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Symposium: Challenges in Targeting Nutrition Programs

Discussion: Targeting is Making Trade-offs¹

Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853-6301

²To whom correspondence should be addressed. E-mail: eaf1{at}cornell.edu.

The previous articles presented different aspects of targeting: the implicit political implications, the trade-offs in giving power to different stakeholders to decide and to implement targeting, perceptions of frontline workers in implementing a program, and a technical article about selecting a scale for targeting, which we review in greater detail. It is well recognized that targeting results in a trade-off between not serving those who should be served and including those who should not be served. Less well recognized are the trade-offs that are the consequences of deciding between using indicators of risk vs. using indicators that predict benefit.

KEY WORDS: • targeting • nutrition • programs • risk • benefit • trade-off