An Investment Framework for Nutrition in Uganda : Reducing Stunting and Other Forms of Child Malnutrition
This paper builds on global experience and Uganda's specific context to estimate costs,benefits, and cost-effectiveness of key nutrition interventions. It is intended to help guide theselection of the most cost-effective interventions as well...
| Main Authors: | , , , , , |
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2017
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/398611506524532904/An-investment-framework-for-nutrition-in-Uganda-reducing-stunting-and-other-forms-of-child-malnutrition http://hdl.handle.net/10986/28499 |
| Summary: | This paper builds on global experience
and Uganda's specific context to estimate
costs,benefits, and cost-effectiveness of key nutrition
interventions. It is intended to help guide theselection of
the most cost-effective interventions as well as strategies
for scaling these up. Thepaper considers both relevant
"nutrition-specific" interventions, largely
delivered through thehealth sector, and multisectoral
"nutrition-sensitive" interventions, delivered
through other sectors such as agriculture, education, and
water and sanitation. We estimate that the costs and
benefits of implementing 10 nutrition-specific interventions
in all regions of Uganda would require a yearly public
investment of $68 million. The expected benefits are
enormous: annually over 8,000 lives would be saved, while at
least 375,000 DALYs and 8,700 cases of stunting among
children under five would be averted. Economic productivity
could potentially increase by $280 million annually over the
productive lives of the beneficiaries, with an impressive
internal rate of return of 18 percent. However, because it
is unlikely that the Government of Uganda or its partners
will be able to find the $68 million necessary to reach full
coverage, we also consider scale-up scenarios based on
considerations of their potential for impact, burden of
stunting, resource requirements, and implementation
capacity. The most cost-effective scenario considered would
provide a subset of key interventions in regions with the
highest rates of stunting and would cost between $19 and $60
million, depending on how many regions are covered. We then
identify and cost five nutrition sensitive interventions
relevant to Uganda for which there is both evidence of
positive impact on nutrition outcomes and some cost
information. These findings point to a powerful set of
nutrition specific interventions and a candidate list of
nutrition-sensitive approaches that represent a highly
cost-effective approach to reducing child malnutrition in Uganda. |
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