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...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2017
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| 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 |
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okr-10986-284992021-05-25T09:56:15Z An Investment Framework for Nutrition in Uganda : Reducing Stunting and Other Forms of Child Malnutrition Shekar, Meera Hyder, Zia Subandoro, Ali Dayton Eberwein, Julia Pereira, Audrey Akuoku, Jonathan Kweku NUTRITION NUTRITION FINANCING STUNTING 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 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. 2017-10-11T16:33:47Z 2017-10-11T16:33:47Z 2016-10 Working Paper 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 English en_US Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Africa Uganda |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
NUTRITION NUTRITION FINANCING STUNTING MALNUTRITION |
| spellingShingle |
NUTRITION NUTRITION FINANCING STUNTING MALNUTRITION Shekar, Meera Hyder, Zia Subandoro, Ali Dayton Eberwein, Julia Pereira, Audrey Akuoku, Jonathan Kweku An Investment Framework for Nutrition in Uganda : Reducing Stunting and Other Forms of Child Malnutrition |
| geographic_facet |
Africa Uganda |
| relation |
Health, Nutrition and Population Discussion Paper; |
| description |
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. |
| format |
Working Paper |
| author |
Shekar, Meera Hyder, Zia Subandoro, Ali Dayton Eberwein, Julia Pereira, Audrey Akuoku, Jonathan Kweku |
| author_facet |
Shekar, Meera Hyder, Zia Subandoro, Ali Dayton Eberwein, Julia Pereira, Audrey Akuoku, Jonathan Kweku |
| author_sort |
Shekar, Meera |
| title |
An Investment Framework for Nutrition in Uganda : Reducing Stunting and Other Forms of Child Malnutrition |
| title_short |
An Investment Framework for Nutrition in Uganda : Reducing Stunting and Other Forms of Child Malnutrition |
| title_full |
An Investment Framework for Nutrition in Uganda : Reducing Stunting and Other Forms of Child Malnutrition |
| title_fullStr |
An Investment Framework for Nutrition in Uganda : Reducing Stunting and Other Forms of Child Malnutrition |
| title_full_unstemmed |
An Investment Framework for Nutrition in Uganda : Reducing Stunting and Other Forms of Child Malnutrition |
| title_sort |
investment framework for nutrition in uganda : reducing stunting and other forms of child malnutrition |
| publisher |
World Bank, Washington, DC |
| publishDate |
2017 |
| url |
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 |
| _version_ |
1764467038188732416 |