report has tried to avoid unnecessary use of acronyms and abbreviations.Disclaimer:The report is the product of its authors, and responsibility for the accuracy ofdata included in this report rests with the authors. The findings, interpretationsand conclusions presented do not necessarily reflect the views of NoradEvaluation Department.

PrefaceOne way to improve and strengthen aid, according to a number of internationalaid agencies, is to support recipient governments to ‘take ownership’ of aidactivities. In arguing for a stronger ownership of development and aid processes,the focus has primarily been on recipient governments rather than the localpopulations in villages, towns and cities that are the ultimate target group andend users of most development aid.A main objective of this study has therefore been to create an understanding ofthe conditions under which local participation and local ownership may furtherdevelopment and assist the design of specific interventions.The study consists of two reports. This report presents a framework for analysinglocal participation in development, in relation to its significance for ownership, andfor aid programme and service delivery effectiveness. The second report is apilot application of the framework to the health sector in Malawi.The study underlines that sustainable participation need to be rooted in existingsocial organisations and networks. In order to achieve this, more interaction andengagement with the communities are required by the government, NGOs anddonors to learn about the formal and informal structures through whichcommunities engage and participate.The framework presented in this report and the Malawi pilot study report may beused by aid donors, governments and NGOs in the design and evaluation ofprogrammes or projects that seek to encourage community participation, eitheras a means to improve programme effectiveness, or as part of a wider strategyof community empowerment.The study was commissioned and managed by the Evaluation Department ofthe Norwegian Agency for Development Cooperation (Norad) and carried out bythe consultancy company Oxford Policy Management Ltd. The company isresponsible for the content of the report, including the findings, conclusions andrecommendations.Oslo, May 2013Tale KvalvaagDirector, Evaluation DepartmentA Framework for Analysing Participation in Developmentiii

AcknowledgementsThis report was produced by Stephen Jones (Team Leader) and Andrew Kardan(Project Manager). It draws on material prepared for an Inception Report for thestudy which discussed methodological issues and to which other members ofthe OPM team contributed (including Dr Angela Chimwaza, Dr BlessingsChinsinga, Maja Jakobsen, Dr Serufusa Sekidde, and Professor SusanWatkins), and a separately published report on the Malawi health sector pilotstudy. The study benefited from comments from Jeremy Holland and SabineGarbarino, and from the Norad Evaluation Department.This study was produced by OPM under contract to the Norad EvaluationDepartment. The authors remain responsible for all opinions expressed in thereport, and any mistakes in it.A Framework for Analysing Participation in Developmentv

viA Framework for Analysing Participation in Development

ContentsPrefaceAcknowledgementsList of figuresList of abbreviationsExecutive summaryiiivixxxiii1 Introduction32 A framework for analysing participation52.1 Participation and development: concepts and issues52.2 Empirical evidence on participation82.3 Typologies of participation102.4 The framework for analysing participation132.5 Approach and methodology162.5.1 Understanding the political economy:institutional and stakeholder analysis172.5.2 Qualitative and participatory research173 Findings from the Malawi Health Pilot Study203.1 Study approach and methodology203.2 Summary of key findings223.2.1 Local perceptions of the health system223.2.2 Participation in planning, budgeting andprogramme design233.2.3 Participation in service delivery253.2.4 Monitoring and accountability253.2.5 Constraints on participation and their implications263.2.6 Implications of the findings263.3 Methodological lessons283.3.1 Approach and methodology283.3.2 Scope of work283.3.3 Experience with use of participatory tools294 Applying the framework to cash transfer targeting324.1 Introduction324.2 Malawi Social Cash Transfer Scheme – Mchinji pilot324.2.1 Programme overview324.2.2 The targeting process334.2.3 Findings from the external evaluation of thetargeting process334.2.4 Changes to the pilot354.2.5 Applicability of the participation framework35A Framework for Analysing Participation in Developmentvii

4.34.4Zimbabwe Harmonised Social Cash Transfer4.3.1 Programme overviewk4.3.2 Community participation in the programme4.3.3 Applicability of the frameworkObservation38383839405 Conclusions and recommendations42References44viiiA Framework for Analysing Participation in Development

List of figuresFigure 1 Generic intervention logic of “induced” participation6Figure 2 Arnstein’s ladder of citizen participation11Figure 3 Pretty’s typology of participation11Figure 4 White’s typology of interests12Figure 5 Framework for analysing participation14Figure 6 Possible applications of the framework17Figure 7 Participation in policy, planning, budgetingand programme design24Figure 8 Community participation in the Malawi Social CashTransfer Scheme37A Framework for Analysing Participation in Developmentix

List of PNGOOPMSCTSVDCxArea Development CommitteeChristian Health Association of MalawiChild Protection CommitteeCommunity Social Protection CommitteeCommunity Social Support CommitteeFocus Group DiscussionHealth Surveillance AssistantHarmonised Social Cash TransferKey Informant InterviewMinistry of Labour and Social SecurityMember of ParliamentNon-Government OrganisationOxford Policy ManagementSocial Cash Transfer SchemeVillage Development CommitteeA Framework for Analysing Participation in Development

A Framework for Analysing Participation in Developmentxi

xiiA Framework for Analysing Participation in Development

A Framework for Analysing Participation in Developmentxiii

xivA Framework for Analysing Participation in Development

Executive summaryThis report presents a framework for analysing participation in development, inrelation to its significance for ownership, and for aid programme and servicedelivery effectiveness. It incorporates the lessons from a pilot application of theframework to the health sector in Malawi, as well as an examination of the scopefor applying the framework to cash transfer programmes.Recent research literature shows the current high level of interest inunderstanding the links between participation and development. In particular,there have been attempts to summarise large bodies of evidence about theeffects of participation. Much of the theoretical literature on participation derivesfrom Arnstein’s Ladder, which presents a hierarchical and normative model that,while correctly focusing attention on participation and power relationships, hasbeen criticised for neglecting other dimensions of, and motivations for,community participation.A review of both the empirical and theoretical literature suggests, therefore, thata more disaggregated and less normative approach to the analysis ofparticipation is required to create an understanding of the conditions underwhich participatory approaches may further development objectives, and to aidthe design of specific interventions. This perspective has driven the developmentof the framework outlined in this report, and its pilot application in the Malawihealth sector, since the underlying objective of the study has been to develop anapproach to drive an understanding of the relationship between ownership,participation and perceptions.The approach proposed for analysing participation is a matrix with rows definedacross the project, programme, or policy cycle – design, implementation, andmonitoring. The columns of the matrix identify the specific forms of participation,who participates in each form (and whether they do so individually orcollectively), their motives, what factors determine the effectiveness ofparticipation, and the results of this participation.An advantage of this framework is that while it can be applied to examineparticipation in a donor-financed programme, it can also be used more generally,for instance in relation to participation in the planning, delivery, and monitoringand evaluation of a service. The framework is value-neutral in that it is not basedon a normative judgement about participation, or on any particular assumptionsabout causal relationships. Instead, it provides a convenient summary andchecklist for representing varying forms of participation, and for supporting theassessment of causal links.A Framework for Analysing Participation in Developmentxv

The pilot application of the framework in a study of the health sector in Malawidemonstrated that the approach used could provide informative findings forpolicy makers on the nature of participation, with potentially significantimplications for government, donors and non-governmental organisations(NGOs). The pilot study identified, applied, and demonstrated the value of a setof research techniques.The potential applicability of the framework for providing insights into the designand evaluation of cash transfer programmes has also been explored, based onrecent evaluations of programmes in Malawi and Zimbabwe. Both these casessought to identify and reach the poorest community members using participatorytargeting approaches. This exercise suggests that a more systematic analysis ofthe context and features of participation (using the framework proposed) couldhave the potential both to contribute to strengthening the design of targetingmechanisms, and to improving evaluation approaches.The main conclusions in relation to the potential use of the framework can besummarised as follows:1. Understanding the effects of, or potential for, community participationrequires a more systematic analysis of who participates, in what way, andfor what reason, than appears generally to have been the case ininternational experience.2. Ex-ante the framework could be applied to a particular sector in order tosystematically understand the forms of local participation and to feed thisinformation into the design of subsequent programmes and projects.3. Participation may form a core component of the intervention logic of someprogrammes or projects. In such cases the framework could be used togenerate information that forms part of the baseline indicators for these,as well as a means of testing the intervention logic.4. The framework could also be applied ex-post as an evaluation tool. Theparticipatory tools can generate a set of information to establish whether aprogramme intervention has resulted in any changes. Or, more generally,the framework could be used to assess whether sufficient attention hasbeen paid and whether this had any negative implications for theprogramme implementation.5. The framework can also provide a set of qualitatively generatedquantitative indicators on the perception of communities related tosatisfaction with particular services, power relations, socialconnectedness and access.6. Testing the effects of participation should start from the detailed analysisof the forms and motives for participation using this framework, but willthen require additional (and ideally more quantitative) analysis ofoutcomes, including where feasible comparison with controls.xviA Framework for Analysing Participation in Development

The framework may be used by aid donors, governments, and by NGOs in thedesign and evaluation of programmes or projects that seek to encouragecommunity participation, either as a means to improve programmeeffectiveness, or as part of a wider strategy of community empowerment. Thereview of empirical literature suggests that the evidence that inducedparticipation improves programme effectiveness is only mildly positive. It isplausible to argue that the chances of achieving better results through suchinterventions may be improved by a more detailed and systematic analysis of thecontext, and a better understanding of who participates, in what activity, and forwhat motives.The framework may also be used (as it was in the Malawi Health pilot study) aspart of a broader process of understanding participation in relation to a sector ora particular type of service. This form of analysis may focus on the constraints toeffective participation for different groups, and may help identify biases in theform of participation (for instance biases related to gender, levels of education,or against those suffering particular forms of social, political or economicexclusion). It may also help to provide evidence on the consequences ofparticipation, or of constraints on it. This form of sectoral analysis of participationmay be a useful instrument for identifying changes to policies or managementarrangements which would have the potential for increasing the effectiveness ofparticipation and overcoming biases. Both governments designing sectoralpolicies, and aid donors providing support to them for instance through theapplication of sector-wide approaches, may find the systematic framework andresearch tools presented in this report useful for this purpose.A Framework for Analysing Participation in Developmentxvii

xviiiA Framework for Analysing Participation in Development

2A Framework for Analysing Participation in Development

1.IntroductionThis report presents a framework for analysing participation in relation to itssignificance for ownership, aid programme and service delivery effectiveness.The study emerges from concerns about whether the approach to the concept of“ownership” (by aid-receiving governments) which is generally considered indiscourse around aid effectiveness, in the context, for example, of the ParisDeclaration, is an appropriate one for donors to use. The standard approachemphasises the need for alignment between government-determined policiesand processes. However, Booth (2011, p.3) argues that for Sub-Saharan Africa:The modal pattern is that public policies are largely driven by short-run politicalconsiderations, and these usually dictate a clientelistic mode of political legitimation,not one based on performance in the delivery of the public goods required foreconomic and social transformation.Since governments and civil society organisations may only partially representthe interests of the ultimate target group for the aid provided, there is a potentialtension between ownership by governments and ownership by those who areconceived of as being the ultimate beneficiaries of development aid. Inparticular, there is a concern that when beneficiaries do not feel that they haveownership of an intervention, their resulting lack of participation may underminethe effectiveness of aid programmes. The implicit assumption (in bothdevelopment practice and in much of the academic literature) has been that ifcommunities have ownership of a development activity, they will voluntarily andactively participate in its design and implementation. This participation willimprove the activity’s sustainability, particularly beyond the ending of theprovision of external financing (Swidler and Watkins 2009).The objective of the study was to develop a methodological framework toimprove understanding of participation, ownership, local perceptions and theirimplications for the design, implementation and evaluation of developmentinterventions. This study’s specific contribution has been the development of aframework for the classification and analysis of participation, and the field testingof this framework, using a suite of participatory methods. The application of adetailed typology of forms of participation, and a systematic approach toassessing who is engaging in each type of participation and why, is argued to bea necessary first step in understanding the role that participation may play in theeffectiveness of development activities.A Framework for Analysing Participation in Development3

This report presents the framework, places it in the context of the empirical andtheoretical literature, and incorporates the lessons from a pilot application of it tothe health sector in Malawi. In addition, the report examines the scope forapplying the framework for cash transfer programmes.This report is organised as follows. Chapter 2 provides an overview of currentdebates in the literature on participation and development. It then presents theproposed framework, examining the inter-relations between its core concepts;the chapter also sets out the way in which it is envisaged the framework will beused. Chapter 3 summarises the findings and lessons from the Malawi healthpilot study. Chapter 4 provides an illustrative analysis of how the frameworkmight be used to provide insights in another sectoral context – that of the design,implementation and evaluation of cash transfer programmes. Chapter 5 presentsconclusions and recommendations on the use of the framework and sets out itspotential policy implications.4A Framework for Analysing Participation in Development

2. A framework for analysing participation2.1 Participation and development: Concepts and issuesMansuri and Rao (2012) identify the focus on participation in development (fromthe mid-1980s) as a reaction against large-scale “top-down” investment projects,and the social costs of structural adjustment. They suggest that (p.3):Economists such as Sen and Ostrom made a vigorous case for a more bottom-upand deliberative vision of development that allows for “common sense” and “socialcapital” of communities to play a central part in decisions that affect them. Theirscholarship led to a renewed interest in community-based development,decentralization, and participation by donors and government.They also argue, however, that (p. 3):This renewed policy interest in participatory initiatives, along with the expansion infunding, has proceeded, in large part, with little systematic effort to understand theparticular challenges entailed in inducing participation or to learn from pastprograms. As a result, the process is, arguably, still driven more by ideology andoptimism than by systematic analysis, either theoretical or empirical.Mansuri and Rao note the distinction between “organic” participation, whichreflects collective action organised by communities or through local politicalaction, often to counter the state, and participation that is “induced” by donor orgovernment programmes, notably through decentralisation and communitydriven development. The analytical value of the concept of “organic”participation may be questioned because the space and potential for individualor collective action to emerge may depend significantly on the attitude that thestate takes towards it, and because the relationship between the state and othersocial forces may be complex, rather than simply oppositional.A Framework for Analysing Participation in Development5

Figure 1Generic intervention logic of “induced” participationImpactImproved development outcomes (e.g. health)OutcomeImproved service delivery coverage and accessOutputsQuantity and quality of services deliveredInputsFinance, TA, V&A activitiesParticipationHowever, it can be valuable to distinguish development initiatives that are basedon an explicit or implicit intervention logic or theory of change under which thefostering of forms of participation is seen as an instrument for improving theeffectiveness of an initiative in question. This generic intervention logic isillustrated in Figure 1 above, where more participatory approaches are seen ashaving the scope to improve the programme effectiveness at each level. Theseapproaches may include, for instance, making programmes more relevantthrough incorporating beneficiary perspectives into design, improving ownershipof the outputs produced and so improving sustainability, and obtaining feedbackfrom users to identify and address problems in programme implementation.However, beyond this instrumental argument for participatory approaches,Gaventa (2003) notes that the meaning and scope of “participation” indevelopment discourse has expanded from engagement or involvement incommunity projects to participation in policy – the discourse of politics andgovernance – encompassing of forms of participation in the economic andsocio-cultural spheres. This broader concept of participation is central to theidea of the citizen, understood as someone with rights, aspiration andresponsibilities in relation to other community members and the state (DFID2010). The rights of citizenship can be seen as a precursor to active practice(agency)1 and social and political participation as part of a relationship ofaccountability between public service providers and their users (Jones andGaventa 2002). Cleaver (1999, p.598) has also highlighted the distinctionbetween efficiency arguments for participatory approaches (to achieve betteroutcomes), and equity and empowerment arguments (participation as enhancingindividual capacity to improve their lives and mobilise vulnerable groups), and a16Agency is defined as “an actor’s or group’s ability to make purposeful choices (Alsop et al 2006).A Framework for Analysing Participation in Development

tendency for these arguments in practice to be conflated, and for the concept ofempowerment to become depoliticised as a result.The rationale for externally driven measures to foster participatory approachesis based (implicitly or explicitly) on an inability of community members toorganise themselves effectively. Mansuri and Rao (2012, p.59) characterise thisas a “civil society failure” in which:Civic action is either absent or operates in a way that results in a net reduction inefficiency.2Chapter 1 noted the origins of this study in concern about the potentialimplications of a lack of participation for the breadth and depth of ownership ofdevelopment activities. It is important to note that there is no universallyaccepted definition of “ownership” in the literature. Two quite differentinterpretations of the term can in fact be distinguished. First, ownership of aprogramme or policy can be taken as meaning “commitment” to that programmeor policy. Alternatively, it can be taken as implying “control” over the programmeor policy. These two concepts have very different implications. For example,while “control” is necessarily zero-sum in important respects (control by onestakeholder, in the sense of the degree of influence exerted over a programme’simplementation, can only be increased by reducing the control of anotherstakeholder), “commitment” to a programme (in the sense of perceiving it to bealigned with the interests of a particular stakeholder) is not zero-sum.De Renzio, Whitfield and Bergamaschi (2008, p.2) note in particular that:Ownership is often used by donors to mean commitment to policies, regardless ofhow those policies were chosen. This contrasts with ownership defined as thedegree of control recipient governments are able to exercise over policy design andimplementation. A first finding from our research is that while many aid agencyofficials start out with a commitment to ownership defined as control over policies, assoon as there is some disagreement over policy choices they tend to fall back on adefinition of ownership as commitment to their preferred policies.The issue of the relationship between participation and ownership thereforedepends on the concept of ownership being used. One form of the interventionlogic for promoting participatory approaches is that participation will increase thebreadth of commitment to a programme. This is distinct from an interventionlogic based on ceding control over key decisions about a programme to theintended beneficiaries. An alternative view of the relationship betweenparticipation and ownership would be that ownership in the sense of control maybe a prerequisite for motivating participation.It is also important to clarify the relationship between participation and theconcepts of “voice” and “accountability”. Rocha Menocal and Sharma (2008)define voice as the “expression of preferences, opinions and views” but theyargue that “mechanisms for expressing voice” are required to ensure that2A broader definition of civil society failure would also emphasise inequalities and injustices resulting from theforms of collective action, as well as inefficiencies.A Framework for Analysing Participation in Development7

“different preferences, opinions and views can be expressed and acted upon”.These mechanisms can include a variety of citizen or civil society-led actions(such as public demonstrations, protests or advocacy campaigns) orparticipation in official policy-making processes. Effective voice is, therefore, aform of participation.Forms of accountability (for instance by service delivery organisations for theservices that they provide) can be based on top-down managementrelationships (for instance from political authorities), horizontal supervision byother official bodies (such as ombudsmen or audit bodies), or bottom-upprocesses of feedback from service users (e.g. citizen score cards, etc.). Voicefrom service users (for instance in relation to complaints about service quality)can therefore be an important instrument for improving accountability, either asexpressed directly to service providers, or indirectly through political oradministrative oversight bodies.There has been a particular emphasis in donor-supported programmes on theattempted use of voice to improve service delivery performance (e.g. DFID2010). A number of levers are important in enabling voice (in the sense offeedback on service delivery performance) to be translated into improvedservices. First, the beneficiaries require information on what services should beprovided and to whom. Second, voice may require additional capabilities toenable beneficiaries to participate effectively. These capabilities potentiallyinclude skills, training and knowledge. Whether the beneficiary participates ornot in the services will depend on the presence of incentives for him or her to doso and the existence of mechanisms or channels for participation. Once viewsand perceptions are voiced, a beneficiary’s ability to hold institutions to accountdepends on the responsiveness of these institutions, which is dictated byunderlying power relations between various stakeholders in a particular setting.The analysis of the wider network of power relationships within which communityor beneficiary participation occurs is therefore of central importance forunderstanding the likely impact of this participation. Stakeholder mapping andpolitical economy analysis can be used to explore the channels through whichresources flow, services are delivered and power/accountability is exercised,within the wider political context. This analysis needs to distinguish betweendifferent groups of stakeholders, and show how “ownership” (in both mainsenses) is divided between them, as well as revealing the nature of powerrelationships.2.2 Empirical evidence on participationThe current salience in the research literature of conceptual and empiricalinterest in understanding participation and development is illustrated by somerecent studies that attempt to summarise large bodies of evidence about theeffects of participation. Gaventa and Barrett (2012, p. 2399) state that:8A Framework for Analysing Participation in Development

Understanding what difference citizen participation and engagement make todevelopment and to more accountable and responsive governance has become akey preoccupation in the development field. It has been over a decade sinceparticipation moved toward the mainstream in development debates and a strategyfor achieving good governance and human rights. Despite this, a large gap still existsbetween normative positions promoting citizen engagement and the empiricalevidence and understanding of what difference citizen engagement makes (or not) toachieving the stated goals.Their study is based on a meta-analysis of a sample of 100 case studies. Theyidentify four types of outcome from their evidence base: citizen engagement andthe construction of citizenship; citizen engagement and the practice ofparticipation; citizen engagement and building responsive states; and citizenengagement and inclusive and cohesive societies.The study also distinguishes four types of citizen engagement: participation inlocal associations; participation in social movements and campaigns;participation in formal participatory governance spaces; and mixed exampleswhere several of these forms of participation apply.They found that of 830 outcomes (of the four types above) in the 100 casestudies, about 75% were positive, and a

Figure 2 Arnstein’s ladder of citizen participation 11 Figure 3 Pretty’s typology of participation 11 Figure 4 White’s typology of interests 12 Figure 5 Framework for analysing participation 14 Figure 6 Possible applications of the framework 17 Figure 7 Participation

Related Documents:

Bruksanvisning för bilstereo . Bruksanvisning for bilstereo . Instrukcja obsługi samochodowego odtwarzacza stereo . Operating Instructions for Car Stereo . 610-104 . SV . Bruksanvisning i original

10 tips och tricks för att lyckas med ert sap-projekt 20 SAPSANYTT 2/2015 De flesta projektledare känner säkert till Cobb’s paradox. Martin Cobb verkade som CIO för sekretariatet för Treasury Board of Canada 1995 då han ställde frågan

service i Norge och Finland drivs inom ramen för ett enskilt företag (NRK. 1 och Yleisradio), fin ns det i Sverige tre: Ett för tv (Sveriges Television , SVT ), ett för radio (Sveriges Radio , SR ) och ett för utbildnings program (Sveriges Utbildningsradio, UR, vilket till följd av sin begränsade storlek inte återfinns bland de 25 största

Hotell För hotell anges de tre klasserna A/B, C och D. Det betyder att den "normala" standarden C är acceptabel men att motiven för en högre standard är starka. Ljudklass C motsvarar de tidigare normkraven för hotell, ljudklass A/B motsvarar kraven för moderna hotell med hög standard och ljudklass D kan användas vid

LÄS NOGGRANT FÖLJANDE VILLKOR FÖR APPLE DEVELOPER PROGRAM LICENCE . Apple Developer Program License Agreement Syfte Du vill använda Apple-mjukvara (enligt definitionen nedan) för att utveckla en eller flera Applikationer (enligt definitionen nedan) för Apple-märkta produkter. . Applikationer som utvecklas för iOS-produkter, Apple .

och krav. Maskinerna skriver ut upp till fyra tum breda etiketter med direkt termoteknik och termotransferteknik och är lämpliga för en lång rad användningsområden på vertikala marknader. TD-seriens professionella etikettskrivare för . skrivbordet. Brothers nya avancerade 4-tums etikettskrivare för skrivbordet är effektiva och enkla att

Den kanadensiska språkvetaren Jim Cummins har visat i sin forskning från år 1979 att det kan ta 1 till 3 år för att lära sig ett vardagsspråk och mellan 5 till 7 år för att behärska ett akademiskt språk.4 Han införde två begrepp för att beskriva elevernas språkliga kompetens: BI

Fe, asam folat dan vitamin B 12). Dosis plasebo yaitu laktosa 1 mg (berdasarkan atas laktosa 1 mg tidak mengandung zat gizi apapun sehingga tidak memengaruhi asupan pada kelompok kontrol), Fe 60 mg dan asam folat 0,25 mg (berdasarkan kandungan Fero Sulfat), vitamin vitamin B 12 0,72 µg berdasarkan atas kekurangan